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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01375868
Other study ID # UHKT-RLP/2011
Secondary ID 2011-002667-14
Status Completed
Phase Phase 3
First received
Last updated
Start date October 2011
Est. completion date December 2018

Study information

Verified date January 2019
Source Institute of Hematology and Blood Transfusion, Czech Republic
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Vaccines against human papillomaviruses are now commercially available. One of the commercial vaccine contains antigens of both LR HPV types which cause virtually all cases of RRP. Clinical trials have documented the safety and immunogenicity of this vaccine as well as its effectiveness in prevention of incident and persistent infection of the vaccinal types as well as a development of lesions caused by these types. After vaccination the antibodies level increases dramatically and the high levels of antibodies are present in the blood still after 6 years. Furthermore, the neutralization antibodies to the vaccinal antigens have been detected in the cervical mucus of vaccinated women. The preliminary data are now available showing the presence of HPV-specific antibodies in the oral cavity in women after vaccination. The level of antibodies has been dependent on time since vaccination.


Description:

In our previous studies we have documented that in patients with RRP the level of HPV-specific antibodies is low and increases only after numerous surgery procedures. Therefore the application of this vaccine to patients with RRP can stimulate increased level of antibodies in the blood as well as presence of virus-specific neutralization antibodies on the surface of upper aero digestive tract and neutralize viruses shed from new papillomas and in this way protect patient from spreading of the infection as well as to facilitate the decrease of load of infectious virus shed from the lesion. This can possibly lead to the inhibition of growth of the papillomatous lesion.


Recruitment information / eligibility

Status Completed
Enrollment 51
Est. completion date December 2018
Est. primary completion date December 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

Patients with RRP which sign the informed consent form with both parts of the study will be enrolled.

Exclusion Criteria:

Patients who experience severe side effects of vaccination after the first or second dose will not be vaccinated with the third dose and they will be excluded from the study. Patients who will not receive all three doses within one year and 30 days will be also excluded.

Study Design


Intervention

Biological:
Silgard
vaccination with tetravalent antiviral vaccine

Locations

Country Name City State
Czechia Institute of Hematology and Blood Transfusion Prague

Sponsors (3)

Lead Sponsor Collaborator
Ruth Tachezy, PhD. Medical Healthcom Prague, Na Homolce Hospital

Country where clinical trial is conducted

Czechia, 

References & Publications (1)

Tachezy R, Hamsikova E, Valvoda J, Van Ranst M, Betka J, Burk RD, Vonka V. Antibody response to a synthetic peptide derived from the human papillomavirus type 6/11 L2 protein in recurrent respiratory papillomatosis: correlation between Southern blot hybridization, polymerase chain reaction, and serology. J Med Virol. 1994 Jan;42(1):52-9. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary occurrence or frequency of recurrences of laryngeal papillomatosis The main aim is to evaluate the effect of tetravalent HPV vaccine on occurrence or frequency of recurrences of laryngeal papillomatosis. 5 years
Secondary HPV type present in the tissue We will determine the type of human papillomavirus present in the surgically removed tissue. 2 years
Secondary the presence of HPV specific antibodies We will evaluate the presence of HPV-specific antibodies in sera of patients with recurrent papillomatosis before and after vaccination. 5 years