A Study to Compare Immune Response of V503 to Gardasil in 16- to 26-year-old Men (V503-020)

Papilloma Viral Infection Clinical Trial

Official title:

A Randomized, Double-Blinded, Controlled With GARDASIL (Human Papillomavirus Vaccine [HPV] [Types 6, 11, 16, 18] (Recombinant, Adsorbed)), Phase 3 Clinical Trial to Study the Immunogenicity and Tolerability of V503 (9-Valent Human Papillomavirus L1 Virus-Like Particle [VLP] Vaccine) in 16- to 26-year-old Men

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02114385
• Other study ID #: V503-020
• Secondary ID: 2013-003399-10GD
• Status: Completed
• Phase: Phase 3
• Start date: March 24, 2014
• Est. completion date: April 22, 2015

Study information

• Verified date: February 2018
• Source: Merck Sharp & Dohme Corp.
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Primary objective

To demonstrate that administration of V503 induces non-inferior Geometric Mean Titres (GMTs) for serum anti-HPV 6, 11, 16, and 18, compared to GARDASIL in 16- to 26-year-old men

Description:

Secondary objectives

• To evaluate the tolerability of V503 in 16- to 26-year-old men.

• To summarise humoral immune responses, including anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, 58 GMTs and seroconversion rates at 4 weeks post-dose 3, in 16- to 26-year-old men who received V503 or GARDASIL

Recruitment information / eligibility

• Status: Completed
• Enrollment: 500
• Est. completion date: April 22, 2015
• Est. primary completion date: April 22, 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 16 Years to 26 Years

Eligibility

Inclusion Criteria:

• Subject is a man, between the ages of 16 years and 0 days and 26 years and 364 days on the day of enrolment.

• Subject is a man who has had no more than 5 lifetime female sexual partners.

• Subject is judged to be in good physical health on the basis of medical history, physical examination, and laboratory results.

• Subject, or subject's parent or guardian, fully understand study procedures, alternative treatments available, the risks involved with the study, and voluntarily agree to participate by giving written informed consent.

Exclusion Criteria:

• Subject who has had sex with a male partner.

• Subject has a history of HPV-related external genital lesions or HPV-related anal lesions

• Subject has a known allergy to any vaccine component, including aluminium, yeast, or BENZONASE

• Subject has a history of severe allergic reaction that required medical intervention.

• Subject has thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections.

• Subject is concurrently enrolled in clinical studies of investigational medicinal products.

• Subject has donated blood within 1 week prior to the Day 1 vaccination, or intends to donate during Day 1 through Month 7 of the study.

• Subject is currently immunocompromised or has been diagnosed as having a congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia, systemic lupus erythematosus, rheumatoid arthritis, juvenile rheumatoid arthritis, inflammatory bowel disease, or other autoimmune condition.

• Subject has had a splenectomy.

• Subject is receiving or has received in the year prior to enrolment the following immunosuppressive therapies: radiation therapy, cyclophosphamide, azathioprine, methotrexate, any chemotherapy, cyclosporin, leflunomide, TNF-a antagonists, monoclonal antibody therapies, intravenous gamma globulin, antilymphocyte sera, or other therapy known to interfere with the immune response.

• Subject has received any immune globulin product or blood-derived product within the 6 months prior to the Day 1 vaccination, or plans to receive any such product during Day 1 through Month 7 of the study.

• Subject has received non-replicating (inactivated) vaccines within 14 days prior to the Day 1 vaccination or has received replicating (live) vaccines within 21 days prior to the Day 1 vaccination.

• Subject has received a marketed HPV vaccine, or has participated in an HPV vaccine clinical trial and has received either active agent or placebo.

• Subject has had a fever within the 24-hour period prior to the Day 1 vaccination.

• Subject has a history or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the subject's participation for the full duration of the study, such that it is not in the best interest of the subject to participate.

• Subject is unlikely to adhere to the study procedures, keep appointments, or is planning to relocate during the study.

• Subject is, at the time of signing informed consent, a user of recreational or illicit drugs or has had a recent history (within the last year) of drug abuse or dependence. Alcohol abusers are defined as those who drink despite recurrent social, interpersonal, and/or legal problems as a result of alcohol use.

• Subject, or subject's parent or guardian, is or has an immediate family member (spouse or children) who is investigational site or sponsor staff directly involved with this trial.

Related Conditions & MeSH terms

• Papilloma
• Papilloma Viral Infection
• Papillomavirus Infections
• Virus Diseases

Intervention

Biological:
• V503
9-valent HPV [Types 6, 11, 16, 18, 31, 33, 45, 52, and 58] L1 virus-like particle vaccine, 0.5-mL intramuscular injection
• GARDASIL
Quadrivalent HPV [Types 6, 11, 16, and 18] L1 virus-like particle vaccine, 0.5-mL intramuscular injection

Locations

Country	Name	City	State
Belgium	Sanofi Pasteur MSD Investigational Site 1002	Ghent
Belgium	Sanofi Pasteur MSD Investigational Site 1003	Leuven
Belgium	Sanofi Pasteur MSD Investigational Site 1001	Wilrijk
Germany	Sanofi Pasteur MSD Investigational Site 3001	Mainz
Netherlands	Sanofi Pasteur MSD Investigational Site 4001	Amsterdam
Netherlands	Sanofi Pasteur MSD Investigational Site 4003	Amsterdam
Netherlands	Sanofi Pasteur MSD Investigational Site 4002	Nijmegen

Sponsors (1)

Lead Sponsor	Collaborator
Merck Sharp & Dohme Corp.

Countries where clinical trial is conducted

Belgium,  Germany,  Netherlands, 

References & Publications (1)

Van Damme P, Meijer CJLM, Kieninger D, Schuyleman A, Thomas S, Luxembourg A, Baudin M. A phase III clinical study to compare the immunogenicity and safety of the 9-valent and quadrivalent HPV vaccines in men. Vaccine. 2016 Jul 29;34(35):4205-4212. doi: 10 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Geometric Mean Titers (GMTs) to HPV Types 6/11/16/18	Serum antibodies to HPV types 6, 11, 16, and 18 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL.	4 weeks postdose 3 (Month 7)
Secondary	GMTs to HPV Types 31/33/45/52/58	Serum antibodies to HPV types 31, 33, 45, 52, and 58 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL.	4 weeks postdose 3 (Month 7)
Secondary	Percentage of Participants Who Are Seropositive for HPV Types 6/11/16/18/31/33/45/52/58	Serum antibodies to HPV types were measured with a Competitive Luminex Immunoassay. The serostatus cutoffs (milli Merck U/mL) for HPV types were as follows: HPV Type 6: =30; HPV Type 11: =16; HPV Type 16: =20; HPV Type 18: =24; HPV Type 31: =10; HPV Type 33: =8; HPV Type 45: =8; HPV Type 52: =8; HPV Type 58: =8.	4 weeks postdose 3 (Month 7)
Secondary	Percentage of Participants With One or More Adverse Events	The percentage of participants with one or more adverse events was assessed.	Up to 15 days after any vaccination
Secondary	Percentage of Participants With Study Discontinuation Due to an Adverse Event	The percentage of participants discontinued from the study due to an adverse event was assessed.	Up to Month 7
Secondary	Percentage of Participants With One or More Injection-site Adverse Reactions	The percentage of participants with one or more injection-site adverse reactions (solicited or unsolicited) was assessed.	Up to 5 days after any vaccination
Secondary	Percentage of Participants With Maximum Temperature =37.8 °C	The percentage of participants with a maximum temperature =37.8 °C was assessed.	Up to 5 days after any vaccination
Secondary	Percentage of Participants With One or More Systemic Adverse Events	The percentage of participants with one or more systemic adverse events was assessed.	Up to 15 days after any vaccination
Secondary	Percentage of Participants With One or More Serious Adverse Events	The percentage of participants with one or more serious adverse events was assessed.	Up to 15 days after any vaccination