NCT00578227

Brief Summary

Infection with human papillomavirus (HPV) has been clearly established as the central cause of cervical cancer. Vaccination of pre-teens and adolescents, ideally before sexual debut and thus before exposure to oncogenic HPV, is a rational strategy for prevention of cervical cancer, and so HPV vaccination could complement the existing pre-adolescent/adolescent vaccination programs. Therefore, this Phase IIIb study is designed to evaluate the safety and immunogenicity of co-administering a commercially available vaccine with GSK Biologicals' HPV-16/18 L1 AS04 (Cervarix ®) vaccine as compared to the administration of either vaccine alone. This Protocol Posting has been updated in order to comply with the FDA AA, Sept 2007.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
814

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Dec 2007

Geographic Reach
4 countries

21 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 15, 2007

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

December 20, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

December 21, 2007

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2008

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 28, 2009

Completed
8 months until next milestone

Results Posted

Study results publicly available

January 6, 2010

Completed
Last Updated

August 17, 2018

Status Verified

October 1, 2016

Enrollment Period

12 months

First QC Date

December 20, 2007

Results QC Date

November 27, 2009

Last Update Submit

June 28, 2018

Conditions

Keywords

Human papillomavirus infection,cervical cancerHPV vaccine,

Outcome Measures

Primary Outcomes (5)

  • Number of Subjects Seroconverted for Anti-hepatitis A (Anti-HAV) Antibodies

    Seroconversion is defined as the appearance of anti-HAV antibodies \[i.e., antibody titer greater than or equal to 15 milli-international units/milliliter (mIU/mL)\] in the sera of subjects seronegative (antibody titer below 15 mIU/mL) before vaccination.

    At Month 7

  • Anti-Heptatis A (HAV) Antibody Titers.

    Titers are given as Geometric Mean Titers (GMTs) expressed as mIU/mL.

    At Month 7

  • Number of Subjects Seroprotected for Anti-hepatitis B Surface Antigen (Anti-HBs) Antibodies

    A subject seroprotected against HBs is a subject with antibody titers greater than or equal to 10 mIU/mL.

    At Month 7

  • Number of Subjects Seroconverted for Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies

    Seroconversion is defined as the appearance of antibodies with titers greater than or equal to the predefined cut-off value in the serum of subject seronegative before vaccination. Cut-off values = 8 enzyme-linked immunosorbent assay units per milliliter (EL.U/mL) for anti-HPV-16 antibodies and 7 EL.U/mL for anti-HPV-18 antibodies.

    At Month 7

  • Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibody Titers

    Titers are given as Geometric Mean Titers (GMTs) expressed as Enzyme-linked Immunosorbent Assay Units Per Milliliter (EL.U/mL).

    At Month 7

Secondary Outcomes (16)

  • Anti-HBs Antibody Titers

    At Month 7

  • Number of Subjects Seroconverted for Anti-HBs Antibodies

    At month 7

  • Number of Subjects Seroconverted for Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies in Vaccine Recipients Aged 9 Years

    At Month 7

  • Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibody Titers in Vaccine Recipients Aged 9 Years

    At Month 7

  • Number of Subjects Seroconverted for Anti-HAV Antibodies

    One month after the second dose of vaccine

  • +11 more secondary outcomes

Study Arms (3)

Cervarix™ & Twinrix™ Group

EXPERIMENTAL

Subjects received 3 doses of Human Papilloma Virus (HPV) vaccine co-administered with combined Hepatitis A \& Hepatitis B (HAB) vaccine (Months 0, 1 \& 6).

Biological: Cervarix™Biological: Twinrix ™ Paediatric

Cervarix™ Group

EXPERIMENTAL

Subjects received 3 doses of HPV vaccine (Months 0, 1 \& 6).

Biological: Cervarix™

Twinrix™ Group

ACTIVE COMPARATOR

Subjects received 3 doses of HAB vaccine (Months 0, 1 \& 6).

Biological: Twinrix ™ Paediatric

Interventions

Cervarix™BIOLOGICAL

Three doses of vaccine administered intramuscularly with the second and third dose given one month and six months after the first dose

Also known as: HPV vaccine, GSK Biologicals' HPV-16/18 L1 AS04
Cervarix™ & Twinrix™ GroupCervarix™ Group

Three doses of vaccine administered intramuscularly with the second and third dose given one month and six months after the first dose

Cervarix™ & Twinrix™ GroupTwinrix™ Group

Eligibility Criteria

Age9 Years - 15 Years
Sexfemale
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Subjects who the investigator believes that they and/or their legally acceptable representatives (LARs) can and will comply with the requirements of the protocol should be enrolled in the study.
  • A female between, and including, 9 and 15 years of age (has not attained her 16th birthday) at the time of the first vaccination.
  • Written informed consent obtained from the subject prior to enrolment. For subjects below the legal age of consent, written informed consent must be obtained from the subject's LAR, and written informed assent must be obtained from the subject.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • Subjects must not be pregnant.
  • Subjects must be of non-childbearing potential, or if the subject is of childbearing potential, she must be abstinent or use adequate contraception for 30 days prior to vaccination and must agree to continue such precautions for two months after completion of the vaccination series.

You may not qualify if:

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period (up to Month 12).
  • Concurrently participating in another clinical study, at any time during the study period (up to the Month 12 telephone contact), in which the subject has been or will be exposed to an investigational or a non-investigational product (pharmaceutical product or device).
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
  • Planned administration/administration of a vaccine not foreseen by the study protocol within 30 days before and 30 days after each dose of vaccine(s). Administration of routine vaccines may be allowed up to 8 days before the first dose
  • A subject planning to become pregnant, likely to become pregnant or planning to discontinue contraceptive precautions during the study period and up to two months after the last vaccine dose.
  • Pregnant or breastfeeding women.
  • Previous vaccination against HPV or planned administration of any HPV vaccine other than that foreseen by the study protocol during the study period.
  • Previous administration of components of the investigational vaccine.
  • Previous vaccination against hepatitis A or B planned administration of any hepatitis A or B vaccine other than that foreseen by the study protocol during the study period.
  • History of hepatitis A or B infection.
  • Known exposure to hepatitis A or B within the previous 6 weeks.
  • Known acute or chronic, clinically significant neurologic, hepatic or renal functional abnormality, as determined by previous physical examination or laboratory tests.
  • Cancer or autoimmune disease under treatment.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccines
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (21)

GSK Investigational Site

Surrey, British Columbia, V3R 8P8, Canada

Location

GSK Investigational Site

Brampton, Ontario, L6T 3T1, Canada

Location

GSK Investigational Site

Greater Sudbury, Ontario, P3E 1H5, Canada

Location

GSK Investigational Site

Newmarket, Ontario, L3Y 5G8, Canada

Location

GSK Investigational Site

Sarnia, Ontario, N7T 4X3, Canada

Location

GSK Investigational Site

Hoersholm, 2970, Denmark

Location

GSK Investigational Site

Odense C, 5000, Denmark

Location

GSK Investigational Site

Bordány, 6795, Hungary

Location

GSK Investigational Site

Budapest, 1032, Hungary

Location

GSK Investigational Site

Budapest, 1033, Hungary

Location

GSK Investigational Site

Budapest, 1039, Hungary

Location

GSK Investigational Site

Budapest, 1089, Hungary

Location

GSK Investigational Site

Győr, 9024, Hungary

Location

GSK Investigational Site

Hódmezővásárhely, 6800, Hungary

Location

GSK Investigational Site

Szeged, 6723, Hungary

Location

GSK Investigational Site

Szombathely, 9700, Hungary

Location

GSK Investigational Site

Karlskrona, SE-371 41, Sweden

Location

GSK Investigational Site

Linköping, SE-581 85, Sweden

Location

GSK Investigational Site

Lycksele, SE-921 82, Sweden

Location

GSK Investigational Site

Örebro, SE-702 11, Sweden

Location

GSK Investigational Site

Umeå, SE-901 85, Sweden

Location

Related Publications (3)

  • Pedersen C, Breindahl M, Aggarwal N, Berglund J, Oroszlan G, Silfverdal SA, Szuts P, O'Mahony M, David MP, Dobbelaere K, Dubin G, Descamps D. Randomized trial: immunogenicity and safety of coadministered human papillomavirus-16/18 AS04-adjuvanted vaccine and combined hepatitis A and B vaccine in girls. J Adolesc Health. 2012 Jan;50(1):38-46. doi: 10.1016/j.jadohealth.2011.10.009.

    PMID: 22188832BACKGROUND
  • Pederson C et al. Co-administration of ASO4- adjuvanted human papillomavirus- 16/18 cervical cancer vaccine with inactivated hepatitis A ans B vaccine in girls aged 9-15 years. Abstract presented at the 6th World Congress of the World Society for Pediatric Infectious Diseases (WSPID). Beunos Aires, Argentina, 19-22 November 2009.

    BACKGROUND
  • Bergman H, Henschke N, Arevalo-Rodriguez I, Buckley BS, Crosbie EJ, Davies JC, Dwan K, Golder SP, Loke YK, Probyn K, Petkovic J, Villanueva G, Morrison J. Human papillomavirus (HPV) vaccination for the prevention of cervical cancer and other HPV-related diseases: a network meta-analysis. Cochrane Database Syst Rev. 2025 Nov 24;11(11):CD015364. doi: 10.1002/14651858.CD015364.pub2.

Related Links

MeSH Terms

Conditions

Papillomavirus InfectionsUterine Cervical Neoplasms

Interventions

human papillomavirus vaccine, L1 type 16, 18Papillomavirus Vaccines

Condition Hierarchy (Ancestors)

Sexually Transmitted Diseases, ViralSexually Transmitted DiseasesCommunicable DiseasesInfectionsDNA Virus InfectionsVirus DiseasesTumor Virus InfectionsGenital DiseasesUrogenital DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsUterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy Complications

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex Mixtures

Results Point of Contact

Title
GSK Response Center
Organization
GlaxoSmithKline

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 20, 2007

First Posted

December 21, 2007

Study Start

December 15, 2007

Primary Completion

December 1, 2008

Study Completion

April 28, 2009

Last Updated

August 17, 2018

Results First Posted

January 6, 2010

Record last verified: 2016-10

Data Sharing

IPD Sharing
Will share

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Available IPD Datasets

Annotated Case Report Form (110886)Access
Informed Consent Form (110886)Access
Statistical Analysis Plan (110886)Access
Dataset Specification (110886)Access
Study Protocol (110886)Access
Individual Participant Data Set (110886)Access
Clinical Study Report (110886)Access

Locations