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Infections, PapillomavirusPhase 3NCT00426361

Evaluation of Safety and Immunogenicity of Co-administering Human Papillomavirus (HPV) Vaccine With Other Vaccines in Healthy Female Subjects

A Phase 3 study testing Boostrix ® Polio and GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM) in people with Infections, Papillomavirus, run by GlaxoSmithKline at 38 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial 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… Read more about this study

Who is it for?
Ages 10 to 18 years, women onlyHealthy volunteers can take part
Conditions the study is for
Infections, Papillomavirus
What is being tested?
Boostrix ® Polio and GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
751 participants
Where
38 sitesin 3 countries
Study dates
13 Feb 2007to 25 Jul 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 10 to 18 years
  • Women only
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Subjects who the investigator believes that they and their parents/legally acceptable representatives can, and will, comply with the requirements of the protocol should be enrolled in the study.
  • A female between, and including, 10 and 18 years of age at the time of the first vaccination.
  • Written informed consent/assent obtained from the subject prior to enrolment. For subjects above the legal age of consent, written informed consent must be obtained from the subject. For subjects below legal age of consent, written informed consent obtained from the subject's parent/LAR, and written informed assent must be obtained from the subject.
  • Healthy subjects, as established by medical history and history-directed physical examination, before entering into the study.
  • Previously completed routine childhood vaccinations according to the recommended vaccination schedule at the time.
  • Subjects must have a negative urine pregnancy test.
  • Subject must be of non-childbearing potential, or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to vaccination, have a negative pregnancy test and must agree to continue such precautions for two months after completion of the vaccination series. Subjects who reach menarche during the study, and therefore become of childbearing potential, must agree to follow the same precautions.

Who cannot join

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period (up to Month 12/13).
  • Concurrently participating in another clinical study, at any time during the study period, 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 up to 8 days before the first dose of study vaccine is allowed. Enrolment will be deferred until the subject is outside of specified window.
  • A woman 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.
Show all 26Show fewer
  • 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
  • Administration of a diphtheria, tetanus, pertussis (DTP) vaccine, diphtheria-tetanus (Td) booster or dTpa vaccine within the previous five years.
  • Administration of a pre-school booster of Oral Polio Vaccine (OPV) or Inactivated Polio Virus (IPV) vaccine (4 or 5th dose) within the previous five years.
  • Hypersensitivity to latex.
  • Known acute or chronic, clinically significant neurologic, hepatic or renal functional abnormality or thrombocytopenia, 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.
  • History of encephalopathy within seven days of administration of a previous dose of pertussis vaccine that is not attributable to another identifiable cause.
  • Temperature of >=40°C within 48 hours of receipt of a prior dose of DTP vaccine (DTPw and/or DTPa), not due to another identifiable cause.
  • Collapse or shock-like state within 48 hours of receipt of a prior dose of DTP vaccine (DTPw and/or DTPa).
  • Seizures with or without fever within three days of a prior dose of DTP vaccine (Diphtheria, Tetanus, whole cell Pertussis vaccine DTPw and/or Diphtheria, Tetanus, acellular Pertussis vaccine DTPa).
  • Persistent, inconsolable crying lasting >=3 hours, occurring within 48 hours of a prior dose of DTP vaccine (DTPw and/or DTPa).
  • Severe Arthus-type hypersensitivity reactions following a prior dose of tetanus toxoid within the previous 10 years.
  • Known exposure to diphtheria or household exposure to pertussis within 30 days before (i.e., Day 0-29) vaccination with Diphtheria, Tetanus, acellular Pertussis and inactivated polio virus vaccine (dTpa-IPV).
  • Diphtheria and/or tetanus and/or pertussis and/or polio diagnosed within 30 days before (i.e., Day 0-29) vaccination with dTpa-IPV.
  • Presence of a contra-indication to vaccination according to the product leaflet of the commercially available dTpa-IPV vaccine.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • Acute disease at the time of enrolment.
  • Administration of immunoglobulins and/or any blood products within the 3 months preceding the first dose of study vaccine or planned administration during the study period. Enrolment will be postponed until the subject is outside the specified window.

Trial locations and contacts

38 sites in 3 countries.

38 sites in 3 countries

Germany20 sites
  • GSK Investigational Site

    Berlin, 10315

  • GSK Investigational Site

    Berlin, 13086

  • GSK Investigational Site

    Ettenheim, Baden-Wurttemberg, 77955

  • GSK Investigational Site

    Frankfurt am Main, Hesse, 60439

  • GSK Investigational Site

    Hamburg, 20246

  • GSK Investigational Site

    Hamburg, 22143

  • GSK Investigational Site

    Hamburg, 22159

  • GSK Investigational Site

    Hanover, Lower Saxony, 30625

  • GSK Investigational Site

    Hanover, Lower Saxony, 30657

  • GSK Investigational Site

    Karlsruhe, Baden-Wurttemberg, 76199

  • GSK Investigational Site

    Kehl, Baden-Wurttemberg, 77694

  • GSK Investigational Site

    Leipzig, Saxony, 04109

  • GSK Investigational Site

    Mannheim, Baden-Wurttemberg, 68167

  • GSK Investigational Site

    Munich, Bavaria, 80637

  • GSK Investigational Site

    Nordhausen, Thuringia, 99734

  • GSK Investigational Site

    Offenburg, Baden-Wurttemberg, 77654

  • GSK Investigational Site

    Ravensburg, Baden-Wurttemberg, 88212

  • GSK Investigational Site

    Rheinstetten, Baden-Wurttemberg, 76287

  • GSK Investigational Site

    Wolfenbüttel, Lower Saxony, 38302

  • GSK Investigational Site

    Würzburg, Bavaria, 97070

Other trials in Germany

France15 sites
  • GSK Investigational Site

    Auch, 32000

  • GSK Investigational Site

    Draguignan, 83300

  • GSK Investigational Site

    Essey-lès-Nancy, 54270

  • GSK Investigational Site

    Évreux, 27000

  • GSK Investigational Site

    Le Havre, 76600

  • GSK Investigational Site

    Luynes, 37230

  • GSK Investigational Site

    Montbrison, 42600

  • GSK Investigational Site

    Nice, 06300

  • GSK Investigational Site

    Paris, 75015

  • GSK Investigational Site

    Paris, 75020

  • GSK Investigational Site

    Pont-de-l'Arche, 27340

  • GSK Investigational Site

    Rouen, 76100

  • GSK Investigational Site

    Toulon, 83000

  • GSK Investigational Site

    Tours, 37000

  • GSK Investigational Site

    Vieux-Condé, 59690

Other trials in France

Spain3 sites
  • GSK Investigational Site

    Madrid, 28046

  • GSK Investigational Site

    Pamplona, 31008

  • GSK Investigational Site

    Seville, 41013

Other trials in Spain

About this study

Official title: A Multicentre Study to Evaluate the Immunogenicity and Safety of GSK Biologicals' HPV Vaccine (580299) Co-administered With Boostrix Polio (dTpa-IPV) in Healthy Female Subjects Aged 10-18 Years

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/adolescents platform. Therefore, this Phase IIIb study is designed to evaluate the safety and immunogenicity of co-administering Boostrix polio (dTpa-IPV) with GSK Biologicals' (580299)HPV-16/18 L1 AS04 vaccine (Cervarix TM) as compared to the administration of either vaccine alone.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Being tested
Boostrix ® Polio, GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM)
Keywords
Human Papillomavirus
Medical subject headings
Papillomavirus Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Boostrix ® PolioBiological

    Also called dTPa-IPV vaccine

    One dose of vaccine administered intramuscularly

  • GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM)Biological

    Also called GlaxoSmithKline (GSK) Biologicals' HPV vaccine (580299), HPV-16/18 L1 AS04 vaccine

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

Study groups in NCT00426361
Study groupRoleWhat they receive
Cervarix GroupExperimentalSubjects who received GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM) at Month 0, 1 and 6.
Receives: Biological: GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM)
Boostrix Polio → Cervarix GroupExperimentalSubjects who received Boostrix™ Polio at Month 0 and GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM) at Month 1, 2 and 7.
Receives: Biological: Boostrix ® Polio; Biological: GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM)
Cervarix + Boostrix Polio GroupExperimentalSubjects who received GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM) at Month 0, 1 and 6 with co-administration of Boostrix™ Polio at Month 0.
Receives: Biological: Boostrix ® Polio; Biological: GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects Seroprotected Against Diphtheria and Tetanus

    Seroprotection against diphtheria and tetanus is defined as anti-diphtheria and anti-tetanus antibody titres greater than or equal to 0.1 International Units per Milliliter (≥ 0.1 IU/mL).

    Measured: One month after vaccination with Boostrix Polio

  2. Titers of Anti-pertussis Toxoid (Anti-PT), Anti-pertactin Toxoid (Anti-PRN) and Anti-filamentous Hemagglutinin (Anti-FHA) Antibodies

    Titers are given as geometric mean titers (GMTs) calculated on all subjects and expressed as Enzyme-linked Immunosorbent Assay Units per Milliliter (EL.U/mL).

    Measured: One month after vaccination with Boostrix Polio

  3. Number of Subjects Seroprotected Against Poliovirus Type 1 (Polio 1), Polio 2 and Polio 3

    Seroprotection against polio 1, 2 and 3 is defined as anti-polio 1, 2 and 3 antibody titers greater than or equal to 8 Effective Dose 50% (≥ 8 ED50).

    Measured: One month after vaccination with Boostrix Polio

Secondary outcomes (12)
  1. Number of Subjects Seroconverted for Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-HPV-18 Antibodies After Completing the Cervarix Vaccination Course

    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 assessed include 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.

    Measured: One month post Cervarix Dose 3 (Month 7/8)

  2. Number of Subjects Seroconverted for Anti-HPV-16 and Anti-HPV-18 Antibodies After Incomplete Cervarix Vaccination Course

    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 assessed include 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.

    Measured: One month post Dose 1

  3. Titers of Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies After Completing the Cervarix Vaccination Course

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

    Measured: One month post Cervarix Dose 3 (Month 7/8)]

  4. Titers of Anti-diphtheria and Anti-tetanus Antibodies

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

    Measured: One month after vaccination with Boostrix-Polio

  5. Number of Subjects With Anti-diphtheria and Anti-tetanus Antibody Titers Above 1.0 International Units Per Milliliter (IU/mL)

    Anti-diphtheria and anti-tetanus antibodies cut-off value assessed include 1.0 IU/mL.

    Measured: One month after vaccination with Boostrix Polio

  6. Anti-poliovirus Type 1 (Anti-polio 1), Anti-polio 2 and Anti-polio 3 Antibody Titers

    Titers are given as Geometric Mean Titers (GMTs). The titer is a serum dilution giving 50 percent reduction of signal compared to control without serum.

    Measured: One month after vaccination with Boostrix Polio

  7. Number of Subjects With Booster Response to Diphtheria and Tetanus

    Booster responses to diphtheria and tetanus were defined as:

    • For initially seronegative subjects (pre-vaccination titer below cut-off value of 0.1 International Units per Milliliter): antibody titers at least four times the cut-off (post-vaccination titer greater than or equal to 0.4 IU/mL), and
    • For initially seropositive subjects (pre-vaccination titer greater than or equal to 0.1 IU/mL): an increase in antibody titers of at least four times the pre-vaccination titer.

    Measured: One month after vaccination with Boostrix Polio

  8. Number of Subjects With Booster Response to Pertussis Toxoid (PT), Pertactin Toxoid (PRN) and Filamentous Hemagglutinin (FHA)

    Booster response to PT, FHA and PRN were defined as:

    • For initially seronegative subjects [pre-vaccination titer below cut-off value of 5 enzyme-linked immunosorbent assay units per milliliter (EL.U/mL)]: antibody titers at least 4 times the cut-off,
    • For initially seropositive subjects with pre-vaccination titer above 5 EL.U/mL and < 20 EL.U/mL: an increase in antibody titers of at least 4 times the pre-vaccination titer,
    • For initially seropositive subjects with pre-vaccination titer above 20 EL.U/mL: an increase in antibody titers of at least 2 times the pre-vaccination titer.

    Measured: One month after vaccination with Boostrix Polio

  9. Number of Subjects Reporting Solicited Symptoms

    Solicited local symptoms assessed include pain, redness and swelling at the injection site.

    Solicited general symptoms assessed include arthralgia, fatigue, fever (above 37.5 degree Celsius), gastrointestinal symptoms, headache, myalgia, rash and urticaria.

    Measured: During the 7-day period (Day 0-6) following each vaccination

  10. Number of Subjects Reporting Unsolicited Adverse Events

    Unsolicited adverse event = Any adverse event (AE) reported in addition to those solicited during the clinical study. Also any "solicited" symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event.

    Measured: During the 30-day period (Day 0-29) following vaccination

  11. Number of Subjects Reporting Unsolicited Adverse Events as New Onset Chronic Diseases (NOCDs) and Other Medically Significant Adverse Events (MSAEs)

    NOCDs assessed include e.g. autoimmune disorders, asthma, type I diabetes. MSAEs assessed include AEs prompting emergency room or physician visits that are not related to common diseases or SAEs that are not related to common diseases.

    Measured: During the active phase of the study (up to Month 7/8) and during the safety follow-up (up to Month 12/13)

  12. Number of Subjects Reporting Serious Adverse Events (SAEs)

    Serious adverse events assessed include medical occurrences that results in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: During the active phase of the study (up to Month 7/8) and during the safety follow-up (up to Month 12/13)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jan 2007 (estimated)
  2. Study start13 Feb 2007
  3. Primary completion17 Mar 2008
  4. Study completion25 Jul 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
751 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00426361
Sponsor's protocol ID
108464
Status last verified
Apr 2017
First submitted
23 Jan 2007
Last updated
20 Jul 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Schwarz T et al. Co-administration of AS04-adjuvanted HPV-16/18 cervical cancer vaccine with DTPA-IPV in 10-18 year old girls: Month 7 results from a randomized trial. Abstract presented at the 27th annual ESPID meeting, Brussels, Belgium, 9-13 June 2009.

  • 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.

    PubMed 41276263
  • Garcia-Sicilia J, Schwarz TF, Carmona A, Peters K, Malkin JE, Tran PM, Behre U, Iturbe EB, Catteau G, Thomas F, Dobbelaere K, Descamps D, Dubin G; HPV Vaccine Adolescent Study Investigators Network. Immunogenicity and safety of human papillomavirus-16/18 AS04-adjuvanted cervical cancer vaccine coadministered with combined diphtheria-tetanus-acellular pertussis-inactivated poliovirus vaccine to girls and young women. J Adolesc Health. 2010 Feb;46(2):142-51. doi: 10.1016/j.jadohealth.2009.11.205.

    PubMed 20113920

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Boostrix ® Polio and GSK Biologicals' HPV-16/18 L1 AS04 vaccine (Cervarix TM) in people with Infections, Papillomavirus, run by GlaxoSmithKline at 38 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in Germany, France, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Aug 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects Seroprotected Against Diphtheria and Tetanus (time frame: One month after vaccination with Boostrix Polio). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00426361, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jul 2018.

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