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Infections, PapillomavirusPhase 3NCT00578227

Evaluation of Safety and Immunogenicity of Co-administering Human Papillomavirus Vaccine With Another Vaccine in Healthy Female Subjects

A Phase 3 study testing Cervarix™ and Twinrix ™ Paediatric in people with Infections, Papillomavirus, run by GlaxoSmithKline at 21 sites in 4 countries.

Completed

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

Official record
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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 9 to 15 years, women onlyHealthy volunteers can take part
Conditions the study is for
Infections, Papillomavirus
What is being tested?
Cervarix™ and Twinrix ™ Paediatric
Could I receive a placebo?
No, everyone receives an active treatment
How many people
814 participants
Where
21 sitesin 4 countries
Study dates
15 Dec 2007to 28 Apr 2009
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 9 to 15 years
  • Women only
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • 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.

Who cannot join

  • 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.
Show all 17Show 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.
  • 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
  • Acute disease at the time of enrolment.
  • Administration of immunoglobulins and/or any blood products within the three months preceding the first dose of study vaccine or planned administration during the study period.

Trial locations and contacts

21 sites in 4 countries.

21 sites in 4 countries

Hungary9 sites
  • GSK Investigational Site

    Bordány, 6795

  • GSK Investigational Site

    Budapest, 1032

  • GSK Investigational Site

    Budapest, 1033

  • GSK Investigational Site

    Budapest, 1039

  • GSK Investigational Site

    Budapest, 1089

  • GSK Investigational Site

    Győr, 9024

  • GSK Investigational Site

    Hódmezővásárhely, 6800

  • GSK Investigational Site

    Szeged, 6723

  • GSK Investigational Site

    Szombathely, 9700

Other trials in Hungary

Canada5 sites
  • GSK Investigational Site

    Brampton, Ontario, L6T 3T1

  • GSK Investigational Site

    Greater Sudbury, Ontario, P3E 1H5

  • GSK Investigational Site

    Newmarket, Ontario, L3Y 5G8

  • GSK Investigational Site

    Sarnia, Ontario, N7T 4X3

  • GSK Investigational Site

    Surrey, British Columbia, V3R 8P8

Other trials in Canada

Sweden5 sites
  • GSK Investigational Site

    Karlskrona, SE-371 41

  • GSK Investigational Site

    Linköping, SE-581 85

  • GSK Investigational Site

    Lycksele, SE-921 82

  • GSK Investigational Site

    Örebro, SE-702 11

  • GSK Investigational Site

    Umeå, SE-901 85

Other trials in Sweden

Denmark2 sites
  • GSK Investigational Site

    Hoersholm, 2970

  • GSK Investigational Site

    Odense C, 5000

Other trials in Denmark

About this study

Official title: Immunogenicity and Safety Study of GSK Biologicals' HPV Vaccine (GSK-580299) Co-administered With a Commercially Available Vaccine in Healthy Female Adolescents

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.

Being tested
Cervarix™, Twinrix ™ Paediatric
Keywords
Human papillomavirus infection,, cervical cancer, HPV vaccine,
Medical subject headings
Papillomavirus Infections, Uterine Cervical Neoplasms

What participants receive

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

  • Cervarix™Biological

    Also called HPV vaccine, GSK Biologicals' HPV-16/18 L1 AS04

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

  • Twinrix ™ PaediatricBiological

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

Study groups in NCT00578227
Study groupRoleWhat they receive
Cervarix™ & Twinrix™ GroupExperimentalSubjects received 3 doses of Human Papilloma Virus (HPV) vaccine co-administered with combined Hepatitis A \& Hepatitis B (HAB) vaccine (Months 0, 1 \& 6).
Receives: Biological: Cervarix™; Biological: Twinrix ™ Paediatric
Cervarix™ GroupExperimentalSubjects received 3 doses of HPV vaccine (Months 0, 1 \& 6).
Receives: Biological: Cervarix™
Twinrix™ GroupActive comparatorSubjects received 3 doses of HAB vaccine (Months 0, 1 \& 6).
Receives: Biological: Twinrix ™ Paediatric

What is being measured

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

  1. 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.

    Measured: At Month 7

  2. Anti-Heptatis A (HAV) Antibody Titers.

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

    Measured: At Month 7

  3. 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.

    Measured: At Month 7

  4. 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.

    Measured: At Month 7

  5. 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).

    Measured: At Month 7

Secondary outcomes (16)
  1. Anti-HBs Antibody Titers

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

    Measured: At Month 7

  2. Number of Subjects Seroconverted for Anti-HBs Antibodies

    Seroconversion is defined as the appearance of anti-HBs antibodies (i.e., antibody titer greater than or equal to 3.3 mIU/mL) in the sera of subjects seronegative (with antibody titers below 3.3 mIU/mL) before vaccination.

    Measured: At month 7

  3. 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

    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.

    Measured: At Month 7

  4. 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

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

    Measured: At Month 7

  5. Number of Subjects Seroconverted for Anti-HAV Antibodies

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

    Measured: One month after the second dose of vaccine

  6. Anti-HAV Antibody Titers

    Titers are given as geometric mean titers (GMTs) expressed as mIU/mL.

    Measured: One month after the second dose of vaccine

  7. Number of Subjects Seroconverted and Number of Subjects Seroprotected for Anti-HBs Antibodies

    Seroconversion is defined as the appearance of anti-HBs antibodies (i.e., antibody titer greater than or equal to 3.3 mIU/mL) in the sera of subjects seronegative (with antibody titers below 3.3 mIU/mL) before vaccination.

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

    Measured: One month after the second dose of vaccine

  8. Anti-HBs Antibody Titers

    Titers are given as geometric mean titers (GMTs) expressed as mIU/mL.

    Measured: One month after the second dose of vaccine

  9. 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 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 after the second dose of vaccine

  10. 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 EL.U/mL.

    Measured: One month after the second dose of vaccine

  11. Number of Subjects Reporting Solicited Local Symptoms

    Solicited local symptoms assessed include injection site pain, redness and swelling. Data are presented across doses.

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

  12. Number of Subjects Reporting Solicited General Symptoms

    Solicited general symptoms assessed include arthralgia, fatigue, gastrointestinal symptoms, headache, myalgia, rash, temperature [axillary route, greater than or equal to 37.5 degree Celsius (°C)] and urticaria.

    Measured: During the 7-day period following vaccination

  13. Number of Subjects Reporting Medically Significant Conditions

    Medically significant conditions include adverse events (AEs) prompting emergency room or physician visits that are not related to common diseases or routine visits for physical examination or vaccination, or serious adverse events (SAEs) that are not related to common diseases. Common diseases include upper respiratory infections, sinusitis, pharyngitis, gastroenteritis, urinary tract infections, cervico-vaginal yeast infections, menstrual cycle abnormalities and injury.

    Measured: Throughout the active phase of the study (up to Month 7)

  14. Number of Subjects Reporting Medically Significant Conditions

    Medically significant conditions include adverse events (AEs) prompting emergency room or physician visits that are not related to common diseases or routine visits for physical examination or vaccination, or serious adverse events (SAEs) that are not related to common diseases. Common diseases include upper respiratory infections, sinusitis, pharyngitis, gastroenteritis, urinary tract infections, cervico-vaginal yeast infections, menstrual cycle abnormalities and injury.

    Measured: Throughout the safety follow-up (from Month 7 up to Month 12)

  15. Number of Subjects Reporting Unsolicited Adverse Events

    Unsolicited adverse events include any adverse event reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms.

    Measured: During the 30-day period following any vaccination

  16. Number of Subjects Reporting Serious Adverse Events (SAE)

    SAEs assessed include medical occurrences that result 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: Throughout the study (up to Month 12)

Timeline

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

  1. First posted21 Dec 2007 (estimated)
  2. Study start15 Dec 2007
  3. Primary completion1 Dec 2008
  4. Study completion28 Apr 2009

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
814 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00578227
Sponsor's protocol ID
110886
Status last verified
Oct 2016
First submitted
20 Dec 2007
Last updated
17 Aug 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

  • 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.

    PubMed 22188832
  • 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.

  • 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Cervarix™ and Twinrix ™ Paediatric in people with Infections, Papillomavirus, run by GlaxoSmithKline at 21 sites in 4 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 6 inclusion and 17 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 17 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in Hungary, Canada, Sweden, Denmark. 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 6 Jan 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 Seroconverted for Anti-hepatitis A (Anti-HAV) Antibodies (time frame: At Month 7). The study lists 5 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 NCT00578227, 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 17 Aug 2018.

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