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ImmunizationPhase 4NCT05672927

Comparing Immune Response of 2 vs 3 HPV Doses (27-45 Years Old)

A Phase 4 study testing 9-valent HPV vaccine, 2 doses alternate timing and 9-valent HPV vaccine, 3 doses standard timing in people with Immunization and HPV Infection, run by The University of Texas Medical Branch, Galveston at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to compare a 2-dose and 3-dose series of 9vHPV vaccine among 27-45-year-old females to assess if 2 doses elicit a noninferior immune response. Participants will be randomized 1:1 to either the 2-dose group or the 3-dose group and asked to provide 4 blood samples over a period of 12… Read more about this study

Who is it for?
Ages 27 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
Immunization, HPV Infection, Human Papillomavirus
What is being tested?
9-valent HPV vaccine, 2 doses alternate timing and 9-valent HPV vaccine, 3 doses standard timing
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
618 participants
Where
1 siteUnited States
Study dates
18 Jan 2023to Aug 2028
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 27 to 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Females 27-45 years old.
  • Ability to give informed consent.
  • Has not received any prior doses of the HPV vaccine. This will be verified by the person and state registry (Immtrac), as well as the person's electronic medical record.
  • Reliable telephone access for the duration of the project.
  • Can read and speak in either English or Spanish.
  • Identified source of funding for vaccine such as Medicaid, private health insurance, Texas Healthy Women program, etc.
  • Reports consistent use of reliable birth control and plans to continue its use through study month 13.

Who cannot join

  • Currently pregnant or plans to become pregnant or donate eggs in the next 13 months. Any subjects with positive pregnancy tests at the initial visit will be disqualified from the study and advised to seek prenatal care.
  • Has an immunodeficiency or autoimmune disease such as HIV infection, lymphoma, leukemia, lupus, rheumatoid arthritis, inflammatory bowel disease, or other autoimmune condition.
  • Currently receiving treatment or medication that can suppress immune function including radiation therapy, chemotherapy, cyclosporin, leflunomide (Arava), TNF-α antagonists, monoclonal antibody therapies (including rituximab [Rituxan]), intravenous gamma globulin (IVIG), antilymphocyte sera, other therapy known to interfere with the immune response, or systemic corticosteroids (by mouth or intramuscular injection). Those using or have used steroids that are inhaled, placed in the eye, applied on the skin, or injected into the joint/soft tissue will be considered eligible for the study.
  • History of splenectomy
  • Known allergies to any vaccine components, including aluminum, yeast or Benzonase.
  • Febrile at ≥100°F in the 24 hours prior to vaccination. The patients may be rescheduled for a later date.
Show all 9Show fewer
  • History of thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections.
  • History of >10 sexual partners in their lifetime at time of enrollment
  • Plans to move out of the Galveston/Houston area in the 13 months following study entry.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Abbey B Berenson, MD, PhD contact

409-772-2417

abberens@utmb.edu

Rosalina M Trujillo contact

409-747-5594

rmtrujil@utmb.edu

United States1 site, 1 recruiting
  • University of Texas Medical Branch

    Galveston, Texas, 77555

    Rosalina M Trujillo, 409-747-5594, rmtrujil@UTMB.EDU

    Recruiting

Other trials in United States

About this study

Official title: Comparison of the Immune Response After Administration of 2 vs. 3 Doses of the FDA-approved 9-Valent HPV Vaccine Among Women 27-45 Years of Age

The goal of this clinical trial is to compare a 2-dose and 3-dose series of 9vHPV vaccine among 27-45-year-old females to assess if 2 doses elicit a noninferior immune response. Participants will be randomized 1:1 to either the 2-dose group or the 3-dose group and asked to provide 4 blood samples over a period of 12 months. All 2-dose participants will be offered a 3rd dose after the final blood draw,12 months after their initial vaccination.

Read the detailed description

The investigators are studying an alternate dosing regimen of an approved drug (9vHPV vaccine) in the population for which it is approved. The vaccine is approved for individuals ages 9-45 years old and participants in this study will be 27-45 years of age. The purpose of the study is to examine the immune response of 2 doses of 9vHPV vaccine. The current recommendation is to administer the vaccine in 3 doses (administered at 0, 1-2 months and 6 months) to those 15-45 years of age, but only 2 doses (administered at 0 and 6 months) if the vaccine series is initiated before age 15. The investigators will conduct a randomized study to determine if 2 doses of elicit a similar immune response to that of a standard 3 dose series in individuals 27-45 years of age. Participants in the study group will receive 2 doses of at 0 and 6 months. Participants in the control group will receive 3 doses of 9vHPV vaccine at 0, 2 months, and 6 months. All participants (target accrual n=618) will have 5 mLs of blood drawn at 0, 1, 7, and 12 months. Following the 12-month blood draw, participants randomized to 2-doses will be offered the 3rd dose. Potential participants will be recruited through the University of Texas Medical Branch (UTMB) clinics and surrounding community, and will be screened for inclusion/exclusion criteria. Eligible patients will sign an informed written consent. At their baseline visit, participants will have their blood drawn, be randomized into either the study or control group, and receive their first dose of the HPV vaccine. All participants will receive compensation administered through a ClinCard following each of the 4 blood draws.

Being tested
9-valent HPV vaccine, 2 doses alternate timing, 9-valent HPV vaccine, 3 doses standard timing
Keywords
HPV vaccination, Gardasil 9, Noninferiority trial
Medical subject headings
Papillomavirus Infections

What participants receive

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

  • 9-valent HPV vaccine, 2 doses alternate timingBiological

    Evaluate 2 doses of the 9-valent HPV vaccine across a 12-month period following the 1st dose among 27-45-year-old females.

  • 9-valent HPV vaccine, 3 doses standard timingBiological

    This will be the comparison group for the 2-dose group.

Study groups in NCT05672927
Study groupRoleWhat they receive
Females, 3-dose standardActive comparatorThree doses of the 9-valent HPV vaccine to be administered to the comparison group (27-45 years of age) at 0, 2, and 6 months.
Receives: Biological: 9-valent HPV vaccine, 3 doses standard timing
Females, 2-dose alternativeExperimentalTwo doses of the 9-valent HPV vaccine to be administered to the experimental group (27-45 years of age) at 0 and 6 months. Additional HPV vaccine dose will be offered after final blood draw at 12 months.
Receives: Biological: 9-valent HPV vaccine, 2 doses alternate timing

What is being measured

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

  1. Short-term human papillomavirus (HPV) type-specific antibody response for type HPV-6

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-6, measured as number of participants.

    Measured: Month 1

  2. Short-term human papillomavirus (HPV) type-specific antibody response for type HPV-6

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-6, measured as number of participants.

    Measured: Month 7

  3. Short-term human papillomavirus (HPV) type-specific antibody response for type HPV-6

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-6, measured as number of participants.

    Measured: Month 12

  4. Short-term HPV type-specific antibody response for type HPV-11

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-11, measured as number of participants.

    Measured: Month 1

  5. Short-term HPV type-specific antibody response for type HPV-11

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-11, measured as number of participants.

    Measured: Month 7

  6. Short-term HPV type-specific antibody response for type HPV-11

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-11, measured as number of participants.

    Measured: Month 12

  7. Short-term HPV type-specific antibody response for type HPV-16

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-16, measured as number of participants.

    Measured: Month 1

  8. Short-term HPV type-specific antibody response for type HPV-16

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-16, measured as number of participants.

    Measured: Month 7

  9. Short-term HPV type-specific antibody response for type HPV-16

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-16, measured as number of participants.

    Measured: Month 12

  10. Short-term HPV type-specific antibody response for type HPV-18

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-18, measured as number of participants.

    Measured: Month 1

  11. Short-term HPV type-specific antibody response for type HPV-18

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-18, measured as number of participants.

    Measured: Month 7

  12. Short-term HPV type-specific antibody response for type HPV-18

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-18, measured as number of participants.

    Measured: Month 12

  13. Short-term HPV type-specific antibody response for type HPV-31

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-31, measured as number of participants.

    Measured: Month 1

  14. Short-term HPV type-specific antibody response for type HPV-31

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-31, measured as number of participants.

    Measured: Month 7

  15. Short-term HPV type-specific antibody response for type HPV-31

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-31, measured as number of participants.

    Measured: Month 12

  16. Short-term HPV type-specific antibody response for type HPV-33

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-33, measured as number of participants.

    Measured: Month 1

  17. Short-term HPV type-specific antibody response for type HPV-33

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-33, measured as number of participants.

    Measured: Month 7

  18. Short-term HPV type-specific antibody response for type HPV-33

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-33, measured as number of participants.

    Measured: Month 12

  19. Short-term HPV type-specific antibody response for type HPV-45

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-45, measured as number of participants.

    Measured: Month 1

  20. Short-term HPV type-specific antibody response for type HPV-45

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-45, measured as number of participants.

    Measured: Month 7

  21. Short-term HPV type-specific antibody response for type HPV-45

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-45, measured as number of participants.

    Measured: Month 12

  22. Short-term HPV type-specific antibody response for type HPV-52

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-52, measured as number of participants.

    Measured: Month 1

  23. Short-term HPV type-specific antibody response for type HPV-52

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-52, measured as number of participants.

    Measured: Month 7

  24. Short-term HPV type-specific antibody response for type HPV-52

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-52, measured as number of participants.

    Measured: Month 12

  25. Short-term HPV type-specific antibody response for type HPV-58

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-58, measured as number of participants.

    Measured: Month 1

  26. Short-term HPV type-specific antibody response for type HPV-58

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-58, measured as number of participants.

    Measured: Month 7

  27. Short-term HPV type-specific antibody response for type HPV-58

    Yes/No for seroconversion, defined as changing from seronegative (antibody titer below established threshold) to seropositive (antibody titer above established threshold) for HPV-58, measured as number of participants.

    Measured: 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 posted5 Jan 2023
  2. Study start18 Jan 2023
  3. Primary completionAug 2027 (estimated)
  4. Study completionAug 2028 (estimated)

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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
618 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05672927
Sponsor's protocol ID
22-0243
Status last verified
Oct 2025
First submitted
19 Dec 2022
Last updated
15 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • 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 4 study testing 9-valent HPV vaccine, 2 doses alternate timing and 9-valent HPV vaccine, 3 doses standard timing in people with Immunization and HPV Infection, run by The University of Texas Medical Branch, Galveston at 1 site in United States.

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 9 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: looking for participants now, as of the sponsor's last update on 15 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Abbey B Berenson, MD, PhD (409-772-2417, abberens@utmb.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Short-term human papillomavirus (HPV) type-specific antibody response for type HPV-6 (time frame: Month 1). The study lists 27 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 NCT05672927, which also lists 1 linked publication.

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 15 Sep 2026.

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