Trial Outcomes & Findings for Preparedness Study - HPV Vaccine (NCT NCT01489527)

NCT ID: NCT01489527

Last Updated: 2015-02-06

Results Overview

HPV type distribution and prevalence of each HPV type at enrollment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

406 participants

Primary outcome timeframe

At Enrollment - 5 Month Enrollment Period

Results posted on

2015-02-06

Participant Flow

Women residing in the Western Cape, South Africa were enrolled from November 2012 to July 2013 in a preparedness study. Participants were recruited from the Kraaifontein day hospital and the Bloekombos primary health care clinic by community workers and through word of mouth, flyers, and brochures.

4 of the 406 participants randomized had a false HIV negative test result, reducing the participants to 202 in the Gardasil Arm and 200 in the Placebo Arm.

Participant milestones

Participant milestones
Measure
Gardasil Vaccine Administration
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
Placebo injected intramuscularly into the deltoid or thigh muscle.
Overall Study
STARTED
205
201
Overall Study
COMPLETED
183
175
Overall Study
NOT COMPLETED
22
26

Reasons for withdrawal

Reasons for withdrawal
Measure
Gardasil Vaccine Administration
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
Placebo injected intramuscularly into the deltoid or thigh muscle.
Overall Study
Pregnancy
9
14
Overall Study
Participant moved
6
7
Overall Study
Withdrawal by Subject
0
4
Overall Study
Lost to Follow-up
5
1
Overall Study
Procedures
1
0
Overall Study
Not compliant
1
0

Baseline Characteristics

Preparedness Study - HPV Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gardasil Vaccine Administration
n=202 Participants
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
n=200 Participants
Placebo injected intramuscularly into the deltoid or thigh muscle.
Total
n=402 Participants
Total of all reporting groups
Age, Continuous
20 years
n=99 Participants
20 years
n=107 Participants
20 years
n=206 Participants
Age, Categorical
<=18 years
40 Participants
n=99 Participants
46 Participants
n=107 Participants
86 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
162 Participants
n=99 Participants
154 Participants
n=107 Participants
316 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
202 Participants
n=99 Participants
200 Participants
n=107 Participants
402 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
South Africa
202 participants
n=99 Participants
200 participants
n=107 Participants
402 participants
n=206 Participants

PRIMARY outcome

Timeframe: At Enrollment - 5 Month Enrollment Period

Population: All treated participants

HPV type distribution and prevalence of each HPV type at enrollment.

Outcome measures

Outcome measures
Measure
Gardasil Vaccine Administration
n=202 Participants
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
n=200 Participants
Placebo injected intramuscularly into the deltoid or thigh muscle.
Human Papillomavirus (HPV) Rate
Any HPV Type
143 participants
136 participants
Human Papillomavirus (HPV) Rate
Any High-Risk Type
106 participants
113 participants
Human Papillomavirus (HPV) Rate
Any Low-Risk Type
103 participants
97 participants
Human Papillomavirus (HPV) Rate
HPV6
9 participants
3 participants
Human Papillomavirus (HPV) Rate
HPV11
2 participants
2 participants
Human Papillomavirus (HPV) Rate
HPV16
23 participants
32 participants
Human Papillomavirus (HPV) Rate
HPV18
11 participants
14 participants

SECONDARY outcome

Timeframe: 18 Months

Population: All treated participants

Percentage of participants to complete the 3-dose vaccination series and all 4 study visits.

Outcome measures

Outcome measures
Measure
Gardasil Vaccine Administration
n=202 Participants
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
n=200 Participants
Placebo injected intramuscularly into the deltoid or thigh muscle.
Study Compliance Rate
91.5 percentage of participants
87.5 percentage of participants

SECONDARY outcome

Timeframe: At Enrollment - 5 Month Enrollment Period

Population: All treated participants

Percentage of participants who were seropositive to HPV at enrollment, by specific HPV type.

Outcome measures

Outcome measures
Measure
Gardasil Vaccine Administration
n=202 Participants
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
n=200 Participants
Placebo injected intramuscularly into the deltoid or thigh muscle.
Percentage of Participants Who Were Seropositive by HPV Type
HPV33
25 percentage of participants
30 percentage of participants
Percentage of Participants Who Were Seropositive by HPV Type
HPV6
73 percentage of participants
73 percentage of participants
Percentage of Participants Who Were Seropositive by HPV Type
HPV11
45 percentage of participants
47 percentage of participants
Percentage of Participants Who Were Seropositive by HPV Type
HPV16
32 percentage of participants
37 percentage of participants
Percentage of Participants Who Were Seropositive by HPV Type
HPV18
46 percentage of participants
41 percentage of participants
Percentage of Participants Who Were Seropositive by HPV Type
HPV31
31 percentage of participants
38 percentage of participants
Percentage of Participants Who Were Seropositive by HPV Type
HPV45
15 percentage of participants
18 percentage of participants
Percentage of Participants Who Were Seropositive by HPV Type
HPV52
36 percentage of participants
35 percentage of participants
Percentage of Participants Who Were Seropositive by HPV Type
HPV58
36 percentage of participants
36 percentage of participants

SECONDARY outcome

Timeframe: 18 Months

Population: Participants who were randomized to Gardasil and received all 3 doses of Gardasil

Percentage of participants who seroconverted to HPV types 6, 11, 16, or 18, following receipt of 3 doses of qHPV vaccine.

Outcome measures

Outcome measures
Measure
Gardasil Vaccine Administration
n=179 Participants
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
Placebo injected intramuscularly into the deltoid or thigh muscle.
Percentage of Participants Seroconverted to HPV Types 6, 11, 16, or 18
100 percentage of participants

SECONDARY outcome

Timeframe: 18 Months

Population: All treated participants

The percent of women that seroconverted among those receiving qHPV vaccine compared to placebo vaccine recipients for HPV types 31, 33, 45, and 58, HPV types not directly targeted by the qHPV vaccine.

Outcome measures

Outcome measures
Measure
Gardasil Vaccine Administration
n=202 Participants
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
n=200 Participants
Placebo injected intramuscularly into the deltoid or thigh muscle.
Percentage of Participants Who Seroconverted to HPV Types 31, 33, 45, or 58
HPV31
82 percentage of participants
39 percentage of participants
Percentage of Participants Who Seroconverted to HPV Types 31, 33, 45, or 58
HPV33
56 percentage of participants
34 percentage of participants
Percentage of Participants Who Seroconverted to HPV Types 31, 33, 45, or 58
HPV45
42 percentage of participants
19 percentage of participants
Percentage of Participants Who Seroconverted to HPV Types 31, 33, 45, or 58
HPV58
69 percentage of participants
38 percentage of participants

Adverse Events

Gardasil Vaccine Administration

Serious events: 0 serious events
Other events: 59 other events
Deaths: 0 deaths

Placebo Administration

Serious events: 0 serious events
Other events: 62 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Gardasil Vaccine Administration
n=202 participants at risk
Gardasil Vaccine injected intramuscularly into the deltoid or thigh muscle.
Placebo Administration
n=200 participants at risk
Placebo injected intramuscularly into the deltoid or thigh muscle.
Gastrointestinal disorders
Abdominal pain
0.50%
1/202 • Number of events 1 • 1 year, 6 months
1.0%
2/200 • Number of events 2 • 1 year, 6 months
Gastrointestinal disorders
Anal mucositis
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Gastrointestinal disorders
Gastritis
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Gastrointestinal disorders
Gastrointestinal disorders - Other
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Gastrointestinal disorders
Nausea
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Gastrointestinal disorders
Stomach pain
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Gastrointestinal disorders
Vomiting
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
General disorders
Flu like symptoms
1.5%
3/202 • Number of events 3 • 1 year, 6 months
1.0%
2/200 • Number of events 2 • 1 year, 6 months
General disorders
Injection site reaction
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
General disorders
Non-cardiac chest pain
0.00%
0/202 • 1 year, 6 months
1.0%
2/200 • Number of events 2 • 1 year, 6 months
General disorders
Pain
7.9%
16/202 • Number of events 18 • 1 year, 6 months
2.5%
5/200 • Number of events 5 • 1 year, 6 months
Immune system disorders
Allergic reaction
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Immune system disorders
Immune system disorders - Other
0.99%
2/202 • Number of events 2 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Infections and infestations
Lip infection
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Infections and infestations
Pelvic infection
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Infections and infestations
Sinusitis
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Infections and infestations
Urinary tract infection
3.5%
7/202 • Number of events 7 • 1 year, 6 months
6.0%
12/200 • Number of events 12 • 1 year, 6 months
Infections and infestations
Vaginal infection
8.9%
18/202 • Number of events 18 • 1 year, 6 months
8.0%
16/200 • Number of events 17 • 1 year, 6 months
Infections and infestations
Vulval infection
0.99%
2/202 • Number of events 2 • 1 year, 6 months
1.0%
2/200 • Number of events 2 • 1 year, 6 months
Infections and infestations
Wound infection
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Injury, poisoning and procedural complications
Burn
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Injury, poisoning and procedural complications
Fracture
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other
0.99%
2/202 • Number of events 2 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Investigations
Weight loss
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified - Other
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Nervous system disorders
Dizziness
3.0%
6/202 • Number of events 6 • 1 year, 6 months
2.0%
4/200 • Number of events 4 • 1 year, 6 months
Nervous system disorders
Headache
0.50%
1/202 • Number of events 1 • 1 year, 6 months
2.5%
5/200 • Number of events 5 • 1 year, 6 months
Nervous system disorders
Hypersomnia
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Nervous system disorders
Lethargy
2.0%
4/202 • Number of events 4 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Renal and urinary disorders
Urinary tract pain
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Reproductive system and breast disorders
Dyspareunia
0.50%
1/202 • Number of events 2 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Reproductive system and breast disorders
Irregular menstruation
0.99%
2/202 • Number of events 2 • 1 year, 6 months
1.0%
2/200 • Number of events 2 • 1 year, 6 months
Reproductive system and breast disorders
Reproductive system and breast disorders - Other
0.50%
1/202 • Number of events 1 • 1 year, 6 months
1.5%
3/200 • Number of events 3 • 1 year, 6 months
Reproductive system and breast disorders
Vaginal discharge
1.5%
3/202 • Number of events 3 • 1 year, 6 months
2.5%
5/200 • Number of events 5 • 1 year, 6 months
Reproductive system and breast disorders
Vaginal dryness
0.50%
1/202 • Number of events 2 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months
Reproductive system and breast disorders
Vaginal hemorrhage
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Reproductive system and breast disorders
Vaginal inflammation
0.00%
0/202 • 1 year, 6 months
1.0%
2/200 • Number of events 3 • 1 year, 6 months
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
0.00%
0/202 • 1 year, 6 months
1.5%
3/200 • Number of events 3 • 1 year, 6 months
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Respiratory, thoracic and mediastinal disorders
Sinus disorder
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Respiratory, thoracic and mediastinal disorders
Sore throat
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Skin and subcutaneous tissue disorders
Rash acneiform
0.00%
0/202 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other
0.50%
1/202 • Number of events 1 • 1 year, 6 months
1.0%
2/200 • Number of events 2 • 1 year, 6 months
Surgical and medical procedures
Surgical and medical procedures - Other
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.50%
1/200 • Number of events 1 • 1 year, 6 months
Vascular disorders
Hypertension
0.50%
1/202 • Number of events 1 • 1 year, 6 months
0.00%
0/200 • 1 year, 6 months

Additional Information

Anna R. Giuliano, Ph.D.

H. Lee Moffitt Cancer Center and Research Institute

Phone: 813-745-6820

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place