Human papillomavirus vaccine effectiveness study among men who have sex with men

2022-502224-49-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 6 Feb 2023 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 730
Countries 1
Sites 1

HPV infection

To assess the direct effectiveness of vaccination with the bivalent HPV vaccine (Cervarix ®) against anal HPV-16/18 infections among men who have sex with men (MSM) aged 19-26 years who visit the Sexual Health Clinic (SHC) of Amsterdam.

Key facts

Sponsor
Geneeskundige En Gezondheidsdienst Amsterdam
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male
Therapeutic area
Diseases [C] - Virus Diseases [C02]
Trial duration
6 Feb 2023 → ongoing
Decision date (initial)
2023-01-27
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
GSK (GLAXOSMITHKLINE BIOLOGICALS SA)

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To assess the direct effectiveness of vaccination with the bivalent HPV vaccine (Cervarix ®) against anal HPV-16/18 infections among men who have sex with men (MSM) aged 19-26 years who visit the Sexual Health Clinic (SHC) of Amsterdam.

Secondary objectives 5

  1. To assess the anal DNA prevalence and the seroprevalence of HPV-16/18 among MSM aged 19-26 years visiting the SHC and determinants of HPV-16/18 infection
  2. To assess the serologic response after vaccination, and factors affecting serological response
  3. To assess how VE is affected by age and number of lifetime sex partners
  4. To assess how HPV-16/18 anal positivity 24 months after start of vaccination is affected by HPV DNA status & HPV antibody status at the moment of vaccination
  5. To collect samples and data allowing to later estimate VE against type-specific penile and oral HPV infections among MSM aged 19-26 years

Conditions and MedDRA coding

HPV infection

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 14

  1. (Group 1, recruited at baseline) Being male and reporting sex with other men in preceding 6 months
  2. (Group 1, recruited at baseline) Age 19-26 years
  3. (Group 1, recruited at baseline) Attending the SHC in Amsterdam
  4. (Group 1, recruited at baseline) Accepting prophylactic HPV vaccination
  5. (Group 1, recruited at baseline) Planning to stay in or around Amsterdam over the next two years
  6. (Group 1, recruited at baseline) Willing and able to return for 1 subsequent visit for vaccination
  7. (Group 1, recruited at baseline) Willing and able to complete an online questionnaire at month 15
  8. (Group 1, recruited at baseline) Willing and able to return for a month 24 final study visit
  9. (Group 1, recruited at baseline) Providing informed consent
  10. (Group 2, recruited month 24) Being male and reporting sex with other men in the preceding 6 months
  11. (Group 2, recruited month 24) Age 21-28 years
  12. (Group 2, recruited month 24) Attending the Sexual Health Clinic in Amsterdam
  13. (Group 2, recruited month 24) Accepting hypothetically prophylactic HPV vaccination
  14. (Group 2, recruited month 24) Providing informed consent

Exclusion criteria 6

  1. (Group 1 & 2) Having been vaccinated with one or more doses of any of the HPV vaccines
  2. (Group 1 & 2) Not able to read/understand Dutch or English
  3. (Group 1 & 2) Previous enrolment in the study
  4. (Group 1 & 2) History of anal cancer or anal intraepithelial neoplasia (AIN)
  5. (Group 1 & 2) Unlikely to adhere to the study protocol
  6. (Group 1 & 2) Allergy to one or more components of the vaccine

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. We will conduct an observational study and compare anal HPV-16/18 prevalence between vaccinated and unvaccinated MSM attending the sexual health center (SHC). We will primarily measure HPV-16 and HPV-18 DNA positivity.

Secondary endpoints 2

  1. DNA HPV16/18 DNA positivity and HPV16/18 seropositivity
  2. HPV16/18 seropositivity 24 months post HPV vaccination

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Cervarix suspension for injection in multidose container Human Papillomavirus vaccine [Types 16, 18] (Recombinant, adjuvanted, adsorbed)

PRD330183 · Product

Active substance
Human Papillomavirus Type 16 L1 Protein Adjuvanted by AS04 Adsorbed on Aluminium Hydroxide, Hydrated Produced on Baculovirus HI-5 RIX4446 Cells, Trichoplusia Ni. Derived
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.5 ml millilitre(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
J07BM02 — -
Marketing authorisation
EU/1/07/419/012
MA holder
GLAXOSMITHKLINE BIOLOGICALS S.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Geneeskundige En Gezondheidsdienst Amsterdam

Sponsor organisation
Geneeskundige En Gezondheidsdienst Amsterdam
Address
Nieuwe Achtergracht 100
City
Amsterdam
Postcode
1018 WT
Country
Netherlands

Scientific contact point

Organisation
Geneeskundige En Gezondheidsdienst Amsterdam
Contact name
Prof. dr. M.F. Schim van der Loeff

Public contact point

Organisation
Geneeskundige En Gezondheidsdienst Amsterdam
Contact name
Prof. dr. M.F. Schim van der Loeff

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 730 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ongoing, recruiting
Geneeskundige En Gezondheidsdienst Amsterdam
Infectious Diseases, Team Research, Nieuwe Achtergracht 100, 1018 WT, Amsterdam

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2023-02-06 2023-02-07

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-11-04 Netherlands Acceptable
2023-01-27
2023-01-27
2 NON SUBSTANTIAL MODIFICATION NSM-1 2023-05-17 Netherlands Acceptable
2023-01-27
2023-05-17
3 NON SUBSTANTIAL MODIFICATION NSM-2 2023-12-08 Netherlands Acceptable
2023-01-27
2023-12-08