Overview
Sponsor-declared trial summary
External Genital Warts (EGW)
To evaluate if the HPV vaccine, as compared to placebo, reduces the relapse rate of external genital warts over a 12 month-period after their first injection
Key facts
- Sponsor
- Assistance Publique Hopitaux De Paris
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Virus Diseases [C02], Diseases [C] - Male Urogenital Diseases [C12], Diseases [C] - Skin and Connective Tissue Diseases [C17], Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
- Trial duration
- 11 Jan 2018 → 4 Nov 2025
- Decision date (initial)
- 2024-12-10
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- French Ministry of Health (PHRC-N 2015)
External identifiers
- EU CT number
- 2024-516098-62-00
- EudraCT number
- 2016-002455-20
- ClinicalTrials.gov
- NCT03296397
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy
To evaluate if the HPV vaccine, as compared to placebo, reduces the relapse rate of external genital warts over a 12 month-period after their first injection
Secondary objectives 1
- To investigate the clinical tolerance to three doses of HPV vaccine
Conditions and MedDRA coding
External Genital Warts (EGW)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | LLT | 10048423 | Genital wart | 10029104 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 8
- Patients aged 18 years and older
- Patients who, after the nature of the study has been explained to them, and prior to any protocol specific procedures being performed, have given written consent according to local regulatory requirements
- Patients with a confirmed clinical diagnosis for previous external anogenital warts
- Patient completely cured (no clinically visible lesions) for over two weeks and less than a month prior to inclusion visit (V1, M0) after initial success of classic treatment
- Women of childbearing potential must have a negative pregnancy test and an effective contraception from selection visit (V0) and up to the end of the vaccination period of 6 months
- Males must have an effective protection with condoms in order to limit the risk of recontamination from selection visit (V0) and up to the end of the vaccination period of 6 months
- Patients affiliated to a social security regimen
- Patients able to participate during the 12 months of the study
Exclusion criteria 13
- Patient with diagnosis of internal anogenital warts (intra rectal , intra vaginal, intra urethral) at the selection visit
- Patients with positive HIV, HCV or HBV (Ag HBS) tests
- Patients whose regular partner(s) have an active uncontrolled clinical EGW disease
- Patients who received the HPV Vaccine at any time before enrolment to the study
- Patients with any serious chronic or progressive disease according to the judgment of the investigator
- Patients with history of an autoimmune disorder or any other known or suspected impairment /alteration of the immune system, or under immunosuppressive therapy including use of systemic corticosteroids or chronic immunosuppressant medication (more than 14 days) (i.e. prednisone, or equivalent ≥10 mg/day) within : • the 28 days preceding the first vaccination at the inclusion visit V1 in case of corticosteroids administration • the 3 months preceding the first vaccination at the inclusion visit V1 in case of administration of cyclophosphamide, anti-TNF- alpha, intravenous immunoglobulins, abatacep, corticosteroids as a bolus injection • the 6 months preceding the first vaccination at the inclusion visit V1 in case of anti CD 20 administration or in chemotherapy treatment within the past 180 days (6 months).Topical or inhaled uses of steroid including intranasal are allowed
- Patients with history of known allergies/hypersensitivity to any component of study vaccine
- Patients who have any malignancy or lymphoproliferative disorder
- Patients with thrombocytopenia or coagulation disorder contre- indicating intramusculary injections
- Women who are pregnant or are breast-feeding, or are of childbearing age and do not use or do not plan to use acceptable birth control measures, during the first 6 months of the study
- Male who do not use or do not plan to use condoms, during the first 6 months of the study
- Patients under a measure of legal protection or unable to consent
- Patients participating in any clinical trial with another investigational product 28 days prior to first study visit or intent on participating in another clinical study at any time during the conduct of this study
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Relapse-free “survival”. Relapse will have to be clinically confirmed.
Secondary endpoints 1
- Percentage of patients with local and/or systemic reactions during the study
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
PRD4576523 · Product
- Active substance
- Human Papillomavirus Type 11 L1 Protein - Adsorbed - in the Form of Virus-Like Particles Produced in Yeast Cells (Saccharomyces Cerevisiae Canade 3C-5 (Strain 1895)) by Rdna
- Pharmaceutical form
- SUSPENSION FOR INJECTION
- Route of administration
- INTRAMUSCULAR USE
- 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
- J07BM01 — -
- Marketing authorisation
- EU/1/06/357/005
- MA holder
- MERCK SHARP & DOHME B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD4575516 · Product
- Active substance
- Human Papillomavirus Type 31 L1 Protein - Adsorbed - in the Form of Virus-Like Particles Produced in Yeast Cells (Saccharomyces Cerevisiae Canade 3C-5 (Strain 1895)) by Rdna
- Pharmaceutical form
- SUSPENSION FOR INJECTION
- Route of administration
- INTRAMUSCULAR USE
- 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
- J07BM03 — -
- Marketing authorisation
- EU/1/15/1007/002
- MA holder
- MERCK SHARP & DOHME B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Placebo 1
SUB12581MIG · Substance
- Active substance
- Sodium Chloride
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAMUSCULAR USE
- 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
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Assistance Publique Hopitaux De Paris
- Sponsor organisation
- Assistance Publique Hopitaux De Paris
- Address
- Porte 23, 1 Avenue Claude Vellefaux 1 Avenue Claude Vellefaux
- City
- Paris Cedex 10
- Postcode
- 75475
- Country
- France
Scientific contact point
- Organisation
- Assistance Publique Hopitaux De Paris
- Contact name
- Dr Sebastien Fouere
Public contact point
- Organisation
- Assistance Publique Hopitaux De Paris
- Contact name
- Dr Sebastien Fouere
Locations
1 EU/EEA country · 16 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| France | Ended | 300 | 16 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| France | 2018-01-11 | 2025-11-04 | 2018-01-11 | 2024-11-11 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 6 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2024-516098-62-00 | 8.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF | 3.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Gardasil | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Gardasil9 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2024-516098-62-00 | 8.0 |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-10-01 | France | Acceptable 2024-10-24
|
2024-12-10 |