The papillon study

2024-520419-42-00 Protocol The papillon study Phase III and Phase IV (Integrated) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol The papillon study

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruitment pending
Participants planned 169
Countries 1
Sites 1

giving a commercially available vaccine to women with HIV under treatment

Rate of seroconversion of neutralizing antibodies against each HPV vaccine genotypes namely 6/11/16/18/31/33/45/52/58 among women seronegative at baseline for HPV vaccine genotypes, by measuring neutralizing antibody against the 9 vaccine genotypes of HPV at baseline, month 7. Comparison of that rate at month 7 (non in…

Key facts

Sponsor
CHU Saint Pierre
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Virus Diseases [C02]
Decision date (initial)
2025-01-30
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
King Bauduin Foundation

External identifiers

EU CT number
2024-520419-42-00
EudraCT number
2018-000228-33
ClinicalTrials.gov
NCT03391921

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

Rate of seroconversion of neutralizing antibodies against each HPV vaccine genotypes namely 6/11/16/18/31/33/45/52/58 among women seronegative at baseline for HPV vaccine genotypes, by measuring neutralizing antibody against the 9 vaccine genotypes of HPV at baseline, month 7. Comparison of that rate at month 7 (non inferiority defined as at least 80% of seroconversion in ARM A).

Secondary objectives 1

  1. • Completion of vaccine schedule. • Safety and clinical tolerance of the vaccine administration. • Impact on T-lymphocytes CD4+ counts and HIV viremia at month 7. • Rate of seroconversion of neutralizing antibodies against each HPV vaccine genotypes namely 6/11/16/18/31/33/45/52/58 among women seronegative at baseline for HPV vaccine genotypes, by measuring neutralizing antibody against the 9 vaccine genotypes of HPV at Month 18, 24, 36, 48 and 60 compared to baseline. • Measure of neutralizing antibodies title against each HPV vaccine types at baseline, month 7 and 18 • Assessment of long term persistence of HPV-specific antibody responses at 24,36,48 and 60 months after completion of the last vaccine administration dose. • The cellular immune response against HPV 16/18/31/52/58 will be assessed in a subgroup of patients (n=40, 20 in each arm) on PBMC samples tested. For this analysis, a separated IC should be first signed by the patient. • Incidence and prevalence of HPV infections and of abnormal cervical cytology performed by cytology and PCR on cervical swab at baseline and 12 months after the end of vaccination.

Conditions and MedDRA coding

giving a commercially available vaccine to women with HIV under treatment

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Papillon study
arm A received 2 doses of gardasil 9 at baseline and month6 arm B received 3 doses of gardasil 9 at baseline, month 2 and month6
Randomised Controlled None Arm A: 2 doses of gardasil 9 at baseline and month6
Arm B: received 3 doses of gardasil 9 at baseline, month 2 and 6

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. • HIV-positive woman • Age 15-40 years • Undetectable HIV viral load (VL) <400 cp/ml) for at least 6 months (i,e: having at least two separate VL<400 cp/ml at 6 months intervals; the most recent VL <400 cp/ml may be the screening CV for the study). • No planned pregnancy foreseen for the next 7 first months and use of contraception such as condom, hormonal contraception or intrauterine device • IC signed

Exclusion criteria 1

  1. • Previous hysterectomy or conisation • Previous or current biopsy-proven cervical, vulvar or vaginal HPV-associated lesion defined as ≥CIN2, VIN2, VaIN2 or invasive carcinoma • Previous vaccination against HPV (at least one dose) • Ongoing or planned pregnancy foreseen in the next 7 months • Other immunodeficiency conditions such as ongoing or previous (within 6 months) chemotherapy against cancer or chronic systemic corticosteroids treatment or immunosuppressive therapy after transplantation • Any condition contraindicating intramuscular injection such as warfarin therapy.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Rate of seroconversion of neutralizing antibodies against each HPV vaccine genotypes namely 6/11/16/18/31/33/45/52/58 among women seronegative at baseline for HPV vaccine genotypes, by measuring neutralizing antibody against the 9 vaccine genotypes of HPV at baseline, month 7. Comparison of that rate at month 7 (non inferiority defined as at least 80% of seroconversion in ARM A).

Investigational products

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

Test 1

Gardasil 9 suspension for injection. Human Papillomavirus 9-valent Vaccine (Recombinant, adsorbed)

PRD4575515 · 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
48 Week(s)
Authorisation status
Authorised
ATC code
J07BM03 — -
Marketing authorisation
EU/1/15/1007/001
MA holder
MERCK SHARP & DOHME B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

CHU Saint Pierre

3 Total trials
Academic / Non-commercial
Sponsor organisation
CHU Saint Pierre
Address
Hoogstraat 322
City
Brussels
Postcode
1000
Country
Belgium

Scientific contact point

Organisation
CHU Saint Pierre
Contact name
Deborah KONOPNICKI

Public contact point

Organisation
CHU Saint Pierre
Contact name
Deborah KONOPNICKI

Third parties 1

OrganisationCity, countryDuties
CHU Saint Pierre
ORG-100028265
Brussels, Belgium Code 2, Code 5, E-data capture, Code 8

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Authorised, recruitment pending 169 1
Rest of world 0

Investigational sites

Belgium

1 site · Authorised, recruitment pending
CHU Saint Pierre
Infectious Diseases, Hoogstraat 322, 1000, Brussels

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D protocole papillon version 7 amendment 15 dec 2023 7
Recruitment arrangements (for publication) D protocole papillon version 7 amendment 15 dec 2023 7
Subject information and informed consent form (for publication) L ICF Papillon DU 1
Subject information and informed consent form (for publication) L ICF Papillon EN 1
Subject information and informed consent form (for publication) L ICF Papillon FR 1
Subject information and informed consent form (for publication) L IC procedure 1
Summary of Product Characteristics (SmPC) (for publication) G SMPC notice gardasil9 1
Synopsis of the protocol (for publication) papillon study Synopsis 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-30 Belgium Acceptable
2025-01-30
2025-01-30