Overview
Sponsor-declared trial summary
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
- • 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
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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
- • 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
- • 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
- 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
- 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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Authorised, recruitment pending | 169 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-01-30 | Belgium | Acceptable 2025-01-30
|
2025-01-30 |