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A Study to Compare Immune Response of V503 to Gardasil in 16- to 26-year-old Men (V503-020)

Primary Purpose

Papilloma Viral Infection

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
V503
GARDASIL
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Papilloma Viral Infection focused on measuring Prevention

Eligibility Criteria

16 Years - 26 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subject is a man, between the ages of 16 years and 0 days and 26 years and 364 days on the day of enrolment.
  • Subject is a man who has had no more than 5 lifetime female sexual partners.
  • Subject is judged to be in good physical health on the basis of medical history, physical examination, and laboratory results.
  • Subject, or subject's parent or guardian, fully understand study procedures, alternative treatments available, the risks involved with the study, and voluntarily agree to participate by giving written informed consent.

Exclusion Criteria:

  • Subject who has had sex with a male partner.
  • Subject has a history of HPV-related external genital lesions or HPV-related anal lesions
  • Subject has a known allergy to any vaccine component, including aluminium, yeast, or BENZONASE
  • Subject has a history of severe allergic reaction that required medical intervention.
  • Subject has thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections.
  • Subject is concurrently enrolled in clinical studies of investigational medicinal products.
  • Subject has donated blood within 1 week prior to the Day 1 vaccination, or intends to donate during Day 1 through Month 7 of the study.
  • Subject is currently immunocompromised or has been diagnosed as having a congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia, systemic lupus erythematosus, rheumatoid arthritis, juvenile rheumatoid arthritis, inflammatory bowel disease, or other autoimmune condition.
  • Subject has had a splenectomy.
  • Subject is receiving or has received in the year prior to enrolment the following immunosuppressive therapies: radiation therapy, cyclophosphamide, azathioprine, methotrexate, any chemotherapy, cyclosporin, leflunomide, TNF-α antagonists, monoclonal antibody therapies, intravenous gamma globulin, antilymphocyte sera, or other therapy known to interfere with the immune response.
  • Subject has received any immune globulin product or blood-derived product within the 6 months prior to the Day 1 vaccination, or plans to receive any such product during Day 1 through Month 7 of the study.
  • Subject has received non-replicating (inactivated) vaccines within 14 days prior to the Day 1 vaccination or has received replicating (live) vaccines within 21 days prior to the Day 1 vaccination.
  • Subject has received a marketed HPV vaccine, or has participated in an HPV vaccine clinical trial and has received either active agent or placebo.
  • Subject has had a fever within the 24-hour period prior to the Day 1 vaccination.
  • Subject has a history or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the subject's participation for the full duration of the study, such that it is not in the best interest of the subject to participate.
  • Subject is unlikely to adhere to the study procedures, keep appointments, or is planning to relocate during the study.
  • Subject is, at the time of signing informed consent, a user of recreational or illicit drugs or has had a recent history (within the last year) of drug abuse or dependence. Alcohol abusers are defined as those who drink despite recurrent social, interpersonal, and/or legal problems as a result of alcohol use.
  • Subject, or subject's parent or guardian, is or has an immediate family member (spouse or children) who is investigational site or sponsor staff directly involved with this trial.

Sites / Locations

  • Sanofi Pasteur MSD Investigational Site 1002
  • Sanofi Pasteur MSD Investigational Site 1003
  • Sanofi Pasteur MSD Investigational Site 1001
  • Sanofi Pasteur MSD Investigational Site 3001
  • Sanofi Pasteur MSD Investigational Site 4001
  • Sanofi Pasteur MSD Investigational Site 4003
  • Sanofi Pasteur MSD Investigational Site 4002

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

V503

GARDASIL

Arm Description

9-valent HPV [Types 6, 11, 16, 18, 31, 33, 45, 52, and 58] L1 virus-like particle vaccine, 0.5-mL intramuscular injection in 3 dose regimen at Day 1, Month 2, and Month 6

Quadrivalent HPV [Types 6, 11, 16, and 18] L1 virus-like particle vaccine, 0.5-mL intramuscular injection in 3 dose regimen at Day 1, Month 2, and Month 6

Outcomes

Primary Outcome Measures

Geometric Mean Titers (GMTs) to HPV Types 6/11/16/18
Serum antibodies to HPV types 6, 11, 16, and 18 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL.

Secondary Outcome Measures

GMTs to HPV Types 31/33/45/52/58
Serum antibodies to HPV types 31, 33, 45, 52, and 58 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL.
Percentage of Participants Who Are Seropositive for HPV Types 6/11/16/18/31/33/45/52/58
Serum antibodies to HPV types were measured with a Competitive Luminex Immunoassay. The serostatus cutoffs (milli Merck U/mL) for HPV types were as follows: HPV Type 6: ≥30; HPV Type 11: ≥16; HPV Type 16: ≥20; HPV Type 18: ≥24; HPV Type 31: ≥10; HPV Type 33: ≥8; HPV Type 45: ≥8; HPV Type 52: ≥8; HPV Type 58: ≥8.
Percentage of Participants With One or More Adverse Events
The percentage of participants with one or more adverse events was assessed.
Percentage of Participants With Study Discontinuation Due to an Adverse Event
The percentage of participants discontinued from the study due to an adverse event was assessed.
Percentage of Participants With One or More Injection-site Adverse Reactions
The percentage of participants with one or more injection-site adverse reactions (solicited or unsolicited) was assessed.
Percentage of Participants With Maximum Temperature ≥37.8 °C
The percentage of participants with a maximum temperature ≥37.8 °C was assessed.
Percentage of Participants With One or More Systemic Adverse Events
The percentage of participants with one or more systemic adverse events was assessed.
Percentage of Participants With One or More Serious Adverse Events
The percentage of participants with one or more serious adverse events was assessed.

Full Information

First Posted
April 8, 2014
Last Updated
February 20, 2018
Sponsor
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02114385
Brief Title
A Study to Compare Immune Response of V503 to Gardasil in 16- to 26-year-old Men (V503-020)
Official Title
A Randomized, Double-Blinded, Controlled With GARDASIL (Human Papillomavirus Vaccine [HPV] [Types 6, 11, 16, 18] (Recombinant, Adsorbed)), Phase 3 Clinical Trial to Study the Immunogenicity and Tolerability of V503 (9-Valent Human Papillomavirus L1 Virus-Like Particle [VLP] Vaccine) in 16- to 26-year-old Men
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
March 24, 2014 (undefined)
Primary Completion Date
April 22, 2015 (Actual)
Study Completion Date
April 22, 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck Sharp & Dohme LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary objective To demonstrate that administration of V503 induces non-inferior Geometric Mean Titres (GMTs) for serum anti-HPV 6, 11, 16, and 18, compared to GARDASIL in 16- to 26-year-old men
Detailed Description
Secondary objectives To evaluate the tolerability of V503 in 16- to 26-year-old men. To summarise humoral immune responses, including anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, 58 GMTs and seroconversion rates at 4 weeks post-dose 3, in 16- to 26-year-old men who received V503 or GARDASIL

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Papilloma Viral Infection
Keywords
Prevention

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
500 (Actual)

8. Arms, Groups, and Interventions

Arm Title
V503
Arm Type
Experimental
Arm Description
9-valent HPV [Types 6, 11, 16, 18, 31, 33, 45, 52, and 58] L1 virus-like particle vaccine, 0.5-mL intramuscular injection in 3 dose regimen at Day 1, Month 2, and Month 6
Arm Title
GARDASIL
Arm Type
Active Comparator
Arm Description
Quadrivalent HPV [Types 6, 11, 16, and 18] L1 virus-like particle vaccine, 0.5-mL intramuscular injection in 3 dose regimen at Day 1, Month 2, and Month 6
Intervention Type
Biological
Intervention Name(s)
V503
Other Intervention Name(s)
9vHPV vaccine
Intervention Description
9-valent HPV [Types 6, 11, 16, 18, 31, 33, 45, 52, and 58] L1 virus-like particle vaccine, 0.5-mL intramuscular injection
Intervention Type
Biological
Intervention Name(s)
GARDASIL
Other Intervention Name(s)
qHPV vaccine
Intervention Description
Quadrivalent HPV [Types 6, 11, 16, and 18] L1 virus-like particle vaccine, 0.5-mL intramuscular injection
Primary Outcome Measure Information:
Title
Geometric Mean Titers (GMTs) to HPV Types 6/11/16/18
Description
Serum antibodies to HPV types 6, 11, 16, and 18 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL.
Time Frame
4 weeks postdose 3 (Month 7)
Secondary Outcome Measure Information:
Title
GMTs to HPV Types 31/33/45/52/58
Description
Serum antibodies to HPV types 31, 33, 45, 52, and 58 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL.
Time Frame
4 weeks postdose 3 (Month 7)
Title
Percentage of Participants Who Are Seropositive for HPV Types 6/11/16/18/31/33/45/52/58
Description
Serum antibodies to HPV types were measured with a Competitive Luminex Immunoassay. The serostatus cutoffs (milli Merck U/mL) for HPV types were as follows: HPV Type 6: ≥30; HPV Type 11: ≥16; HPV Type 16: ≥20; HPV Type 18: ≥24; HPV Type 31: ≥10; HPV Type 33: ≥8; HPV Type 45: ≥8; HPV Type 52: ≥8; HPV Type 58: ≥8.
Time Frame
4 weeks postdose 3 (Month 7)
Title
Percentage of Participants With One or More Adverse Events
Description
The percentage of participants with one or more adverse events was assessed.
Time Frame
Up to 15 days after any vaccination
Title
Percentage of Participants With Study Discontinuation Due to an Adverse Event
Description
The percentage of participants discontinued from the study due to an adverse event was assessed.
Time Frame
Up to Month 7
Title
Percentage of Participants With One or More Injection-site Adverse Reactions
Description
The percentage of participants with one or more injection-site adverse reactions (solicited or unsolicited) was assessed.
Time Frame
Up to 5 days after any vaccination
Title
Percentage of Participants With Maximum Temperature ≥37.8 °C
Description
The percentage of participants with a maximum temperature ≥37.8 °C was assessed.
Time Frame
Up to 5 days after any vaccination
Title
Percentage of Participants With One or More Systemic Adverse Events
Description
The percentage of participants with one or more systemic adverse events was assessed.
Time Frame
Up to 15 days after any vaccination
Title
Percentage of Participants With One or More Serious Adverse Events
Description
The percentage of participants with one or more serious adverse events was assessed.
Time Frame
Up to 15 days after any vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
26 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject is a man, between the ages of 16 years and 0 days and 26 years and 364 days on the day of enrolment. Subject is a man who has had no more than 5 lifetime female sexual partners. Subject is judged to be in good physical health on the basis of medical history, physical examination, and laboratory results. Subject, or subject's parent or guardian, fully understand study procedures, alternative treatments available, the risks involved with the study, and voluntarily agree to participate by giving written informed consent. Exclusion Criteria: Subject who has had sex with a male partner. Subject has a history of HPV-related external genital lesions or HPV-related anal lesions Subject has a known allergy to any vaccine component, including aluminium, yeast, or BENZONASE Subject has a history of severe allergic reaction that required medical intervention. Subject has thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections. Subject is concurrently enrolled in clinical studies of investigational medicinal products. Subject has donated blood within 1 week prior to the Day 1 vaccination, or intends to donate during Day 1 through Month 7 of the study. Subject is currently immunocompromised or has been diagnosed as having a congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia, systemic lupus erythematosus, rheumatoid arthritis, juvenile rheumatoid arthritis, inflammatory bowel disease, or other autoimmune condition. Subject has had a splenectomy. Subject is receiving or has received in the year prior to enrolment the following immunosuppressive therapies: radiation therapy, cyclophosphamide, azathioprine, methotrexate, any chemotherapy, cyclosporin, leflunomide, TNF-α antagonists, monoclonal antibody therapies, intravenous gamma globulin, antilymphocyte sera, or other therapy known to interfere with the immune response. Subject has received any immune globulin product or blood-derived product within the 6 months prior to the Day 1 vaccination, or plans to receive any such product during Day 1 through Month 7 of the study. Subject has received non-replicating (inactivated) vaccines within 14 days prior to the Day 1 vaccination or has received replicating (live) vaccines within 21 days prior to the Day 1 vaccination. Subject has received a marketed HPV vaccine, or has participated in an HPV vaccine clinical trial and has received either active agent or placebo. Subject has had a fever within the 24-hour period prior to the Day 1 vaccination. Subject has a history or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the subject's participation for the full duration of the study, such that it is not in the best interest of the subject to participate. Subject is unlikely to adhere to the study procedures, keep appointments, or is planning to relocate during the study. Subject is, at the time of signing informed consent, a user of recreational or illicit drugs or has had a recent history (within the last year) of drug abuse or dependence. Alcohol abusers are defined as those who drink despite recurrent social, interpersonal, and/or legal problems as a result of alcohol use. Subject, or subject's parent or guardian, is or has an immediate family member (spouse or children) who is investigational site or sponsor staff directly involved with this trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
Facility Information:
Facility Name
Sanofi Pasteur MSD Investigational Site 1002
City
Ghent
Country
Belgium
Facility Name
Sanofi Pasteur MSD Investigational Site 1003
City
Leuven
Country
Belgium
Facility Name
Sanofi Pasteur MSD Investigational Site 1001
City
Wilrijk
Country
Belgium
Facility Name
Sanofi Pasteur MSD Investigational Site 3001
City
Mainz
Country
Germany
Facility Name
Sanofi Pasteur MSD Investigational Site 4001
City
Amsterdam
Country
Netherlands
Facility Name
Sanofi Pasteur MSD Investigational Site 4003
City
Amsterdam
Country
Netherlands
Facility Name
Sanofi Pasteur MSD Investigational Site 4002
City
Nijmegen
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
27354258
Citation
Van Damme P, Meijer CJLM, Kieninger D, Schuyleman A, Thomas S, Luxembourg A, Baudin M. A phase III clinical study to compare the immunogenicity and safety of the 9-valent and quadrivalent HPV vaccines in men. Vaccine. 2016 Jul 29;34(35):4205-4212. doi: 10.1016/j.vaccine.2016.06.056. Epub 2016 Jun 25.
Results Reference
result
PubMed Identifier
29211620
Citation
Moreira ED, Giuliano AR, de Hoon J, Iversen OE, Joura EA, Restrepo J, Van Damme P, Vandermeulen C, Ellison MC, Krick A, Shields C, Heiles B, Luxembourg A. Safety profile of the 9-valent human papillomavirus vaccine: assessment in prior quadrivalent HPV vaccine recipients and in men 16 to 26 years of age. Hum Vaccin Immunother. 2018 Feb 1;14(2):396-403. doi: 10.1080/21645515.2017.1403700. Epub 2017 Dec 14.
Results Reference
derived

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A Study to Compare Immune Response of V503 to Gardasil in 16- to 26-year-old Men (V503-020)

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