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Immunogenicity and Safety of the 9-valent Human Papillomavirus (9vHPV) Vaccine in Japanese Boys and Girls (V503-066)

Primary Purpose

Papillomavirus Infections

Status
Active
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
9vHPV vaccine
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Papillomavirus Infections

Eligibility Criteria

9 Years - 15 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Is Japanese male or female.
  • Is aged at the time of providing the documented informed consent (inclusive): (3-dose boy arm) male from 9 years to 15 years old, (2-dose boy arm) male from 9 years to 14 years old, or (2-dose girl arm) female from 9 years to 14 years old.
  • Has a legally acceptable representative who can read, understand and complete the vaccination report card (VRC).
  • Has not yet had coitarche and does not plan on becoming sexually active during the Day 1 through Month 7.

Exclusion Criteria:

  • Has a fever (defined as oral temperature ≥37.5°C) within the 24-hour period prior to the Day 1 visit.
  • Has a history of severe allergic reaction that required medical intervention.
  • Is allergic to any vaccine component, including aluminum, yeast, or Benzonase™.
  • Has known thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections.
  • Is currently immunocompromised or has been diagnosed as having a congenital or acquired immunodeficiency, human immunodeficiency virus (HIV) infection, lymphoma, leukemia, systemic lupus erythematosus, rheumatoid arthritis, juvenile rheumatoid arthritis, inflammatory bowel disease, or other auto immune condition.
  • Has a history of splenectomy.
  • Has a history of genital warts or positive test for human papillomavirus (HPV).
  • Is, at the time of signing informed consent, a user of recreational or illicit drugs or has had a recent history (within 12 months) of drug or alcohol abuse or dependence at the discretion of the investigator. .
  • Has received within 12 months prior to enrollment, is receiving, or plans to receive during Day 1 through Month 7 of the study, any study-prohibited concomitant immunosuppressive therapy .
  • Has received within the 3 months prior to the Day 1 vaccination, is receiving, or plans to receive during Day 1 through Month 7 of the study, any immune globulin product or blood-derived product other than intravenous gamma globulin (IVIG).
  • Has received inactivated or recombinant vaccines within 14 days prior to Day 1 vaccination or receipt of live vaccines within 28 days prior to Day 1 vaccination.
  • Has previously received a marketed HPV vaccine or has participated in a clinical trial for any HPV vaccine (receiving either active agent or placebo).
  • Is concurrently enrolled in other clinical studies of investigational agents.
  • Is unlikely to adhere to the study procedures, keep appointments, or is planning to permanently relocate from the area prior to the completion of the study or to leave for an extended period when study visits would need to be scheduled.
  • Is or has an immediate family member (e.g., spouse, parent/legal guardian, sibling, or child) who is investigational site or Sponsor staff directly involved with this study.

Sites / Locations

  • Sotobo Children's Clinic ( Site 6616)
  • Ohigesenseino Kodomo Clinic ( Site 6607)
  • Motomachi Pediatric Clinic ( Site 6606)
  • Medical Corporation Bunmeikai Okuda E.N.T ( Site 6611)
  • Fukui General Hospital ( Site 6614)
  • Nomura Clinic Namba ( Site 6608)
  • Medical Corporation Kanyukai Kikumori Otolaryngology Clinic ( Site 6612)
  • Doujin Memorial Medical Foundation, Meiwa Hospital ( Site 6603)
  • Okawa Children & Family Clinic ( Site 6610)
  • Shinjuku Higashiguchi Clinic ( Site 6602)
  • Hayashi Clinic ( Site 6615)
  • Ogikuboekimae Clinic ( Site 6601)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

3-dose in 9 to 15 year old boys

2-dose in 9 to 14 year old boys

2-dose in 9 to 14 year old girls

Arm Description

9 to 15 year old boys will receive a 3-dose regimen of 9-valent human papillomavirus (9vHPV) vaccine (Day 1, Month 2 and Month 6).

9 to 14 year old boys receive a 2-dose regimen of 9vHPV vaccine (Day 1 and Month 6).

9 to 14 year old girls receive a 2-dose regimen of 9vHPV vaccine (Day 1 and Month 6).

Outcomes

Primary Outcome Measures

Seroconversion Percentages for the HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58
Serum antibody titers for HPV types 6, 11, 16, 18, 31, 33, 45, 52 and 58 will be determined using competitive Luminex Immunoassay (cLIA). Seroconversion is defined as changing serostatus from seronegative at Day 1 to seropositive at 4 weeks post last vaccination.
Percentage of Participants With at Least 1 Solicited Injection-site Adverse Event
An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants with solicited injection-site AEs (erythema/redness, pain and swelling) will be assessed.
Percentage of Participants With at Least 1 Systemic Adverse Event
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants with a systemic AE will be assessed.
Percentage of Participants With at Least 1 Serious Adverse Event
A serious adverse event (SAE) is defined as one that results in death, is life threatening, or requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly or birth defect, or other important medical event that may require medical intervention.
Percentage of Participants With at Least 1 Vaccine-related Serious Adverse Event
A serious adverse event (SAE) is defined as one that results in death, is life threatening, or requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly or birth defect, or other important medical event that may require medical intervention. An SAE that is judged by the investigator to be related to the study vaccine is defined as a vaccine-related SAE.

Secondary Outcome Measures

Geometric Mean Titers of Anti-HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58
Serum antibodies to HPV types 6, 11, 16, 18 31, 33, 45, 52, and 58 will be measured with a cLIA. Titers are reported in milli Merck Units/mL.

Full Information

First Posted
February 23, 2021
Last Updated
August 17, 2022
Sponsor
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04772534
Brief Title
Immunogenicity and Safety of the 9-valent Human Papillomavirus (9vHPV) Vaccine in Japanese Boys and Girls (V503-066)
Official Title
A Phase 3, Open-label Clinical Study to Evaluate the Immunogenicity and Safety of 9vHPV Vaccine, in Japanese Boys and Girls, 9 to 15 Years of Age.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 17, 2021 (Actual)
Primary Completion Date
April 26, 2024 (Anticipated)
Study Completion Date
April 26, 2024 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is the estimation of the human papillomavirus (HPV) 6, 11, 16, 18, 31, 33, 45, 52 and 58 seroconversion at 1 month post last dose (Month 7) following 3 doses and 2 doses of the 9vHPV vaccine. No hypothesis will be tested since this study is an estimation-only study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Papillomavirus Infections

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
300 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
3-dose in 9 to 15 year old boys
Arm Type
Experimental
Arm Description
9 to 15 year old boys will receive a 3-dose regimen of 9-valent human papillomavirus (9vHPV) vaccine (Day 1, Month 2 and Month 6).
Arm Title
2-dose in 9 to 14 year old boys
Arm Type
Experimental
Arm Description
9 to 14 year old boys receive a 2-dose regimen of 9vHPV vaccine (Day 1 and Month 6).
Arm Title
2-dose in 9 to 14 year old girls
Arm Type
Experimental
Arm Description
9 to 14 year old girls receive a 2-dose regimen of 9vHPV vaccine (Day 1 and Month 6).
Intervention Type
Biological
Intervention Name(s)
9vHPV vaccine
Other Intervention Name(s)
V503, SILGARD®9, GARDASIL™9
Intervention Description
9-valent human papillomavirus (Types 6, 11, 16, 18, 31, 33, 45, 52, 58) administered as a 0.5-mL intramuscular injection
Primary Outcome Measure Information:
Title
Seroconversion Percentages for the HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58
Description
Serum antibody titers for HPV types 6, 11, 16, 18, 31, 33, 45, 52 and 58 will be determined using competitive Luminex Immunoassay (cLIA). Seroconversion is defined as changing serostatus from seronegative at Day 1 to seropositive at 4 weeks post last vaccination.
Time Frame
4 weeks post last vaccination (Month 7)
Title
Percentage of Participants With at Least 1 Solicited Injection-site Adverse Event
Description
An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants with solicited injection-site AEs (erythema/redness, pain and swelling) will be assessed.
Time Frame
Up to 5 days post vaccination
Title
Percentage of Participants With at Least 1 Systemic Adverse Event
Description
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants with a systemic AE will be assessed.
Time Frame
Up to 15 days post vaccination
Title
Percentage of Participants With at Least 1 Serious Adverse Event
Description
A serious adverse event (SAE) is defined as one that results in death, is life threatening, or requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly or birth defect, or other important medical event that may require medical intervention.
Time Frame
Up to ~Month 30
Title
Percentage of Participants With at Least 1 Vaccine-related Serious Adverse Event
Description
A serious adverse event (SAE) is defined as one that results in death, is life threatening, or requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly or birth defect, or other important medical event that may require medical intervention. An SAE that is judged by the investigator to be related to the study vaccine is defined as a vaccine-related SAE.
Time Frame
Up to ~Month 30
Secondary Outcome Measure Information:
Title
Geometric Mean Titers of Anti-HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58
Description
Serum antibodies to HPV types 6, 11, 16, 18 31, 33, 45, 52, and 58 will be measured with a cLIA. Titers are reported in milli Merck Units/mL.
Time Frame
4 weeks post last vaccination (Month 7)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
9 Years
Maximum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Is Japanese male or female. Is aged at the time of providing the documented informed consent (inclusive): (3-dose boy arm) male from 9 years to 15 years old, (2-dose boy arm) male from 9 years to 14 years old, or (2-dose girl arm) female from 9 years to 14 years old. Has a legally acceptable representative who can read, understand and complete the vaccination report card (VRC). Has not yet had coitarche and does not plan on becoming sexually active during the Day 1 through Month 7. Exclusion Criteria: Has a fever (defined as oral temperature ≥37.5°C) within the 24-hour period prior to the Day 1 visit. Has a history of severe allergic reaction that required medical intervention. Is allergic to any vaccine component, including aluminum, yeast, or Benzonase™. Has known thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections. Is currently immunocompromised or has been diagnosed as having a congenital or acquired immunodeficiency, human immunodeficiency virus (HIV) infection, lymphoma, leukemia, systemic lupus erythematosus, rheumatoid arthritis, juvenile rheumatoid arthritis, inflammatory bowel disease, or other auto immune condition. Has a history of splenectomy. Has a history of genital warts or positive test for human papillomavirus (HPV). Is, at the time of signing informed consent, a user of recreational or illicit drugs or has had a recent history (within 12 months) of drug or alcohol abuse or dependence at the discretion of the investigator. . Has received within 12 months prior to enrollment, is receiving, or plans to receive during Day 1 through Month 7 of the study, any study-prohibited concomitant immunosuppressive therapy . Has received within the 3 months prior to the Day 1 vaccination, is receiving, or plans to receive during Day 1 through Month 7 of the study, any immune globulin product or blood-derived product other than intravenous gamma globulin (IVIG). Has received inactivated or recombinant vaccines within 14 days prior to Day 1 vaccination or receipt of live vaccines within 28 days prior to Day 1 vaccination. Has previously received a marketed HPV vaccine or has participated in a clinical trial for any HPV vaccine (receiving either active agent or placebo). Is concurrently enrolled in other clinical studies of investigational agents. Is unlikely to adhere to the study procedures, keep appointments, or is planning to permanently relocate from the area prior to the completion of the study or to leave for an extended period when study visits would need to be scheduled. Is or has an immediate family member (e.g., spouse, parent/legal guardian, sibling, or child) who is investigational site or Sponsor staff directly involved with this study.
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
Sotobo Children's Clinic ( Site 6616)
City
Isumi-shi
State/Province
Chiba
ZIP/Postal Code
299-4503
Country
Japan
Facility Name
Ohigesenseino Kodomo Clinic ( Site 6607)
City
Sapporo
State/Province
Hokkaido
ZIP/Postal Code
062-0907
Country
Japan
Facility Name
Motomachi Pediatric Clinic ( Site 6606)
City
Sapporo
State/Province
Hokkaido
ZIP/Postal Code
065-0024
Country
Japan
Facility Name
Medical Corporation Bunmeikai Okuda E.N.T ( Site 6611)
City
Sakai
State/Province
Osaka
ZIP/Postal Code
593-8322
Country
Japan
Facility Name
Fukui General Hospital ( Site 6614)
City
Fukui
ZIP/Postal Code
910-8561
Country
Japan
Facility Name
Nomura Clinic Namba ( Site 6608)
City
Osaka
ZIP/Postal Code
542-0076
Country
Japan
Facility Name
Medical Corporation Kanyukai Kikumori Otolaryngology Clinic ( Site 6612)
City
Osaka
ZIP/Postal Code
554-0014
Country
Japan
Facility Name
Doujin Memorial Medical Foundation, Meiwa Hospital ( Site 6603)
City
Tokyo
ZIP/Postal Code
101-0041
Country
Japan
Facility Name
Okawa Children & Family Clinic ( Site 6610)
City
Tokyo
ZIP/Postal Code
146-0095
Country
Japan
Facility Name
Shinjuku Higashiguchi Clinic ( Site 6602)
City
Tokyo
ZIP/Postal Code
160-0022
Country
Japan
Facility Name
Hayashi Clinic ( Site 6615)
City
Tokyo
ZIP/Postal Code
167-0051
Country
Japan
Facility Name
Ogikuboekimae Clinic ( Site 6601)
City
Tokyo
ZIP/Postal Code
167-0051
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
IPD Sharing URL
http://engagezone.msd.com/ds_documentation.php

Learn more about this trial

Immunogenicity and Safety of the 9-valent Human Papillomavirus (9vHPV) Vaccine in Japanese Boys and Girls (V503-066)

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