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Phase II Study of HPV Therapeutic Vaccine in HPV Infected Women With Normal Cytology or ASCUS/LSIL (RHEIA-VAC)

Primary Purpose

Genital Infection Viral, HUMAN PAPILLOMA VIRUS

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ProCervix
Placebo
Sponsored by
Genticel
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Genital Infection Viral

Eligibility Criteria

25 Years - 50 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • A subject will be eligible for inclusion in this study if the following criteria apply:

    1. Subject is female between the ages of 25 and 50 years (inclusive).
    2. Subject is pre-menopausal .
    3. Subject must have cervical HPV 16 and/or 18 infection confirmed by RT-PCR
    4. Subject has a cervical cytological evaluation with a normal, ASCUS or LSIL result at baseline.
    5. Subject has employed highly effective contraception the month prior to the first vaccination and will agree to employ highly effective contraception for at least 12 months after the first vaccination. .
    6. Subject is in general good health based on medical history and physical examination.
    7. Subject is able to communicate effectively with study personnel and is considered reliable, willing, and cooperative in terms of compliance with the protocol requirements.
    8. Subject voluntarily gives written informed consent to participate in the study.

Exclusion Criteria:

  1. Subject has a current acute or chronic disease, other than infection with HPV, which would be expected to interfere with the planned evaluations of response
  2. Subject has vaginal atrophy with or without topical hormonal therapies or systemic selective estrogen receptor modulators (SERMs).
  3. Subject has prior exposure to HPV prophylactic vaccine or subject has participated in the past in another vaccination clinical trial related to infection with HPV
  4. Current high grade lesions or history of untreated high grade cervical lesion (either CIN2 or CIN3).
  5. Subject has current or a history of cancer of the cervix.
  6. Subject has clinically significant (CS) gynaecological abnormalities that could interfere with study evaluation, in the judgment of the Investigator (e.g. prolapse, myoma, fibroid, hysterectomy).
  7. Subject has a laboratory abnormality Grade ≥ 2, as defined using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventative Vaccine Clinical Trials,
  8. Subject has received any live viral vaccine within 3 months or any other non live vaccine within 2 weeks of first study product administration.
  9. Subject has primary or secondary systemic immunosuppression
  10. Subject has a history of severe allergy (requiring hospital care) or history of severe asthma
  11. Subject has a history of malignant cancer, except the following adequately treated cancers: basal cell carcinoma, or dermatological squamous cell carcinoma.
  12. Subject was administered with another investigational drug or vaccine within 30 days prior to the screening visit or is participating in any other study.
  13. Subject has a known hypersensitivity to imiquimod.
  14. Subject has a history of severe reaction to any drug or vaccination.
  15. Subject has a medical condition with clinical and/or biological consequences judged by the Investigator incompatible with vaccination(s).
  16. Subject has positive results for human immunodeficiency virus (HIV), hepatitis B virus (HBV) surface antigen (HBsAg), or hepatitis C virus (HCV).
  17. Subject has a symptomatic vaginal or genital infection
  18. Subject has a history of or currently active genital herpes disease.
  19. Subject is pregnant or is breastfeeding.
  20. Subject has a positive serum human chorionic gonadotrophin (HCG) result at enrolment.

Sites / Locations

  • Regionaal Ziekenhuis Heilig Hart Tienen Hospital
  • Centre for the Evaluation of Vaccination Vaccine & Infectious Disease Institute (VAXINFECTIO) Faculty of Medicine University of Antwerp Belgium
  • Grand Hôpital de Charleroi Site Notre-Dame
  • University Hospitals Leuven
  • Helsinki University Central Hospital
  • Kuopio University Hospital
  • Tampereen yliopistollinen sairaala Hospital
  • CHU Amiens Hopital Sud
  • Hôpital Saint Jacques
  • GORH, CHU Estaing
  • CHU Dijon
  • Hôpital Jeanne de Flandre CHU de Lille
  • CHU de Nîmes - Hopital Universitaire Caremeau
  • Centre d'Investigation Clinique de Vaccinologie Cochin Pasteur (CIC BT505)
  • Centre Hospitalier Lyon Sud
  • CHU de Reims Institut Alix de Champagne
  • Hôpital de Hautepierre
  • Charité - Universitätsmedizin Berlin Hospital
  • Universitätsklinikum Erlangen Hospital
  • Elisabeth Krankenhaus Essen GmbH - Clinic/Outpatient Facility
  • Klinikum der Friedrich Schiller Universität Jena Hospital
  • LMU Klinikum der Universität- Hospital
  • Klinikum Wolfsburg Hospital
  • Center Gynaecological Oncology Amsterdam AMC, NKI-AVL, VUmc
  • St. Antonius Ziekenhuis Hospital
  • Hospital Clinic Dept of Obstetrics and Gynecology C/ Villarroel Unidad de Ginecología Oncológica, Instituto Clínico de Ginecología y Obstetricia y Neonatología (ICGON), Hospital Clínic, Instituto de Investigaciones Biomédi
  • Hospital del Mar
  • Hospital Universitari Vall D Hebron
  • Institut Catala d'Oncologia L'Hopitalet de Llobregat
  • Clinica Ginecologica Ceoga, Clinic/Outpatient Facility
  • Hospital Clínico San Carlos
  • Hospital La Paz de Madrid
  • Hospital Universitario "12 de Octubre"
  • Hospital Regional Universitario Carlos Haya - Hospital Materno Infantil
  • Hospital Sagrado Corazón de Sevilla
  • Dumfries and Galloway Royal Infirmary Hospital
  • Liverpool - GUM - Liverpool Centre for Sexual Health
  • St Mary's Hospital
  • Academic O&G University of Manchester Research - St Mary's Hospital
  • The Centre for Immunology and Infection Hull York Medical School University of York

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

HPV therapeutic vaccine

Placebo matching ProCervix

Arm Description

ProCervix consists of two recombinant adenylate cyclase (CyaA) proteins, CyaA-HPV 16E7 (C16-1) and CyaA-HPV 18E7 (C18-1) in a 50/50 ratio (C16C18-2 Ag mixture). ProCervix is adjuvanted by Aldara™, a cream containing 5% of imiquimod

Placebo matching ProCervix and adjuvanted by Aldara™, a cream containing 5% of imiquimod

Outcomes

Primary Outcome Measures

Clearance of HPV 16 and HPV 18 infection at Month 12 using a type specific, sensitive and quantitative HPV PCR assay.

Secondary Outcome Measures

Clearance of HPV 16 and HPV 18 infection.

Full Information

First Posted
October 4, 2013
Last Updated
December 1, 2016
Sponsor
Genticel
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1. Study Identification

Unique Protocol Identification Number
NCT01957878
Brief Title
Phase II Study of HPV Therapeutic Vaccine in HPV Infected Women With Normal Cytology or ASCUS/LSIL
Acronym
RHEIA-VAC
Official Title
A Double-blind, Randomised, Placebo-controlled, Phase II Study to Evaluate ProCervix Efficacy to Clear HPV 16 and HPV 18 Infection in Women With Normal Cytology or ASCUS/LSIL
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Completed
Study Start Date
December 2013 (undefined)
Primary Completion Date
October 2016 (Actual)
Study Completion Date
October 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genticel

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Human Papillomavirus (HPV) 16 and HPV 18 (the two virus genotypes targeted by the ProCervix vaccine) are the most common HPV genotypes associated with at least 70% of squamous cell carcinomas and 82% of adenocarcinomas of the cervix The strategy of therapeutic vaccination with ProCervix is to activate and enhance the patient's cellular immune response to HPV . The therapeutic vaccine will be used for women infected by HPV 16, HPV 18, or both. The vaccine targets these HPV infected women with normal or mild cervical cellular dyskaryosis as detectable infections with oncogenic potential. This will be a double-blind, randomised, placebo-controlled, parallel group study assessing the efficacy of ProCervix or placebo (concomitantly administered with imiquimod cream). ProCervix will be delivered with a topical agent, imiquimod, applied to the injection sites as a vaccine adjuvant. The population proposed for this study represents an otherwise healthy female population who are infected with HPV 16 and/or HPV 18. The safety and tolerability of this therapeutic vaccine has been shown in the ongoing Phase I study, and the proposed population may in theory derive benefit from this vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Genital Infection Viral, HUMAN PAPILLOMA VIRUS

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
239 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HPV therapeutic vaccine
Arm Type
Experimental
Arm Description
ProCervix consists of two recombinant adenylate cyclase (CyaA) proteins, CyaA-HPV 16E7 (C16-1) and CyaA-HPV 18E7 (C18-1) in a 50/50 ratio (C16C18-2 Ag mixture). ProCervix is adjuvanted by Aldara™, a cream containing 5% of imiquimod
Arm Title
Placebo matching ProCervix
Arm Type
Placebo Comparator
Arm Description
Placebo matching ProCervix and adjuvanted by Aldara™, a cream containing 5% of imiquimod
Intervention Type
Biological
Intervention Name(s)
ProCervix
Intervention Description
ProCervix consists of two recombinant adenylate cyclase (CyaA) proteins, CyaA-HPV 16E7 (C16-1) and CyaA-HPV 18E7 (C18-1) in a 50/50 ratio (C16C18-2 Ag mixture). ProCervix is adjuvanted by Aldara™, a cream containing 5% of imiquimod
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo matching ProCervix and adjuvanted by Aldara™, a cream containing 5% of imiquimod
Primary Outcome Measure Information:
Title
Clearance of HPV 16 and HPV 18 infection at Month 12 using a type specific, sensitive and quantitative HPV PCR assay.
Time Frame
month 12
Secondary Outcome Measure Information:
Title
Clearance of HPV 16 and HPV 18 infection.
Time Frame
Month 6, 15, 18, 24

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A subject will be eligible for inclusion in this study if the following criteria apply: Subject is female between the ages of 25 and 50 years (inclusive). Subject is pre-menopausal . Subject must have cervical HPV 16 and/or 18 infection confirmed by RT-PCR Subject has a cervical cytological evaluation with a normal, ASCUS or LSIL result at baseline. Subject has employed highly effective contraception the month prior to the first vaccination and will agree to employ highly effective contraception for at least 12 months after the first vaccination. . Subject is in general good health based on medical history and physical examination. Subject is able to communicate effectively with study personnel and is considered reliable, willing, and cooperative in terms of compliance with the protocol requirements. Subject voluntarily gives written informed consent to participate in the study. Exclusion Criteria: Subject has a current acute or chronic disease, other than infection with HPV, which would be expected to interfere with the planned evaluations of response Subject has vaginal atrophy with or without topical hormonal therapies or systemic selective estrogen receptor modulators (SERMs). Subject has prior exposure to HPV prophylactic vaccine or subject has participated in the past in another vaccination clinical trial related to infection with HPV Current high grade lesions or history of untreated high grade cervical lesion (either CIN2 or CIN3). Subject has current or a history of cancer of the cervix. Subject has clinically significant (CS) gynaecological abnormalities that could interfere with study evaluation, in the judgment of the Investigator (e.g. prolapse, myoma, fibroid, hysterectomy). Subject has a laboratory abnormality Grade ≥ 2, as defined using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventative Vaccine Clinical Trials, Subject has received any live viral vaccine within 3 months or any other non live vaccine within 2 weeks of first study product administration. Subject has primary or secondary systemic immunosuppression Subject has a history of severe allergy (requiring hospital care) or history of severe asthma Subject has a history of malignant cancer, except the following adequately treated cancers: basal cell carcinoma, or dermatological squamous cell carcinoma. Subject was administered with another investigational drug or vaccine within 30 days prior to the screening visit or is participating in any other study. Subject has a known hypersensitivity to imiquimod. Subject has a history of severe reaction to any drug or vaccination. Subject has a medical condition with clinical and/or biological consequences judged by the Investigator incompatible with vaccination(s). Subject has positive results for human immunodeficiency virus (HIV), hepatitis B virus (HBV) surface antigen (HBsAg), or hepatitis C virus (HCV). Subject has a symptomatic vaginal or genital infection Subject has a history of or currently active genital herpes disease. Subject is pregnant or is breastfeeding. Subject has a positive serum human chorionic gonadotrophin (HCG) result at enrolment.
Facility Information:
Facility Name
Regionaal Ziekenhuis Heilig Hart Tienen Hospital
City
Tienen
State/Province
Vlaams Brabant
Country
Belgium
Facility Name
Centre for the Evaluation of Vaccination Vaccine & Infectious Disease Institute (VAXINFECTIO) Faculty of Medicine University of Antwerp Belgium
City
Antwerp
Country
Belgium
Facility Name
Grand Hôpital de Charleroi Site Notre-Dame
City
Charleroi
Country
Belgium
Facility Name
University Hospitals Leuven
City
Leuven
Country
Belgium
Facility Name
Helsinki University Central Hospital
City
Helsinki
Country
Finland
Facility Name
Kuopio University Hospital
City
Kuopio
Country
Finland
Facility Name
Tampereen yliopistollinen sairaala Hospital
City
Tampere
Country
Finland
Facility Name
CHU Amiens Hopital Sud
City
Amiens
Country
France
Facility Name
Hôpital Saint Jacques
City
Besançon
Country
France
Facility Name
GORH, CHU Estaing
City
Clermont-Ferrand
Country
France
Facility Name
CHU Dijon
City
Dijon
Country
France
Facility Name
Hôpital Jeanne de Flandre CHU de Lille
City
Lille
Country
France
Facility Name
CHU de Nîmes - Hopital Universitaire Caremeau
City
Nîmes
Country
France
Facility Name
Centre d'Investigation Clinique de Vaccinologie Cochin Pasteur (CIC BT505)
City
Paris
Country
France
Facility Name
Centre Hospitalier Lyon Sud
City
Pierre Benite
Country
France
Facility Name
CHU de Reims Institut Alix de Champagne
City
Reims
Country
France
Facility Name
Hôpital de Hautepierre
City
Strasbourg
Country
France
Facility Name
Charité - Universitätsmedizin Berlin Hospital
City
Berlin
Country
Germany
Facility Name
Universitätsklinikum Erlangen Hospital
City
Erlangen
Country
Germany
Facility Name
Elisabeth Krankenhaus Essen GmbH - Clinic/Outpatient Facility
City
Essen
Country
Germany
Facility Name
Klinikum der Friedrich Schiller Universität Jena Hospital
City
Jena
Country
Germany
Facility Name
LMU Klinikum der Universität- Hospital
City
München
Country
Germany
Facility Name
Klinikum Wolfsburg Hospital
City
Wolfsburg
Country
Germany
Facility Name
Center Gynaecological Oncology Amsterdam AMC, NKI-AVL, VUmc
City
Amsterdam
Country
Netherlands
Facility Name
St. Antonius Ziekenhuis Hospital
City
Nieuwegein
Country
Netherlands
Facility Name
Hospital Clinic Dept of Obstetrics and Gynecology C/ Villarroel Unidad de Ginecología Oncológica, Instituto Clínico de Ginecología y Obstetricia y Neonatología (ICGON), Hospital Clínic, Instituto de Investigaciones Biomédi
City
Barcelona
Country
Spain
Facility Name
Hospital del Mar
City
Barcelona
Country
Spain
Facility Name
Hospital Universitari Vall D Hebron
City
Barcelona
Country
Spain
Facility Name
Institut Catala d'Oncologia L'Hopitalet de Llobregat
City
Barcelona
Country
Spain
Facility Name
Clinica Ginecologica Ceoga, Clinic/Outpatient Facility
City
Lugo
Country
Spain
Facility Name
Hospital Clínico San Carlos
City
Madrid
Country
Spain
Facility Name
Hospital La Paz de Madrid
City
Madrid
Country
Spain
Facility Name
Hospital Universitario "12 de Octubre"
City
Madrid
Country
Spain
Facility Name
Hospital Regional Universitario Carlos Haya - Hospital Materno Infantil
City
Malaga
Country
Spain
Facility Name
Hospital Sagrado Corazón de Sevilla
City
Sevilla
Country
Spain
Facility Name
Dumfries and Galloway Royal Infirmary Hospital
City
Dumfries
Country
United Kingdom
Facility Name
Liverpool - GUM - Liverpool Centre for Sexual Health
City
Liverpool
Country
United Kingdom
Facility Name
St Mary's Hospital
City
London
Country
United Kingdom
Facility Name
Academic O&G University of Manchester Research - St Mary's Hospital
City
Manchester
Country
United Kingdom
Facility Name
The Centre for Immunology and Infection Hull York Medical School University of York
City
York
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Phase II Study of HPV Therapeutic Vaccine in HPV Infected Women With Normal Cytology or ASCUS/LSIL

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