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NCT01651949

Multivalent HPV (Human Papillomavirus) Vaccine Study in 16- to 26-Year Old Men and Women (V503-003)

Completed Phase 3 Results posted Last updated 27 November 2018
What this trial tests

Phase 3 trial testing 9vHPV Vaccine in Genital Warts in 2,520 participants. Completed in 4 August 2014.

Timeline
29 October 2012
Primary endpoint
4 August 2014
4 August 2014

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment2,520
Start date29 October 2012
Primary completion4 August 2014
Estimated completion4 August 2014

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

Adults 16 to 26, any sex, with Genital Warts or Anal Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Geometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV Vaccine Primary · Four weeks post vaccination 3 (Month 7)

Serum antibodies to HPV types 6/11/16/18/31/33/45/52/58 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL

Anti-HPV Type 6 (n=847, 708, 164)
GroupValue95% CI
Heterosexual Males782.0738.0 – 828.7
Females703.9660.6 – 749.9
Men Who Have Sex With Men568.9498.7 – 649.0
Anti-HPV Type 11 (n=851, 712, 165)
GroupValue95% CI
Heterosexual Males616.7582.4 – 653.0
Females564.9530.6 – 601.3
Men Who Have Sex With Men437.7384.4 – 498.5
Anti-HPV Type 16 (n=899, 781, 212)
GroupValue95% CI
Heterosexual Males3346.03158.9 – 3544.1
Females2788.32621.4 – 2965.8
Men Who Have Sex With Men2294.02037.8 – 2582.5
Anti-HPV Type 18 (n=906, 831, 220)
GroupValue95% CI
Heterosexual Males808.2754.9 – 865.4
Females679.8633.1 – 730.1
Men Who Have Sex With Men608.1529.4 – 698.5
Anti-HPV Type 31 (n=908, 826, 227)
GroupValue95% CI
Heterosexual Males708.5662.7 – 757.6
Females570.1531.5 – 611.5
Men Who Have Sex With Men420.7368.0 – 480.9
Anti-HPV Type 33 (n=901, 853, 230)
GroupValue95% CI
Heterosexual Males384.8362.5 – 408.4
Females322.0302.9 – 342.3
Men Who Have Sex With Men252.3224.2 – 283.8
Anti-HPV Type 45 (n=909, 871, 232)
GroupValue95% CI
Heterosexual Males235.6219.0 – 253.6
Females185.7172.3 – 200.2
Men Who Have Sex With Men157.5136.2 – 182.2
Anti-HPV Type 52 (n=907, 849, 232)
GroupValue95% CI
Heterosexual Males386.8363.4 – 411.6
Females335.2314.3 – 357.6
Men Who Have Sex With Men233.1206.0 – 263.7
Percentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report Card Primary · Up to 5 days after any vaccination

An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an AE. Injection-site AEs prompted on the Vaccination Report Card (VRC) were erythema, pain, and swelling. Participants were instructed to use the Vaccination Report Card to record AEs daily after each study vaccination.

Overall injection-site AEs
GroupValue95% CI
Heterosexual and MSM Males66.7
Females84.0
Injection-site Erythema
GroupValue95% CI
Heterosexual and MSM Males20.7
Females32.2
Injection-site Pain
GroupValue95% CI
Heterosexual and MSM Males63.4
Females82.5
Injection-site Swelling
GroupValue95% CI
Heterosexual and MSM Males20.2
Females37.5
Percentage of Participants With Elevated Oral Body Temperature (>=37.8° C, >=100° F) Primary · Up to 5 days after any vaccination

Participants were instructed by the investigator to use the Vaccination Report Card to document evening oral temperature daily after each study vaccination

GroupValue95% CI
Heterosexual and MSM Males4.4
Females5.9
Percentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV Vaccine Secondary · Four weeks post vaccination 3 (Month 7)

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 Types 33, 45, 52, and 58: ≥8.

Anti-HPV Type 6 (n=847, 708, 164)
GroupValue95% CI
Heterosexual Males99.699.0 – 99.9
Females99.698.8 – 99.9
Men Who Have Sex With Men99.496.6 – 100
Anti-HPV Type 11 (n=851, 712, 165)
GroupValue95% CI
Heterosexual Males10099.6 – 100
Females99.999.2 – 100
Men Who Have Sex With Men10097.8 – 100
Anti-HPV Type 16 (n=899, 781, 212)
GroupValue95% CI
Heterosexual Males10099.6 – 100
Females99.999.3 – 100
Men Who Have Sex With Men10098.3 – 100
Anti-HPV Type 18 (n=906, 831, 220)
GroupValue95% CI
Heterosexual Males99.999.4 – 100
Females99.899.1 – 100
Men Who Have Sex With Men99.597.5 – 100
Anti-HPV Type 31 (n=908, 826, 227)
GroupValue95% CI
Heterosexual Males10099.6 – 100
Females10099.6 – 100
Men Who Have Sex With Men10098.4 – 100
Anti-HPV Type 33 (n=901, 853, 230)
GroupValue95% CI
Heterosexual Males10099.6 – 100
Females99.999.3 – 100
Men Who Have Sex With Men10098.4 – 100
Anti-HPV Type 45 (n=909, 871, 232)
GroupValue95% CI
Heterosexual Males99.899.2 – 100
Females99.598.8 – 99.9
Men Who Have Sex With Men10098.4 – 100
Anti-HPV Type 52 (n=907, 849, 232)
GroupValue95% CI
Heterosexual Males10099.6 – 100
Females99.899.2 – 100
Men Who Have Sex With Men10098.4 – 100
Percentage of Participants With an Adverse Event Primary · Up to Month 12

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an AE.

GroupValue95% CI
Heterosexual and MSM Males76.2
Females89.4
Percentage of Participants Who Had Study Vaccine Discontinued Due to an Adverse Event Primary · Up to Month 12

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an AE.

GroupValue95% CI
Heterosexual and MSM Males0.1
Females0.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to Month 12. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Heterosexual and MSM Males
Serious: 23/1394 (2%)
Deaths:
Females
Serious: 26/1075 (2%)
Deaths:

Serious adverse events (40 terms)

ReactionSystemHeterosexual and MSM MalesFemales
Abortion spontaneousPregnancy, puerperium and perinatal conditions
Abortion inducedSurgical and medical procedures
ConstipationGastrointestinal disorders
AppendicitisInfections and infestations
ConcussionInjury, poisoning and procedural complications
Ectopic pregnancyPregnancy, puerperium and perinatal conditions
Atrioventricular block second degreeCardiac disorders
Familial periodic paralysisCongenital, familial and genetic disorders
VomitingGastrointestinal disorders
Cyst ruptureGeneral disorders
Device dislocationGeneral disorders
CholecystitisHepatobiliary disorders
Anal abscessInfections and infestations
Appendicitis perforatedInfections and infestations
Dengue feverInfections and infestations
Escherichia urinary tract infectionInfections and infestations
External ear cellulitisInfections and infestations
Infectious mononucleosisInfections and infestations
Pilonidal cystInfections and infestations
Postoperative wound infectionInfections and infestations
Pulmonary tuberculosisInfections and infestations
Viral infectionInfections and infestations
Exposure to communicable diseaseInjury, poisoning and procedural complications
Radius fractureInjury, poisoning and procedural complications
Tibia fractureInjury, poisoning and procedural complications
Other adverse events (4 terms — click to expand)

ReactionSystemHeterosexual and MSM MalesFemales
Injection site painGeneral disorders
Injection site swellingGeneral disorders
Injection site erythemaGeneral disorders
HeadacheNervous system disorders

Most-reported serious reactions: Abortion spontaneous, Abortion induced, Constipation, Appendicitis, Concussion, Ectopic pregnancy, Atrioventricular block second degree, Familial periodic paralysis.

Data from ClinicalTrials.gov NCT01651949 adverse events section.

Sponsor's own description

This study is designed to evaluate the immunogenicity and tolerability of 9vHPV (9-valent HPV vaccine, V503) in 16- to 26-year old men and women. The overall goal is to bridge 9vHPV efficacy findings in young women to young men based on the demonstration of similar immunogenicity and safety profiles. The primary hypothesis is that 9vHPV induces antibody responses at 4 weeks postdose 3 in heterosexual males that are non-inferior to antibody responses in young women.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Virus-like particle vaccinology, from bench to bedside.
    Mohsen MO, Bachmann MF. · · 2022 · cited 181× · PMID 35962190 · DOI 10.1038/s41423-022-00897-8
  2. Human papillomavirus 9-valent vaccine for cancer prevention: a systematic review of the available evidence.
    Signorelli C, Odone A, Ciorba V, Cella P, et al · · 2017 · cited 44× · PMID 28446260 · DOI 10.1017/s0950268817000747
  3. Immunoprevention of human papillomavirus-associated malignancies.
    Wang JW, Hung CF, Huh WK, Trimble CL, et al · · 2015 · cited 23× · PMID 25488410 · DOI 10.1158/1940-6207.capr-14-0311
  4. Targeting lymph node delivery with nanovaccines for cancer immunotherapy: recent advances and future directions.
    Li Y, Li S, Jiang Z, Tan K, et al · · 2023 · cited 21× · PMID 37415161 · DOI 10.1186/s12951-023-01977-1
  5. Review of long-term immunogenicity following HPV vaccination: Gaps in current knowledge.
    Hoes J, Pasmans H, Schurink-van 't Klooster TM, van der Klis FRM, et al · · 2022 · cited 19× · PMID 34033518 · DOI 10.1080/21645515.2021.1908059
  6. Cross-sectional and longitudinal analysis of cancer vaccination trials registered on the US Clinical Trials Database demonstrates paucity of immunological trial endpoints and decline in registration since 2008.
    Lu L, Yan H, Shyam-Sundar V, Janowitz T. · · 2014 · cited 17× · PMID 25302014 · DOI 10.2147/dddt.s65963
  7. The nonavalent vaccine: a review of high-risk HPVs and a plea to the CDC.
    Yusupov A, Popovsky D, Mahmood L, Kim AS, et al · · 2019 · cited 15× · PMID 31976155
  8. Immunogenicity of the 9-valent human papillomavirus vaccine: Post hoc analysis from five phase 3 studies.
    Giuliano AR, Palefsky JM, Goldstone SE, Bornstein J, et al · · 2025 · cited 3× · PMID 39840832 · DOI 10.1080/21645515.2024.2425146

Verify or expand the search:

Other trials of 9vHPV Vaccine

Trials testing the same drug.

Other recruiting trials for Genital Warts

Currently open trials in the same condition.

Other Merck Sharp & Dohme LLC trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01651949.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing