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NCT01984697

A Phase III Study of a 2-dose Regimen of a Multivalent Human Papillomavirus (HPV) Vaccine (V503), Administered to 9 to 14 Year-olds and Compared to Young Women, 16 to 26 Years Old (V503-010)

Completed Phase 3 Results posted Last updated 8 August 2018
What this trial tests

Phase 3 trial testing V503 (9-valent Human Papillomavirus [HPV] L1 Virus-Like Particle [VLP] vaccine) in Human Papillomavirus Infection in 1,518 participants. Completed in 24 July 2017.

Timeline
12 December 2013
Primary endpoint
19 June 2015
24 July 2017

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment1,518
Start date12 December 2013
Primary completion19 June 2015
Estimated completion24 July 2017

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

Adults 9 to 26, any sex, with Human Papillomavirus Infection. 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 to Human Papillomavirus (HPV) Type 6 After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV virus-like particles (VLP) type 6 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 61657.91479.6 – 1857.6
Boys 9 to 14 Years V503 at Months 0 and 61557.41391.5 – 1743.1
Girls and Boys 9 to 14 Years V503 at Months 0 and 122678.82390.2 – 3002.1
Girls 9 to 14 Years V503 at Months 0, 2, and 61496.11334.1 – 1677.8
Young Women 16 to 26 Years V503 at Months 0, 2, and 6770.9684.8 – 867.9
Percentage of Participants With Seroconversion to HPV Type 6 at Four Weeks After the Last Dose of V503 in the Planned Regimen Secondary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 6 were measured using a competitive Luminex immunoassay. Seroconversion to HPV type 6 was defined as a titer \>=30 mMU/mL.

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 699.697.9 – 100
Boys 9 to 14 Years V503 at Months 0 and 610098.6 – 100
Girls and Boys 9 to 14 Years V503 at Months 0 and 1210098.6 – 100
Girls 9 to 14 Years V503 at Months 0, 2, and 699.297.2 – 99.9
Young Women 16 to 26 Years V503 at Months 0, 2, and 699.697.7 – 100
Geometric Mean Titers to HPV Type 11 at Four Weeks After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 11 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 61388.91240.4 – 1555.3
Boys 9 to 14 Years V503 at Months 0 and 61423.91273.2 – 1592.3
Girls and Boys 9 to 14 Years V503 at Months 0 and 122941.82626.6 – 3294.9
Girls 9 to 14 Years V503 at Months 0, 2, and 61306.31165.5 – 1464.0
Young Women 16 to 26 Years V503 at Months 0, 2, and 6580.5516.0 – 653.0
Geometric Mean Titers to HPV Type 16 at Four Weeks After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 16 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 68004.97160.5 – 8948.8
Boys 9 to 14 Years V503 at Months 0 and 68474.87582.4 – 9472.3
Girls and Boys 9 to 14 Years V503 at Months 0 and 1214329.312796.4 – 16045.9
Girls 9 to 14 Years V503 at Months 0, 2, and 66996.06254.1 – 7825.8
Young Women 16 to 26 Years V503 at Months 0, 2, and 63154.02807.1 – 3543.7
Geometric Mean Titers to HPV Type 18 at Four Weeks After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 18 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 61872.81651.6 – 2123.6
Boys 9 to 14 Years V503 at Months 0 and 61860.91641.1 – 2110.2
Girls and Boys 9 to 14 Years V503 at Months 0 and 122810.42474.9 – 3191.3
Girls 9 to 14 Years V503 at Months 0, 2, and 62049.31806.4 – 2324.8
Young Women 16 to 26 Years V503 at Months 0, 2, and 6761.5670.8 – 864.5
Geometric Mean Titers to HPV Type 31 at Four Weeks After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 31 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 61436.31272.1 – 1621.8
Boys 9 to 14 Years V503 at Months 0 and 61498.21326.5 – 1692.0
Girls and Boys 9 to 14 Years V503 at Months 0 and 122117.51873.7 – 2393.1
Girls 9 to 14 Years V503 at Months 0, 2, and 61748.31548.1 – 1974.5
Young Women 16 to 26 Years V503 at Months 0, 2, and 6572.1505.8 – 647.2
Geometric Mean Titers to HPV Type 33 at Four Weeks After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 33 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 61030.0920.4 – 1152.7
Boys 9 to 14 Years V503 at Months 0 and 61040.0928.9 – 1164.3
Girls and Boys 9 to 14 Years V503 at Months 0 and 122197.51961.9 – 2461.3
Girls 9 to 14 Years V503 at Months 0, 2, and 6796.4712.0 – 890.9
Young Women 16 to 26 Years V503 at Months 0, 2, and 6348.1311.5 – 389.1
Geometric Mean Titers to HPV Type 45 at Four Weeks After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 45 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 6357.6313.7 – 407.6
Boys 9 to 14 Years V503 at Months 0 and 6352.3309.0 – 401.7
Girls and Boys 9 to 14 Years V503 at Months 0 and 12417.7365.9 – 476.9
Girls 9 to 14 Years V503 at Months 0, 2, and 6661.7580.6 – 754.1
Young Women 16 to 26 Years V503 at Months 0, 2, and 6213.6187.7 – 243.2
Geometric Mean Titers to HPV Type 52 at Four Weeks After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 52 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 6581.1521.9 – 647.1
Boys 9 to 14 Years V503 at Months 0 and 6640.4575.2 – 713.0
Girls and Boys 9 to 14 Years V503 at Months 0 and 121123.41008.1 – 1251.9
Girls 9 to 14 Years V503 at Months 0, 2, and 6909.9817.6 – 1012.5
Young Women 16 to 26 Years V503 at Months 0, 2, and 6364.2327.0 – 405.6
Geometric Mean Titers to HPV Type 58 at Four Weeks After the Last Dose of V503 in the Planned Regimen Primary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 58 were measured using a competitive Luminex immunoassay. Antibody titers were expressed as milli Merck units/mL (mMU/mL).

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 61251.21119.6 – 1398.4
Boys 9 to 14 Years V503 at Months 0 and 61325.71186.2 – 1481.6
Girls and Boys 9 to 14 Years V503 at Months 0 and 122444.62185.2 – 2734.9
Girls 9 to 14 Years V503 at Months 0, 2, and 61229.31100.7 – 1373.0
Young Women 16 to 26 Years V503 at Months 0, 2, and 6491.1438.6 – 549.8
Percentage of Participants With Seroconversion to HPV Type 11 at Four Weeks After the Last Dose of V503 in the Planned Regimen Secondary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 11 were measured using a competitive Luminex immunoassay. Seroconversion to HPV type 11 was defined as a titer \>=16 mMU/mL.

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 610098.6 – 100
Boys 9 to 14 Years V503 at Months 0 and 610098.6 – 100
Girls and Boys 9 to 14 Years V503 at Months 0 and 1210098.6 – 100
Girls 9 to 14 Years V503 at Months 0, 2, and 699.697.8 – 100
Young Women 16 to 26 Years V503 at Months 0, 2, and 699.697.7 – 100
Percentage of Participants With Seroconversion to HPV Type 16 at Four Weeks After the Last Dose of V503 in the Planned Regimen Secondary · 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)

Antibodies to HPV VLP type 16 were measured using a competitive Luminex immunoassay. Seroconversion to HPV type 16 was defined as a titer \>=20 mMU/mL.

GroupValue95% CI
Girls 9 to 14 Years V503 at Months 0 and 610098.7 – 100
Boys 9 to 14 Years V503 at Months 0 and 610098.7 – 100
Girls and Boys 9 to 14 Years V503 at Months 0 and 1210098.6 – 100
Girls 9 to 14 Years V503 at Months 0, 2, and 610098.6 – 100
Young Women 16 to 26 Years V503 at Months 0, 2, and 699.697.8 – 100

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious Adverse Events: Up to Month 37; Non-injection site adverse events: up to Day 15 following any vaccination; Injection site adverse events: up to Day 5 following any vaccination. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Girls 9 to 14 Years V503 at Months 0 and 6
Serious: 6/294 (2%)
Deaths: 0/294
Boys 9 to 14 Years V503 at Months 0 and 6
Serious: 9/296 (3%)
Deaths: 0/296
Girls and Boys 9 to 14 Years V503 at Months 0 and 12
Serious: 6/293 (2%)
Deaths: 0/293
Girls 9 to 14 Years V503 at Months 0, 2, and 6
Serious: 6/300 (2%)
Deaths: 1/300
Young Women 16 to 26 Years V503 at Months 0, 2, and 6
Serious: 11/313 (4%)
Deaths: 0/313

Serious adverse events (32 terms)

ReactionSystemGirls 9 to 14 Years V503 a…Boys 9 to 14 Years V503 at…Girls and Boys 9 to 14 Yea…Girls 9 to 14 Years V503 a…Young Women 16 to 26 Years…
Abortion inducedSurgical and medical procedures
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Cholecystitis acuteHepatobiliary disorders
AppendicitisInfections and infestations
Dengue feverInfections and infestations
Gastroenteritis rotavirusInfections and infestations
PharyngitisInfections and infestations
PharyngotonsillitisInfections and infestations
Subcutaneous abscessInfections and infestations
Animal biteInjury, poisoning and procedural complications
ConcussionInjury, poisoning and procedural complications
Forearm fractureInjury, poisoning and procedural complications
EpilepsyNervous system disorders
Premature deliveryPregnancy, puerperium and perinatal conditions
DepressionPsychiatric disorders
Ovarian cystReproductive system and breast disorders
Dermatitis atopicSkin and subcutaneous tissue disorders
Venous thrombosis limbVascular disorders
GastritisGastrointestinal disorders
Chikungunya virus infectionInfections and infestations
Meningitis bacterialInfections and infestations
Oral herpesInfections and infestations
PneumoniaInfections and infestations
Foreign bodyInjury, poisoning and procedural complications
Other adverse events (2 terms — click to expand)

ReactionSystemGirls 9 to 14 Years V503 a…Boys 9 to 14 Years V503 at…Girls and Boys 9 to 14 Yea…Girls 9 to 14 Years V503 a…Young Women 16 to 26 Years…
Injection site painGeneral disorders
HeadacheNervous system disorders

Most-reported serious reactions: Abortion induced, Abdominal pain, Diarrhoea, Cholecystitis acute, Appendicitis, Dengue fever, Gastroenteritis rotavirus, Pharyngitis.

Data from ClinicalTrials.gov NCT01984697 adverse events section.

Sponsor's own description

This was a 37-month safety and immunogenicity study conducted in boys and girls 9 to 14 years of age and in young women 16 to 26 years of age. From this study, the goal was to establish that the investigational 2-dose regimens (0, 6 months and 0, 12 months) studied in boys and girls 9 to 14 years of age are generally safe and immunogenic, with an antibody response that is not inferior to that observed in young women 16 to 26 years of age who received the standard 3-dose regimen of V503 (i.e., the population and dose regimen used to establish V503 efficacy).

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. Immunogenicity of the 9-Valent HPV Vaccine Using 2-Dose Regimens in Girls and Boys vs a 3-Dose Regimen in Women.
    Iversen OE, Miranda MJ, Ulied A, Soerdal T, et al · · 2016 · cited 144× · PMID 27893068 · DOI 10.1001/jama.2016.17615
  3. Virus-like particle vaccines: immunology and formulation for clinical translation.
    Donaldson B, Lateef Z, Walker GF, Young SL, et al · · 2018 · cited 108× · PMID 30173619 · DOI 10.1080/14760584.2018.1516552
  4. Comparison of different human papillomavirus (HPV) vaccine types and dose schedules for prevention of HPV-related disease in females and males.
    Bergman H, Buckley BS, Villanueva G, Petkovic J, et al · · 2019 · cited 90× · PMID 31755549 · DOI 10.1002/14651858.cd013479
  5. 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
  6. Plant Viruses and Bacteriophage-Based Reagents for Diagnosis and Therapy.
    Shukla S, Hu H, Cai H, Chan SK, et al · · 2020 · cited 27× · PMID 32991265 · DOI 10.1146/annurev-virology-010720-052252
  7. 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
  8. Three-Year Follow-up of 2-Dose Versus 3-Dose HPV Vaccine.
    Bornstein J, Roux S, Kjeld Petersen L, Huang LM, et al · · 2021 · cited 16× · PMID 33386332 · DOI 10.1542/peds.2019-4035

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