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NCT03493542

A Study to Evaluate the Immunogenicity, Safety and Tolerability of Quadrivalent Human Papillomavirus Vaccine (V501) in Chinese Girls Aged 9-19 Years and Young Women Aged 20-26 Years (V501-213)

Completed Phase 3 Results posted Last updated 31 December 2024
What this trial tests

Phase 3 trial testing V501 in Prevention of HPV Types 16- and 18-related Cervical Cancer, Cervical Intraepithelial Neoplasia (CIN) 1/2/3, and Cervical Adenocarcinoma in Situ in 766 participants. Completed in 30 October 2023.

Timeline
31 August 2018
Primary endpoint
30 October 2023
30 October 2023

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment766
Start date31 August 2018
Primary completion30 October 2023
Estimated completion30 October 2023
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

Adults 9 to 26, female only, with Prevention of HPV Types 16- and 18-related Cervical Cancer, Cervical Intraepithelial Neoplasia (CIN) 1/2/3, and Cervical Adenocarcinoma in Situ. 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.

Base Stage: Geometric Mean Titers for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18: Competitive Luminex Immunoassay (cLIA) Primary · Month 7 (1 month postdose 3)

Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured. Antibodies were measured using a Competitive Luminex Immunoassay (cLIA). Antibody titers were expressed as milli Merck Units/milliliter (mMU/mL).

Anti-HPV 6
GroupValue95% CI
Chinese Girls Aged 9 to 19 Years975.2905.6 – 1050.2
Base Study: Chinese Young Women Aged 20 to 26 Years686.6635.5 – 741.7
Anti-HPV 11
GroupValue95% CI
Chinese Girls Aged 9 to 19 Years807.4749.8 – 869.4
Base Study: Chinese Young Women Aged 20 to 26 Years580.2537.0 – 626.8
Anti-HPV 16
GroupValue95% CI
Chinese Girls Aged 9 to 19 Years4573.74244.5 – 4928.3
Base Study: Chinese Young Women Aged 20 to 26 Years2989.22766.7 – 3229.6
Anti-HPV 18
GroupValue95% CI
Chinese Girls Aged 9 to 19 Years1176.51069.0 – 1294.8
Base Study: Chinese Young Women Aged 20 to 26 Years708.6642.4 – 781.6
Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 12 Assessed by cLIA Primary · Month 12 post-vaccination 1

Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured. Antibodies were measured using a Competitive Luminex Immunoassay (cLIA). Antibody titers were expressed as (mMU/mL).

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years259.1237.6 – 282.4
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years206.7190.5 – 224.3
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years1149.81054.6 – 1253.7
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years284.2257.3 – 313.8
Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 24 Assessed by cLIA Primary · Month 24 post-vaccination 1

Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured. Antibodies were measured using a Competitive Luminex Immunoassay (cLIA). Antibody titers were expressed as (mMU/mL).

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years137.9125.5 – 151.4
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years110.3101.0 – 120.6
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years522.6472.1 – 578.5
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years157.2142.7 – 173.3
Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 36 Assessed by cLIA Primary · Month 36 post-vaccination 1

Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured. Antibodies were measured using a Competitive Luminex Immunoassay (cLIA). Antibody titers were expressed as (mMU/mL).

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years110.6101.3 – 120.7
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years87.079.6 – 95.2
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years400.8359.5 – 446.8
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years131.9120.2 – 144.8
Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 48 Assessed by cLIA Primary · Month 48 post-vaccination 1

Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured. Antibodies were measured using a Competitive Luminex Immunoassay (cLIA). Antibody titers were expressed as (mMU/mL).

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years103.094.4 – 112.4
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years81.874.8 – 89.3
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years347.5310.0 – 389.6
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years130.3118.9 – 142.7
Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 60 Assessed by cLIA Primary · Month 60 post-vaccination 1

Serum antibody titers (Geometric mean titers) for HPV virus-like particles (VLPs) Types 6, 11, 16, and 18 were measured. Antibodies were measured using a Competitive Luminex Immunoassay (cLIA). Antibody titers were expressed as (mMU/mL).

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years87.680.4 – 95.4
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years67.361.6 – 73.5
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years283.2250.8 – 319.8
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years113.6103.7 – 124.5
Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 12 Assessed by cLIA Primary · Month 12 post-vaccination 1

The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed. Antibodies were measured using cLIA.

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year99.197.4 – 99.8
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year99.798.3 – 100.0
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year100.098.9 – 100.0
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year96.994.3 – 98.5
Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 24 Assessed by cLIA Primary · Month 24 post-vaccination 1

The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed. Antibodies were measured using cLIA.

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year88.884.9 – 92.0
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year95.392.4 – 97.4
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year99.798.3 – 100.0
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year87.783.5 – 91.1
Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 36 Assessed by cLIA Primary · Month 36 post-vaccination 1

The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed. Antibodies were measured using cLIA.

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year83.679.1 – 87.5
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year92.188.6 – 94.8
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year98.896.9 – 99.7
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year84.079.4 – 87.9
Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 48 Assessed by cLIA Primary · Month 48 post-vaccination 1

The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed. Antibodies were measured using cLIA.

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year68.563.0 – 73.6
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year85.280.8 – 89.0
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year91.988.4 – 94.6
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year64.658.9 – 70.0
Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 60 Assessed by cLIA Primary · Month 60 post-vaccination 1

The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed. Antibodies were measured using cLIA.

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year61.956.2 – 67.3
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year74.969.7 – 79.7
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year87.182.9 – 90.6
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Year58.352.5 – 63.9
Extension Stage: GMTs for Serum Anti-HPV Types 6, 11, 16, and 18 at Month 12 Assessed by Immunoglobulin G Luminex Immunoassay (IgG LIA) Primary · Month 12 post-vaccination 1

Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured. Antibodies were measured using IgG LIA. Antibody titers were expressed as (mMU/mL).

Anti-HPV 6
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years217.0198.1 – 237.6
Anti-HPV 11
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years172.1158.3 – 187.1
Anti-HPV 16
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years1025.8945.5 – 1113.0
Anti-HPV 18
GroupValue95% CI
Extension Study: Chinese Girls Aged 9 to 19 Years228.0204.4 – 254.4

Adverse events — posted to ClinicalTrials.gov

Time frame: Base Stage only: Up to approximately 7 months Extension Stage: Month 7 up to approximately 60 Months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Base Study: Chinese Girls Aged 9 to 19 Years
Serious: 6/383 (2%)
Deaths: 0/383
Base Study: Chinese Young Women Aged 20 to 26 Years
Serious: 11/383 (3%)
Deaths: 0/383
Extension Study: Chinese Girls Aged 9 to 19 Years
Serious: 8/365 (2%)
Deaths: 0/365

Serious adverse events (42 terms)

ReactionSystemBase Study: Chinese Girls …Base Study: Chinese Young …Extension Study: Chinese G…
Hyperemesis gravidarumPregnancy, puerperium and perinatal conditions
Chronic gastritisGastrointestinal disorders
Gastrointestinal disorderGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
Hypertrophic anal papillaGastrointestinal disorders
Bacterial vulvovaginitisInfections and infestations
Complicated appendicitisInfections and infestations
Helicobacter infectionInfections and infestations
Pelvic abscessInfections and infestations
Skin infectionInfections and infestations
Vulvovaginal candidiasisInfections and infestations
Ankle fractureInjury, poisoning and procedural complications
ConcussionInjury, poisoning and procedural complications
FallInjury, poisoning and procedural complications
Foot fractureInjury, poisoning and procedural complications
Ligament sprainInjury, poisoning and procedural complications
Pelvic fractureInjury, poisoning and procedural complications
Peroneal nerve injuryInjury, poisoning and procedural complications
Post procedural haemorrhageInjury, poisoning and procedural complications
Rib fractureInjury, poisoning and procedural complications
Sciatic nerve injuryInjury, poisoning and procedural complications
Skull fractured baseInjury, poisoning and procedural complications
Spinal fractureInjury, poisoning and procedural complications
Tibia fractureInjury, poisoning and procedural complications
Ulna fractureInjury, poisoning and procedural complications
Other adverse events (9 terms — click to expand)

ReactionSystemBase Study: Chinese Girls …Base Study: Chinese Young …Extension Study: Chinese G…
Injection site painGeneral disorders
PyrexiaGeneral disorders
FatigueGeneral disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
Injection site pruritusGeneral disorders
DiarrhoeaGastrointestinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Injection site swellingGeneral disorders

Most-reported serious reactions: Hyperemesis gravidarum, Chronic gastritis, Gastrointestinal disorder, Haemorrhoids, Hypertrophic anal papilla, Bacterial vulvovaginitis, Complicated appendicitis, Helicobacter infection.

Data from ClinicalTrials.gov NCT03493542 adverse events section.

Sponsor's own description

This study is designed to evaluate the immunogenicity, safety, and tolerability of Gardasil® (quadrivalent human papillomavirus \[qHPV\] vaccine, V501) in Chinese girls aged 9-19 years and young women aged 20-26 years. The primary hypothesis of the study states that at 1 month postdose 3, a 3-dose regimen of V501 induces non-inferior geometric mean titers (GMTs) for serum anti-HPV 6, anti-HPV 11, anti-HPV 16, anti-HPV 18 in girls aged 9-19 years compared to young women aged 20-26 years.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Immunogenicity and safety of the quadrivalent human papillomavirus vaccine in Chinese females aged 9 to 26 years: A phase 3, open-label, immunobridging study.
    Huang Z, He J, Su J, Ou Z, et al · · 2021 · cited 3× · PMID 33239228 · DOI 10.1016/j.vaccine.2020.11.008

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