E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
In female subjects from 10 years of age onwards for the prevention of cervical cancer by protecting against incident and persistent infections, cytological abnormalities including ASC-US, cervical intraepithelial neoplasia (CIN) and pre-cancerous lesions caused by oncogenic human papillomaviruses (HPV). In male subjects from 10 years of age onwards for the prevention of transmission of human papillomaviruses (HPV) causing persistent infections and related clinical outcomes. |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
• To evaluate 1 month after the third dose (i.e. at Month 7), the immune responses to the candidate HPV-16/18 vaccine (as determined by anti-HPV-16/18 ELISA) in healthy male subjects aged 10-18 years old. |
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E.2.2 | Secondary objectives of the trial |
• To evaluate 1 month after the second dose (i.e., at Month 2) the immune responses to the candidate HPV-16/18 vaccine (as determined by anti-HPV-16/18 ELISA) in healthy male subjects aged 10-18 years old. • To evaluate the safety and the reactogenicity of the HPV-16/18 vaccine compared to the Engerix-B [Hepatitis B virus (HBV)] control vaccine. • To demonstrate the non-inferiority of the immune responses to the candidate HPV vaccine (as determined by anti-HPV-16/18 ELISA) in healthy male subjects aged 10–18 years in this study, compared to the responses measured in sera from a subset of 15-25 year old females from the HPV-012 study, one month after administration of the third vaccine dose (i.e. at Month 7). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
All subjects must satisfy the following criteria at study entry: • Subjects who the investigator believes that they and/or their legally acceptable representative (LAR) can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits) should be enrolled in the study. • A male between, and including, 10 and 18 years of age at the time of the first vaccination. • Written informed consent obtained from the subject prior to enrolment • For subjects below the legal age of consent, a written informed consent must be obtained from the subject’s LAR. In addition, a written informed assent must be obtained from the subject. • Healthy subjects as established by medical history and clinical examination before entering into the study. • Free of obvious health problems as established by medical history and clinical examination before entering into the study. |
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E.4 | Principal exclusion criteria |
The following criteria should be checked at the time of study entry. If any apply, the subject must not be included in the study: • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period. • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose. (For corticosteroids, this will mean prednisone, or equivalent, >=0.5 mg/kg/day. Inhaled and topical steroids are allowed.) • Planned administration/administration of a vaccine not foreseen by the study protocol within 30 days before and 30 days after (i.e. Day 0 - 29) any dose of vaccines. Administration of routine vaccines such as meningococcal, hepatitis A, inactivated influenza, diphtheria/tetanus and/or diphtheria/tetanus-containing vaccines up to 8 days before any dose of study vaccine is allowed. Enrolment will be deferred until the subject is outside of specified window. • Previous vaccination against Human Papillomavirus (HPV) or planned administration of any HPV vaccine other than that foreseen by the study protocol during the study period. • Previous vaccination administration of MPL or AS04 adjuvant. • Previous vaccination against Hepatitis B, known clinical history of Hepatitis B infection, or known exposure to Hepatitis B within the previous 6 weeks. • Cancer or autoimmune disease under treatment. • Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection. • Hypersensitivity to latex (found in syringe-tip cap and plunger). • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine/control (e.g. aluminium, MPL). • History of any neurologic disorders or seizures. • Acute disease at the time of enrolment. (Acute disease is defined as the presence of a moderate or severe illness with or without fever. All vaccines can be administered to persons with a minor illness such as diarrhoea, mild upper respiratory infection with or without low-grade febrile illness, i.e. Oral temperature <37.5°C (99.5°F)/Axillary temperature <37.5°C (99.5°F). • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests. • Administration of immunoglobulins and/or any blood products within the three months preceding the first dose of study vaccine or planned administration during the study period. Enrolment will be postponed until the subject is outside the specified window. • Concurrently participating in another clinical study, at any time during the study period (up to the Month 12 telephone contact), in which the subject has been or will be exposed to an investigational or a non-investigational product (pharmaceutical product or device). |
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E.5 End points |
E.5.1 | Primary end point(s) |
• HPV-16 and HPV-18 seroconversion rates and geometric mean titres (GMTs) at Month 7. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
First administration in male |
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E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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A subject who returns for the concluding visit (Visit 5, Month 7) foreseen in the protocol is considered to have completed the study. A subject who can be contacted for the concluding telephone contact (Month12) foreseen in the protocol is considered to have completed the extended safety follow-up. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 12 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 12 |