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    Clinical Trial Results:
    A Phase IV Open-label, Descriptive Study to Evaluate the Safety and Effectiveness on the Incidence of HPV 6, 11, 16 and 18 Related CIN 2/3 or worse of the Quadrivalent HPV (Types 6, 11, 16, 18) L1 Virus-Like Particle (VLP) Vaccine in 16- to 26-Year-Old Japanese Women

    Summary
    EudraCT number
    2015-002932-42
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    01 Dec 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    13 May 2017
    First version publication date
    13 May 2017
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    V501-110
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01544478
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Merck Sharp & Dohme Corp.
    Sponsor organisation address
    2000 Galloping Hill Road, Kenilworth, NJ, United States, 07033
    Public contact
    Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
    Scientific contact
    Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    27 Aug 2016
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Dec 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    This study evaluated the long term safety of quadrivalent Human Papillomavirus (HPV) types 6, 11, 16, 18 vaccine (V501) and its effectiveness in the prevention of cervical intraepithelial neoplasia (CIN), adenocarcinoma in situ, and cervical cancer related to HPV in Japanese women.
    Protection of trial subjects
    This study was conducted in conformance with Good Clinical Practice standards and applicable country and/or local statutes and regulations regarding ethical committee review, informed consent, and the protection of human subjects participating in biomedical research.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    22 Nov 2011
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Japan: 1030
    Worldwide total number of subjects
    1030
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    2
    Adults (18-64 years)
    1028
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Study participants were healthy Japanese females 16 to 26 years of age.

    Pre-assignment
    Screening details
    A total of 1036 participants were screened and 1030 were enrolled in the study.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    V501
    Arm description
    Participants received a 0.5 mL vaccination by intramuscular injection of V501 on Day 1, Month 2, and Month 6
    Arm type
    Experimental

    Investigational medicinal product name
    V501
    Investigational medicinal product code
    Other name
    Gardasil™ Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    A 0.5 mL intramuscular injection at Day 1, Month 2, and Month 6

    Number of subjects in period 1
    V501
    Started
    1030
    Vaccination 1
    1030
    Vaccination 2
    1026
    Vaccination 3
    1019
    Completed
    912
    Not completed
    118
         Physician decision
    15
         Consent withdrawn by subject
    52
         Adverse event, non-fatal
    1
         Death
    1
         Pregnancy
    1
         Lost to follow-up
    48

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Study
    Reporting group description
    Participants received a 0.5 mL vaccination by intramuscular injection of V501 on Day 1, Month 2, and Month 6

    Reporting group values
    Overall Study Total
    Number of subjects
    1030 1030
    Age Categorical
    Units: Subjects
        Adolescents (12-17 years)
    2 2
        Adults (18-64 years)
    1028 1028
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    22.9 ( 2.2 ) -
    Gender Categorical
    Units: Subjects
        Female
    1030 1030
        Male
    0 0
    Race
    Units: Subjects
        Asian
    1030 1030

    End points

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    End points reporting groups
    Reporting group title
    V501
    Reporting group description
    Participants received a 0.5 mL vaccination by intramuscular injection of V501 on Day 1, Month 2, and Month 6

    Primary: Combined incidence of Cervical Intraepithelial Neoplasia (CIN) 2/3 or worse related to HPV type 6, 11, 16, or 18

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    End point title
    Combined incidence of Cervical Intraepithelial Neoplasia (CIN) 2/3 or worse related to HPV type 6, 11, 16, or 18 [1]
    End point description
    The endpoint included pathology panel consensus diagnosis of CIN 2 or 3, adenocarcinoma in situ, invasive squamous cervical carcinoma, or invasive adenocarcinoma of the cervix, and HPV type 6, 11, 16, or 18 detected in an adjacent section from the same tissue block. The population analyzed included participants who received the full vaccination series, had at least 1 visit after Month 7, had no general protocol violations, and were seronegative at Baseline and polymerase chain reaction-negative from Baseline through Month 7 for the relevant HPV type. The point estimates and exact 95% confidence intervals for incidence rate were based on the Poisson distribution.
    End point type
    Primary
    End point timeframe
    Up to Month 48
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No hypothesis testing was planned or conducted for this endpoint
    End point values
    V501
    Number of subjects analysed
    967 [2]
    Units: Cases per 100 person-years at risk
        number (confidence interval 95%)
    0 (0 to 0.1)
    Notes
    [2] - A total of 3034.6 person-years was evaluated
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to Month 48
    Adverse event reporting additional description
    Participants at risk included all who received at least 1 vaccination and had safety follow-up.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.1
    Reporting groups
    Reporting group title
    V501
    Reporting group description
    Participants received a 0.5 mL vaccination by intramuscular injection of V501 on Day 1, Month 2, and Month 6

    Serious adverse events
    V501
    Total subjects affected by serious adverse events
         subjects affected / exposed
    8 / 1029 (0.78%)
         number of deaths (all causes)
    1
         number of deaths resulting from adverse events
    0
    Injury, poisoning and procedural complications
    Subarachnoid haemorrhage
         subjects affected / exposed
    1 / 1029 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Surgical and medical procedures
    Abortion induced
         subjects affected / exposed
    4 / 1029 (0.39%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous
         subjects affected / exposed
    1 / 1029 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Foetal malpresentation
         subjects affected / exposed
    1 / 1029 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Peritonsillitis
         subjects affected / exposed
    1 / 1029 (0.10%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    V501
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    169 / 1029 (16.42%)
    General disorders and administration site conditions
    Injection site pain
         subjects affected / exposed
    118 / 1029 (11.47%)
         occurrences all number
    168
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    61 / 1029 (5.93%)
         occurrences all number
    67

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    14 Feb 2013
    Amendment 1: change in the handling of relocated participants, and minor changes to the Regimen for Triage: Investigator Aids for Colposcopy and Definitive Therapy

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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