Clinical Trial Results:
A post-marketing surveillance (PMS) study to monitor the safety and reactogenicity of GlaxoSmithKline (GSK) Biologicals’ human papillomavirus (HPV) vaccine (Cervarix) in 3,000 healthy female Filipino subjects when administered according to the Prescribing Information from the age of 10 years onwards.
Summary
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EudraCT number |
2017-000458-20 |
Trial protocol |
Outside EU/EEA |
Global end of trial date |
16 Jan 2012
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Results information
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Results version number |
v2(current) |
This version publication date |
09 Jun 2018
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First version publication date |
24 Feb 2018
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Other versions |
v1 |
Version creation reason |
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Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
108160
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT00730847 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
GlaxoSmithKline Biologicals
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Sponsor organisation address |
Rue de l’Institut 89, Rixensart, Belgium, B-1330
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Public contact |
Clinical Disclosure Advisor, GlaxoSmithKline Biologicals, 44 2089904466, GSKClinicalSupportHD@gsk.com
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Scientific contact |
Clinical Disclosure Advisor, GlaxoSmithKline Biologicals, 44 2089904466, GSKClinicalSupportHD@gsk.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
30 Aug 2012
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
16 Jan 2012
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Global end of trial reached? |
Yes
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Global end of trial date |
16 Jan 2012
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To assess the safety and reactogenicity of GlaxoSmithKline Biologicals’ human papillomavirus vaccine (Cervarix) in 3,000 healthy female Filipino subjects.
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Protection of trial subjects |
All subjects were observed closely for at least 30 minutes following the administration of vaccines, with appropriate medical treatment readily available in case of a rare anaphylactic reaction. Vaccines were administered by qualified and trained personnel. Vaccines were administered only to eligible subjects that had no contraindications to any components of the vaccines.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
17 Sep 2008
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Philippines: 743
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Worldwide total number of subjects |
743
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EEA total number of subjects |
0
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
143
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Adolescents (12-17 years) |
300
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Adults (18-64 years) |
300
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Since this was a post-marketing study (PMS), subjects may have received one or two doses of Cervarix outside of the PMS. | ||||||||||||||||||||
Pre-assignment
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Screening details |
Out of 743 subjects enrolled in the study, only 596 subjects received study vaccination. The whole set of data was not cleaned for this study. Analysis was performed on subjects with cleaned data and on subjects with missing data or unresolved data queries, or both. The overall group includes both cleaned and not cleaned data. | ||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||||
Blinding implementation details |
This study was conducted in an open manner.
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Arms
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Arm title
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Cervarix Group | ||||||||||||||||||||
Arm description |
Healthy female subjects who received three doses of Cervarix vaccine administered intramuscularly in the deltoid region according to a 0, 1 and 6-month schedule. | ||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||
Investigational medicinal product name |
Cervarix
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Investigational medicinal product code |
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Other name |
HPV-16/18 VLP/AS04 vaccine
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Pharmaceutical forms |
Suspension for injection in pre-filled syringe
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Routes of administration |
Intramuscular use
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Dosage and administration details |
All subjects were administered a 0.5 mL dose of the vaccine as an intramuscular injection in the deltoid region, according to a 0, 1 and 6-month schedule.
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Notes [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: Out of 743 subjects enrolled in the study, only 596 subjects received study vaccination. |
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Baseline characteristics reporting groups
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Reporting group title |
Cervarix Group
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Reporting group description |
Healthy female subjects who received three doses of Cervarix vaccine administered intramuscularly in the deltoid region according to a 0, 1 and 6-month schedule. | ||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Cervarix Group
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Reporting group description |
Healthy female subjects who received three doses of Cervarix vaccine administered intramuscularly in the deltoid region according to a 0, 1 and 6-month schedule. |
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End point title |
Number of subjects reporting any and Grade 3 solicited local symptoms [1] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Solicited local symptoms assessed were pain, redness and swelling. Any was defined as any solicited local symptom reported irrespective of intensity grade. Grade 3 pain was defined as pain that prevented normal activity. Grade 3 redness and swelling were defined as redness and swelling above 50 millimeters (mm).
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End point type |
Primary
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End point timeframe |
During the 7-day follow-up period (Days 0-6) after each dose and across doses
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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: The scope of this primary end point was descriptive, no statistical hypothesis test was performed. |
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No statistical analyses for this end point |
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End point title |
Number of subjects reporting any, Grade 3 and related solicited general symptoms [2] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Solicited general symptoms assessed were arthralgia, fatigue, fever, gastrointestinal, headache, myalgia, rash and urticaria. Any fever = axillary temperature ≥ 37.5 degrees Celsius (°C). For other symptoms: Any = any solicited general symptom reported irrespective of intensity and relationship to study vaccination. Related = symptoms considered by the investigator as causally related to study vaccination. Grade 3 symptoms = symptoms that prevented normal activity. Grade 3 urticaria = urticaria distributed on at least 4 body areas. Grade 3 fever = axillary temperature > 39.0°C.
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End point type |
Primary
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End point timeframe |
During the 7-day follow-up period (Days 0-6) after each dose and across doses
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Notes [2] - 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: The scope of this primary end point was descriptive, no statistical hypothesis test was performed. |
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No statistical analyses for this end point |
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End point title |
Number of subjects reporting any, Grade 3, related, and Grade 3 and related unsolicited adverse events (AEs) [3] | ||||||||||||||
End point description |
An unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to study vaccination. Grade 3 = event which prevented normal, everyday activities. Related = event assessed by the investigators as causally related to the study vaccination. Grade 3 and Related = grade 3 event assessed by the investigators as causally related to the study vaccination.
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End point type |
Primary
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End point timeframe |
During the 30-day (Days 0-29) post-vaccination period
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Notes [3] - 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: The scope of this primary end point was descriptive, no statistical hypothesis test was performed. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with any, Grade 3 and related serious adverse events (SAEs) [4] | ||||||||||||
End point description |
SAEs assessed include medical occurrences that resulted in death, were life-threatening, required hospitalization or prolongation of hospitalization, resulted in disability/incapacity or were a congenital anomaly/birth defect in the offspring of a study subject. Any was defined as occurrence of any symptom regardless of intensity grade. Grade 3 SAE = SAE which prevented normal, everyday activities. Related SAE = SAE assessed by the investigator as causally related to the study vaccination.
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End point type |
Primary
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End point timeframe |
During the entire study period (from Day 0 up to Month 7)
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Notes [4] - 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: The scope of this primary end point was descriptive, no statistical hypothesis test was performed. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Solicited local and general symptoms: during the 7-day (Days 0-6) post-vaccination period; Unsolicited adverse events: during the 30-day (Days 0-29) post-vaccination period; Serious adverse events: during the entire study period (from Day 0 up to Month 7)
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Adverse event reporting additional description |
For the systematically assessed other (non-serious) adverse events, the number of participants at risk included those from Total Vaccinated cohort who had the symptom sheet completed. No related SAEs were reported and one (Uterine leiomyoma) was assessed as severe (Grade 3).
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
15.0
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Reporting groups
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Reporting group title |
Cervarix Group
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Reporting group description |
Healthy female subjects who received three doses of Cervarix vaccine administered intramuscularly in the deltoid region according to a 0, 1 and 6-month schedule. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 0% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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01 Apr 2008 |
- The mandated telephone call to be done on Day 8 as a study procedure has been removed from relevant sections as the procedure was deemed as an extra obligation beyond the normal clinical practice for the investigators as per local customs. Instead, investigators have to emphasize to the subjects on the day of visit itself that they should monitor for AEs, complete their diary card, and return it at their next visit.
- The indication/study population has been updated to reflect the indication in the approved PI.
- The licensure of the Cervarix in the European Union has been added in Section 1.2 to provide updated information.
- No blood samples were planned to be collected. In case an autoimmune disease is diagnosed during the study, autoantibody testing may be performed on blood samples collected (approximately 1mL), if agreed by the subject (see Section 8.4).
- Changes were done to Section 4.2 to reflect updates in the protocol over versions 12.3, 12.4 and 12.5 related to adequate contraception for participation in the study. Section 5.2.1 has been added to include protocol version upgrades related to adequate contraception (SOP-WWD-0015). Section 6.6 (Concomitant medication/treatment) has also been updated to reflect changes from versions 12.3, 12.4 and 12.5.
- The Clinical Research Associates (CRAs) contributing to authoring have been updated in the title page and the details of study contact for reporting SAEs have been updated accordingly. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |