Randomized Trial of Alternative HPV Vaccination Schedules in Males in a University Setting
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Purpose
The investigators propose a randomized, open label trial of the immunogenicity of HPV vaccine among males 18-24 years old, comparing an on-time administration of the third dose with delayed administration of the third dose. All participants would receive the first and second doses according to schedule. They would be randomized to either Dose 3 at 6 months or Dose 3 at 12 months.
Hypothesis: The Geometric mean titers in the 12 month test group (T) are non-inferior to the usual timing control group (C):
H0: δ ≤ −δ0 versus H1: δ > −δ0 where δ = log (GMTT )− log (GMTC) and δ0 is the pre-specified non-inferiority margin
| Condition | Intervention |
|---|---|
|
Quadrivalent HPV Vaccine Human Papillomavirus Vaccine |
Biological: quadrivalent human papillomavirus vaccine |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Bio-equivalence Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Randomized Trial of Alternative HPV Vaccination Schedules in Males in a University Setting |
- Immunogenicity after dose 3 [ Time Frame: 1 month after dose 3 (e.g., month 7 if third dose at 6months or month 13 if third dose at 12 months) ] [ Designated as safety issue: No ]Geometric mean titer (GMT) and 95% confidence intervals around titer 1 month after dose 3 in per protocol population, comparing the two groups. Also, comparing GMT ratio
- preference and compliance with 3rd dose [ Time Frame: at 3rd dose (i.e., at month 6 or month 12, depending on arm) ] [ Designated as safety issue: No ]Determine the preference and compliance of the men for the timing of the third dose.
- Safety profile of third dose [ Time Frame: 1 week after third dose ] [ Designated as safety issue: Yes ]Side effect reports after 3rd dose in the 2 groups
| Enrollment: | 220 |
| Study Start Date: | October 2010 |
| Study Completion Date: | May 2012 |
| Primary Completion Date: | May 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 12 months
Administration of 3rd dose at 12 months
|
Biological: quadrivalent human papillomavirus vaccine
0.5 mL of quadrivalent HPV vaccine at enrollment, 2 months, and 12 months
Other Name: Gardasil
|
|
Active Comparator: 6 month
3rd dose administration at 6 months
|
Biological: quadrivalent human papillomavirus vaccine
0.5 mL of quadrivalent HPV vaccine at enrollment, 2 months, and 6 months
Other Name: Gardasil
|
Detailed Description:
1. Specific Aims and Overview: The investigators propose a randomized, open label trial of HPV vaccine among males 18-24 years old, comparing an on-time administration of the third dose with delayed administration of the third dose. All participants would receive the first and second doses according to schedule. They would be randomized to either Dose 3 at 6 months or Dose 3 at 12 months.
Blood would be drawn for titers at twice from all participants: pre-dose 1 and one month post Dose 3.
No cytology studies or DNA studies will be conducted.
1.1 Aims:
- Determine if delay in the third dose is immunologically non-inferior to the standard administration schedule (1 month post-dose 3).
- Determine the side effect profile of a delayed third dose, in comparison to the standard schedule.
- Determine the preference and compliance of the men for the timing of the third dose.
1.2 Hypothesis for non- inferiority:
The GMTs in the test group (T) are non-inferior to the usual timing control group (C):
H0: δ ≤ −δ0 versus H1: δ > −δ0 where δ = log (GMTT )− log (GMTC) and δ0 is the pre-specified non-inferiority margin.
Eligibility| Ages Eligible for Study: | 18 Years to 26 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Males age 18-26
Exclusion Criteria:
- Hospitalization within the past year
Previous HPV vaccination
>/=5 sexual partners (i.e., insertive intercourse) No other drug studies within 30 days of proposed HPV vaccination
- History of genital warts
- Immunosuppression
- Other vaccines within 8 days of proposed HPV vaccination
- Hypersensitivity to yeast or HPV vaccine components
- Known autoimmune disorders
- Receipt of immunoglobulins or blood product within 90 days of enrollment (may defer until 90 days completed)
- Serious Adverse Reaction to HPV vaccine
Contacts and Locations| United States, Pennsylvania | |
| University of Pittsburgh | |
| Pittsburgh, Pennsylvania, United States, 15261 | |
| Principal Investigator: | Richard K Zimmerman, MD MPH | University of Pittsburgh |
More Information
Publications:
| Responsible Party: | Richard Zimmerman, Professor, University of Pittsburgh |
| ClinicalTrials.gov Identifier: | NCT01184079 History of Changes |
| Other Study ID Numbers: | IISP#38206, PRO10070407, I#0021806 |
| Study First Received: | August 11, 2010 |
| Last Updated: | June 27, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Pittsburgh:
|
human papillomavirus vaccine L1, type 6,11,16,18 HPV Vaccines HPV L1 vaccine, quadrivalent 6,11,16,18 |
ClinicalTrials.gov processed this record on May 19, 2013