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Infections, PapillomavirusPhase 3NCT00652938

Evaluation of Immunogenicity and Safety of Human Papillomavirus (HPV) Vaccine Co-administered With Another Vaccine in Healthy Female Subjects

A Phase 3 study testing HPV Vaccine (GSK580299) Cervarix TM and Engerix B in people with Infections, Papillomavirus, run by GlaxoSmithKline at 7 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Infection with human papillomavirus (HPV) has been clearly established as the necessary cause of cervical cancer. Vaccination of pre-teens and adolescents, ideally before sexual debut and thus before exposure to oncogenic HPV, is a rational strategy for prevention of cervical cancer. Read more about this study

Who is it for?
Ages 9 to 15 years, women onlyHealthy volunteers can take part
Conditions the study is for
Infections, Papillomavirus
What is being tested?
HPV Vaccine (GSK580299) Cervarix TM and Engerix B
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
744 participants
Where
7 sitesin 2 countries
Study dates
9 Apr 2008to 8 Jan 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 9 to 15 years
  • Women only
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Subjects who the investigator believes that they and/or their parents/legally acceptable representatives (LARs) 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 female between, and including, 9 and 15 years of age (has not attained her 16th birthday) at the time of the first vaccination.
  • Written informed consent obtained from the subject's parent/LAR prior to the enrolment. In addition, written informed assent must be obtained from the subject.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • Subjects must not be pregnant. Absence of pregnancy should be verified with a urine pregnancy test.
  • If the subject is female, she must be of non-childbearing potential, or if she is of childbearing potential, she must practice adequate contraception for at least 30 days prior to vaccination, have a negative pregnancy test and continue such precautions for two months after completion of the vaccination series. Subjects who reach menarche (begin menstruating) during the study, and therefore become of childbearing potential, must agree to follow the same precautions.

Who cannot join

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period (up to Month 12).
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
  • Planned administration/administration of a vaccine not foreseen by the study protocol within 30 days before and 30 days after each dose of vaccine. Administration of routine vaccines such as meningococcal, inactivated influenza, diphtheria/tetanus and/or diphtheria/tetanus-containing vaccines up to 8 days before the first dose of study vaccine is allowed.
  • 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).
  • A subject planning to become pregnant, likely to become pregnant (as determined by the investigator) or planning to discontinue contraceptive precautions during the study period and up to two months after the last vaccine dose.
  • Pregnant or breastfeeding women.
Show all 17Show fewer
  • Previous vaccination against HPV or planned administration of any HPV vaccine other than that foreseen by the study protocol during the study period.
  • Previous administration of components of the investigational vaccine.
  • Previous vaccination against hepatitis B or planned administration of any hepatitis B vaccine other than that foreseen by the study protocol during the study period.
  • History of hepatitis B infection.
  • Known exposure to hepatitis B within the previous 6 weeks.
  • Known acute or chronic, clinically significant neurologic, hepatic or renal functional abnormality, as determined by previous physical examination or laboratory tests.
  • Cancer or autoimmune disease under treatment.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • Acute disease at the time of enrolment.
  • 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.

Trial locations and contacts

7 sites in 2 countries.

7 sites in 2 countries

Sweden5 sites
  • GSK Investigational Site

    Linköping, SE-581 85

  • GSK Investigational Site

    Luleå, SE-972 31

  • GSK Investigational Site

    Malmö, SE-211 52

  • GSK Investigational Site

    Norrköping, SE-601 82

  • GSK Investigational Site

    Skene, SE-511 62

Other trials in Sweden

Netherlands2 sites
  • GSK Investigational Site

    Nijmegen, 6525 GA

  • GSK Investigational Site

    Rotterdam, 3011 EN

Other trials in Netherlands

About this study

Official title: Immunogenicity and Safety Study of GlaxoSmithKline Biologicals' HPV Vaccine (580299) Co-administrated With a Commercially Available Vaccine in Healthy Female Adolescents

Infection with human papillomavirus (HPV) has been clearly established as the necessary cause of cervical cancer. Vaccination of pre-teens and adolescents, ideally before sexual debut and thus before exposure to oncogenic HPV, is a rational strategy for prevention of cervical cancer. Thus, HPV vaccination could complement the existing pre-adolescent/adolescent vaccination programs. This Phase IIIb study is designed to evaluate the immunogenicity and safety of co-administering a commercially available vaccine with GSK Biologicals' HPV-16/18 L1 VLP AS04 (Cervarix TM) vaccine as compared to the administration of either vaccine alone.

Being tested
HPV Vaccine (GSK580299) Cervarix TM, Engerix B
Keywords
Co-administration, HPV vaccine, Cervical cancer
Medical subject headings
Papillomavirus Infections, Uterine Cervical Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HPV Vaccine (GSK580299) Cervarix TMBiological

    IM administration

  • Engerix BBiological

    IM administration

Study groups in NCT00652938
Study groupRoleWhat they receive
Cervarix & Engerix GroupActive comparatorSubjects received 3 doses of Cervarix™ (Human Papillomavirus [HPV] vaccine) co-administered with Engerix™ (Hepatitis B [HBV] vaccine) according to a 0, 1, 6-month schedule.
Receives: Biological: HPV Vaccine (GSK580299) Cervarix TM; Biological: Engerix B
Cervarix GroupExperimentalSubjects received 3 doses of Cervarix™ (Human Papillomavirus [HPV] vaccine) according to a 0, 1, 6-month schedule.
Receives: Biological: HPV Vaccine (GSK580299) Cervarix TM
Engerix GroupActive comparatorSubjects received 3 doses of Engerix™ (Hepatitis B [HBV] vaccine) according to a 0, 1, 6-month schedule.
Receives: Biological: Engerix B

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects With Anti-Hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations Above the Cut-off Value for Seroprotection

    Only groups which had received the HBV vaccine were included in the analysis.

    Subjects included were seronegative for anti-HBs (antibody titer < 3.3 milli International Units per milliliter (mIU/mL)) prior to vaccination.

    Anti-HBs antibody cut-off value for seroprotection assessed included 10 mIU/mL.

    Measured: Month 7

  2. Number of Subjects With Anti-human Papillomavirus 16 and 18 (Anti-HPV-16 and Anti-HPV-18) Antibody Concentrations Above the Cut-off Value for Seroconversion

    Only groups which had received the HPV vaccine were included in the analysis.

    Anti-HPV-16 antibody cut-off value assessed included 8 Enzyme-linked Immunosorbent Assay (ELISA) units per milliliter (EL.U/mL) and anti-HPV-18 antibody cut-off value assessed included 7 EL.U/mL.

    Subjects included were seronegative for anti-HPV-16 (antibody titer < 8 EL.U/mL) and anti-HPV-18 (antibody titer < 7 EL.U/mL) prior to vaccination.

    Measured: Month 7

  3. Anti-HPV-16/18 Antibody Titres

    Antibody titers for Anti-HPV-16 and Anti-HPV-18 are expressed as Geometric Mean Titers (GMTs).

    Only groups which had received the HPV vaccine were included in the analysis.

    Subjects included were seronegative for anti-HPV-16 (antibody titer < 8 EL.U/mL) and anti-HPV-18 (antibody titer < 7 EL.U/mL) prior to vaccination.

    Measured: Month 7

Secondary outcomes (17)
  1. Number of Subjects With Anti-HBs Antibody Concentrations Above the Cut-off Value for Seroconversion

    Only groups which had received the HBV vaccine were included in the analysis.

    Subjects included were seronegative for anti-HBs (antibody titer < 3.3 mIU/mL) prior to vaccination.

    Anti-HBs antibody cut-off value for seroconversion assessed included 3.3 mIU/mL.

    Measured: Month 7

  2. Anti-HBs Antibody Titres

    Antibody titers for anti-HBs are given as Geometric Mean Titers (GMTs) in mIU/mL.

    Only groups which had received the HBV vaccine were included in the analysis.

    Subjects included were seronegative for anti-HBs (antibody titer < 3.3 mIU/mL) prior to vaccination.

    Measured: Month 7

  3. Number of Subjects With Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations Above the Cut-off Value for Seroconversion

    Only groups which had received the HPV vaccine were included in the analysis.

    Anti-HPV-16 antibody cut-off value assessed included 8 Enzyme-linked Immunosorbent Assay (ELISA) units per milliliter (EL.U/mL) and anti-HPV-18 antibody cut-off value assessed included 7 EL.U/mL.

    Subjects included were seronegative for anti-HPV-16 (antibody titer < 8 EL.U/mL) and anti-HPV-18 (antibody titer < 7 EL.U/mL) prior to vaccination.

    Measured: Month 2

  4. Anti-HPV-16/18 Antibody Titres

    Antibody titers for Anti-HPV-16 and Anti-HPV-18 are expressed as Geometric Mean Titers (GMTs).

    Only groups which had received the HPV vaccine were included in the analysis.

    Subjects included were seronegative for anti-HPV-16 (antibody titer < 8 EL.U/mL) and anti-HPV-18 (antibody titer < 7 EL.U/mL) prior to vaccination.

    Measured: Month 2

  5. Number of Subjects With Anti-Hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations Above the Cut-off Value for Seroconversion

    Only groups which had received the HBV vaccine were included in the analysis.

    Subjects included were seronegative for anti-HBs (antibody titer < 3.3 mIU/mL) prior to vaccination.

    Anti-HBs antibody cut-off value for seroconversion assessed included 3.3 mIU/mL.

    Measured: Month 2

  6. Number of Subjects With Anti-Hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations Above the Cut-off Value for Seroprotection

    Only groups which had received the HBV vaccine were included in the analysis.

    Subjects included were seronegative for anti-HBs (antibody titer < 3.3 milli International Units per milliliter (mIU/mL)) prior to vaccination vaccination.

    Anti-HBs antibody cut-off value for seroprotection assessed included 10 mIU/mL.

    Measured: Month 2

  7. Anti-HBs Antibody Titers

    Anti-HBs antibody titers are given as GMTs in mIU/mL.

    Only groups which had received the HBV vaccine were included in the analysis.

    Subjects included were seronegative for anti-HBs (antibody titer < 3.3 mIU/mL) prior to vaccination.

    Measured: Month 2

  8. Number of Subjects Reporting Any Solicited Local Symptoms

    Solicited local symptoms included injection site pain, redness and swelling.

    Any solicited local symptom is occurence of a symptom regardless of its intensity.

    Measured: During the 7-day period (Days 0 - 6) following vaccination

  9. Number of Subjects Reporting Grade 3 Solicited Local Symptoms

    Solicited local symptoms include injection site pain, redness and swelling.

    Grade 3 pain is pain that prevented normal everyday activities. Grade 3 redness is redness that was > 50 mm. Grade 3 swelling is swelling that was > 50 mm.

    Measured: During the 7-day period (Days 0-6) following vaccination

  10. Number of Subjects Reporting Any Solicited General Symptoms

    Solicited general symptoms included arthralgia, fatigue, gastrointestinal, headache, myalgia, rash, temperature in degrees celsius (axillary) and urticaria.

    Any solicited general symptom is the occurence of the symptom regardless of its intensity or relationship to study vaccination.

    Measured: During the 7-day (Days 0-6) period following vaccination.

  11. Number of Subjects Reporting Grade 3 Solicited General Symptoms

    Solicited general symptoms included arthralgia, fatigue, gastrointestinal, headache, myalgia, rash, temperature in degrees celsius (axillary) and urticaria.

    Grade 3 arthralgia, fatigue, gastrointestinal, headache, myalgia and rash were symptoms that prevented normal activity.

    Grade 3 temperature was temperature > 39 degrees Celsius. Grade 3 urticaria was urticaria distributed on at least 4 body areas.

    Measured: During the 7-day (Days 0-6) period following vaccination

  12. Number of Subjects Reporting Related Solicited General Symptoms

    Solicited general symptoms included arthralgia, fatigue, gastrointestinal, headache, myalgia, rash, temperature in degrees celsius (axillary) and urticaria.

    Related solicited general symptoms were those symptoms assessed by the investigators as related to the study vaccination.

    Measured: During the 7-day period (Days 0 - 6) following vaccination

  13. Number of Subjects Reporting Any, Grade 3 and Causally Related to Vaccination Unsolicited Adverse Events (AEs)

    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.

    Grade 3 AE was an AE that prevented normal activities. Related AE was an AE that was assessed by the investigator as related to the study vaccination.

    Measured: During the 30-day period (Days 0 - 29) following any vaccination

  14. Number of Subjects Reporting Any and Causally Related to Vaccination Serious Adverse Events (SAEs)

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Related SAEs were SAEs assessed by the investigators as related to the vaccination.

    • Grade 3 SAEs were not assessed.

    Measured: Throughout the active phase of the study (up to Month 7).

  15. Number of Subjects Reporting Any and Causally Related to Vaccination SAEs

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    • Grade 3 SAEs were not assessed.

    Measured: Throughout the safety follow-up (month 7 up to Month 12).

  16. Number of Subjects Reporting Medically Significant Conditions

    Medically significant conditions (i.e., AEs prompting emergency room or physician visits that are not (1) related to common diseases or (2) routine visits for physical examination or vaccination, or SAEs that are not related to common diseases).

    Measured: Throughout the active phase of the study (up to Month 7)

  17. Number of Subjects Reporting Medically Significant Conditions

    Medically significant conditions (i.e., AEs prompting emergency room or physician visits that are not (1) related to common diseases or (2) routine visits for physical examination or vaccination, or SAEs that are not related to common diseases).

    Measured: Throughout the safety follow-up (month 7 up to Month 12)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Apr 2008 (estimated)
  2. Study start9 Apr 2008
  3. Primary completion28 Aug 2009
  4. Study completion8 Jan 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
744 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00652938
Sponsor's protocol ID
111507
Status last verified
Apr 2017
First submitted
27 Mar 2008
Last updated
17 Aug 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Schmeink C et al. Co-administration of AS04-adjuvanted human papillomavirus-16/18 vaccine with hepatitis B vaccine in healthy female subjects aged 9-15 years. Abstract presented at the 28th Annual Meeting of European Society for Paediatric Infectious Diseases (ESPID). Nice, France, 4-8 May 2010.

  • Schmeink CE, Bekkers RL, Josefsson A, Richardus JH, Berndtsson Blom K, David MP, Dobbelaere K, Descamps D. Co-administration of human papillomavirus-16/18 AS04-adjuvanted vaccine with hepatitis B vaccine: randomized study in healthy girls. Vaccine. 2011 Nov 15;29(49):9276-83. doi: 10.1016/j.vaccine.2011.08.037. Epub 2011 Aug 19.

    PubMed 21856349
  • Bergman H, Henschke N, Arevalo-Rodriguez I, Buckley BS, Crosbie EJ, Davies JC, Dwan K, Golder SP, Loke YK, Probyn K, Petkovic J, Villanueva G, Morrison J. Human papillomavirus (HPV) vaccination for the prevention of cervical cancer and other HPV-related diseases: a network meta-analysis. Cochrane Database Syst Rev. 2025 Nov 24;11(11):CD015364. doi: 10.1002/14651858.CD015364.pub2.

    PubMed 41276263

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing HPV Vaccine (GSK580299) Cervarix TM and Engerix B in people with Infections, Papillomavirus, run by GlaxoSmithKline at 7 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Sweden, Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Aug 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects With Anti-Hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations Above the Cut-off Value for Seroprotection (time frame: Month 7). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00652938, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2018.

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