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HealthyPhase 4NCT01717118

Evaluation of Immunogenicity Levels in Women With HPV Vaccine in Mexico

A Phase 4 study testing Bivalent Vaccines and Tetravalent Vaccine in people with Healthy, run by Instituto Nacional de Salud Publica, Mexico at 1 site in Mexico.

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

In September 2009 the National Vaccination Council approved the policy for anti-HPV vaccination in 9-year-old girls with an extended scheme of 0, 6, and 60 months, under the following justification: Antibody induction due to the vaccine is greater than that produced by natural exposure to the virus Immune response in… Read more about this study

Who is it for?
Ages 9 to 24 years, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Bivalent Vaccines and Tetravalent Vaccine
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,000 participants
Where
1 siteMexico
Study dates
Nov 2009to Aug 2018
Phase
Phase 4
Are there results?
None posted in the registry

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 24 years
  • Women only
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • • Women 18 to 24 years of age who agree to participate by signing an informed consent form prior to recruitment.
  • Girls 9 and 10 years of age whose father/mother/guardian signs the informed consent form to participate in the study.

Who cannot join

  • • Prior administration of an anti-HPV vaccine
  • Pregnant women or women planning to get pregnant in the next 8 months.
  • Auto-immune diseases
  • Women with a history of Guillain Barré syndrome.
  • Prior administration of immunoglobulins and/or any blood product in the past 6 months before the study's first vaccine dose.

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • Centro Médico Cuauhtemoc

    Cuernavaca, Morelos, 1299

Other trials in Mexico

About this study

In September 2009 the National Vaccination Council approved the policy for anti-HPV vaccination in 9-year-old girls with an extended scheme of 0, 6, and 60 months, under the following justification:

  • Antibody induction due to the vaccine is greater than that produced by natural exposure to the virus
  • Immune response in girls 9 to 11 years of age is similar to the response obtained after three doses in women 16 to 26 years of age
  • The third dose will be administered at the time when maximum protection is required, near the onset of sexual activity Thus the National Institute of Public Health was commissioned to monitor anti-HPV antibody levels in women who received the anti-HPV vaccine to determine non-inferiority of the extended scheme in 9-year-old girls compared with the traditional scheme of 3 doses in women 18 to 24 years of age. To this end, a sentinel cohort will be formed to evaluate immunogenicity levels in 3 age groups, and stratified by vaccine type. The hypothesis is that in 9-year-old girls who are administered the amplified HPV vaccination scheme (0-6-60) show immunogenicity levels that are not lower than those of adult women who have been administered the traditional scheme (0-1/2-6).
Read more

The main objectives are to monitor the levels of immunity induced by vaccination against HPV with two vaccination schemes with the quadrivalent vaccine: Traditional Extended (0-6-60 months) and traditional (0-2-6); Monitoring levels of immunity induced by vaccination against HPV with three vaccine schemes with bivalent vaccine: Extended (0-6-60 months), traditional (0-1-6) and two doses (0- 6); as well as evaluating the interchangeability of the bivalent and quadrivalent vaccines in the third dose of extended scheme. The study design is to create a sentinel cohort of women vaccinated against HPV in the following comparison groups:

  • Women of nine years with extended vaccination scheme with three doses of quadrivalent vaccine (0-6-60)
  • Women of nine years with extended vaccination scheme with two doses of the quadrivalent vaccine and the third dose with bivalent (0-6-60)
  • Women of nine years with traditional vaccination scheme with the quadrivalent HPV vaccine (0-2-6)
  • Women between 18 and 24 years with traditional vaccination scheme with the quadrivalent HPV vaccine (0-2-6)
  • Women of nine years with extended vaccination scheme with three doses of bivalent vaccine (0-6-60)
  • Women of nine years with extended vaccination scheme with two doses of bivalent vaccine and the third tetravalent dose
  • Women of nine years with two vaccine doses scheme with the bivalent HPV vaccine (0-6)
  • Women of nine years with traditional vaccination scheme with bivalent HPV vaccine (0-1-6)
  • Women between 18 and 24 years with traditional vaccination scheme with bivalent HPV vaccine (0-1-6)
  • To monitoring HPV infections, at month 61 of follow-up, a group of 400 women aged 14-15 years, who have not been vaccinated against HPV, will be invited , in order to make the monitoring of occurrence of HPV infections in urine per month 61, 72, 96 and 120 post dose 0 in vaccinated groups
Read the detailed description

Hypothesis Girls 9 and 10 years of age who are administered the amplified anti/HPV vaccination scheme (0-6-60), show immunogenicity levels against HPV antibodies that are not lower than those of 9-year-old girls and adult women who have been administered the traditional scheme (0-1/2-6).

The vaccination schemes for HPV traditional (0-1 / 2-6) and extended (0-6-60), are equivalent from the immunologically perspective and therefore the number of memory B and T lymphocytes as well as the structure of repertoire will be not different between schemes.

Objectives The main objectives are to monitor the levels of immunity induced by vaccination against HPV with two vaccination schemes with the quadrivalent vaccine: Traditional Extended (0-6-60 months) and traditional (0-2-6); Monitoring levels of immunity induced by vaccination against HPV with three vaccine schemes with bivalent vaccine: Extended (0-6-60 months), traditional (0-1-6) and two doses (0- 6); as well as evaluating the interchangeability of the bivalent and quadrivalent vaccines in the third dose of extended scheme. The study design is to create a sentinel cohort of women vaccinated against HPV in the following comparison groups:

  • Women of nine years with extended vaccination scheme with three doses of quadrivalent vaccine (0-6-60)
  • Women of nine years with extended vaccination scheme with two doses of the quadrivalent vaccine and the third dose with bivalent (0-6-60)
  • Women of nine years with traditional vaccination scheme with the quadrivalent HPV vaccine (0-2-6)
  • Women between 18 and 24 years with traditional vaccination scheme with the quadrivalent HPV vaccine (0-2-6)
  • Women of nine years with extended vaccination scheme with three doses of bivalent vaccine (0-6-60)
  • Women of nine years with extended vaccination scheme with two doses of bivalent vaccine and the third tetravalent dose
  • Women of nine years with two vaccine doses scheme with the bivalent HPV vaccine (0-6)
  • Women of nine years with traditional vaccination scheme with bivalent HPV vaccine (0-1-6)
  • Women between 18 and 24 years with traditional vaccination scheme with bivalent HPV vaccine (0-1-6)
  • To monitoring HPV infections, at month 61 of follow-up, a group of 400 women aged 14-15 years, who have not been vaccinated against HPV, will be invited , in order to make the monitoring of occurrence of HPV infections in urine per month 61, 72, 96 and 120 post dose 0 in vaccinated groups

Methodology

Study design:

Creating a sentinel cohort of women vaccinated against HPV in three comparison groups:

  • Women of nine years with extended vaccination scheme with three doses of quadrivalent vaccine (0-6-60)
  • Women of nine years with extended vaccination scheme with two doses of the quadrivalent vaccine and the third dose with bivalent (0-6-60)
  • Women of nine years with traditional vaccination scheme with the quadrivalent HPV vaccine (0-2-6)
  • Women between 18 and 24 years with traditional vaccination scheme with the quadrivalent HPV vaccine (0-2-6)
  • Women of nine years with extended vaccination scheme with three doses of bivalent vaccine (0-6-60)
  • Women of nine years with extended vaccination scheme with two doses of bivalent vaccine and the third tetravalent dose
  • Women of nine years with two vaccine doses scheme with the bivalent HPV vaccine (0-6)
  • Women of nine years with traditional vaccination scheme with bivalent HPV vaccine (0-1-6)
  • Women between 18 and 24 years with traditional vaccination scheme with bivalent HPV vaccine (0-1-6) Selecting the study population.

A fraction of the population of females will be invited to participate in the study proportionately, combining strategies in schools and the community.

A total of 2450 women will be recruited. For the study purposes, they will be classified by vaccine type administered, (tetravalent and bivalent), as well as by age group and vaccination scheme.

Forming groups for evaluation.

Two groups of participants will be formed. Participants will be classified by vaccine type received:

  1. Bivalent Vaccine. This group will consist of a total of 2000 women. Two thirds of them will be 9 to 10 years of age, and 500 will be 18 to 24 years of age. In the first age group, 1000 of them will be administered the vaccine in the amplified scheme of 0, 6, 60 months. Five hundred females from this age group will be administered the vaccine according to the traditional scheme of 0, 1, 6 months. All females from the 18 to 24 age group will be administered the traditional scheme of 0, 1, 6 months.
  2. Tetravalent Vaccine:

A total of 450 females will participate. The 9 to 10 year age group will include 300 women, and the 18 to 24 year age group will include 150 females.

The vaccination scheme will be conformed as follows: In the group of 9- to 10-year-olds, 150 of them will be administered the vaccine in the amplified scheme of 0, 6, 60 months, and the remaining 150 will receive the vaccine under the traditional scheme of 0, 2, 6 months. The group of 18- to 24-year-old women will be conducted under the traditional scheme of 0, 2 and 6 months.

The vaccination scheme will be assigned according to number in the record and/or geographical location.

For quantification of immunological memory of B and T lymphocytes and characterizing lymphocytes B repertoire in women vaccinated against HPV, 60 participants for group, recruited for medical evaluation at month 60.

To evaluate the interchangeability of quadrivalent and bivalent vaccines a randomization will be performed in the group of girls aged 14-15 years who have been assigned at the beginning of the project with extended vaccination scheme (0-6-60) with the bivalent vaccine, so that one third of this group will receive the bivalent vaccine, another third will receive the quadrivalent vaccine and the remaining third will no longer receive additional doses.

Conditions
Healthy
Being tested
Bivalent Vaccines, Tetravalent Vaccine
Keywords
Evaluation, Immunogenicity, Levels, Women, HPV, Vaccine, Mexico

What participants receive

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

  • Bivalent VaccinesBiological

    Also called CERVARIX

  • Tetravalent VaccineBiological

    Also called Gardasil

Study groups in NCT01717118
Study groupRoleWhat they receive
Tetravalent VaccineActive comparator* Month 2 visit: May be scheduled on the appropriate month +/- 3 weeks. * Month 6, 21, 60 and 61 visit (vaccination scheme 0, 2, 6): May be programmed on the appropriate month +/- 4 weeks. * Month 7 and 61 visit (vaccination scheme 0, 6, 60): The time interval between the month 6/60 visit and the month 7/61 visit must be at least 3 weeks and maximum 7 weeks from the previous vaccination
Receives: Biological: Tetravalent Vaccine
Bivalent VaccineActive comparator* Month 1 visit: May be scheduled 21 to 62 days after the Day 0 visit. * Month 6 visit: May be scheduled 161 to 216 days after the Day 0 visit. * Month 6 visit: The time interval between the month 6 visit and the month 7 visit must be at least 3 weeks and maximum 7 weeks from the previous vaccination. * Month 21, 60 and 61 visit (vaccination scheme 0, 1, 6): May be scheduled on the appropriate month +/- 4 weeks. * Month 61 (vaccination scheme 0, 6, 60) The time interval between the month 60 visit and the month 61 visit must be at least 3 weeks and maximum 7 weeks from the previous vaccination
Receives: Biological: Bivalent Vaccines

What is being measured

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

  1. To monitor immunogenicity levels induced by anti/HPV vaccine in traditional squeme

    Bivalent Vaccine: Five hundred females from this age group will be administered the vaccine according to the traditional scheme of 0, 1, 6 months. All females from the 18 to 24 age group will be administered the traditional scheme of 0, 1, 6 months.

    Tetravalent Vaccine:

    150 will receive the vaccine under the traditional scheme of 0, 2, 6 months. The group of 18- to 24-year-old women will be conducted under the traditional scheme of 0, 2 and 6 months.

    Measured: 6 months

Secondary outcomes (1)
  1. To monitor immunogenicity levels induced by anti/HPV vaccine in extended squeme

    BIVALENT VACCINE: This group will consist of a total of 2000 women. Two thirds of them will be 9 to 10 years of age, and 500 will be 18 to 24 years of age. In the first age group, 1000 of them will be administered the vaccine in the amplified scheme of 0, 6, 60 months.

    TETRAVALENT VACCINE: the group of 9- to 10-year-olds, 150 of them will be administered the vaccine in the amplified scheme of 0, 6, 60 months

    Measured: 60 months

Timeline

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

  1. First posted30 Oct 2012 (estimated)
  2. Study startNov 2009
  3. Primary completionFeb 2015
  4. Study completionAug 2018

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 4
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
2,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01717118
Sponsor's protocol ID
883
Status last verified
Aug 2018
First submitted
26 Oct 2012
Last updated
27 Aug 2018
Results posted
No
Data monitoring committee
No

Publications

  • 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
  • Lazcano-Ponce E, Torres-Ibarra L, Cruz-Valdez A, Salmeron J, Barrientos-Gutierrez T, Prado-Galbarro J, Stanley M, Munoz N, Herrero R, Hernandez-Avila M. Persistence of Immunity When Using Different Human Papillomavirus Vaccination Schedules and Booster-Dose Effects 5 Years After Primary Vaccination. J Infect Dis. 2019 Jan 1;219(1):41-49. doi: 10.1093/infdis/jiy465.

    PubMed 30085139
  • Lazcano-Ponce E, Stanley M, Munoz N, Torres L, Cruz-Valdez A, Salmeron J, Rojas R, Herrero R, Hernandez-Avila M. Overcoming barriers to HPV vaccination: non-inferiority of antibody response to human papillomavirus 16/18 vaccine in adolescents vaccinated with a two-dose vs. a three-dose schedule at 21 months. Vaccine. 2014 Feb 3;32(6):725-32. doi: 10.1016/j.vaccine.2013.11.059. Epub 2013 Dec 16.

    PubMed 24355090

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Bivalent Vaccines and Tetravalent Vaccine in people with Healthy, run by Instituto Nacional de Salud Publica, Mexico at 1 site in Mexico.

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 2 inclusion and 5 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 27 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 1 site in Mexico. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

To monitor immunogenicity levels induced by anti/HPV vaccine in traditional squeme (time frame: 6 months). 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 NCT01717118, 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 27 Aug 2018.

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