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Genital Infection ViralPhase 2RHEIA-VACNCT01957878

Phase II Study of HPV Therapeutic Vaccine in HPV Infected Women With Normal Cytology or ASCUS/LSIL

A Phase 2 study testing ProCervix in people with Genital Infection Viral and HUMAN PAPILLOMA VIRUS, run by Genticel at 40 sites in 7 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

Human Papillomavirus (HPV) 16 and HPV 18 (the two virus genotypes targeted by the ProCervix vaccine) are the most common HPV genotypes associated with at least 70% of squamous cell carcinomas and 82% of adenocarcinomas of the cervix The strategy of therapeutic vaccination with ProCervix is to activate and enhance the… Read more about this study

Who is it for?
Ages 25 to 50 years, women only
What is being tested?
ProCervix
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
239 participants
Where
40 sitesin 7 countries
Study dates
Dec 2013to Oct 2016
Phase
Phase 2
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 25 to 50 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • A subject will be eligible for inclusion in this study if the following criteria apply:
  • Subject is female between the ages of 25 and 50 years (inclusive).
  • Subject is pre-menopausal .
  • Subject must have cervical HPV 16 and/or 18 infection confirmed by RT-PCR
  • Subject has a cervical cytological evaluation with a normal, ASCUS or LSIL result at baseline.
  • Subject has employed highly effective contraception the month prior to the first vaccination and will agree to employ highly effective contraception for at least 12 months after the first vaccination. .
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  • Subject is in general good health based on medical history and physical examination.
  • Subject is able to communicate effectively with study personnel and is considered reliable, willing, and cooperative in terms of compliance with the protocol requirements.
  • Subject voluntarily gives written informed consent to participate in the study.

Who cannot join

  • Subject has a current acute or chronic disease, other than infection with HPV, which would be expected to interfere with the planned evaluations of response
  • Subject has vaginal atrophy with or without topical hormonal therapies or systemic selective estrogen receptor modulators (SERMs).
  • Subject has prior exposure to HPV prophylactic vaccine or subject has participated in the past in another vaccination clinical trial related to infection with HPV
  • Current high grade lesions or history of untreated high grade cervical lesion (either CIN2 or CIN3).
  • Subject has current or a history of cancer of the cervix.
  • Subject has clinically significant (CS) gynaecological abnormalities that could interfere with study evaluation, in the judgment of the Investigator (e.g. prolapse, myoma, fibroid, hysterectomy).
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  • Subject has a laboratory abnormality Grade ≥ 2, as defined using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventative Vaccine Clinical Trials,
  • Subject has received any live viral vaccine within 3 months or any other non live vaccine within 2 weeks of first study product administration.
  • Subject has primary or secondary systemic immunosuppression
  • Subject has a history of severe allergy (requiring hospital care) or history of severe asthma
  • Subject has a history of malignant cancer, except the following adequately treated cancers: basal cell carcinoma, or dermatological squamous cell carcinoma.
  • Subject was administered with another investigational drug or vaccine within 30 days prior to the screening visit or is participating in any other study.
  • Subject has a known hypersensitivity to imiquimod.
  • Subject has a history of severe reaction to any drug or vaccination.
  • Subject has a medical condition with clinical and/or biological consequences judged by the Investigator incompatible with vaccination(s).
  • Subject has positive results for human immunodeficiency virus (HIV), hepatitis B virus (HBV) surface antigen (HBsAg), or hepatitis C virus (HCV).
  • Subject has a symptomatic vaginal or genital infection
  • Subject has a history of or currently active genital herpes disease.
  • Subject is pregnant or is breastfeeding.
  • Subject has a positive serum human chorionic gonadotrophin (HCG) result at enrolment.

Trial locations and contacts

40 sites in 7 countries.

40 sites in 7 countries

France10 sites
  • CHU Amiens Hopital Sud

    Amiens

  • Hôpital Saint Jacques

    Besançon

  • GORH, CHU Estaing

    Clermont-Ferrand

  • CHU Dijon

    Dijon

  • Hôpital Jeanne de Flandre CHU de Lille

    Lille

  • CHU de Nîmes - Hopital Universitaire Caremeau

    Nîmes

  • Centre d'Investigation Clinique de Vaccinologie Cochin Pasteur (CIC BT505)

    Paris

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite

  • CHU de Reims Institut Alix de Champagne

    Reims

  • Hôpital de Hautepierre

    Strasbourg

Other trials in France

Spain10 sites
  • Hospital Clinic Dept of Obstetrics and Gynecology C/ Villarroel Unidad de Ginecología Oncológica, Instituto Clínico de Ginecología y Obstetricia y Neonatología (ICGON), Hospital Clínic, Instituto de Investigaciones Biomédi

    Barcelona

  • Hospital del Mar

    Barcelona

  • Hospital Universitari Vall D Hebron

    Barcelona

  • Institut Catala d'Oncologia L'Hopitalet de Llobregat

    Barcelona

  • Clinica Ginecologica Ceoga, Clinic/Outpatient Facility

    Lugo

  • Hospital Clínico San Carlos

    Madrid

  • Hospital La Paz de Madrid

    Madrid

  • Hospital Universitario "12 de Octubre"

    Madrid

  • Hospital Regional Universitario Carlos Haya - Hospital Materno Infantil

    Málaga

  • Hospital Sagrado Corazón de Sevilla

    Seville

Other trials in Spain

Germany6 sites
  • Charité - Universitätsmedizin Berlin Hospital

    Berlin

  • Universitätsklinikum Erlangen Hospital

    Erlangen

  • Elisabeth Krankenhaus Essen GmbH - Clinic/Outpatient Facility

    Essen

  • Klinikum der Friedrich Schiller Universität Jena Hospital

    Jena

  • LMU Klinikum der Universität- Hospital

    München

  • Klinikum Wolfsburg Hospital

    Wolfsburg

Other trials in Germany

United Kingdom5 sites
  • Dumfries and Galloway Royal Infirmary Hospital

    Dumfries

  • Liverpool - GUM - Liverpool Centre for Sexual Health

    Liverpool

  • St Mary's Hospital

    London

  • Academic O&G University of Manchester Research - St Mary's Hospital

    Manchester

  • The Centre for Immunology and Infection Hull York Medical School University of York

    York

Other trials in United Kingdom

Belgium4 sites
  • Centre for the Evaluation of Vaccination Vaccine & Infectious Disease Institute (VAXINFECTIO) Faculty of Medicine University of Antwerp Belgium

    Antwerp

  • Grand Hôpital de Charleroi Site Notre-Dame

    Charleroi

  • University Hospitals Leuven

    Leuven

  • Regionaal Ziekenhuis Heilig Hart Tienen Hospital

    Tienen, Vlaams Brabant

Other trials in Belgium

Finland3 sites
  • Helsinki University Central Hospital

    Helsinki

  • Kuopio University Hospital

    Kuopio

  • Tampereen yliopistollinen sairaala Hospital

    Tampere

Other trials in Finland

Netherlands2 sites
  • Center Gynaecological Oncology Amsterdam AMC, NKI-AVL, VUmc

    Amsterdam

  • St. Antonius Ziekenhuis Hospital

    Nieuwegein

Other trials in Netherlands

About this study

Official title: A Double-blind, Randomised, Placebo-controlled, Phase II Study to Evaluate ProCervix Efficacy to Clear HPV 16 and HPV 18 Infection in Women With Normal Cytology or ASCUS/LSIL

Human Papillomavirus (HPV) 16 and HPV 18 (the two virus genotypes targeted by the ProCervix vaccine) are the most common HPV genotypes associated with at least 70% of squamous cell carcinomas and 82% of adenocarcinomas of the cervix The strategy of therapeutic vaccination with ProCervix is to activate and enhance the patient's cellular immune response to HPV . The therapeutic vaccine will be used for women infected by HPV 16, HPV 18, or both. The vaccine targets these HPV infected women with normal or mild cervical cellular dyskaryosis as detectable infections with oncogenic potential.

This will be a double-blind, randomised, placebo-controlled, parallel group study assessing the efficacy of ProCervix or placebo (concomitantly administered with imiquimod cream).

Read more

ProCervix will be delivered with a topical agent, imiquimod, applied to the injection sites as a vaccine adjuvant.

The population proposed for this study represents an otherwise healthy female population who are infected with HPV 16 and/or HPV 18. The safety and tolerability of this therapeutic vaccine has been shown in the ongoing Phase I study, and the proposed population may in theory derive benefit from this vaccine.

Being tested
ProCervix, Placebo

What participants receive

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

  • ProCervixBiological

    ProCervix consists of two recombinant adenylate cyclase (CyaA) proteins, CyaA-HPV 16E7 (C16-1) and CyaA-HPV 18E7 (C18-1) in a 50/50 ratio (C16C18-2 Ag mixture). ProCervix is adjuvanted by Aldara™, a cream containing 5% of imiquimod

  • PlaceboBiological

    Placebo matching ProCervix and adjuvanted by Aldara™, a cream containing 5% of imiquimod

Study groups in NCT01957878
Study groupRoleWhat they receive
HPV therapeutic vaccineExperimentalProCervix consists of two recombinant adenylate cyclase (CyaA) proteins, CyaA-HPV 16E7 (C16-1) and CyaA-HPV 18E7 (C18-1) in a 50/50 ratio (C16C18-2 Ag mixture). ProCervix is adjuvanted by Aldara™, a cream containing 5% of imiquimod
Receives: Biological: ProCervix
Placebo matching ProCervixPlacebo comparatorPlacebo matching ProCervix and adjuvanted by Aldara™, a cream containing 5% of imiquimod
Receives: Biological: Placebo

What is being measured

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

  1. Clearance of HPV 16 and HPV 18 infection at Month 12 using a type specific, sensitive and quantitative HPV PCR assay.

    Measured: month 12

Secondary outcomes (1)
  1. Clearance of HPV 16 and HPV 18 infection.

    Measured: Month 6, 15, 18, 24

Timeline

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

  1. First posted8 Oct 2013 (estimated)
  2. Study startDec 2013
  3. Primary completionOct 2016
  4. Study completionOct 2016

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
239 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01957878
Sponsor's protocol ID
PC10VAC02
Acronym
RHEIA-VAC
Status last verified
Dec 2016
First submitted
4 Oct 2013
Last updated
2 Dec 2016
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ProCervix in people with Genital Infection Viral and HUMAN PAPILLOMA VIRUS, run by Genticel at 40 sites in 7 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 9 inclusion and 20 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 2 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in France, Spain, Germany, United Kingdom, Belgium and 2 more countries. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Clearance of HPV 16 and HPV 18 infection at Month 12 using a type specific, sensitive and quantitative HPV PCR assay. (time frame: month 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 Dec 2016.

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