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Cervical DysplasiaPhase 3REVEAL 1NCT03185013

REVEAL 1 (Evaluation of VGX-3100 and Electroporation for the Treatment of Cervical HSIL)

A Phase 3 study testing VGX-3100 and Electroporation (EP) in people with Cervical Dysplasia and Cervical High Grade Squamous Intraepithelial Lesion, run by Inovio Pharmaceuticals at 60 sites in 19 countries.

Completed

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

Official record
Search all trials

Trial summary

HPV-301 is a prospective, randomized, double-blind, placebo controlled Phase 3 study to determine the efficacy, safety, and tolerability of VGX-3100 administered by intramuscular (IM) injection followed by electroporation (EP) delivered with CELLECTRA™ 5PSP in adult women with histologically confirmed cervical high… Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
VGX-3100 and Electroporation (EP)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
201 participants
Where
60 sitesin 19 countries
Study dates
28 Jun 2017to 6 Apr 2021
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 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women aged 18 years and above
  • Confirmed cervical infection with HPV types 16 and/or 18 at screening
  • Cervical tissue specimen/slides provided to Study Pathology Adjudication Committee for diagnosis scheduled to be collected within 10 weeks prior to anticipated date of first dose of study drug
  • Confirmed histologic evidence of cervical HSIL at screening
  • Must be judged by Investigator to be an appropriate candidate for the protocol-specified procedure required at Week 36
  • With respect to their reproductive capacity must be post-menopausal or surgically sterile or willing to use a contraceptive method with failure rate of less than 1% per year when used consistently and correctly from screening until Week 36
  • Normal screening electrocardiogram (ECG)

Who cannot join

  • Microscopic or gross evidence of adenocarcinoma-in-situ (AIS), high grade vulvar, vaginal, or anal intraepithelial neoplasia or invasive cancer in any histopathologic specimen at screening
  • Cervical lesion(s) that cannot be fully visualized on colposcopy
  • History of endocervical curettage (ECC) which showed cervical HSIL indeterminate, or insufficient for diagnosis
  • Treatment for cervical HSIL within 4 weeks prior to screening
  • Pregnant, breastfeeding or considering becoming pregnant during the study
  • History of previous therapeutic HPV vaccination
Show all 13Show fewer
  • Immunosuppression as a result of underlying illness or treatment
  • Receipt of any non-study, non-live vaccine within 2 weeks of Day 0
  • Receipt of any non-study, live vaccine within 4 weeks of Day 0
  • Current or history of clinically significant, medically unstable disease or condition which, in the judgment of the investigator, would jeopardize the safety of the participant, interfere with study assessments or endpoint evaluation, or otherwise impact the validity of the study results
  • Presence of acute or chronic bleeding or clotting disorder that would contraindicate IM injections, or use of blood thinners within 2 weeks of Day 0
  • Participation in an interventional study with an investigational compound or device within 30 days of signing informed consent
  • Less than two acceptable sites available for IM injection

Trial locations and contacts

60 sites in 19 countries.

60 sites in 19 countries

United States22 sites
  • Augusta University

    Augusta, Georgia, 30912

  • Chattanooga Medical Research Inc

    Chattanooga, Tennessee, 37404

  • Women's Medical Research Group

    Clearwater, Florida, 33759

  • Greenville Pharmaceutical Research, Inc.

    Greenville, South Carolina, 29615

  • UAG Innovation Women Research, LLC

    Houston, Texas, 77074

  • Altus Research

    Lake Worth, Florida, 33461

  • Praetorian Pharmaceutical Research, LLC

    Marrero, Louisiana, 70072

  • Women's Physician Group

    Memphis, Tennessee, 38104

  • Mesa Obstetricians and Gynecologist

    Mesa, Arizona, 85209

  • Salom and Tangir LLC

    Miramar, Florida, 33461

  • Magnolia Ob/Gyn Research Center, LLC

    Myrtle Beach, South Carolina, 29572

  • Columbia University Medical Center

    New York, New York, 10032

  • New Jersey Medical School

    Newark, New Jersey, 07103

  • Meridian Clinical Research Norfolk

    Norfolk, Nebraska, 68701

  • Group For Women

    Norfolk, Virginia, 23502

  • Eastern Virginia Medical School

    Norfolk, Virginia, 23507

  • Suffolk Obstetrics and Gynecology

    Port Jefferson, New York, 11777

  • Saginaw Valley Medical Research Group LLC

    Saginaw, Michigan, 48604

  • Women's Health Research

    Scottsdale, Arizona, 85251

  • Visions Clinical Research-Tucson

    Tucson, Arizona, 85712

  • Comprehensive Clinical Trials LLC

    West Palm Beach, Florida, 33409

  • Lyndhurst Clinical Research

    Winston-Salem, North Carolina, 27103

Other trials in United States

Argentina3 sites
  • Hospital Italiano de Buenos Aires

    Buenos Aires, C1181ACH

  • DIM Clínica Privada

    Ramos Mejía, B1704ETD

  • Instituto de Ginecología

    Rosario, Santa Fe Province, S2000PBB

Other trials in Argentina

Estonia3 sites
  • Pärnu Hospital

    Pärnu, Pärnumaa, EE-80010

  • East Tallinn Central Hospital Womens Clinic

    Tallinn, 10119

  • Tartu University Hospital

    Tartu, 51014

Other trials in Estonia

Italy3 sites
  • Istituto Europeo Di Oncologia

    Milan, 20141

  • Istituto Nazionale Dei Tumori

    Milan, 20133

  • Fondazione Policlinico Universitario A Gemelli

    Rome, Lazio, 00168

Other trials in Italy

Poland3 sites
  • Centrum Medyczne Angelius Provita

    Katowice, 40-611

  • Niepubliczny Zakład Opieki Zdrowotnej Profimed

    Lublin, Lublin Voivodeship, 20-880

  • Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie

    Lublin, Lublin Voivodeship, 20-880

Other trials in Poland

Spain3 sites
  • Hospital Universitario de Bellvitge

    L'Hospitalet de Llobregat, Barcelona, 8907

  • Hospital Clinico San Carlos

    Madrid, 28040

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

Other trials in Spain

Belgium2 sites
  • Ziekenhuis Oost-Limburg

    Genk, Limburg, 3600

  • Centre Hospitalier Universitaire Ambroise Paré

    Mons, Hainaut, 7000

Other trials in Belgium

Finland2 sites
  • Kätilöopiston sairaala

    Helsinki, 290

  • Lääkäriasema Cantti Oy

    Kuopio, FI-70110

Other trials in Finland

Germany2 sites
  • Elisabeth Krankenhaus Essen GmbH

    Essen, 45138

  • Universitätsklinikum Hamburg Eppendorf

    Hamburg, 20246

Other trials in Germany

Lithuania2 sites
  • Vilnius University Hospital Santaros Klinikos

    Vilnius, LT- 08661

  • Vilnius District Central Outpatient Clinic

    Vilnius, LT-01117

Other trials in Lithuania

Peru2 sites
  • Unidad de Ensayos Clinicos (UNIDEC) del Policlinico Universidad Nacional Mayor de San Marcos

    Lima, 15083

  • Liga Peruana De Lucha Contra El Cancer

    Lima, 15084

Other trials in Peru

Portugal2 sites
  • Centro Hospitalar E Universitário de Coimbra EPE

    Coimbra, 3000-075

  • Centro Hospitalar de Lisboa Norte, EPE - Hospital de Santa Maria

    Lisbon, 1649-035

Other trials in Portugal

Slovakia2 sites
  • MCM GYNPED, s.r.o.

    Dubnica nad Váhom, 018 41

  • Univerzitna nemocnica Martin

    Martin, 036 59

Other trials in Slovakia

South Africa2 sites
  • University of Cape Town

    Cape Town, 7925

  • Lynette Reynders Private Practice

    Centurion, Gauteng, 157

Other trials in South Africa

Thailand2 sites
  • Chulalongkorn University

    Bangkok, 10700

  • Siriraj Hospital Mahidol University

    Bangkok, 10700

Other trials in Thailand

United Kingdom2 sites
  • Aberdeen Royal Infirmary - PPDS

    Aberdeen, AB25 7ZD

  • St Marys Hospital

    London, W2 1NY

Other trials in United Kingdom

Mexico1 site
  • Nuevo Hospital Civil de Guadalajara Dr. Juan I. Menchaca

    Guadalajara, Jalisco, 44340

Other trials in Mexico

Philippines1 site
  • Perpetual Succour Hospital

    Cebu, 6000

Other trials in Philippines

Puerto Rico1 site
  • Puerto Rico Translational Research Center (PRTRC)

    Rio Piedras, 00935

Other trials in Puerto Rico

About this study

Official title: A Prospective, Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of VGX-3100 Delivered Intramuscularly Followed by Electroporation With CELLECTRA™-5PSP for the Treatment of HPV-16 and/or HPV-18 Related High Grade Squamous Intraepithelial Lesion (HSIL) of the Cervix

HPV-301 is a prospective, randomized, double-blind, placebo controlled Phase 3 study to determine the efficacy, safety, and tolerability of VGX-3100 administered by intramuscular (IM) injection followed by electroporation (EP) delivered with CELLECTRA™ 5PSP in adult women with histologically confirmed cervical high grade squamous intraepithelial lesion (HSIL) (cervical intraepithelial neoplasia grade 2 [CIN2] or grade 3 [CIN3]) associated with human papillomavirus (HPV) 16 and/or HPV-18.

Being tested
VGX-3100, Placebo, Electroporation (EP)
Keywords
Cervical intraepithelial neoplasia (CIN), Human papillomavirus (HPV), High grade squamous intraepithelial lesion (HSIL), CIN 2, CIN 3, papillomavirus
Medical subject headings
Uterine Cervical Dysplasia, Squamous Intraepithelial Lesions

What participants receive

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

  • VGX-3100Biological

    1 mL VGX-3100 will be injected IM and delivered by EP using CELLECTRA™-5PSP on Day 0, Week 4 and Week 12.

  • PlaceboBiological

    1 mL of Placebo will be injected IM and delivered by EP using CELLECTRA™-5PSP on Day 0, Week 4 and Week 12.

  • Electroporation (EP)Device

    Intramuscular injection followed by EP with the CELLECTRA™ 5PSP device.

Study groups in NCT03185013
Study groupRoleWhat they receive
VGX-3100 + EPExperimentalParticipants received three IM injections of 6 milligram (mg) (in 1 milliliter [mL]) VGX-3100 followed by EP using the CELLECTRA™-5PSP device on Day 0, Week 4, and Week 12.
Receives: Biological: VGX-3100; Device: Electroporation (EP)
Placebo + EPPlacebo comparatorParticipants received three IM injections of 1 mL VGX-3100 matching placebo followed by EP using the CELLECTRA™-5PSP device on Day 0, Week 4, and Week 12.
Receives: Biological: Placebo; Device: Electroporation (EP)

What is being measured

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

  1. Percentage of Participants With No Evidence of Cervical HSIL on Histology and No Evidence of HPV-16 and/or HPV-18 in Cervical Samples

    Participants with no histologic (i.e., biopsies or excisional treatment) evidence of cervical HSIL, no evidence of HPV-16 and/or HPV-18 at the Week 36 time frame, and participants in which excision or biopsy sample was not obtained between the initial dose up to Week 36 were considered to be responders. No evidence of HSIL was defined by histology as negative, squamous atypia, or low-grade intraepithelial lesion (LSIL). Cervical samples for HPV-16 and/or HPV-18 were collected using the ThinPrep®.

    Measured: Week 36

Secondary outcomes (10)
  1. Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs) Following Investigational Treatment for the Duration of the Study

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as AEs. An SAE is any experience that suggested a significant hazard, contraindication, side effect, or precaution, and fulfilled any of the following criteria: fatal (resulted in death), life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was medically significant or required intervention to prevent any of the other outcomes listed here.

    Measured: From baseline up to Week 88

  2. Percentage of Participants With No Evidence of Cervical HSIL on Histology

    Participants with no histologic (i.e., biopsies or excisional treatment) evidence of cervical HSIL at Week 36 and participants in which an excision or biopsy sample was not obtained between the initial dose up to Week 36 were considered to be responders. No evidence of HSIL was defined by histology as negative, squamous atypia, or LSIL.

    Measured: Week 36

  3. Percentage of Participants With No Evidence of HPV-16 and/or HPV-18 in Cervical Samples by Type Specific HPV Testing

    Participants with no evidence of HPV-16 and/or HPV-18 at the Week 36 time frame and participants in which an excision or biopsy sample was not obtained between the initial dose up to Week 36 were considered to be responders. Cervical samples for HPV-16 and/or HPV-18 were collected using the ThinPrep®.

    Measured: Week 36

  4. Percentage of Participants With No Evidence of LSIL or HSIL on Histology

    Participants with no histologic evidence of cervical HSIL, squamous atypia, or LSIL at the Week 36 time frame and participants in which an excision or biopsy sample was not obtained between the initial dose up to Week 36 were considered to be responders. No evidence of HSIL was defined as no evidence of cervical squamous intraepithelial neoplasia 1 (CIN1), CIN2, or CIN3 on biopsies or excisional treatment.

    Measured: Week 36

  5. Percentage of Participants With No Evidence of LSIL or HSIL and No Evidence of HPV-16 and/or HPV-18

    Participants with no histologic evidence of cervical HSIL, squamous atypia, and LSIL, no evidence of HPV-16 and/or HPV-18 by type specific HPV testing at the Week 36 time, and participants in which an excision or biopsy sample was not obtained between initial dose up to Week 36 were considered to be responders. No evidence of HSIL was defined as no evidence of CIN1, CIN2, or CIN3 on biopsies or excisional treatment.

    Measured: Week 36

  6. Percentage of Participants With No Progression of Cervical HSIL to Cervical Carcinoma

    Participants with no histologic evidence of cervical Adenocarcinoma in situ or cervical carcinoma at the Week 36 timeframe relative to baseline and participants in which an excision or biopsy sample was not obtained between initial dose up to Week 36 were considered as responders.

    Measured: Week 36

  7. Percentage of Participants Who Have Cleared HPV-16 and/or HPV-18 in Non-cervical Anatomic Locations

    Participants with no evidence of HPV-16 and/or HPV-18 on specimens from noncervical anatomic locations (oropharynx, vagina and intra-anal) at the Week 36 time frame were considered as responder.

    Measured: Week 36

  8. Levels of Serum Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations

    A standardized binding enzyme-linked immunosorbent assay (ELISA) was performed to measure the anti-HPV-16/18 antibody response induced by VGX-3100.

    Measured: Week 15 and Week 36

  9. Change From Baseline in Interferon-Gamma Response Magnitude

    Assessment of cellular immune activity occurred via the application of the Interferon-γ enzyme-linked immunosorbent spot (IFN-γ ELISpot). Peripheral blood mononuclear cells (PBMCs) isolated from whole blood sample were used for analysis.

    Measured: Baseline; Week 15 and Week 36

  10. Change From Baseline in Flow Cytometry Response Magnitude

    Assessment of cellular immune activity was measured using the application flow cytometry for the purposes of performing a Lytic Granule Loading Assay. The Lytic Granule Loading assay examines the following external cellular markers: CD3, CD4, CD8 (T cell identification), CD137, CD38 and CD69 (T cell activation markers) as well as PD-1 (exhaustion/activation marker). Here change from baseline in CD8+CD137+Perforin+, CD8+CD38+Perforin+ and CD8+CD69+Perforin+ are reported.

    Measured: Baseline, Week 15

Timeline

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

  1. First posted14 Jun 2017
  2. Study start28 Jun 2017
  3. Primary completion8 Jul 2020
  4. Study completion6 Apr 2021

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
201 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03185013
Sponsor's protocol ID
HPV-301
Other IDs
2016-002761-63, 2016
Acronym
REVEAL 1
Status last verified
Jul 2023
First submitted
9 Jun 2017
Last updated
27 Jul 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing VGX-3100 and Electroporation (EP) in people with Cervical Dysplasia and Cervical High Grade Squamous Intraepithelial Lesion, run by Inovio Pharmaceuticals at 60 sites in 19 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 7 inclusion and 13 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 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States, Argentina, Estonia, Italy, Poland and 14 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 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 25 Jul 2023). 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?

Percentage of Participants With No Evidence of Cervical HSIL on Histology and No Evidence of HPV-16 and/or HPV-18 in Cervical Samples (time frame: Week 36). 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 27 Jul 2023.

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