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HPVPhase 4NCT06799494

HPV Vaccine Reduced Dose

A Phase 4 study testing Gardasil-9, Lidocaine injection and Lorazepam in people with HPV, run by Emory University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study aims to answer the question: does 1-dose HPV vaccination generate the same immune responses compared to 2- or 3-dose HPV vaccination? This will be done by studying the immune response in blood, lymph nodes, and bone marrow. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
HPV
What is being tested?
Gardasil-9, Lidocaine injection and Lorazepam
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteUnited States
Study dates
6 Aug 2025to Sep 2028
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Individuals aged 18-45 years (inclusive), as the HPV vaccine is approved for this age range in adults
  • BMI < 35
  • Able to understand and give informed consent (in American English).
  • In good health based on physical examination, vital signs, medical history, and the investigator's clinical judgment.
  • Available and willing to participate for the duration of this study
  • Willing to undergo lymph node fine-needle aspiration and bone marrow aspiration
  • Willing to consent to the future use of remaining (residual) samples/specimens with IRB review
  • Willing to defer completion of the recommended 9vHPV series

Who cannot join

  • Ever received a dose of an HPV vaccine
  • HPV 6, 11, 16, 18, 31, 33, 45, 52, or 58 seropositivity
  • Any history of genital warts, an abnormal Pap smear, or a positive HPV DNA test
  • Known allergy or history of anaphylaxis or other serious adverse reaction to a vaccine or vaccine products
  • Known allergy or history of anaphylaxis to yeast or products containing yeast.
  • Any allergy to lidocaine.
Show all 26Show fewer
  • Pregnancy or breastfeeding.
  • Participants who believe they cannot tolerate the lymph node fine needle aspirate or bone marrow aspirate procedures without general sedation
  • Any history of lymphoma involving axillary nodes, any history of breast cancer, bilateral inflammatory process of upper arms in the past 2 weeks, prior breast or axillary biopsy and/or surgery that, in the opinion of the investigator, would affect the immune response results.
  • Local infection, lymphadenitis, or rash in the targeted area.
  • Received any vaccine from 14 days before the vaccine dose until 30 days after each vaccine dose* (*An individual initially excluded from study participation based on one or more of the time-limited exclusion criteria (fever, receipt of other vaccines) may be reconsidered for enrollment once the condition has resolved as long as the participant continues to meet all other entry criteria)
  • Volunteers with fever (≥100.4 F or 38°C regardless of the route) within 3 days before vaccination*. (*An individual initially excluded from study participation based on one or more of the time-limited exclusion criteria (fever, receipt of other vaccines) may be reconsidered for enrollment once the condition has resolved as long as the participant continues to meet all other entry criteria)
  • History of or presence of severe co-morbidities as determined by the investigator, including autoimmune disease, or clinically significant cardiac, pulmonary, gastrointestinal, hepatic, rheumatologic, renal disease, thrombocytopenia, and grade 4 hypertension (Grade 4 hypertension per CTCAE criteria is defined as life-threatening consequences (e.g., malignant hypertension, transient or permanent neurologic deficit, hypertensive)
  • History of a bleeding disorder or currently taking anticoagulant products* (e.g., warfarin, direct thrombin inhibitors, heparin products, etc.), anti-platelet products, and/or NSAIDs including aspirin. (*including in the past week; however, an individual who is initially excluded from study participation based on one or more of the time-limited exclusion criteria may be reconsidered for enrollment once the condition has resolved as long as the participant continues to meet all other entry criteria)
  • History of active malignancy other than squamous cell or basal cell skin cancer, unless there was a surgical excision considered to have achieved a cure.
  • Current and/or expected immunosuppression due to cancer, receipt of chemotherapy, radiation therapy, and other immunosuppressive therapies (including anti-TNF therapy).
  • Known or suspected congenital or acquired immunodeficiency, including functional or anatomic asplenia, or recent history or current use of immunosuppressive therapy**. (**Anti-cancer chemotherapy or radiation therapy within the preceding 3 years, or long-term (≥2 weeks within the previous 3 months) systemic corticosteroid therapy (e.g., prednisone at a dosage of ≥20 mg per day or on alternative days). Intranasal or topical prednisone (or equivalent) is allowed)
  • Known chronic infections including, but not limited to, HIV, tuberculosis, hepatitis B or C.
  • Is post-organ, bone marrow, and/or stem cell transplant, whether or not on chronic immunosuppressive therapy.
  • Received blood products or immunoglobulin 3 months before study entry or planned use during this study.
  • Had major surgery (per the investigator's judgment) within 4 weeks before study entry or planned major surgery during this study.
  • Insulin-dependent diabetes* mellitus type 1 or type 2 requiring therapy. (*History of isolated gestational diabetes is not an exclusion criterion)
  • Received experimental therapeutic agents within 12 months before the first vaccine dose or plans to receive any experimental therapeutic agents 12 months after the first vaccine dose that, at the investigator's discretion, would interfere with the safety or objectives of the study. COVID-19 vaccines that fall under FDA EUA will be treated as approved vaccines for this study.
  • Is currently participating or plans to participate in another clinical study that would involve the receipt of an investigational product or undergo a procedure that, in the investigator's opinion, would interfere with the safety or objectives of the study.
  • Current diagnosed or self-reported alcohol abuse, drug abuse, or psychiatric conditions that, in the opinion of the investigator, would preclude compliance with the study.
  • Social, occupational, or any other condition that, in the investigator's discretion, might interfere with compliance with the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Erin Scherer, PhD contact

404-712-6904

emscher@emory.edu

Daniel Graciaa, MD contact

404-712-1370

dsgraci@emory.edu

United States1 site, 1 recruiting
  • Hope Clinic of the Emory Vaccine Center

    Decatur, Georgia, 30030

    Recruiting

Other trials in United States

About this study

Official title: Comparing the Antibody and B Cell Responses Induced by 1- or 2-dose 9-valent HPV (9vHPV) Vaccination in Healthy Adults

This study aims to answer the question: does 1-dose HPV vaccination generate the same immune responses compared to 2- or 3-dose HPV vaccination? This will be done by studying the immune response in blood, lymph nodes, and bone marrow.

Human papillomaviruses (HPV) cause cancers (cervical, anal, oropharyngeal, vulvar, vaginal, and penile), and the current HPV vaccine is highly effective at preventing disease by HPV types that cause 90% of cancer cases. While this vaccine generates high levels of antibodies that last for > 10 years, understanding of how this occurs is limited, and studying this immune response will help design new and better vaccines.

The study population consists of healthy adult (age 18-45) participants who have not previously received an HPV vaccine, do not have antibodies against certain types of HPV, do not have a history of HPV infection or disease (such as genital warts, abnormal pap test, or HPV DNA test), and do not have contraindications to study procedures. Populations of increased concern are not being enrolled.

Read the detailed description

This study aims to determine whether a single-dose HPV vaccination produces the same immune response as a two- or three-dose HPV vaccination.

The 1-dose HPV vaccination was recently recommended by the World Health Organization (WHO) for people with healthy immune systems aged 9-20 years. To learn whether 1-dose HPV vaccination makes the same immune responses as 2- or 3-dose HPV vaccination in humans, there is a need to study the immune response to the HPV vaccine in the blood (where antibodies are), in the lymph nodes (where immune cells that make antibodies get activated), and in the bone marrow (where long-lived cells that produce antibodies are found). After informed consent, participants will have blood drawn for screening tests. If they are eligible, they will receive the FDA-approved HPV vaccine. The vaccine will be given in 1 or 2 doses, but participants will have the opportunity to receive the full vaccine series at the end of the study. Participants will have additional blood draws and undergo fine needle aspiration (FNA) of a lymph node in the axilla (armpit) at 3 different times. Later, they will have bone marrow aspiration procedures during which marrow is sampled from the hip bone through a needle. Researchers will use this knowledge to inform public health decisions about the broader use of 1-dose HPV vaccination.

Conditions
HPV
Being tested
Gardasil-9, Lidocaine injection, Lorazepam
Keywords
HPV Prevention, HPV Vaccine, Immune responses

What participants receive

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

  • Gardasil-9Biological

    Also called HPV Vaccine, 9-valent HPV vaccine (9vHPV)

    The 9-valent HPV VLP vaccine is a sterile liquid suspension prepared by combining the adsorbed VLPs of each HPV type and additional amounts of the aluminum-containing adjuvant and the final purification buffer. The 9-valent HPV vaccine, or Gardasil-9, is a sterile suspension for intramuscular administration. Each 0.5-mL dose of the vaccine also contains approximately 500 mcg of aluminum (provided as AAHS), 9.56 mg of sodium chloride, 0.78 mg of L-histidine, 50 mcg of polysorbate 80, 35 mcg of sodium borate, <7 mcg yeast protein, and water for injection. The product does not contain a preservative or antibiotics.

    Gardasil-9 is supplied as a 0.5-mL single-dose vial or 0.5-mL single-dose prefilled Luer Lock syringe with tip cap. After thorough agitation, GARDASIL 9 is a white, cloudy liquid.

  • Lidocaine injectionDrug

    Also called Lidocaine 1% Injectable Solution

    Lidocaine 1% will be injected intradermally and subcutaneously into the margin of the lymph node to be sampled to numb the area. To confer local anesthesia, 1-2% will be injected into the tissue surrounding the area where the bone marrow will be removed.

  • LorazepamDrug

    Lorazepam, an FDA-approved benzodiazepine, will be administered as an anxiolytic before the bone marrow aspirate procedure per the clinician who will perform the procedure. If needed, lorazepam will be administered sublingually per manufacturer dosing recommendations.

Study groups in NCT06799494
Study groupRoleWhat they receive
One dose of the 9-valent HPV vaccineExperimentalParticipants will receive one dose of the 9-valent HPV (9vHPV) vaccine by intramuscular injection on Day 0. Participants will be asked to donate blood samples for immunologic testing at screening (from Day -60 to -1), on Day 0 (before vaccination), 7±1, 30±5, 180±5 (before vaccination; Visit 5), Visit 5 + 7±1 days, Visit 5 + 30±5 days, 365±14, 730±14 (Visit 10), ≥84 days from Visit 10 (Optional Visit 12), 1095±14 (Optional Visit 13), 1460±14 (Optional Visit 14), 1825±30 (Optional Visit 16), and ≥84 days from Visit 16 (Optional Visit 18). Axillary lymph node sampling by fine-needle aspiration (FNA) will be done 3 times per group on Day 30±5, 180±5 (Visit 5), and Visit 5 + 30±5 days. Bone marrow sampling will be done for all groups at Days 730±14 and 1825±30.
Receives: Biological: Gardasil-9; Drug: Lidocaine injection; Drug: Lorazepam
Two doses of the 9-valent HPV vaccineActive comparatorParticipants will receive two doses of the 9vHPV vaccine on Day 0 and a second dose 6 months later. Participants will be asked to donate blood samples for immunologic testing at screening (from Day -60 to -1), on Day 0 (before vaccination), 7±1, 30±5, 180±5 (before vaccination; Visit 5), Visit 5 + 7±1 days, Visit 5 + 30±5 days, 365±14, 730±14 (Visit 10), ≥84 days from Visit 10 (Optional Visit 12), 1095±14 (Optional Visit 13), 1460±14 (Optional Visit 14), 1825±30 (Optional Visit 16), and ≥84 days from Visit 16 (Optional Visit 18). Axillary lymph node sampling by fine-needle aspiration (FNA) will be done 3 times per group on Day 30±5, 180±5 (Visit 5), and Visit 5 + 30±5 days. Bone marrow sampling will be done for all groups at Days 730±14 and 1825±30.
Receives: Biological: Gardasil-9; Drug: Lidocaine injection; Drug: Lorazepam

What is being measured

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

  1. Frequency of plasma cells specific for HPV16/18 virus like particles (VLPs)

    Frequency of plasma cells specific for HPV16/18 virus-like particles (VLPs) per total IgG-secreting plasma cells in bone marrow in per-protocol participants of the 1- and 2-dose 9vHPV arms

    Measured: 730 days after receiving the first vaccine dose

Secondary outcomes (1)
  1. Frequency of memory B cells specific for HPV16/18 VLPs

    Frequency of memory B cells specific for HPV16/18 VLPs per total memory B cells in PBMC in per protocol participants of the 1- and 2-dose 9vHPV arms.

    Measured: Baseline (Day 0), Day 30, Day 180, Day 210, Day 365, and Day 730 post-intervention

Timeline

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

  1. First posted29 Jan 2025
  2. Study start6 Aug 2025
  3. Primary completionSep 2028 (estimated)
  4. Study completionSep 2028 (estimated)

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06799494
Sponsor's protocol ID
STUDY00008623
Other IDs
2025P011496
Status last verified
Aug 2026
First submitted
23 Jan 2025
Last updated
31 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The research team will share de-identified demographic, ELISPOT, pseudovirus neutralization, ELISA, flow cytometry, sc-RNA-seq, paired immunoglobulin repertoire sequencing, monoclonal antibody neutralization, and the monoclonal antibody heavy and light chain sequence data utilized in our publications. Data will be made publicly available in relevant repositories and easy to find in their publications.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Gardasil-9, Lidocaine injection and Lorazepam in people with HPV, run by Emory University at 1 site in United States.

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 8 inclusion and 26 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: looking for participants now, as of the sponsor's last update on 31 Aug 2026. 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 United States. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Erin Scherer, PhD (404-712-6904, emscher@emory.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of plasma cells specific for HPV16/18 virus like particles (VLPs) (time frame: 730 days after receiving the first vaccine dose). 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 31 Aug 2026.

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