Safety and Immunogenicity Study of MEDI-517 (GSK 580299) With or Without Adjuvant in Healthy Adult Females

GlaxoSmithKline (GSK)

Status and phase: Completed; Phase 2

Conditions: Infections, Papillomavirus

Treatments: Biological: MEDI-517 HPV-16/18 VLP AS04 vaccine; Biological: MEDI-517 HPV-16/18 VLP vaccine with Al(OH)3; Biological: MEDI-517 HPV-16/18 VLP vaccine without adjuvant

Study type: Interventional

Funder types: Industry

Identifiers

NCT00693615

580299/004

Details and patient eligibility

About

The goals of this study are to describe the safety, reactogenicity and immunogenicity of MEDI-517 with and without adjuvant in HPV-naïve humans. Long-term immune data is collected.

This study was originally performed by MedImmune. However, GSK is now responsible for the clinical development of the HPV vaccine.

Full description

This is a Phase II, double-blind, randomized, comparative trial of three formulations of MEDI-517 given at 0, 30, and 180 days by intramuscular injection. The volunteers in this study will be healthy females 18 through 30 years of age. The study collects safety, reactogenicity and immunogenicity data of MEDI-517 with and without adjuvant. Extended follow-up will provide long-term immune response data.

Enrollment: 60 patients

Sex: Female

Ages: 18 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Females 18 through 30 years of age (must not have reached the 31st birthday)
• Written informed consent obtained from the volunteer
• Unless previously surgically sterilized, agrees to use an effective method of birth control beginning 30 days before the first study injection and continuing through 60 days after the final study injection
• Must have a negative serum pregnancy test within 21 days of study entry and must not be breast feeding
• Healthy by medical history and physical examination
• Seronegative for HPV-16 and HPV-18 antibody by ELISA within 21 days of study entry
• Cervical specimen negative for high-risk HPV DNA using the Digene Hybrid Capture® II HPV test (high-risk types Probe B) within 21 days of study entry
• Normal Pap smear, using the Cytyc ThinPrep® Pap Test, within 21 days of study entry
• No evidence of anogenital HPV lesions or physical findings suggestive of other gynaecologic pathogens on pelvic examination within 21 days of study entry
• Agrees to no other vaccines or experimental therapy until 30 days after the last study injection

Exclusion criteria

• Acute illness or fever (oral temperature ≥ 99.5°F [37.5°C]) at start of the study
• History or clinical manifestations of significant medical or psychiatric disorder
• Use of immunosuppressive medication (inhaled and topical corticosteroids are permitted) within the previous 90 days or history of immunodeficiency
• History of cancer
• History of alcohol or drug abuse within the past 2 years
• Abnormal laboratory blood values at screening. Other abnormal laboratory values in the screening panel which in the opinion of the principal investigator are judged to be clinically significant
• Receipt of immunoglobulin or blood products within 90 days prior to study entry
• History of abnormal Pap smear (other than a single prior report of ASCUS or indeterminate Pap smear with a subsequent normal report)
• Genital herpes disease involving the cervix or with disease characterized on examination or by history by extensive external lesions. Volunteers with a history of recurrent genital herpes disease characterized by limited external lesions are eligible to participate in the study.
• Positive tests for hepatitis C antibody, hepatitis B surface antigen, or HIV-1 antibody
• Any prior receipt of any vaccine (experimental or otherwise) for treatment or prophylaxis of genital warts or other papillomavirus related condition. Any treatment of genital warts or other papillomavirus related condition within 6 months of randomization (local therapy for common skin and/or plantar warts is allowed)
• Previous administration of any components of the investigational vaccine
• Receipt of any experimental vaccine within 90 days prior to entry into this study
• Receipt of any experimental drug therapy within 30 days or five half-lives of the experimental drug (if the half-life is known), whichever is longer

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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60 participants in 3 patient groups

Group A

Experimental group

Description:

Formulation 1 of the vaccine (MEDI-517 HPV-16/18 VLP AS04 vaccine)

Treatment:

Biological: MEDI-517 HPV-16/18 VLP AS04 vaccine

Group B

Experimental group

Description:

Formulation 2 of the vaccine \[with Al(OH)3\]

Treatment:

Biological: MEDI-517 HPV-16/18 VLP vaccine with Al(OH)3

Group C

Experimental group

Description:

Formulation 3 of the vaccine (without adjuvant)

Treatment:

Biological: MEDI-517 HPV-16/18 VLP vaccine without adjuvant