CClinicalTrials.gg
CompletedNCT01031069Updated Jul 21, 2020Results posted

Evaluation of Safety and Immunogenicity of a Human Papillomavirus (HPV) Vaccine in Human Immunodeficiency Virus (HIV) Infected Females

A Phase 4 interventional study of GSK Biologicals' HPV vaccine 580299 and Merck's Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine (Gardasil) in Infections, Papillomavirus and Papillomavirus Vaccines, sponsored by GlaxoSmithKline. Completed at 15 sites in 4 countries. Open to female participants aged 15 Years to 25 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-07-21.

Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
873
Allocation
Randomized
Ages
15 Years to 25 Years
Sex
Female
01

Study summary

Infection with human papillomavirus (HPV) has been clearly established as the central cause of cervical cancer. This Phase IV, observer-blind study is designed to evaluate the safety and immunogenicity of Cervarix in HIV infected females aged 15 to 25 years as compared to Merck's HPV vaccine (Gardasil). For comparative purposes, a group of HIV negative females will also be evaluated. All subjects will receive the HPV vaccine (either Cervarix or Gardasil) according to a three-dose schedule (Day 0, Week 6, Month 6).

02

Conditions studied

  • Infections, Papillomavirus
  • Papillomavirus Vaccines

Keywords

  • Cervarix
  • Gardasil
  • Immunogenicity
  • Cervical cancer
  • Safety
  • HPV vaccine
03

In context

Acquired Immunodeficiency Syndrome

2,040 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 272 are open to participants now.

This study's enrollment of 873 is above the median of 105 across 1,543 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
15 Years to 25 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Subjects who the investigator believes that they and/or their parent(s)/legally acceptable representative(s) (LAR) can and will comply with the requirements of the protocol.
  • A female between, and including, 15 and 25 years of age at the time of the first vaccination.
  • Written informed consent obtained from the subject and/or from the subject's parent or LAR.
  • Subjects willing to undergo HIV Voluntary Counseling and Testing (VCT) and willing to be informed of their HIV infection status.
  • For HIV seropositive subjects:

    • Subjects must be HIV seropositive according to World Health Organization (WHO) case definition.
    • Subject must be asymptomatic (or only have persistent generalized lymphadenopathy).
    • Subjects should have a CD4 cell count > 350 cells/mm3.
    • If currently taking antiretrovirals (ARVs), subjects must be on compliant to triple therapy (highly active ART) and have undetectable viral load on two previous clinical visits within the six months prior to study entry.
  • For HIV seronegative subjects:

    • Subjects confirmed as HIV seronegative at the screening visit.
  • For non-virgin female subjects:

    • Subjects must have no history of abnormal cytology or CIN 1/2/3.
    • Subjects must have had no more than six life-time sexual partners prior to enrollment.
  • Subjects must have no history of congenital malformations of the uterine cervix, or history of cauterization or surgical procedures involving damage to the transformation zone of the cervix or stenosis.
  • Female subjects of non-childbearing potential may be enrolled in the study.
  • Female subjects of childbearing potential may be enrolled in the study, if the subject:

    • has practiced adequate contraception for 30 days prior to vaccination, and
    • has a negative pregnancy test at screening and on the day of vaccination, and
    • has agreed to continue adequate contraception during the entire treatment period and for two months after completion of the vaccination series.

Exclusion criteria

Exclusion Criteria:

  • Previous vaccination against HPV, or planned administration of any HPV vaccine other than that foreseen by the study protocol during the study period (Day 0 to Month 24).
  • ART not compliant with the National Guidelines.
  • Active tuberculosis (TB) visit (criteria mandatory only for HIV+ subjects).
  • Current TB therapy.
  • Hemoglobin \< 8.0 g/dL at the screening visit.
  • Creatinine > 1.5-fold the upper limit of normal (ULN) at the screening visit.
  • Alanine aminotransferase (ALT) > 2.5-fold ULN at the screening visit.
  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period (Day 0 to Month 24).
  • Chronic administration (defined as more than 14 consecutive days) of immunosuppressants or other immune-modifying drugs (with the exception of ART) within six months prior to the first vaccine dose.
  • Administration of a vaccine not foreseen by the study protocol within 30 days (Days 0 - 29) before the first dose of study vaccine/control. Enrollment will be postponed until the subject is outside the specified window.
  • Planned administration of a vaccine not foreseen by the study protocol within 30 days before or 30 days after (i.e., Days 0 - 29) any dose of study vaccine.
  • Previous administration of components of the investigational vaccine.
  • Cancer or autoimmune disease under treatment.
  • Hypersensitivity to latex.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine/control.
  • Acute disease and/or fever at the time of enrollment.
  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory testing performed at the screening visit.
  • History of any neurological disorders or seizures.
  • Pregnant or breastfeeding female.
  • A subject planning to become pregnant, likely to become pregnant (as determined by the investigator) or planning to discontinue contraceptive precautions during the study period, up to two months after the last vaccine dose (i.e., up to Month 8).
  • Concurrently participating in another clinical study, at any time during the study period (Day 0 to Month 24), in which the subject has been or will be exposed to an investigational or a non-investigational product.
  • Any medically diagnosed or suspected immunodeficient condition (other than HIV for HIV seropositive subjects), based on medical history, physical examination and/or laboratory tests results.
  • Administration of immunoglobulins and/or any blood products within the three months preceding the first dose of study vaccine/control or planned administration during the study period. Enrollment will be postponed until the subject is outside the specified window.
  • Administration of trimethoprim/sulphamethoxazole within seven days before the first dose of study vaccine/control, or planned administration of trimethoprim/sulphamethoxazole within seven days after the first dose of study vaccine/control.
  • Current drugs or alcohol abuse.
  • Child in care.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
873 participants (actual)

Study arms

  • Experimental
    HIV+/Cervarix Group

    HIV seropositive female subjects, between and including 15 and 25 years of age, who received 3 doses of Cervarix vaccine, administered intramuscularly in the deltoid muscle of the non-dominant arm, according to a three-dose schedule: at Day 0, Week 6, Month 6.

    Biological: GSK Biologicals' HPV vaccine 580299

  • Active comparator
    HIV+/Gardasil Group

    HIV seropositive female subjects, between and including 15 and 25 years of age, who received 3 doses of Gardasil vaccine, administered intramuscularly in the deltoid muscle of the non-dominant arm, according to a three-dose schedule: at Day 0, Week 6, Month 6.

    Biological: Merck's Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine (Gardasil)

  • Experimental
    HIV-/Cervarix Group

    HIV seronegative female subjects, between and including 15 and 25 years of age, who received 3 doses of Cervarix vaccine, administered intramuscularly in the deltoid muscle of the non-dominant arm, according to a three-dose schedule: at Day 0, Week 6, Month 6.

    Biological: GSK Biologicals' HPV vaccine 580299

  • Active comparator
    HIV-/Gardasil Group

    HIV seronegative female subjects, between and including 15 and 25 years of age, who received 3 doses of Gardasil vaccine, administered intramuscularly in the deltoid muscle of the non-dominant arm, according to a three-dose schedule: at Day 0, Week 6, Month 6.

    Biological: Merck's Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine (Gardasil)

Interventions

  • BiologicalGSK Biologicals' HPV vaccine 580299

    Subjects received three doses of the study vaccine administered intramuscularly according to a Day 0, Week 6, and Month 6 vaccination schedule.

    Also known as: Cervarix

  • BiologicalMerck's Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine (Gardasil)

    Subjects received three doses of the study vaccine administered intramuscularly according to a Day 0, Week 6, and Month 6 vaccination schedule.

    Also known as: Gardasil

06

What researchers measure

Primary outcomes

  1. Number of Human Immunodeficiency Virus Positive Subjects (HIV+) With Any and Grade 3 Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness, swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = significant pain at rest, pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling with a maximum diameter greater than 50 millimeters (mm).

    Time frame: During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after each vaccine dose and across doses

  2. Number of HIV+ Subjects With Any, Grade 3 and Related Solicited General Symptoms

    Assessed solicited general symptoms were arthralgia, fatigue, gastrointestinal \[nausea, vomiting, diarrhoea and/or abdominal pain\], headache, myalgia, rash, temperature \[defined as axillary temperature higher than (\>) 37.5 degrees Celsius (°C)\] and urticaria. Any = occurrence of the symptom regardless of intensity grade and relationship. Grade 3 symptom = symptom that prevented normal activity. Grade 3 temperature = temperature \> 39.0 °C. Grade 3 urticaria = urticaria distributed on at least 4 body areas. Related = symptom assessed by the investigator as related to the vaccination.

    Time frame: During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after each vaccine dose and across doses

  3. Number of HIV+ Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs)

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 symptom = symptom that prevented normal activity. Related = symptom assessed by the investigator as related to the vaccination.

    Time frame: During the 30-day follow-up period (from the day of vaccination up to 29 subsequent days) after any vaccination

  4. Number of HIV+ Subjects With Serious Adverse Events (SAEs)

    SAEs assessed include any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or represented a congenital anomaly/birth defect in the offspring of a study subject.

    Time frame: From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)

  5. Number of HIV+ Subjects With Medically Significant Conditions (MSCs)

    Medically significant conditions (MSCs) are defined as AEs prompting emergency room or physician visits that were not related to common diseases, or not related to routine visits for physical examination or vaccination, SAEs that were not related to common diseases.

    Time frame: From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)

  6. Number of HIV+ Subjects With Potential Immune-mediated Diseases (pIMDs)

    Potential immune-mediated diseases are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.

    Time frame: From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)

  7. Number of HIV+ Subjects Reporting Pregnancies and Outcomes of Reported Pregnancies

    Pregnancy related outcomes were: live infant no apparent congenital anomaly, live infant congenital anomaly, elective termination (termin.) no apparent congenital anomaly, elective termination (termin.) congenital anomaly, ectopic pregnancy, spontaneous abortion no apparent congenital (congen.) anomaly, stillbirth no apparent congenital anomaly, stillbirth congenital anomaly, lost to follow-up, pregnancy ongoing, missing.

    Time frame: From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)

  8. Number of HIV+ Subjects With Haematological and Biochemical Parameter Abnormalities

    Among assessed haematological and biochemical parameters were: alanine aminotransferase \[ALAT\], basophilis \[BSPH\], creatinine \[CRT\], eosinophils \[ESPH\], haematocrit \[HTCR\], haemoglobin \[HGB\], lymphocytes \[LYMP\], monocytes \[MONO\], neutrophils \[NTPH\], platelets \[PLAT\], red blood cells \[RBC\] and white blood cells \[WBC\]. Unknown = value unknown for the specified visit and laboratory parameter; Below = value below the laboratory reference range defined for the specified visit and laboratory parameter; Within = value within the laboratory reference range defined for the specified visit and laboratory parameter; Above = value above the laboratory reference range defined for the specified visit and laboratory parameter.

    Time frame: At Month 7 (30 days after the last vaccination dose at Month 6)

  9. Cluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Month 7

    CD4+ cell count, expressed in cells/cubic millimeter (mm3), was assessed for HIV+ subjects.

    Time frame: At Month 7 (30 days after the last vaccination dose at Month 6)

  10. HIV Viral Load (VL) in HIV+ Subjects at Month 7

    HIV VL, expressed in HIV copies/milliliter (mL), was assessed for HIV+ subjects.

    Time frame: At Month 7 (30 days after the last vaccination dose at Month 6)

  11. Number of HIV+ Subjects by World Health Organization (WHO) HIV Clinical Staging

    HIV+ subjects were categorised into clinical stages 1 through 4, as per the WHO classification \[WHO, 2009\].

    Time frame: At Month 7 (30 days after the last vaccination dose at Month 6)

  12. Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV+ Subjects, Based on Adapted According-to-protocol (ATP) Cohort for Immunogenicity

    Titers of anti-HPV-16/18 antibodies, expressed as Geometric Mean Titers (GMTs), with cut-offs greater than or equal to (≥) 40 estimated dose giving 50% signal reduction when compared to a control without serum (ED50), as assessed by the Pseudovirion-Based Neutralization Assay \[PBNA\], in HIV+ subjects. Between-group comparisons to assess non-inferiority were performed on the ATP cohort for immunogenicity (by PBNA, regardless of HPV serostatus at baseline).

    Time frame: At Month 7 (30 days after the last vaccination dose at Month 6)

  13. Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV+ Subjects, Based on Total Vaccinated Cohort (TVC)

    Titers of anti-HPV-16/18 antibodies, expressed as Geometric Mean Titers (GMTs), with cut-offs greater than or equal to (≥) 40 estimated dose giving 50% signal reduction when compared to a control without serum (ED50), as assessed by the Pseudovirion-Based Neutralization Assay \[PBNA\], in HIV+ subjects. Between-group comparisons to assess superiority were performed on the TVC (by PBNA, regardless of HPV serostatus at baseline).

    Time frame: At Month 7 (30 days after the last vaccination dose at Month 6)

Secondary outcomes

  1. Number of HIV- Subjects With Any and Grade 3 Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness, swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = significant pain at rest, pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling with a maximum diameter greater than 50 millimeters (mm).

    Time frame: During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after each vaccine dose and across doses

  2. Number of HIV- Subjects With Any, Grade 3 and Related Solicited General Symptoms

    Assessed solicited general symptoms were arthralgia, fatigue, gastrointestinal \[nausea, vomiting, diarrhoea and/or abdominal pain\], headache, myalgia, rash, temperature \[defined as axillary temperature higher than (\>) 37.5 degrees Celsius (°C)\] and urticaria. Any = occurrence of the symptom regardless of intensity grade and relationship. Grade 3 symptom = symptom that prevented normal activity. Grade 3 temperature = temperature \> 39.0 °C. Grade 3 urticaria = urticaria distributed on at least 4 body areas. Related = symptom assessed by the investigator as related to the vaccination.

    Time frame: During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after each vaccine dose and across doses

  3. Number of HIV- Subjects With Unsolicited Adverse Events (AEs)

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 symptom = symptom that prevented normal activity. Related = symptom assessed by the investigator as related to the vaccination.

    Time frame: During the 30-day follow-up period (from the day of vaccination up to 29 subsequent days) after any vaccination

  4. Number of HIV- Subjects With Serious Adverse Events (SAEs)

    SAEs assessed include any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or represented a congenital anomaly/birth defect in the offspring of a study subject.

    Time frame: From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)

  5. Number of HIV- Subjects With Medically Significant Conditions (MSCs)

    Medically significant conditions (MSCs) are defined as AEs prompting emergency room or physician visits that were not related to common diseases, or not related to routine visits for physical examination or vaccination, SAEs that were not related to common diseases.

    Time frame: From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)

  6. Number of HIV- Subjects With Potential Immune-mediated Disease (pIMDs)

    Potential immune-mediated diseases are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.

    Time frame: From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)

  7. Number of Subjects Reporting Pregnancies and Outcomes of Reported Pregnancies

    Pregnancy related outcomes were: live infant no apparent congenital anomaly, live infant congenital anomaly, elective termination (termin.) no apparent congenital anomaly, elective termination (termin.) congenital anomaly, ectopic pregnancy, spontaneous abortion no apparent congenital (congen.) anomaly, stillbirth no apparent congenital anomaly, stillbirth congenital anomaly, lost to follow-up, pregnancy ongoing, missing.

    Time frame: During the entire study period (from Day 0 up to Month 24)

  8. Number of Subjects With Relevant Abnormalities in Alanine Aminotransferase, Basophils, Creatinine and Eosinophils Parameters

    Among assessed haematological and biochemical parameters were: alanine aminotransferase \[ALAT\], basophils \[BSPH\], creatinine \[CRT\], eosinophils \[ESPH\]. Unknown = value unknown for the specified visit and laboratory parameter; Below = value below the laboratory reference range defined for the specified visit and laboratory parameter; Within = value within the laboratory reference range defined for the specified visit and laboratory parameter; Above = value above the laboratory reference range defined for the specified visit and laboratory parameter.

    Time frame: At Day 0, Week 6, Week 10, Month 6, Month 7, Month 12, Month 18 and Month 24

  9. Number of Subjects With Relevant Abnormalities in Haematocrit, Haemoglobin, Lymphocytes and Monocytes Parameters

    Among assessed haematological parameters were: haematocrit \[HTCR\], haemoglobin \[HGB\], lymphocytes \[LYMP\] and monocytes \[MONO\]. Unknown = value unknown for the specified visit and laboratory parameter; Below = value below the laboratory reference range defined for the specified visit and laboratory parameter; Within = value within the laboratory reference range defined for the specified visit and laboratory parameter; Above = value above the laboratory reference range defined for the specified visit and laboratory parameter.

    Time frame: At Day 0, Week 6, Week 10, Month 6, Month 7, Month 12, Month 18 and Month 24

  10. Number of Subjects With Relevant Abnormalities in Neutrophils, Platelets, Red Blood Cells and White Blood Cells Parameters

    Among assessed haematological parameters were: neutrophils \[NTPH\], platelets \[PLAT\], red blood cells \[RBC\] and white blood cells \[WBC\]. Unknown = value unknown for the specified visit and laboratory parameter; Below = value below the laboratory reference range defined for the specified visit and laboratory parameter; Within = value within the laboratory reference range defined for the specified visit and laboratory parameter; Above = value above the laboratory reference range defined for the specified visit and laboratory parameter.

    Time frame: At Day 0, Week 6, Week 10, Month 6, Month 7, Month 12, Month 18 and Month 24

  11. Number of Subjects With SAEs

    SAEs assessed include any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or represented a congenital anomaly/birth defect in the offspring of a study subject.

    Time frame: During the entire study period (from Day 0 up to Month 24)

  12. Number of Subjects With Medically Significant Conditions (MSCs)

    Medically significant conditions (MSCs) are defined as AEs prompting emergency room or physician visits that were not related to common diseases, or not related to routine visits for physical examination or vaccination, SAEs that were not related to common diseases.

    Time frame: From Day 0 up to Month 18 (from Day 0 up to 12 months after the last vaccination dose at Month 6)

  13. Number of Subjects With Potential Immune-mediated Diseases (pIMDs)

    Potential immune-mediated diseases are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.

    Time frame: From Day 0 up to Month 18 (from Day 0 up to 12 months after the last vaccination dose at Month 6)

  14. Cluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Months 12, 18 and 24

    CD4+ cell count, expressed in cells/cubic millimeter (mm3), was assessed for HIV+ subjects.

    Time frame: At Months 12, 18 and 24

  15. HIV Viral Load (VL) in HIV+ Subjects at Months 12, 18 and 24

    HIV VL, expressed in HIV copies/milliliter (mL), was assessed for HIV+ subjects.

    Time frame: At Months 12, 18 and 24

  16. Number of HIV+ Subjects by WHO HIV Clinical Staging

    HIV+ subjects were categorised into clinical stages 1 through 4, as per the WHO classification \[WHO, 2009\].

    Time frame: At Months 12, 18 and 24

  17. Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV- Subjects, Based on TVC

    Titers of anti-HPV-16/18 antibodies, expressed as Geometric Mean Titers (GMTs), with cut-offs greater than or equal to (≥) 40 estimated dose giving 50% signal reduction when compared to a control without serum (ED50), as assessed by the Pseudovirion-Based Neutralization Assay \[PBNA\], for HIV- subjects. Between-group comparisons to assess superiority were performed on the TVC (by PBNA, regardless of HPV serostatus at baseline).

    Time frame: At Month 7 (30 days after the last vaccination dose at Month 6)

  18. Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations by Enzyme-linked Immunosorbent Assay (ELISA) in Serum

    Anti-HPV-16 and anti-HPV-18 antibody concentrations in serum, are presented as Geometric Mean Concentrations (GMCs), with cut-offs greater than or equal to (≥) 19 ELISA units per milliliter (EU/mL) and 18 EU/mL respectively, as assessed by Enzyme-linked immunosorbent assay (ELISA), in all (HIV+ and HIV-) subjects.

    Time frame: At Day 0, Week 6, Week 10, Month 7, Month 12, Month 18 and Month 24

  19. Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations by ELISA in Cervicovaginal Secretion (CVS)

    Anti-HPV-16 and anti-HPV-18 antibody concentrations in CVS, are presented as Geometric Mean Concentrations (GMCs), with cut-offs greater than or equal to (≥) 0 EU/mL, as assessed by ELISA, in post-menarcheal subjects who volunteered for this procedure.

    Time frame: At Day 0, Week 6, Week 10, Month 7, Month 12, Month 18 and Month 24

  20. Frequency of Specific B-cells for HPV-16/18 Antigens

    B-cell memory was assessed by Enzyme Linked Immuno Spot (ELISPOT) assay. The assay was performed in a subset of approximately 100 subjects (50 HIV+ and 50 HIV-).

    Time frame: At Day 0, Week 6, Week 10, Month 7 and Month 12

  21. Frequency of Cluster of Differentiation 4/8 [CD4+/CD8+] T-cell Response

    The combinations of cytokines expressed were CD4/8-all doubles, CD4/8-d-cluster of differentiation 40 Ligand (CD40L), CD4/8-d-interferon gamma (IFNG), CD4/8-interleukin-2 (IL-2), CD4/8-d-tumour necrosis alpha (TNFA), as assessed by Intracellular cytokine staining (ICS). The assay was performed in a subset of approximately 100 subjects (50 HIV+ and 50 HIV-).

    Time frame: At Day 0, Week 6, Week 10, Month 7 and Month 12

07

Results

Posted Jul 24, 2019

Participant flow

A number of 873 subjects were enrolled, out of which 173 subjects were excluded from all statistical analysis. 154 subjects were not administered any vaccine dose (146 screen failures subjects and 8 subjects that did not participate from Visit 1).

Participant flow — Overall Study
MilestoneHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
Started129128144145
Completed117117103111
Not completed12114134
Withdrew: Serious adverse event0100
Withdrew: Withdrawal by subject231818
Withdrew: Migrated/moved from study area1211
Withdrew: Lost to follow-up952115
Withdrew: Other0010

Outcome measures

PrimaryNumber of Human Immunodeficiency Virus Positive Subjects (HIV+) With Any and Grade 3 Solicited Local Symptoms

Assessed solicited local symptoms were pain, redness, swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = significant pain at rest, pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling with a maximum diameter greater than 50 millimeters (mm).

Time frame:
During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after each vaccine dose and across doses
Reported as:
Count of participants · Participants
Number of Human Immunodeficiency Virus Positive Subjects (HIV+) With Any and Grade 3 Solicited Local Symptoms
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Any Pain, Dose 111558
Grade 3 Pain, Dose 140
Any Redness, Dose 12419
Grade 3 Redness, Dose 100
Any Swelling, Dose 1256
Grade 3 Swelling, Dose 120
Any Pain, Dose 29856
Grade 3 Pain, Dose 256
Any Redness, Dose 21813
Grade 3 Redness, Dose 210
Any Swelling, Dose 21611
Grade 3 Swelling, Dose 200
Any Pain, Dose 38760
Grade 3 Pain, Dose 352
Any Redness, Dose 31718
Grade 3 Redness, Dose 300
Any Swelling, Dose 31910
Grade 3 Swelling, Dose 310
Any Pain, Across Doses12085
Grade 3 Pain, Across Doses116
Any Redness, Across Doses4134
Grade 3 Redness, Across Doses10
Any Swelling, Across Doses3820
Grade 3 Swelling, Across Doses20
PrimaryNumber of HIV+ Subjects With Any, Grade 3 and Related Solicited General Symptoms

Assessed solicited general symptoms were arthralgia, fatigue, gastrointestinal \[nausea, vomiting, diarrhoea and/or abdominal pain\], headache, myalgia, rash, temperature \[defined as axillary temperature higher than (\>) 37.5 degrees Celsius (°C)\] and urticaria. Any = occurrence of the symptom regardless of intensity grade and relationship. Grade 3 symptom = symptom that prevented normal activity. Grade 3 temperature = temperature \> 39.0 °C. Grade 3 urticaria = urticaria distributed on at least 4 body areas. Related = symptom assessed by the investigator as related to the vaccination.

Time frame:
During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after each vaccine dose and across doses
Reported as:
Count of participants · Participants
Number of HIV+ Subjects With Any, Grade 3 and Related Solicited General Symptoms
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Any Arthralgia, Dose 12920
Grade 3 Arthralgia, Dose 111
Related Arthralgia, Dose 11913
Any Fatigue, Dose 15047
Grade 3 Fatigue, Dose 140
Related Fatigue, Dose 13029
Any Gastrointestinal, Dose 13021
Grade 3 Gastrointestinal, Dose 120
Related Gastrointestinal, Dose 11915
Any Headache, Dose 16148
Grade 3 Headache, Dose 141
Related Headache, Dose 13927
Any Myalgia, Dose 14934
Grade 3 Myalgia, Dose 121
Related Myalgia, Dose 13525
Any Rash, Dose 174
Grade 3 Rash, Dose 110
Related Rash, Dose 140
Any Temperature, Dose 195
Grade 3 Temperature, Dose 100
Related Temperature, Dose 174
Any Urticaria, Dose 183
Grade 3 Urticaria, Dose 100
Related Urticaria, Dose 163
Any Arthralgia, Dose 21821
Grade 3 Arthralgia, Dose 203
Related Arthralgia, Dose 21114
Any Fatigue, Dose 23840
Grade 3 Fatigue, Dose 221
Related Fatigue, Dose 22025
Any Gastrointestinal, Dose 21517
Grade 3 Gastrointestinal, Dose 200
Related Gastrointestinal, Dose 21111
Any Headache, Dose 24837
Grade 3 Headache, Dose 253
Related Headache, Dose 23020
Any Myalgia, Dose 23626
Grade 3 Myalgia, Dose 224
Related Myalgia, Dose 22519
Any Rash, Dose 221
Grade 3 Rash, Dose 200
Related Rash, Dose 200
Any Temperature, Dose 2114
Grade 3 Temperature, Dose 200
Related Temperature, Dose 292
Any Urticaria, Dose 254
Grade 3 Urticaria, Dose 210
Related Urticaria, Dose 244
Any Arthralgia, Dose 31715
Grade 3 Arthralgia, Dose 321
Related Arthralgia, Dose 31312
Any Fatigue, Dose 34031
Grade 3 Fatigue, Dose 311
Related Fatigue, Dose 33022
Any Gastrointestinal, Dose 31317
Grade 3 Gastrointestinal, Dose 311
Related Gastrointestinal, Dose 3913
Any Headache, Dose 34827
Grade 3 Headache, Dose 322
Related Headache, Dose 33916
Any Myalgia, Dose 33021
Grade 3 Myalgia, Dose 341
Related Myalgia, Dose 32617
Any Rash, Dose 321
Grade 3 Rash, Dose 300
Related Rash, Dose 310
Any Temperature, Dose 31012
Grade 3 Temperature, Dose 311
Related Temperature, Dose 376
Any Urticaria, Dose 324
Grade 3 Urticaria, Dose 300
Related Urticaria, Dose 322
Any Arthralgia, Across Doses4138
Grade 3 Arthralgia, Across Doses34
Related Arthralgia, Across Doses3128
Any Fatigue, Across Doses7359
Grade 3 Fatigue, Across Doses62
Related Fatigue, Across Doses5039
Any Gastrointestinal, Across Doses4135
Grade 3 Gastrointestinal, Across Doses31
Related Gastrointestinal, Across Doses2723
Any Headache, Across Doses8863
Grade 3 Headache, Across Doses114
Related Headache, Across Doses6539
Any Myalgia, Across Doses6851
Grade 3 Myalgia, Across Doses74
Related Myalgia, Across Doses5237
Any Rash, Across Doses115
Grade 3 Rash, Across Doses10
Related Rash, Across Doses50
Any Temperature, Across Doses2319
Grade 3 Temperature, Across Doses11
Related Temperature, Across Doses1810
Any Urticaria, Across Doses139
Grade 3 Urticaria, Across Doses10
Related Urticaria, Across Doses108
PrimaryNumber of HIV+ Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs)

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 symptom = symptom that prevented normal activity. Related = symptom assessed by the investigator as related to the vaccination.

Time frame:
During the 30-day follow-up period (from the day of vaccination up to 29 subsequent days) after any vaccination
Reported as:
Count of participants · Participants
Number of HIV+ Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs)
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Any AE(s)4141
Grade 3 AE(s)74
Related AE(s)98
PrimaryNumber of HIV+ Subjects With Serious Adverse Events (SAEs)

SAEs assessed include any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or represented a congenital anomaly/birth defect in the offspring of a study subject.

Time frame:
From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV+ Subjects With Serious Adverse Events (SAEs)
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Number of HIV+ Subjects With Serious Adverse Events (SAEs)66
PrimaryNumber of HIV+ Subjects With Medically Significant Conditions (MSCs)

Medically significant conditions (MSCs) are defined as AEs prompting emergency room or physician visits that were not related to common diseases, or not related to routine visits for physical examination or vaccination, SAEs that were not related to common diseases.

Time frame:
From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV+ Subjects With Medically Significant Conditions (MSCs)
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Number of HIV+ Subjects With Medically Significant Conditions (MSCs)1727
PrimaryNumber of HIV+ Subjects With Potential Immune-mediated Diseases (pIMDs)

Potential immune-mediated diseases are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.

Time frame:
From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV+ Subjects With Potential Immune-mediated Diseases (pIMDs)
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Number of HIV+ Subjects With Potential Immune-mediated Diseases (pIMDs)10
PrimaryNumber of HIV+ Subjects Reporting Pregnancies and Outcomes of Reported Pregnancies

Pregnancy related outcomes were: live infant no apparent congenital anomaly, live infant congenital anomaly, elective termination (termin.) no apparent congenital anomaly, elective termination (termin.) congenital anomaly, ectopic pregnancy, spontaneous abortion no apparent congenital (congen.) anomaly, stillbirth no apparent congenital anomaly, stillbirth congenital anomaly, lost to follow-up, pregnancy ongoing, missing.

Time frame:
From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV+ Subjects Reporting Pregnancies and Outcomes of Reported Pregnancies
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Live infant NO apparent congenital anomaly31
Live infant congenital anomaly00
Elective termin. NO apparent congenital anomaly00
Elective termin. congenital anomaly00
Ectopic pregnancy00
Spontaneous abortion NO apparent congen. anomaly11
Stillbirth NO apparent congenital anomaly00
Stillbirth congenital anomaly00
Lost to follow-up00
Pregnancy ongoing00
Missing00
PrimaryNumber of HIV+ Subjects With Haematological and Biochemical Parameter Abnormalities

Among assessed haematological and biochemical parameters were: alanine aminotransferase \[ALAT\], basophilis \[BSPH\], creatinine \[CRT\], eosinophils \[ESPH\], haematocrit \[HTCR\], haemoglobin \[HGB\], lymphocytes \[LYMP\], monocytes \[MONO\], neutrophils \[NTPH\], platelets \[PLAT\], red blood cells \[RBC\] and white blood cells \[WBC\]. Unknown = value unknown for the specified visit and laboratory parameter; Below = value below the laboratory reference range defined for the specified visit and laboratory parameter; Within = value within the laboratory reference range defined for the specified visit and laboratory parameter; Above = value above the laboratory reference range defined for the specified visit and laboratory parameter.

Time frame:
At Month 7 (30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV+ Subjects With Haematological and Biochemical Parameter Abnormalities
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
ALAT, Unknown00
ALAT, Below43
ALAT, Within110105
ALAT, Above713
BSPH, Unknown00
BSPH, Below00
BSPH, Within120121
BSPH, Above10
CRT, Unknown00
CRT, Below2936
CRT, Within9184
CRT, Above10
ESPH, Unknown00
ESPH, Below910
ESPH, Within108106
ESPH, Above45
HTCR, Unknown00
HTCR, Below1927
HTCR, Within10192
HTCR, Above12
HGB, Unknown00
HGB, Below2837
HGB, Within9283
HGB, Above11
LYMP, Unknown00
LYMP, Below1211
LYMP, Within9697
LYMP, Above1313
MONO, Unknown00
MONO, Below47
MONO, Within10697
MONO, Above1117
NTPH, Unknown00
NTPH, Below1617
NTPH, Within9793
NTPH, Above811
PLAT, Unknown00
PLAT, Below13
PLAT, Within118114
PLAT, Above24
RBC, Unknown00
RBC, Below3634
RBC, Within8284
RBC, Above33
WBC, Unknown00
WBC, Below109
WBC, Within106108
WBC, Above54
PrimaryCluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Month 7

CD4+ cell count, expressed in cells/cubic millimeter (mm3), was assessed for HIV+ subjects.

Time frame:
At Month 7 (30 days after the last vaccination dose at Month 6)
Reported as:
Median · cells/mm3
Cluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Month 7
cells/mm3HIV+/Cervarix GroupHIV+/Gardasil Group
Cluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Month 7554.0 (440.0 to 799.0)568.0 (457.0 to 773.4)
PrimaryHIV Viral Load (VL) in HIV+ Subjects at Month 7

HIV VL, expressed in HIV copies/milliliter (mL), was assessed for HIV+ subjects.

Time frame:
At Month 7 (30 days after the last vaccination dose at Month 6)
Reported as:
Median · HIV copies/mL
HIV Viral Load (VL) in HIV+ Subjects at Month 7
HIV copies/mLHIV+/Cervarix GroupHIV+/Gardasil Group
HIV Viral Load (VL) in HIV+ Subjects at Month 71.9 (1.3 to 3.8)2.5 (1.3 to 3.8)
PrimaryNumber of HIV+ Subjects by World Health Organization (WHO) HIV Clinical Staging

HIV+ subjects were categorised into clinical stages 1 through 4, as per the WHO classification \[WHO, 2009\].

Time frame:
At Month 7 (30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV+ Subjects by World Health Organization (WHO) HIV Clinical Staging
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Clinical Stage 1113114
Clinical Stage 262
Clinical Stage 311
Clinical Stage 414
PrimaryPseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV+ Subjects, Based on Adapted According-to-protocol (ATP) Cohort for Immunogenicity

Titers of anti-HPV-16/18 antibodies, expressed as Geometric Mean Titers (GMTs), with cut-offs greater than or equal to (≥) 40 estimated dose giving 50% signal reduction when compared to a control without serum (ED50), as assessed by the Pseudovirion-Based Neutralization Assay \[PBNA\], in HIV+ subjects. Between-group comparisons to assess non-inferiority were performed on the ATP cohort for immunogenicity (by PBNA, regardless of HPV serostatus at baseline).

Time frame:
At Month 7 (30 days after the last vaccination dose at Month 6)
Reported as:
Geometric mean · Titers
Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV+ Subjects, Based on Adapted According-to-protocol (ATP) Cohort for Immunogenicity
TitersHIV+/Cervarix GroupHIV+/Gardasil Group
Anti-HPV-1623436.1 (18186.4 to 30201.1)7507.0 (5378.1 to 10478.6)
Anti-HPV-1812490.9 (9681.7 to 16115.2)1459.6 (965.4 to 2206.7)
Statistical analysis
  • HIV+/Cervarix Group vs HIV+/Gardasil Group · Adjusted gmt ratio: 2.95 · 95% CI 1.92 to 4.52
  • HIV+/Cervarix Group vs HIV+/Gardasil Group · Adjusted gmt ratio: 7.83 · 95% CI 4.84 to 12.66
PrimaryPseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV+ Subjects, Based on Total Vaccinated Cohort (TVC)

Titers of anti-HPV-16/18 antibodies, expressed as Geometric Mean Titers (GMTs), with cut-offs greater than or equal to (≥) 40 estimated dose giving 50% signal reduction when compared to a control without serum (ED50), as assessed by the Pseudovirion-Based Neutralization Assay \[PBNA\], in HIV+ subjects. Between-group comparisons to assess superiority were performed on the TVC (by PBNA, regardless of HPV serostatus at baseline).

Time frame:
At Month 7 (30 days after the last vaccination dose at Month 6)
Reported as:
Geometric mean · Titers
Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV+ Subjects, Based on Total Vaccinated Cohort (TVC)
TitersHIV+/Cervarix GroupHIV+/Gardasil Group
Anti-HPV-1621106.6 (15961.3 to 27910.6)7533.7 (5616.7 to 10105.0)
Anti-HPV-1811580.5 (8851.5 to 15150.9)1451.9 (1009.0 to 2089.2)
Statistical analysis
  • HIV+/Cervarix Group vs HIV+/Gardasil Group · ANOVA · p = <0.0001 · Adjusted gmt ratio: 7.44 · 95% CI 4.79 to 11.54ANOVA model on the log10 transformation of the titers for HIV+ subjects and including the vaccine group as fixed effect.
  • HIV+/Cervarix Group vs HIV+/Gardasil Group · ANOVA · p = <0.0001 · Adjusted gmt ratio: 2.74 · 95% CI 1.83 to 4.11ANOVA model on the log10 transformation of the titers for HIV+ subjects and including the vaccine group as fixed effect.
SecondaryNumber of HIV- Subjects With Any and Grade 3 Solicited Local Symptoms

Assessed solicited local symptoms were pain, redness, swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = significant pain at rest, pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling with a maximum diameter greater than 50 millimeters (mm).

Time frame:
During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after each vaccine dose and across doses
Reported as:
Count of participants · Participants
Number of HIV- Subjects With Any and Grade 3 Solicited Local Symptoms
ParticipantsHIV-/Cervarix GroupHIV-/Gardasil Group
Any Pain, Dose 112791
Grade 3 Pain, Dose 1101
Any Redness, Dose 13221
Grade 3 Redness, Dose 100
Any Swelling, Dose 12314
Grade 3 Swelling, Dose 100
Any Pain, Dose 210892
Grade 3 Pain, Dose 262
Any Redness, Dose 22929
Grade 3 Redness, Dose 200
Any Swelling, Dose 22427
Grade 3 Swelling, Dose 200
Any Pain, Dose 39482
Grade 3 Pain, Dose 3106
Any Redness, Dose 32819
Grade 3 Redness, Dose 300
Any Swelling, Dose 32919
Grade 3 Swelling, Dose 300
Any Pain, Across Doses133119
Grade 3 Pain, Across Doses228
Any Redness, Across Doses5242
Grade 3 Redness, Across Doses00
Any Swelling, Across Doses4739
Grade 3 Swelling, Across Doses00
SecondaryNumber of HIV- Subjects With Any, Grade 3 and Related Solicited General Symptoms

Assessed solicited general symptoms were arthralgia, fatigue, gastrointestinal \[nausea, vomiting, diarrhoea and/or abdominal pain\], headache, myalgia, rash, temperature \[defined as axillary temperature higher than (\>) 37.5 degrees Celsius (°C)\] and urticaria. Any = occurrence of the symptom regardless of intensity grade and relationship. Grade 3 symptom = symptom that prevented normal activity. Grade 3 temperature = temperature \> 39.0 °C. Grade 3 urticaria = urticaria distributed on at least 4 body areas. Related = symptom assessed by the investigator as related to the vaccination.

Time frame:
During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after each vaccine dose and across doses
Reported as:
Count of participants · Participants
Number of HIV- Subjects With Any, Grade 3 and Related Solicited General Symptoms
ParticipantsHIV-/Cervarix GroupHIV-/Gardasil Group
Any Arthralgia, Dose 11721
Grade 3 Arthralgia, Dose 100
Related Arthralgia, Dose 1911
Any Fatigue, Dose 14534
Grade 3 Fatigue, Dose 132
Related Fatigue, Dose 12917
Any Gastrointestinal, Dose 11914
Grade 3 Gastrointestinal, Dose 111
Related Gastrointestinal, Dose 1811
Any Headache, Dose 14545
Grade 3 Headache, Dose 102
Related Headache, Dose 12922
Any Myalgia, Dose 14436
Grade 3 Myalgia, Dose 112
Related Myalgia, Dose 12821
Any Rash, Dose 126
Grade 3 Rash, Dose 100
Related Rash, Dose 122
Any Temperature, Dose 1118
Grade 3 Temperature, Dose 100
Related Temperature, Dose 175
Any Urticaria, Dose 133
Grade 3 Urticaria, Dose 100
Related Urticaria, Dose 133
Any Arthralgia, Dose 21412
Grade 3 Arthralgia, Dose 200
Related Arthralgia, Dose 295
Any Fatigue, Dose 23434
Grade 3 Fatigue, Dose 220
Related Fatigue, Dose 21919
Any Gastrointestinal, Dose 2915
Grade 3 Gastrointestinal, Dose 211
Related Gastrointestinal, Dose 276
Any Headache, Dose 23531
Grade 3 Headache, Dose 252
Related Headache, Dose 22319
Any Myalgia, Dose 23626
Grade 3 Myalgia, Dose 210
Related Myalgia, Dose 22819
Any Rash, Dose 224
Grade 3 Rash, Dose 200
Related Rash, Dose 211
Any Temperature, Dose 21010
Grade 3 Temperature, Dose 210
Related Temperature, Dose 258
Any Urticaria, Dose 211
Grade 3 Urticaria, Dose 200
Related Urticaria, Dose 211
Any Arthralgia, Dose 3914
Grade 3 Arthralgia, Dose 302
Related Arthralgia, Dose 3911
Any Fatigue, Dose 33220
Grade 3 Fatigue, Dose 312
Related Fatigue, Dose 32915
Any Gastrointestinal, Dose 379
Grade 3 Gastrointestinal, Dose 310
Related Gastrointestinal, Dose 366
Any Headache, Dose 33325
Grade 3 Headache, Dose 332
Related Headache, Dose 32617
Any Myalgia, Dose 32628
Grade 3 Myalgia, Dose 322
Related Myalgia, Dose 32221
Any Rash, Dose 320
Grade 3 Rash, Dose 300
Related Rash, Dose 320
Any Temperature, Dose 3910
Grade 3 Temperature, Dose 321
Related Temperature, Dose 376
Any Urticaria, Dose 323
Grade 3 Urticaria, Dose 300
Related Urticaria, Dose 323
Any Arthralgia, Across Doses3134
Grade 3 Arthralgia, Across Doses02
Related Arthralgia, Across Doses2018
Any Fatigue, Across Doses6556
Grade 3 Fatigue, Across Doses54
Related Fatigue, Across Doses4533
Any Gastrointestinal, Across Doses2826
Grade 3 Gastrointestinal, Across Doses21
Related Gastrointestinal, Across Doses1717
Any Headache, Across Doses6967
Grade 3 Headache, Across Doses75
Related Headache, Across Doses5140
Any Myalgia, Across Doses6453
Grade 3 Myalgia, Across Doses34
Related Myalgia, Across Doses4440
Any Rash, Across Doses58
Grade 3 Rash, Across Doses00
Related Rash, Across Doses53
Any Temperature, Across Doses2224
Grade 3 Temperature, Across Doses31
Related Temperature, Across Doses1616
Any Urticaria, Across Doses46
Grade 3 Urticaria, Across Doses00
Related Urticaria, Across Doses46
SecondaryNumber of HIV- Subjects With Unsolicited Adverse Events (AEs)

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 symptom = symptom that prevented normal activity. Related = symptom assessed by the investigator as related to the vaccination.

Time frame:
During the 30-day follow-up period (from the day of vaccination up to 29 subsequent days) after any vaccination
Reported as:
Count of participants · Participants
Number of HIV- Subjects With Unsolicited Adverse Events (AEs)
ParticipantsHIV-/Cervarix GroupHIV-/Gardasil Group
Any AE(s)2632
Grade 3 AE(s)13
Related AE(s)42
SecondaryNumber of HIV- Subjects With Serious Adverse Events (SAEs)

SAEs assessed include any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or represented a congenital anomaly/birth defect in the offspring of a study subject.

Time frame:
From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV- Subjects With Serious Adverse Events (SAEs)
ParticipantsHIV-/Cervarix GroupHIV-/Gardasil Group
Number of HIV- Subjects With Serious Adverse Events (SAEs)10
SecondaryNumber of HIV- Subjects With Medically Significant Conditions (MSCs)

Medically significant conditions (MSCs) are defined as AEs prompting emergency room or physician visits that were not related to common diseases, or not related to routine visits for physical examination or vaccination, SAEs that were not related to common diseases.

Time frame:
From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV- Subjects With Medically Significant Conditions (MSCs)
ParticipantsHIV-/Cervarix GroupHIV-/Gardasil Group
Number of HIV- Subjects With Medically Significant Conditions (MSCs)714
SecondaryNumber of HIV- Subjects With Potential Immune-mediated Disease (pIMDs)

Potential immune-mediated diseases are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.

Time frame:
From Day 0 up to Month 7 (from Day 0 up to 30 days after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of HIV- Subjects With Potential Immune-mediated Disease (pIMDs)
ParticipantsHIV-/Cervarix GroupHIV-/Gardasil Group
Number of HIV- Subjects With Potential Immune-mediated Disease (pIMDs)00
SecondaryNumber of Subjects Reporting Pregnancies and Outcomes of Reported Pregnancies

Pregnancy related outcomes were: live infant no apparent congenital anomaly, live infant congenital anomaly, elective termination (termin.) no apparent congenital anomaly, elective termination (termin.) congenital anomaly, ectopic pregnancy, spontaneous abortion no apparent congenital (congen.) anomaly, stillbirth no apparent congenital anomaly, stillbirth congenital anomaly, lost to follow-up, pregnancy ongoing, missing.

Time frame:
During the entire study period (from Day 0 up to Month 24)
Reported as:
Count of participants · Participants
Number of Subjects Reporting Pregnancies and Outcomes of Reported Pregnancies
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
Live infant NO apparent congenital anomaly8737
Live infant congenital anomaly0000
Elective termin. NO apparent congenital anomaly1000
Elective termin. congenital anomaly0000
Ectopic pregnancy0000
Spontaneous abortion NO apparent congen. anomaly1100
Stillbirth NO apparent congenital anomaly0000
Stillbirth congenital anomaly0000
Lost to follow-up0000
Pregnancy ongoing0000
Missing0000
SecondaryNumber of Subjects With Relevant Abnormalities in Alanine Aminotransferase, Basophils, Creatinine and Eosinophils Parameters

Among assessed haematological and biochemical parameters were: alanine aminotransferase \[ALAT\], basophils \[BSPH\], creatinine \[CRT\], eosinophils \[ESPH\]. Unknown = value unknown for the specified visit and laboratory parameter; Below = value below the laboratory reference range defined for the specified visit and laboratory parameter; Within = value within the laboratory reference range defined for the specified visit and laboratory parameter; Above = value above the laboratory reference range defined for the specified visit and laboratory parameter.

Time frame:
At Day 0, Week 6, Week 10, Month 6, Month 7, Month 12, Month 18 and Month 24
Reported as:
Count of participants · Participants
Number of Subjects With Relevant Abnormalities in Alanine Aminotransferase, Basophils, Creatinine and Eosinophils Parameters
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
ALAT, Day 0, Unknown0000
ALAT, Week 6, Unknown0000
ALAT, Week 10, Unknown1000
ALAT, Month 6, Unknown0000
ALAT, Month 7, Unknown0000
ALAT, Month 12, Unknown0001
ALAT, Month 18, Unknown0000
ALAT, Month 24, Unknown0000
ALAT, Day 0, Below943335
ALAT, Week 6, Below453532
ALAT, Week 10, Below282726
ALAT, Month 6, Below342527
ALAT, Month 7, Below432023
ALAT, Month 12, Below612022
ALAT, Month 18, Below222317
ALAT, Month 24, Below011414
ALAT, Day 0, Within109118109106
ALAT, Week 6, Within11911597106
ALAT, Week 10, Within117110104109
ALAT, Month 6, Within112110101102
ALAT, Month 7, Within1101059498
ALAT, Month 12, Within1041128695
ALAT, Month 18, Within1151098598
ALAT, Month 24, Within1121108795
ALAT, Day 0, Above11624
ALAT, Week 6, Above5654
ALAT, Week 10, Above8941
ALAT, Month 6, Above8925
ALAT, Month 7, Above71314
ALAT, Month 12, Above12620
ALAT, Month 18, Above4622
ALAT, Month 24, Above4622
BSPH, Day 0, Unknown0000
BSPH, Week 6, Unknown0023
BSPH, Week 10, Unknown0000
BSPH, Month 6, Unknown0000
BSPH, Month 7, Unknown0000
BSPH, Month 12, Unknown1000
BSPH, Month 18, Unknown0000
BSPH, Month 24, Unknown1000
BSPH, Day 0, Below012120
BSPH, Week 6, Below0187
BSPH, Week 10, Below001517
BSPH, Month 6, Below001213
BSPH, Month 7, Below0068
BSPH, Month 12, Below0067
BSPH, Month 18, Below001012
BSPH, Month 24, Below0078
BSPH, Day 0, Within129127123125
BSPH, Week 6, Within128125127131
BSPH, Week 10, Within127124119119
BSPH, Month 6, Within123122116120
BSPH, Month 7, Within120121109116
BSPH, Month 12, Within121119102111
BSPH, Month 18, Within12011799104
BSPH, Month 24, Within11511796102
BSPH, Day 0, Above0000
BSPH, Week 6, Above0001
BSPH, Week 10, Above1310
BSPH, Month 6, Above0101
BSPH, Month 7, Above1001
BSPH, Month 12, Above0000
BSPH, Month 18, Above1011
BSPH, Month 24, Above0001
CRT, Day 0, Unknown0000
CRT, Week 6, Unknown0000
CRT, Week 10, Unknown0000
CRT, Month 6, Unknown0000
CRT, Month 7, Unknown0000
CRT, Month 12, Unknown0000
CRT, Month 18, Unknown0000
CRT, Month 24, Unknown0000
CRT, Day 0, Below31262721
CRT, Week 6, Below35283628
CRT, Week 10, Below33302729
CRT, Month 6, Below33322526
CRT, Month 7, Below29362217
CRT, Month 12, Below25232422
CRT, Month 18, Below25171112
CRT, Month 24, Below27301717
CRT, Day 0, Within97100115123
CRT, Week 6, Within9397101113
CRT, Week 10, Within9596108107
CRT, Month 6, Within8989103107
CRT, Month 7, Within918493107
CRT, Month 12, Within94918395
CRT, Month 18, Within939898102
CRT, Month 24, Within88858693
CRT, Day 0, Above1121
CRT, Week 6, Above0001
CRT, Week 10, Above0000
CRT, Month 6, Above1101
CRT, Month 7, Above1001
CRT, Month 12, Above3411
CRT, Month 18, Above3113
CRT, Month 24, Above1101
ESPH, Day 0, Unknown0000
ESPH, Week 6, Unknown0023
ESPH, Week 10, Unknown0000
ESPH, Month 6, Unknown0000
ESPH, Month 7, Unknown0000
ESPH, Month 12, Unknown1000
ESPH, Month 18, Unknown0000
ESPH, Month 24, Unknown1000
ESPH, Day 0, Below151834
ESPH, Week 6, Below101376
ESPH, Week 10, Below111231
ESPH, Month 6, Below91344
ESPH, Month 7, Below91066
ESPH, Month 12, Below91036
ESPH, Month 18, Below4964
ESPH, Month 24, Below71536
ESPH, Day 0, Within108102130133
ESPH, Week 6, Within109102115126
ESPH, Week 10, Within112108125130
ESPH, Month 6, Within103108118124
ESPH, Month 7, Within108106103112
ESPH, Month 12, Within10510498107
ESPH, Month 18, Within11110696105
ESPH, Month 24, Within103999999
ESPH, Day 0, Above68118
ESPH, Week 6, Above911137
ESPH, Week 10, Above5775
ESPH, Month 6, Above11266
ESPH, Month 7, Above4567
ESPH, Month 12, Above7575
ESPH, Month 18, Above6288
ESPH, Month 24, Above5316
SecondaryNumber of Subjects With Relevant Abnormalities in Haematocrit, Haemoglobin, Lymphocytes and Monocytes Parameters

Among assessed haematological parameters were: haematocrit \[HTCR\], haemoglobin \[HGB\], lymphocytes \[LYMP\] and monocytes \[MONO\]. Unknown = value unknown for the specified visit and laboratory parameter; Below = value below the laboratory reference range defined for the specified visit and laboratory parameter; Within = value within the laboratory reference range defined for the specified visit and laboratory parameter; Above = value above the laboratory reference range defined for the specified visit and laboratory parameter.

Time frame:
At Day 0, Week 6, Week 10, Month 6, Month 7, Month 12, Month 18 and Month 24
Reported as:
Count of participants · Participants
Number of Subjects With Relevant Abnormalities in Haematocrit, Haemoglobin, Lymphocytes and Monocytes Parameters
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
HTCR, Day 0, Unknown0000
HTCR, Week 6, Unknown0100
HTCR, Week 10, Unknown0000
HTCR, Month 6, Unknown0000
HTCR, Month 7, Unknown0001
HTCR, Month 12, Unknown1000
HTCR, Month 18, Unknown0000
HTCR, Month 24, Unknown1000
HTCR, Day 0, Below32232424
HTCR, Week 6, Below22171813
HTCR, Week 10, Below3022117
HTCR, Month 6, Below26271317
HTCR, Month 7, Below19271314
HTCR, Month 12, Below24251517
HTCR, Month 18, Below30221716
HTCR, Month 24, Below24242117
HTCR, Day 0, Within96102120118
HTCR, Week 6, Within106105119125
HTCR, Week 10, Within97103123126
HTCR, Month 6, Within9795115117
HTCR, Month 7, Within10192102108
HTCR, Month 12, Within959493100
HTCR, Month 18, Within919290101
HTCR, Month 24, Within91928293
HTCR, Day 0, Above1303
HTCR, Week 6, Above0304
HTCR, Week 10, Above1213
HTCR, Month 6, Above0100
HTCR, Month 7, Above1202
HTCR, Month 12, Above2001
HTCR, Month 18, Above0330
HTCR, Month 24, Above0101
HGB, Day 0, Unknown0000
HGB, Week 6, Unknown0000
HGB, Week 10, Unknown0000
HGB, Month 6, Unknown0000
HGB, Month 7, Unknown0000
HGB, Month 12, Unknown1000
HGB, Month 18, Unknown0000
HGB, Month 24, Unknown1000
HGB, Day 0, Below38374045
HGB, Week 6, Below38354050
HGB, Week 10, Below38353738
HGB, Month 6, Below38364538
HGB, Month 7, Below28373638
HGB, Month 12, Below29353939
HGB, Month 18, Below34323235
HGB, Month 24, Below27272826
HGB, Day 0, Within888910498
HGB, Week 6, Within88889788
HGB, Week 10, Within89909897
HGB, Month 6, Within85868396
HGB, Month 7, Within92837986
HGB, Month 12, Within91836979
HGB, Month 18, Within84827782
HGB, Month 24, Within88897584
HGB, Day 0, Above3202
HGB, Week 6, Above2304
HGB, Week 10, Above1201
HGB, Month 6, Above0100
HGB, Month 7, Above1101
HGB, Month 12, Above1100
HGB, Month 18, Above3310
HGB, Month 24, Above0101
LYMP, Day 0, Unknown0000
LYMP, Week 6, Unknown0023
LYMP, Week 10, Unknown0000
LYMP, Month 6, Unknown0000
LYMP, Month 7, Unknown0000
LYMP, Month 12, Unknown1000
LYMP, Month 18, Unknown0000
LYMP, Month 24, Unknown1000
LYMP, Day 0, Below79116
LYMP, Week 6, Below611126
LYMP, Week 10, Below119136
LYMP, Month 6, Below68911
LYMP, Month 7, Below121166
LYMP, Month 12, Below61068
LYMP, Month 18, Below4464
LYMP, Month 24, Below8967
LYMP, Day 0, Within105105120132
LYMP, Week 6, Within109109113121
LYMP, Week 10, Within101102110124
LYMP, Month 6, Within98104106115
LYMP, Month 7, Within9697103111
LYMP, Month 12, Within104959298
LYMP, Month 18, Within10510394106
LYMP, Month 24, Within989788101
LYMP, Day 0, Above1714137
LYMP, Week 6, Above1361012
LYMP, Week 10, Above1616126
LYMP, Month 6, Above1911138
LYMP, Month 7, Above131368
LYMP, Month 12, Above11141012
LYMP, Month 18, Above1210107
LYMP, Month 24, Above91193
MONO, Day 0, Unknown0000
MONO, Week 6, Unknown0023
MONO, Week 10, Unknown0000
MONO, Month 6, Unknown0000
MONO, Month 7, Unknown0000
MONO, Month 12, Unknown1000
MONO, Month 18, Unknown0000
MONO, Month 24, Unknown1000
MONO, Day 0, Below741017
MONO, Week 6, Below4434
MONO, Week 10, Below4426
MONO, Month 6, Below3507
MONO, Month 7, Below4752
MONO, Month 12, Below2552
MONO, Month 18, Below3654
MONO, Month 24, Below55710
MONO, Day 0, Within111117133126
MONO, Week 6, Within117112129133
MONO, Week 10, Within116108129127
MONO, Month 6, Within107104113121
MONO, Month 7, Within10697107118
MONO, Month 12, Within104101101113
MONO, Month 18, Within10899101109
MONO, Month 24, Within98999599
MONO, Day 0, Above11712
MONO, Week 6, Above71032
MONO, Week 10, Above81543
MONO, Month 6, Above131466
MONO, Month 7, Above111735
MONO, Month 12, Above151323
MONO, Month 18, Above101244
MONO, Month 24, Above121312
SecondaryNumber of Subjects With Relevant Abnormalities in Neutrophils, Platelets, Red Blood Cells and White Blood Cells Parameters

Among assessed haematological parameters were: neutrophils \[NTPH\], platelets \[PLAT\], red blood cells \[RBC\] and white blood cells \[WBC\]. Unknown = value unknown for the specified visit and laboratory parameter; Below = value below the laboratory reference range defined for the specified visit and laboratory parameter; Within = value within the laboratory reference range defined for the specified visit and laboratory parameter; Above = value above the laboratory reference range defined for the specified visit and laboratory parameter.

Time frame:
At Day 0, Week 6, Week 10, Month 6, Month 7, Month 12, Month 18 and Month 24
Reported as:
Count of participants · Participants
Number of Subjects With Relevant Abnormalities in Neutrophils, Platelets, Red Blood Cells and White Blood Cells Parameters
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
NTPH, Day 0, Unknown0000
NTPH, Week 6, Unknown0023
NTPH, Week 10, Unknown0000
NTPH, Month 6, Unknown0000
NTPH, Month 7, Unknown0000
NTPH, Month 12, Unknown1000
NTPH, Month 18, Unknown0000
NTPH, Month 24, Unknown1000
NTPH, Day 0, Below1412117
NTPH, Week 6, Below1613813
NTPH, Week 10, Below18171210
NTPH, Month 6, Below18141514
NTPH, Month 7, Below1617109
NTPH, Month 12, Below19161211
NTPH, Month 18, Below1515914
NTPH, Month 24, Below1411910
NTPH, Day 0, Within10699117122
NTPH, Week 6, Within10195107116
NTPH, Week 10, Within103100104113
NTPH, Month 6, Within1009898104
NTPH, Month 7, Within979392106
NTPH, Month 12, Within92938494
NTPH, Month 18, Within98898692
NTPH, Month 24, Within92958389
NTPH, Day 0, Above9171616
NTPH, Week 6, Above11182010
NTPH, Week 10, Above7101913
NTPH, Month 6, Above5111516
NTPH, Month 7, Above8111310
NTPH, Month 12, Above10101213
NTPH, Month 18, Above8131511
NTPH, Month 24, Above9111112
PLAT, Day 0, Unknown0000
PLAT, Week 6, Unknown0011
PLAT, Week 10, Unknown0010
PLAT, Month 6, Unknown0000
PLAT, Month 7, Unknown0010
PLAT, Month 12, Unknown1010
PLAT, Month 18, Unknown0000
PLAT, Month 24, Unknown1000
PLAT, Day 0, Below0030
PLAT, Week 6, Below1010
PLAT, Week 10, Below1100
PLAT, Month 6, Below2200
PLAT, Month 7, Below1311
PLAT, Month 12, Below3102
PLAT, Month 18, Below3412
PLAT, Month 24, Below1223
PLAT, Day 0, Within123122133138
PLAT, Week 6, Within124119130137
PLAT, Week 10, Within122124131132
PLAT, Month 6, Within116118127131
PLAT, Month 7, Within118114110121
PLAT, Month 12, Within113114103111
PLAT, Month 18, Within117110106111
PLAT, Month 24, Within10911097103
PLAT, Day 0, Above6687
PLAT, Week 6, Above3754
PLAT, Week 10, Above5234
PLAT, Month 6, Above5313
PLAT, Month 7, Above2433
PLAT, Month 12, Above5445
PLAT, Month 18, Above1334
PLAT, Month 24, Above5545
RBC, Day 0, Unknown0000
RBC, Week 6, Unknown0001
RBC, Week 10, Unknown0000
RBC, Month 6, Unknown0001
RBC, Month 7, Unknown0000
RBC, Month 12, Unknown1001
RBC, Month 18, Unknown0023
RBC, Month 24, Unknown1000
RBC, Day 0, Below43381813
RBC, Week 6, Below44361412
RBC, Week 10, Below4837118
RBC, Month 6, Below40391412
RBC, Month 7, Below36341519
RBC, Month 12, Below39311914
RBC, Month 18, Below3831913
RBC, Month 24, Below3834109
RBC, Day 0, Within8387118123
RBC, Week 6, Within8185118120
RBC, Week 10, Within7887120122
RBC, Month 6, Within7981111117
RBC, Month 7, Within8284100100
RBC, Month 12, Within798688100
RBC, Month 18, Within81809796
RBC, Month 24, Within74839198
RBC, Day 0, Above3355
RBC, Week 6, Above3546
RBC, Week 10, Above2335
RBC, Month 6, Above4324
RBC, Month 7, Above3306
RBC, Month 12, Above3213
RBC, Month 18, Above2624
RBC, Month 24, Above3024
WBC, Day 0, Unknown0000
WBC, Week 6, Unknown0000
WBC, Week 10, Unknown0000
WBC, Month 6, Unknown0000
WBC, Month 7, Unknown0000
WBC, Month 12, Unknown1000
WBC, Month 18, Unknown0000
WBC, Month 24, Unknown1000
WBC, Day 0, Below8752
WBC, Week 6, Below91154
WBC, Week 10, Below9923
WBC, Month 6, Below12622
WBC, Month 7, Below10951
WBC, Month 12, Below141332
WBC, Month 18, Below121045
WBC, Month 24, Below11534
WBC, Day 0, Within118116135140
WBC, Week 6, Within118111124135
WBC, Week 10, Within116113131129
WBC, Month 6, Within106116122128
WBC, Month 7, Within106108106120
WBC, Month 12, Within103103100115
WBC, Month 18, Within106107100107
WBC, Month 24, Within10210794101
WBC, Day 0, Above3533
WBC, Week 6, Above1473
WBC, Week 10, Above3514
WBC, Month 6, Above5134
WBC, Month 7, Above5434
WBC, Month 12, Above4341
WBC, Month 18, Above3055
WBC, Month 24, Above2556
SecondaryNumber of Subjects With SAEs

SAEs assessed include any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or represented a congenital anomaly/birth defect in the offspring of a study subject.

Time frame:
During the entire study period (from Day 0 up to Month 24)
Reported as:
Count of participants · Participants
Number of Subjects With SAEs
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
Number of Subjects With SAEs9941
SecondaryNumber of Subjects With Medically Significant Conditions (MSCs)

Medically significant conditions (MSCs) are defined as AEs prompting emergency room or physician visits that were not related to common diseases, or not related to routine visits for physical examination or vaccination, SAEs that were not related to common diseases.

Time frame:
From Day 0 up to Month 18 (from Day 0 up to 12 months after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of Subjects With Medically Significant Conditions (MSCs)
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
Number of Subjects With Medically Significant Conditions (MSCs)25371017
SecondaryNumber of Subjects With Potential Immune-mediated Diseases (pIMDs)

Potential immune-mediated diseases are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.

Time frame:
From Day 0 up to Month 18 (from Day 0 up to 12 months after the last vaccination dose at Month 6)
Reported as:
Count of participants · Participants
Number of Subjects With Potential Immune-mediated Diseases (pIMDs)
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
Number of Subjects With Potential Immune-mediated Diseases (pIMDs)1000
SecondaryCluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Months 12, 18 and 24

CD4+ cell count, expressed in cells/cubic millimeter (mm3), was assessed for HIV+ subjects.

Time frame:
At Months 12, 18 and 24
Reported as:
Median · cells/mm3
Cluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Months 12, 18 and 24
cells/mm3HIV+/Cervarix GroupHIV+/Gardasil Group
CD4+ cell counts, Month 12584.5 (498.0 to 832.0)602.0 (445.0 to 835.0)
CD4+ cell counts, Month 18621.0 (472.0 to 789.0)572.0 (443.0 to 770.0)
CD4+ cell counts, Month 24568.0 (447.0 to 738.0)598.0 (441.0 to 834.0)
SecondaryHIV Viral Load (VL) in HIV+ Subjects at Months 12, 18 and 24

HIV VL, expressed in HIV copies/milliliter (mL), was assessed for HIV+ subjects.

Time frame:
At Months 12, 18 and 24
Reported as:
Median · HIV copies/mL
HIV Viral Load (VL) in HIV+ Subjects at Months 12, 18 and 24
HIV copies/mLHIV+/Cervarix GroupHIV+/Gardasil Group
HIV viral load, Month 121.6 (1.3 to 3.2)2.3 (1.3 to 3.7)
HIV viral load, Month 181.7 (1.3 to 3.2)2.2 (1.3 to 3.8)
HIV viral load, Month 241.6 (1.3 to 2.8)2.1 (1.3 to 3.8)
SecondaryNumber of HIV+ Subjects by WHO HIV Clinical Staging

HIV+ subjects were categorised into clinical stages 1 through 4, as per the WHO classification \[WHO, 2009\].

Time frame:
At Months 12, 18 and 24
Reported as:
Count of participants · Participants
Number of HIV+ Subjects by WHO HIV Clinical Staging
ParticipantsHIV+/Cervarix GroupHIV+/Gardasil Group
Clinical stage 1, Month 12113112
Clinical stage 2, Month 1271
Clinical stage 3, Month 1212
Clinical stage 4, Month 1224
Clinical stage 1, Month 18112110
Clinical stage 2, Month 1871
Clinical stage 3, Month 1812
Clinical stage 4, Month 1824
Clinical stage 1, Month 24107110
Clinical stage 2, Month 2471
Clinical stage 3, Month 2412
Clinical stage 4, Month 2424
SecondaryPseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV- Subjects, Based on TVC

Titers of anti-HPV-16/18 antibodies, expressed as Geometric Mean Titers (GMTs), with cut-offs greater than or equal to (≥) 40 estimated dose giving 50% signal reduction when compared to a control without serum (ED50), as assessed by the Pseudovirion-Based Neutralization Assay \[PBNA\], for HIV- subjects. Between-group comparisons to assess superiority were performed on the TVC (by PBNA, regardless of HPV serostatus at baseline).

Time frame:
At Month 7 (30 days after the last vaccination dose at Month 6)
Reported as:
Geometric mean · Titers
Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV- Subjects, Based on TVC
TitersHIV-/Cervarix GroupHIV-/Gardasil Group
Anti-HPV-1660550.6 (44040.1 to 83250.9)19634.8 (14410.8 to 26752.4)
Anti-HPV-1832118.1 (23195.8 to 44472.3)5773.4 (4205.2 to 7926.4)
Statistical analysis
  • HIV-/Cervarix Group vs HIV-/Gardasil Group · ANOVA · p = <0.0001 · Adjusted gmt ratio: 5.38 · 97.5% CI 3.20 to 9.06ANOVA model on the log10 transformation of the titers for HIV- subjects and including the vaccine group as fixed effect.
  • HIV-/Cervarix Group vs HIV-/Gardasil Group · ANOVA · p = <0.0001 · Adjusted gmt ratio: 3.05 · 97.5% CI 1.84 to 5.06ANOVA model on the log10 transformation of the titers for HIV- subjects and including the vaccine group as fixed effect.
SecondaryAnti-HPV-16 and Anti-HPV-18 Antibody Concentrations by Enzyme-linked Immunosorbent Assay (ELISA) in Serum

Anti-HPV-16 and anti-HPV-18 antibody concentrations in serum, are presented as Geometric Mean Concentrations (GMCs), with cut-offs greater than or equal to (≥) 19 ELISA units per milliliter (EU/mL) and 18 EU/mL respectively, as assessed by Enzyme-linked immunosorbent assay (ELISA), in all (HIV+ and HIV-) subjects.

Time frame:
At Day 0, Week 6, Week 10, Month 7, Month 12, Month 18 and Month 24
Reported as:
Geometric mean · EU/mL
Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations by Enzyme-linked Immunosorbent Assay (ELISA) in Serum
EU/mLHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
anti-HPV-16, Day 017.2 (13.3 to 22.2)15.0 (12.0 to 18.9)10.2 (9.4 to 11.0)10.9 (9.5 to 12.5)
anti-HPV-16, Week 6452.9 (302.3 to 678.5)280.2 (182.5 to 430.1)390.6 (298.3 to 511.6)303.2 (228.0 to 403.3)
anti-HPV-16, Week 102191.2 (1775.7 to 2704.0)1565.5 (1197.5 to 2046.6)4512.7 (3771.5 to 5399.7)2993.2 (2459.1 to 3643.3)
anti-HPV-16, Month 74896.0 (4002.2 to 5989.3)2145.2 (1647.8 to 2792.7)15493.0 (12537.0 to 19146.0)5960.9 (5028.9 to 7065.7)
anti-HPV-16, Month 121392.3 (1077.5 to 1799.0)608.8 (445.4 to 832.1)4389.3 (3400.5 to 5665.7)1772.2 (1473.3 to 2131.7)
anti-HPV-16, Month 18861.3 (662.3 to 1119.9)311.4 (226.3 to 428.4)2294.1 (1785.0 to 2948.4)798.0 (646.6 to 984.8)
anti-HPV-16, Month 24664.6 (499.9 to 883.7)243.5 (173.9 to 341.0)1893.6 (1443.8 to 2483.7)601.9 (481.8 to 752.1)
anti-HPV-18, Day 013.4 (11.2 to 16.0)10.7 (9.3 to 12.3)9.3 (8.9 to 9.8)9.2 (8.9 to 9.5)
anti-HPV-18, Week 6205.6 (146.3 to 288.7)53.2 (36.4 to 77.6)277.3 (217.5 to 353.5)60.4 (47.5 to 76.8)
anti-HPV-18, Week 101432.4 (1136.9 to 1804.6)277.2 (200.8 to 382.8)3174.4 (2596.2 to 3881.4)666.1 (549.8 to 806.9)
anti-HPV-18, Month 72540.8 (2085.9 to 3094.9)493.8 (356.6 to 683.8)6779.3 (5382.6 to 8538.5)1516.5 (1232.9 to 1865.2)
anti-HPV-18, Month 12676.9 (520.1 to 880.9)116.2 (82.2 to 164.2)1747.7 (1329.4 to 2297.6)338.3 (261.2 to 438.1)
anti-HPV-18, Month 18408.7 (310.4 to 538.2)55.6 (39.6 to 78.0)895.5 (679.6 to 1179.9)160.1 (123.7 to 207.1)
anti-HPV-18, Month 24295.2 (216.9 to 401.7)52.4 (37.2 to 73.8)761.9 (576.6 to 1006.7)116.2 (88.8 to 151.9)
SecondaryAnti-HPV-16 and Anti-HPV-18 Antibody Concentrations by ELISA in Cervicovaginal Secretion (CVS)

Anti-HPV-16 and anti-HPV-18 antibody concentrations in CVS, are presented as Geometric Mean Concentrations (GMCs), with cut-offs greater than or equal to (≥) 0 EU/mL, as assessed by ELISA, in post-menarcheal subjects who volunteered for this procedure.

Time frame:
At Day 0, Week 6, Week 10, Month 7, Month 12, Month 18 and Month 24
Reported as:
Geometric mean · EU/mL
Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations by ELISA in Cervicovaginal Secretion (CVS)
EU/mLHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
anti-HPV-16, Day 01.5 (0.8 to 2.6)1.4 (0.7 to 2.8)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)
anti-HPV-16, Week 631.5 (4.7 to 211.5)3.1 (0.8 to 11.6)27.1 (8.7 to 84.2)2.7 (0.4 to 16.5)
anti-HPV-16, Week 1038.8 (6.1 to 245.0)15.7 (5.4 to 45.2)—159.8 (NA to NA)
anti-HPV-16, Month 723.6 (3.4 to 163.0)5.4 (1.6 to 17.6)104.2 (40.3 to 269.4)53.5 (3.0 to 945.1)
anti-HPV-16, Month 1218.7 (3.2 to 109.0)6.8 (2.1 to 22.3)107.6 (29.1 to 398.1)34.7 (NA to NA)
anti-HPV-16, Month 248.1 (1.3 to 50.3)4.3 (1.4 to 12.9)49.0 (4.5 to 534.2)1.0 (NA to NA)
anti-HPV-18, Day 01.2 (0.8 to 1.9)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)
anti-HPV-18, Week 616.8 (2.5 to 113.1)1.7 (0.5 to 5.2)3.0 (0.0 to 312.7)1.0 (1.0 to 1.0)
anti-HPV-18, Week 1022.9 (3.4 to 152.2)2.3 (0.9 to 5.8)—21.6 (NA to NA)
anti-HPV-18, Month 710.1 (1.8 to 58.2)2.2 (1.0 to 4.8)44.2 (14.3 to 136.9)16.3 (1.0 to 265.0)
anti-HPV-18, Month 1223.9 (8.0 to 72.0)2.4 (0.9 to 6.8)32.7 (17.2 to 62.1)16.3 (NA to NA)
anti-HPV-18, Month 248.8 (1.6 to 48.5)1.5 (0.8 to 3.0)13.8 (1.3 to 149.2)1.0 (NA to NA)
SecondaryFrequency of Specific B-cells for HPV-16/18 Antigens

B-cell memory was assessed by Enzyme Linked Immuno Spot (ELISPOT) assay. The assay was performed in a subset of approximately 100 subjects (50 HIV+ and 50 HIV-).

Time frame:
At Day 0, Week 6, Week 10, Month 7 and Month 12
Reported as:
Median · B-cells/million cells
Frequency of Specific B-cells for HPV-16/18 Antigens
B-cells/million cellsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
HPV-16, Day 01.0 (1.0 to 1.0)1.0 (1.0 to 61.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)
HPV-18, Day 01.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)
HPV-16, Week 691.0 (1.0 to 154.0)1.0 (1.0 to 1.0)22.0 (1.0 to 154.0)1.0 (1.0 to 204.0)
HPV-18, Week 639.5 (1.0 to 693.0)1.0 (1.0 to 45.5)155.0 (1.0 to 345.0)33.0 (1.0 to 80.0)
HPV-16, Week 10558.0 (95.5 to 989.5)198.0 (1.0 to 391.0)494.0 (90.5 to 834.0)150.5 (33.5 to 726.5)
HPV-18, Week 10150.0 (31.0 to 471.0)1.0 (1.0 to 42.0)211.0 (84.0 to 656.0)29.5 (1.0 to 222.0)
HPV-16, Month 7624.0 (457.0 to 1196.0)213.0 (165.0 to 632.0)1504.0 (481.0 to 3026.0)448.0 (257.0 to 890.0)
HPV-18, Month 7332.0 (153.0 to 494.0)1.0 (1.0 to 392.0)513.5 (111.5 to 1292.0)65.0 (1.0 to 158.0)
HPV-16, Month 12256.5 (75.5 to 891.5)121.0 (64.5 to 315.0)414.5 (94.5 to 640.5)256.0 (218.0 to 449.0)
HPV-18, Month 12101.0 (1.0 to 525.0)1.0 (1.0 to 159.0)250.5 (1.0 to 481.5)58.0 (1.0 to 101.0)
SecondaryFrequency of Cluster of Differentiation 4/8 [CD4+/CD8+] T-cell Response

The combinations of cytokines expressed were CD4/8-all doubles, CD4/8-d-cluster of differentiation 40 Ligand (CD40L), CD4/8-d-interferon gamma (IFNG), CD4/8-interleukin-2 (IL-2), CD4/8-d-tumour necrosis alpha (TNFA), as assessed by Intracellular cytokine staining (ICS). The assay was performed in a subset of approximately 100 subjects (50 HIV+ and 50 HIV-).

Time frame:
At Day 0, Week 6, Week 10, Month 7 and Month 12
Reported as:
Median · CD4 cells/million T-cells
Frequency of Cluster of Differentiation 4/8 [CD4+/CD8+] T-cell Response
CD4 cells/million T-cellsHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
CD4-All doubles,Anti-HPV-16,Day 041.0 (1.0 to 118.0)101.0 (43.0 to 215.0)1.0 (1.0 to 28.0)54.5 (1.0 to 88.0)
CD4-All doubles,Anti-HPV-18,Day 07.0 (1.0 to 116.0)87.0 (18.0 to 184.0)1.0 (1.0 to 82.0)1.0 (1.0 to 98.0)
CD4-All doubles,Anti-HPV-16,Week 6445.5 (262.0 to 1028.0)345.5 (227.0 to 1034.0)298.0 (173.0 to 540.5)661.0 (234.0 to 982.0)
CD4-All doubles,Anti-HPV-18,Week 6396.0 (163.0 to 832.0)309.5 (203.0 to 852.0)237.0 (81.0 to 421.5)320.5 (117.0 to 524.0)
CD4-All doubles,Anti-HPV-16,Week 102955.5 (1075.0 to 5200.0)1449.0 (922.0 to 1778.0)1767.0 (916.0 to 4428.0)1268.5 (648.0 to 2453.0)
CD4-All doubles,Anti-HPV-18,Week 102036.5 (951.0 to 3123.0)602.0 (498.0 to 2079.0)1243.0 (587.0 to 3400.0)515.5 (414.0 to 1178.0)
CD4-All doubles,Anti-HPV-16,Month 73693.0 (1870.0 to 5153.0)1679.5 (1052.0 to 2734.0)3414.5 (1424.5 to 4520.0)1505.0 (995.0 to 2205.0)
CD4-All doubles,Anti-HPV-18,Month 71866.0 (1267.0 to 2875.0)840.5 (518.0 to 1641.0)2084.5 (911.0 to 4110.0)669.0 (470.0 to 1035.0)
CD4-All doubles, Anti-HPV-16, Month 122328.0 (1225.0 to 4614.0)1288.0 (976.0 to 2485.0)2543.0 (1232.0 to 4264.0)830.0 (367.0 to 1386.0)
CD4-All doubles, Anti-HPV-18, Month 121654.0 (836.0 to 2634.0)808.5 (295.0 to 1932.0)1641.0 (985.0 to 2939.0)428.0 (162.0 to 938.0)
CD4-d-CD40L, Anti-HPV-16, Day 022.0 (1.0 to 118.0)99.0 (60.0 to 215.0)1.0 (1.0 to 58.0)46.0 (1.0 to 81.0)
CD4-d-CD40L, Anti-HPV-18, Day 036.0 (1.0 to 81.0)89.0 (1.0 to 176.0)1.0 (1.0 to 54.0)13.5 (1.0 to 100.0)
CD4-d-CD40L, Anti-HPV-16, Week 6426.0 (258.5 to 999.5)326.5 (196.0 to 1034.0)298.0 (209.5 to 540.0)582.0 (223.0 to 967.0)
CD4-d-CD40L, Anti-HPV-18, Week 6403.5 (144.0 to 835.0)296.0 (216.0 to 840.0)242.5 (36.5 to 393.0)310.0 (95.0 to 521.0)
CD4-d-CD40L, Anti-HPV-16, Week 102893.5 (988.0 to 5006.0)1440.0 (882.0 to 1814.0)1678.0 (917.0 to 4306.0)1239.0 (562.0 to 2362.0)
CD4-d-CD40L, Anti-HPV-18, Week 102015.0 (944.0 to 3021.0)564.5 (507.0 to 2045.0)1051.0 (631.0 to 3317.0)474.5 (385.0 to 811.0)
CD4-d-CD40L, Anti-HPV-16, Month 73658.0 (1804.0 to 5070.0)1619.5 (1071.0 to 2600.0)3290.0 (1464.5 to 4387.5)1389.0 (949.0 to 2133.0)
CD4-d-CD40L, Anti-HPV-18, Month 71839.0 (1066.0 to 2893.0)833.5 (518.0 to 1605.0)2014.0 (979.0 to 3878.5)647.0 (442.0 to 981.0)
CD4-d-CD40L, Anti-HPV-16, Month 122266.0 (1178.0 to 4558.0)1278.0 (955.0 to 2478.0)2519.0 (1232.0 to 4190.0)862.0 (353.0 to 1197.0)
CD4-d-CD40L, Anti-HPV-18, Month 121668.0 (807.0 to 2427.0)808.5 (295.0 to 1914.0)1641.0 (984.0 to 2767.0)394.0 (155.0 to 913.0)
CD4-d-IFNG, Anti-HPV-16, Day 027.0 (1.0 to 63.0)30.0 (1.0 to 51.0)1.0 (1.0 to 45.0)39.0 (1.0 to 61.0)
CD4-d-IFNG, Anti-HPV-18, Day 04.0 (1.0 to 42.0)51.0 (1.0 to 59.0)1.0 (1.0 to 54.0)21.0 (1.0 to 46.0)
CD4-d-IFNG, Anti-HPV-16, Week 6222.5 (117.0 to 393.0)116.0 (75.0 to 222.0)42.5 (1.0 to 127.5)241.5 (71.0 to 404.0)
CD4-d-IFNG, Anti-HPV-18, Week 698.0 (25.0 to 361.0)104.5 (35.0 to 211.0)1.0 (1.0 to 44.0)129.5 (1.0 to 182.0)
CD4-d-IFNG, Anti-HPV-16, Week 101220.0 (554.0 to 1478.0)450.0 (245.0 to 527.0)332.0 (282.0 to 1251.0)442.0 (160.0 to 935.0)
CD4-d-IFNG, Anti-HPV-18, Week 10694.0 (342.0 to 1207.0)326.5 (121.0 to 455.0)222.0 (124.0 to 569.0)202.0 (122.0 to 279.0)
CD4-d-IFNG, Anti-HPV-16, Month 71513.0 (891.0 to 1993.0)585.5 (190.0 to 846.0)731.0 (267.5 to 1245.0)495.0 (319.0 to 859.0)
CD4-d-IFNG, Anti-HPV-18, Month 7694.0 (409.0 to 868.0)306.0 (171.0 to 382.0)414.5 (245.5 to 616.5)198.0 (126.0 to 435.0)
CD4-d-IFNG, Anti-HPV-16, Month 12452.0 (368.0 to 1097.0)432.0 (202.0 to 835.0)621.0 (239.0 to 1042.0)302.0 (129.0 to 555.0)
CD4-d-IFNG, Anti-HPV-18, Month 12402.0 (191.0 to 585.0)253.5 (92.0 to 415.0)273.0 (88.0 to 406.0)98.0 (1.0 to 154.0)
CD4-d-IL-2, Anti-HPV-16, Day 043.0 (1.0 to 81.0)30.0 (7.0 to 121.0)1.0 (1.0 to 58.0)1.0 (1.0 to 21.0)
CD4-d-IL-2, Anti-HPV-18, Day 046.0 (1.0 to 115.0)37.0 (1.0 to 102.0)1.0 (1.0 to 31.0)13.5 (1.0 to 57.0)
CD4-d-IL-2, Anti-HPV-16, Week 6361.0 (235.5 to 966.0)300.0 (234.0 to 827.0)245.5 (137.0 to 468.0)454.5 (228.0 to 816.0)
CD4-d-IL-2, Anti-HPV-18, Week 6364.5 (161.0 to 858.0)193.5 (94.0 to 687.0)227.5 (131.5 to 379.5)286.0 (129.0 to 413.0)
CD4-d-IL-2, Anti-HPV-16, Week 102503.0 (938.0 to 4606.0)1221.0 (678.0 to 1584.0)1542.0 (776.0 to 3499.0)929.5 (435.0 to 2128.0)
CD4-d-IL-2, Anti-HPV-18, Week 101668.5 (635.0 to 2183.0)555.5 (349.0 to 1687.0)1183.0 (456.0 to 2311.0)411.0 (245.0 to 891.0)
CD4-d-IL-2, Anti-HPV-16, Month 72847.0 (1557.0 to 4064.0)1318.5 (672.0 to 2141.0)2608.5 (1147.5 to 3875.0)1128.0 (697.0 to 1574.0)
CD4-d-IL-2, Anti-HPV-18, Month 71522.0 (914.0 to 2285.0)615.0 (472.0 to 1234.0)1442.0 (811.0 to 3471.0)537.0 (341.0 to 643.0)
CD4-d-IL-2, Anti-HPV-16, Month 121792.0 (1076.0 to 4087.0)1040.5 (804.0 to 1972.0)1861.0 (1861.0 to 3754.0)723.0 (330.0 to 1255.0)
CD4-d-IL-2, Anti-HPV-18, Month 121170.0 (683.0 to 2375.0)601.5 (230.0 to 1568.0)1342.0 (825.0 to 2794.0)337.0 (243.0 to 636.0)
CD4-d-TNFA, Anti-HPV-16, Day 01.0 (1.0 to 58.0)71.0 (1.0 to 252.0)32.0 (1.0 to 74.0)34.0 (1.0 to 76.0)
CD4-d-TNFA, Anti-HPV-18, Day 01.0 (1.0 to 52.0)35.0 (1.0 to 131.0)25.0 (1.0 to 39.0)15.5 (1.0 to 83.0)
CD4-d-TNFA, Anti-HPV-16, Week 6326.5 (49.5 to 714.0)171.0 (133.0 to 701.0)237.0 (89.5 to 325.0)337.5 (183.0 to 648.0)
CD4-d-TNFA, Anti-HPV-18, Week 6234.0 (66.0 to 579.0)204.0 (94.0 to 539.0)162.5 (75.5 to 247.0)156.5 (72.0 to 398.0)
CD4-d-TNFA, Anti-HPV-16, Week 102086.0 (519.0 to 4016.0)903.5 (606.0 to 1355.0)1260.0 (764.0 to 3094.0)865.5 (453.0 to 2100.0)
CD4-d-TNFA, Anti-HPV-18, Week 101493.5 (592.0 to 2341.0)443.0 (248.0 to 1432.0)899.0 (415.0 to 2310.0)334.5 (203.0 to 958.0)
CD4-d-TNFA, Anti-HPV-16, Month 72688.0 (1399.0 to 3994.0)1109.0 (670.0 to 2066.0)2621.0 (1062.0 to 3652.5)1215.0 (792.0 to 1665.0)
CD4-d-TNFA, Anti-HPV-18, Month 71366.0 (1126.0 to 2449.0)598.0 (362.0 to 1522.0)1614.0 (760.5 to 3463.5)505.0 (330.0 to 683.0)
CD4-d-TNFA, Anti-HPV-16, Month 121937.0 (883.0 to 3961.0)1011.5 (681.0 to 2066.0)2344.0 (1053.0 to 3741.0)646.0 (344.0 to 1219.0)
CD4-d-TNFA, Anti-HPV-18, Month 121264.0 (707.0 to 2500.0)527.0 (174.0 to 1684.0)1480.0 (703.0 to 2619.0)358.0 (186.0 to 617.0)
CD8-All doubles,Anti-HPV-16, Day 01.0 (1.0 to 40.0)1.0 (1.0 to 43.0)1.0 (1.0 to 28.0)1.0 (1.0 to 29.0)
CD8-All doubles,Anti-HPV-18, Day 06.0 (1.0 to 50.0)23.0 (1.0 to 60.0)21.0 (1.0 to 54.0)1.0 (1.0 to 35.0)
CD8-All doubles,Anti-HPV-16,Week 62.0 (1.0 to 34.5)13.0 (1.0 to 70.0)1.0 (1.0 to 14.5)1.0 (1.0 to 3.0)
CD8-All doubles,Anti-HPV-18,Week 637.5 (9.0 to 66.5)2.0 (1.0 to 42.0)1.0 (1.0 to 42.5)30.5 (1.0 to 74.0)
CD8-All doubles,Anti-HPV-16,Week 1041.0 (1.0 to 75.0)3.5 (1.0 to 36.0)1.0 (1.0 to 54.0)1.0 (1.0 to 29.0)
CD8-All doubles,Anti-HPV-18,Week 1011.0 (1.0 to 60.0)1.0 (1.0 to 60.0)5.0 (1.0 to 84.0)1.0 (1.0 to 41.0)
CD8-All doubles,Anti-HPV-16,Month 751.0 (18.0 to 69.0)9.5 (1.0 to 33.0)1.0 (1.0 to 74.5)2.0 (1.0 to 54.0)
CD8-All doubles,Anti-HPV-18,Month 741.0 (1.0 to 159.0)30.0 (3.0 to 49.0)15.5 (1.0 to 106.5)24.0 (1.0 to 54.0)
CD8-All doubles,Anti-HPV-16, Month 121.0 (1.0 to 23.0)34.0 (1.0 to 79.0)23.0 (1.0 to 49.0)1.0 (1.0 to 24.0)
CD8-All doubles,Anti-HPV-18, Month 1225.0 (1.0 to 92.0)1.0 (1.0 to 29.0)1.0 (1.0 to 37.0)1.0 (1.0 to 24.0)
CD8-d-CD40L, Anti-HPV-16, Day 01.0 (1.0 to 29.0)1.0 (1.0 to 6.0)1.0 (1.0 to 10.0)1.0 (1.0 to 7.0)
CD8-d-CD40L, Anti-HPV-18, Day 01.0 (1.0 to 29.0)1.0 (1.0 to 19.0)1.0 (1.0 to 33.0)1.0 (1.0 to 16.0)
CD8-d-CD40L, Anti-HPV-16, Week 61.0 (1.0 to 24.5)1.0 (1.0 to 32.0)1.0 (1.0 to 18.0)1.0 (1.0 to 1.0)
CD8-d-CD40L, Anti-HPV-18, Week 69.5 (1.0 to 27.5)1.0 (1.0 to 17.0)1.0 (1.0 to 23.0)1.0 (1.0 to 36.0)
CD8-d-CD40L, Anti-HPV-16, Week 1018.5 (1.0 to 73.0)1.0 (1.0 to 29.0)1.0 (1.0 to 41.0)1.0 (1.0 to 27.0)
CD8-d-CD40L, Anti-HPV-18, Week 1010.5 (1.0 to 34.0)2.5 (1.0 to 34.0)26.0 (1.0 to 72.0)1.0 (1.0 to 30.0)
CD8-d-CD40L, Anti-HPV-16, Month 726.0 (1.0 to 63.0)3.0 (1.0 to 20.0)2.0 (1.0 to 52.0)1.0 (1.0 to 36.0)
CD8-d-CD40L, Anti-HPV-18, Month 74.0 (1.0 to 42.0)15.0 (1.0 to 31.0)38.0 (1.0 to 92.0)4.0 (1.0 to 33.0)
CD8-d-CD40L, Anti-HPV-16, Month 121.0 (1.0 to 73.0)31.0 (7.0 to 39.0)3.0 (1.0 to 30.0)1.0 (1.0 to 24.0)
CD8-d-CD40L, Anti-HPV-18, Month 1223.0 (1.0 to 59.0)1.0 (1.0 to 8.0)1.0 (1.0 to 39.0)1.0 (1.0 to 24.0)
CD8-d-IFNG, Anti-HPV-16, Day 01.0 (1.0 to 29.0)1.0 (1.0 to 43.0)1.0 (1.0 to 28.0)1.0 (1.0 to 2.0)
CD8-d-IFNG, Anti-HPV-18, Day 06.0 (1.0 to 33.0)19.0 (1.0 to 47.0)21.0 (1.0 to 54.0)4.0 (1.0 to 35.0)
CD8-d-IFNG, Anti-HPV-16, Week 62.5 (1.0 to 39.5)17.5 (1.0 to 78.0)1.0 (1.0 to 14.5)1.0 (1.0 to 11.0)
CD8-d-IFNG, Anti-HPV-18, Week 627.5 (1.0 to 55.5)1.0 (1.0 to 47.0)1.0 (1.0 to 42.5)35.5 (1.0 to 84.0)
CD8-d-IFNG, Anti-HPV-16, Week 1034.0 (1.0 to 99.0)25.0 (1.0 to 30.0)1.0 (1.0 to 38.0)1.0 (1.0 to 29.0)
CD8-d-IFNG, Anti-HPV-18, Week 103.0 (1.0 to 68.0)7.5 (1.0 to 34.0)24.0 (1.0 to 76.0)1.0 (1.0 to 1.0)
CD8-d-IFNG, Anti-HPV-16, Month 746.0 (1.0 to 68.0)1.0 (1.0 to 26.0)1.0 (1.0 to 74.5)1.0 (1.0 to 50.0)
CD8-d-IFNG, Anti-HPV-18, Month 741.0 (1.0 to 68.0)21.0 (1.0 to 41.0)4.0 (1.0 to 90.5)3.0 (1.0 to 52.0)
CD8-d-IFNG, Anti-HPV-16, Month 121.0 (1.0 to 31.0)25.0 (1.0 to 57.0)1.0 (1.0 to 39.0)1.0 (1.0 to 24.0)
CD8-d-IFNG, Anti-HPV-18, Month 1223.0 (1.0 to 92.0)1.0 (1.0 to 31.0)1.0 (1.0 to 7.0)1.0 (1.0 to 4.0)
CD8-d-IL-2, Anti-HPV-16, Day 01.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 16.0)
CD8-d-IL-2, Anti-HPV-18, Day 01.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)
CD8-d-IL-2, Anti-HPV-16, Week 61.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)
CD8-d-IL-2, Anti-HPV-18, Week 61.0 (1.0 to 23.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)
CD8-d-IL-2, Anti-HPV-16, Week 101.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 32.0)1.0 (1.0 to 1.0)
CD8-d-IL-2, Anti-HPV-18, Week 101.0 (1.0 to 26.0)1.0 (1.0 to 1.0)1.0 (1.0 to 25.0)1.0 (1.0 to 1.0)
CD8-d-IL-2, Anti-HPV-16, Month 71.0 (1.0 to 23.0)1.0 (1.0 to 17.0)1.0 (1.0 to 37.5)1.0 (1.0 to 1.0)
CD8-d-IL-2, Anti-HPV-18, Month 71.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 29.0)1.0 (1.0 to 1.0)
CD8-d-IL-2, Anti-HPV-16, Month 121.0 (1.0 to 27.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)1.0 (1.0 to 1.0)
CD8-d-IL-2, Anti-HPV-18, Month 121.0 (1.0 to 48.0)1.0 (1.0 to 1.0)1.0 (1.0 to 19.0)1.0 (1.0 to 1.0)
CD8-d-TNFA, Anti-HPV-16, Day 01.0 (1.0 to 10.0)1.0 (1.0 to 35.0)1.0 (1.0 to 1.0)1.0 (1.0 to 29.0)
CD8-d-TNFA, Anti-HPV-18, Day 06.0 (1.0 to 50.0)7.0 (1.0 to 54.0)1.0 (1.0 to 33.0)1.0 (1.0 to 34.0)
CD8-d-TNFA, Anti-HPV-16, Week 61.0 (1.0 to 46.0)1.0 (1.0 to 35.0)1.0 (1.0 to 1.0)1.0 (1.0 to 31.0)
CD8-d-TNFA, Anti-HPV-18, Week 619.0 (1.0 to 50.0)1.0 (1.0 to 57.0)1.0 (1.0 to 28.0)1.0 (1.0 to 26.0)
CD8-d-TNFA, Anti-HPV-16, Week 101.5 (1.0 to 32.0)1.0 (1.0 to 24.0)1.0 (1.0 to 31.0)1.0 (1.0 to 26.0)
CD8-d-TNFA, Anti-HPV-18, Week 1017.5 (1.0 to 34.0)14.0 (1.0 to 61.0)5.0 (1.0 to 42.0)1.0 (1.0 to 34.0)
CD8-d-TNFA, Anti-HPV-16, Month 734.0 (1.0 to 41.0)13.0 (1.0 to 33.0)1.0 (1.0 to 49.0)2.0 (1.0 to 33.0)
CD8-d-TNFA, Anti-HPV-18, Month 741.0 (1.0 to 111.0)26.5 (15.0 to 58.0)1.0 (1.0 to 58.0)1.0 (1.0 to 32.0)
CD8-d-TNFA, Anti-HPV-16, Month 121.0 (1.0 to 26.0)1.0 (1.0 to 54.0)28.0 (1.0 to 49.0)1.0 (1.0 to 42.0)
CD8-d-TNFA, Anti-HPV-18, Month 1230.0 (24.0 to 62.0)1.0 (1.0 to 28.0)1.0 (1.0 to 48.0)1.0 (1.0 to 40.0)

Adverse events

Collected over Solicited local and general symptoms: During the 7-day follow-up period (from the day of vaccination up to 6 subsequent days) after vaccination; Unsolicited AEs: During the 30-day follow-up period (from the day of vaccination up to 29 subsequent days) after vaccination; SAEs: during the whole study period (from Day 0 up to Month 24).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
HIV+/Cervarix Group0/129 (0%)9/129 (7%)123/129 (95.3%)
HIV+/Gardasil Group1/128 (0.8%)9/128 (7%)109/128 (85.2%)
HIV-/Cervarix Group0/144 (0%)4/144 (2.8%)136/144 (94.4%)
HIV-/Gardasil Group0/145 (0%)1/145 (0.7%)127/145 (87.6%)
Most frequent serious events
Showing 10 of 25
Most frequent serious events
EventHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
AppendicitisInfections and infestations0/1292/1280/1440/145
GastritisGastrointestinal disorders0/1291/1280/1440/145
Pneumonia bacterialInfections and infestations0/1291/1280/1440/145
Pulmonary tuberculosisInfections and infestations0/1291/1280/1440/145
TonsillitisInfections and infestations1/1291/1281/1440/145
Urinary tract infectionInfections and infestations0/1291/1280/1440/145
Suicide attemptPsychiatric disorders0/1291/1280/1440/145
Head injuryInjury, poisoning and procedural complications0/1291/1280/1440/145
ArthritisMusculoskeletal and connective tissue disorders0/1291/1280/1440/145
Abortion spontaneous completePregnancy, puerperium and perinatal conditions0/1291/1280/1440/145
Most frequent other events
Showing 10 of 121
Most frequent other events
EventHIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil Group
PainGeneral disorders121/12985/128133/144119/145
HeadacheNervous system disorders88/12963/12870/14467/145
FatigueGeneral disorders73/12959/12865/14456/145
MyalgiaMusculoskeletal and connective tissue disorders68/12951/12864/14454/145
ErythemaSkin and subcutaneous tissue disorders41/12934/12852/14442/145
SwellingGeneral disorders38/12921/12847/14439/145
ArthralgiaMusculoskeletal and connective tissue disorders41/12938/12831/14434/145
Gastrointestinal disorderGastrointestinal disorders41/12935/12828/14426/145
PyrexiaGeneral disorders24/12920/12823/14425/145
UrticariaSkin and subcutaneous tissue disorders14/1299/1284/1446/145

Baseline characteristics

Age, Continuous
Age, Continuous(Years)HIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil GroupTotal
Mean20.4 ± 3.420.1 ± 3.519.3 ± 3.019.6 ± 3.019.8 ± 3.2
Sex: Female, Male
Sex: Female, Male(Participants)HIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil GroupTotal
Female129128144145546
Male00000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)HIV+/Cervarix GroupHIV+/Gardasil GroupHIV-/Cervarix GroupHIV-/Gardasil GroupTotal
African Heritage/African American1064424
Asian - Central/South Asian Heritage20186768173
Asian - East Asian Heritage32106
Asian - Japanese Heritage00123
Asian - South East Asian Heritage40443942165
White - Arabic/North African Heritage17127642
White - Caucasian/European Heritage33372419113
Unspecified691420
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Study locations

15 sites
  • GSK Investigational Site
    Porto Alegre, Rio Grande Do Sul 90035003, Brazil
  • GSK Investigational Site
    Ribeirão Preto, São Paulo 14049-900, Brazil
  • GSK Investigational Site
    Campinas, 13083-970, Brazil
  • GSK Investigational Site
    Rio de Janeiro, 21040-360, Brazil
  • GSK Investigational Site
    São Paulo, 03015000, Brazil
  • GSK Investigational Site
    Kohtla-Järve, 30322, Estonia
  • GSK Investigational Site
    Tallinn, 10617, Estonia
  • GSK Investigational Site
    Chennai, 600113, India
  • GSK Investigational Site
    Kolkata, 700026, India
  • GSK Investigational Site
    Mumbai, 400014, India
  • GSK Investigational Site
    Pune, 411001, India
  • GSK Investigational Site
    Bangkok, 10330, Thailand
  • GSK Investigational Site
    Bangkok, 10400, Thailand
  • GSK Investigational Site
    Chiangmai, 50200, Thailand
  • GSK Investigational Site
    Khon Kaen, 40002, Thailand
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References and documents

Publications

  • Folschweiller N, Teixeira J, Joshi S, Goldani LZ, Supparatpinyo K, Basu P, Chotpitayasunondh T, Chetchotisakd P, Ruxrungtham K, Roteli-Martins C, Grinsztejn B, Quintana SM, Kumarasamy N, Poongulali S, Kulkarni V, Lin L, Datta SK, Descamps D, Dodet M, Dubin G, Friel D, Hezareh M, Karkada N, Meric Camilleri D, Poncelet S, Salaun B, Tavares-da-Silva F, Thomas-Jooris F, Struyf F. Immunogenicity and safety of the AS04-HPV-16/18 and HPV-6/11/16/18 human papillomavirus vaccines in asymptomatic young women living with HIV aged 15-25 years: A phase IV randomized comparative study. EClinicalMedicine. 2020 May 25;23:100353. doi: 10.1016/j.eclinm.2020.100353. eCollection 2020 Jun. PubMed 32639485 ↗

Individual participant data

Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.

Supporting information: Study protocol, Sap, Icf, Csr

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01031069
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Dec 14, 2009
Start date
Oct 26, 2010
Primary completion
Jan 13, 2016
Completion
Apr 19, 2017
Results posted
Jul 24, 2019
Last update
Jul 21, 2020

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

FDA-regulated drug
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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