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CompletedNCT01096134MDIUpdated Oct 12, 2015

Mother - Daughter Initiative (MDI) in Cervical Cancer Prevention

An interventional study of HPV Vaccine (Gardasil) in Cervical Cancer, sponsored by Jhpiego. Completed at 10 sites in 2 countries. Open to female participants aged 9 Years to 13 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-10-12.

Sponsored by Jhpiego · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
8,000
Allocation
Not applicable
Ages
9 Years to 13 Years
Sex
Female
01

Study summary

The Mother-Daughter Initiative (MDI) will test the feasibility and acceptability of a strategy to deliver comprehensive cervical cancer prevention services in Thailand and the Philippines by integrating the HPV vaccine for girls ages 9-13 into already successful screening and treatment programs for mothers.

02

Conditions studied

  • Cervical Cancer
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In context

Uterine Cervical Neoplasms

1,881 studies on the registry are indexed under Uterine Cervical Neoplasms; 567 are open to participants now.

This study's enrollment of 8,000 is above the median of 100 across 1,377 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Jhpiego is the lead sponsor of 31 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
9 Years to 13 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age 9-13 at first HPV vaccine dose
  • Mother/legal guardian and daughter are both interested and willing to have the girl receive the HPV vaccine
  • Mother/legal guardian and daughter both indicate that they would be able to return to clinic for the three vaccine doses

Exclusion criteria

Exclusion Criteria:

  • Girls with a known history of any allergies or severe reaction to any vaccines, food or medicine
  • Pregnant adolescents will be excluded. If a girl becomes pregnant after the first dose is administered, she will not be provided with the second or third dose
  • Girls with moderate or severe illnesses will be asked to postpone vaccination eg. Pneumonia.
  • Girls with a weakened immune system, cancer, leukemia, AIDS or other immune system problems
  • Girls with a bleeding disorder or currently taking anticoagulants
  • Girls that have received any other vaccinations in the past 4 weeks
  • Girls currently on steroids, such as cortisone, prednisone, or anti-cancer drug.
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8,000 participants (actual)

Study arms

  • Experimental
    HPV Vaccine

    Eligible girls were offered 3 doses of the HPV vaccine

    Biological: HPV Vaccine (Gardasil)

Interventions

  • BiologicalHPV Vaccine (Gardasil)

    HPV Vaccine Administration: According to the CDC, Gardasil should be delivered through a series of three intra-muscular injections over a six-month period. The second and third doses should be given two and six months after the first dose. The vaccine can be administered at the same visit as other age-appropriate vaccines, such as Tdap, Td, MCV4, influenza, and hepatitis B vaccines. Providers should consider a 15-minute waiting period for vaccine recipients following vaccination. FDA's Approval of Gardasil (June 8, 2006) lists the following information on product Formulation: Each 0.5 mL dose of the vaccine contains: 20 mcg of HPV 6 L1 protein 40 mcg of HPV 11 L1 protein 40 mcg of HPV 16 L1 protein 20 mcg of HPV 18 L1 protein 225 mcg aluminum (as amorphous aluminum hydroxyphosphate sulfate adjuvant) 9.56 mg of sodium chloride 0.78 mg of L-histidine 50 mcg of polysorbate 80 35 mcg of sodium borate water for injection

06

What researchers measure

Primary outcomes

  1. Determine the population coverage of HPV vaccination of girls aged 9-13 offered within the context of cervical cancer screening and treatment of mothers

    The aim of the study to assess whether we can fully vaccinate (all 3 doses),50% of girls aged 9 -13 in the participating districts, in an 18-month period. This corresponds to 4000 girls in Thailand and 4000 in Phillipines. The study will seek to undertand if this level of population coverage (50%), can be achieved through encouraging women that recive cervical cancer screening to bring in their daughters or relatives for vaccination.

    Time frame: 18 months

Secondary outcomes

  1. Assess mothers' acceptability of having their daughters receive the full course of HPV vaccine after mothers receive screening and treatment services for cervical pre-cancer

    Data on mothers knowledge of the vaccine, and intention to have their daughters vaccinated will be collected for a period of 1 year (or when the target number of 700 women/guardians is reached, whatever comes first). Data will be collected on: * Proportion of women with daughters who intend to vaccinate their daughters. * Proportion of daughters of screened mothers who return to receive the vaccine. * Proportion of girls who receive the first vaccine dose and are brought to the facility by a guardian/mother who did NOT recieve cervical cancer screening

    Time frame: 1 year

  2. Inform future programs that aim to introduce the HPV vaccine in the context of secondary screening for cervical cancer by determining the factors related to screened women bringing daughters for HPV vaccination and the costs of vaccine introduction

    Programmatic data will be collected for the duration of the project, including but not limited to: * Cost required to implement the program * Logistics required to ensure supply and appropriate maintenance of vaccine * Human resources required to effectively adminster the vaccine as part of routine services. * Key communication and outreach messages that effectively educate the community

    Time frame: 2 years

07

Study locations

10 sites
  • Minglanilla
    Cebu, Philippines
  • Los Banos
    Quezon, Philippines
  • Pagbilao Health Center
    Quezon, Philippines
  • Health promotion Clinic Number 11
    Nakhon Si Thammarat, Nakisron, Thailand
  • Ban Pak Poon Health Center
    Nakhon Si Thammarat, Nakornsri, Thailand
  • Maharat Nakhonsithammarat Primary Care Unit
    Nakhon Si Thammarat, Nakornsri, Thailand
  • Pak-Panung District Health Center
    Nakhon Si Thammarat, Nakornsri, Thailand
  • Ban Yuanlae District Health Center
    Ban Phon Ko, Thailand
  • Ban Mai Daeng
    Nakhon Si Thammarat, Nakornsri, Thailand
  • Ban Pai Ta Health Center
    Nakhon Si Thammarat, Nakornsri, Thailand
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 12, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01096134
Lead sponsor
Jhpiego
Collaborators
Merck Sharp & Dohme LLC
Responsible party
Sharon Kibwana (Senior Program Officer, Jhpiego) — Principal investigator
First posted
Mar 30, 2010
Start date
Jan 2011
Primary completion
Nov 2012
Completion
Nov 2012
Last update
Oct 12, 2015

Study contacts

Cecilia Llave, MD
principal investigator · Cancer Institute Foundation, Phillipines
Kobchitt Limpaphayom, MD
principal investigator · Chulalongkorn University, Thailand
Enriquito Lu, MD, MPH
principal investigator · Jhpiego

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2015. You cannot join it, but the record below documents what was studied.

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