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Active, not recruitingNCT03309033Updated Nov 12, 2026

Extended Follow-up of Women Who Received One, Two, and Three Doses of the HPV Vaccine in the Costa Rica Vaccine Trial (CVT), ESCUDDO-CVT Study

An observational study in Human Papillomavirus Infection and Human Papillomavirus-Related Malignant Neoplasm, sponsored by National Cancer Institute (NCI). Active, not recruiting at 1 site in Costa Rica. Open to female participants, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by National Cancer Institute (NCI) · Observational

Updated Nov 12, 2026Enrollment updatedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 20 studies in Papillomavirus Infections by National Cancer Institute (NCI) — 3 open to participants now, 11 under way, none of them phase 3. Papillomavirus Infections · National Cancer Institute (NCI).

Started
2018
the only one that year
Observational
3 of 20
none open now
Primary completion
2026-03
later than 2 of 10 live
Registered
10th of 20
by date

Among the 20 studies in Papillomavirus Infections by National Cancer Institute (NCI), this one is the only one that started in 2018, is one of 3 observational ones, reaches primary completion later than 2 of the 10 other live ones, and was the 10th registered.

Papillomavirus Infections

576 studies on the registry are indexed under Papillomavirus Infections; 132 are open to participants now.

Browse Papillomavirus Infections studies →

Open to participants now

3 of the 20 studies in Papillomavirus Infections by National Cancer Institute (NCI) are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Who these studies take

Of the 85 Papillomavirus Infections studies recruiting now, 38 (45%) set no upper age limit and 42 (49%) stop at 75 or younger; 19 take children under 18; 36 take healthy volunteers.

This study: female · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 20 studies in Papillomavirus Infections by National Cancer Institute (NCI), or all of them as a file.
02

Study summary

This study is extending follow up of women who participated in the Costa Rica Vaccine Trial (CVT) and received one dose or two doses of the human papillomavirus (HPV) vaccine, along with a group of women who received three doses. It also studies the stability of HPV defenses in these groups of women for up to 20 years after initial vaccination. Studying samples of blood in the laboratory may provide information on how long one, two, and three doses of the vaccine provide protection against HPV. The results of this study may also help researchers learn whether one dose of HPV vaccine is enough to protect against HPV.

Read the detailed description

PRIMARY OBJECTIVES:

I. Estimate the change in antibody levels between years 11 and 20. II. Estimate the proportion of individuals who become seronegative (i.e.: serorevert) between years 11 and 20.

SECONDARY OBJECTIVES:

I. Assess the prevalence and distribution of type-specific HPV infections at least 18 years after HPV vaccination.

II. Assess the number and type of premalignant lesions present at least 18 years after vaccination.

III. For each dose regimen, characterize HPV-specific memory B cells and long-lived plasma cells present at least 18 years after HPV vaccination, and compare these characteristics with results from earlier time points.

OUTLINE: This is an observational study.

Patients complete a short questionnaire regarding risk factors for HPV infection and undergo collection of blood samples for testing HPV16 and HPV18 levels on study.

03

Conditions studied

  • Human Papillomavirus Infection
  • Human Papillomavirus-Related Malignant Neoplasm
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Women who participated in the Costa Rica Vaccine Trial and received the HPV vaccine

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participation in the CVT Long Term Follow-Up (LTFU) study

Exclusion criteria

Exclusion Criteria:

  • A random subset of the three-dose women
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1 participant (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Observational (questionnaire, biospecimen collection)

    Patients complete a short questionnaire regarding risk factors for HPV infection and undergo collection of blood samples for testing HPV16 and HPV18 levels on study.

    Procedure: Biospecimen Collection · Other: Questionnaire Administration

Interventions

  • ProcedureBiospecimen Collection

    Undergo collection of blood samples

    Also known as: Biological Sample Collection, Biospecimen Collected, Sample Collection, Specimen Collection

  • OtherQuestionnaire Administration

    Complete questionnaire

06

What researchers measure

Primary outcomes

  1. Seropositivity

    Negative/positive status will be assessed using the standard predefined cutoffs established at the testing laboratory.

    Time frame: Up to 20 years after initial vaccination

  2. Change in antibody levels

    Will report the geometric mean titer levels and their 95% confidence intervals at years 1, 2, 3, 4, 7, 9, 11, 14, 16, 18, and 20 for the 1-dose, 2-dose and 3-dose groups and for both human papillomavirus (HPV)-16 and HPV-18 antibodies. Will estimate these quantities using a weighted linear mixed models with log-titer level as the dependent variable and year as the independent variable, adjusting for laboratory batch and including a random-effects for participant and, when needed, participant: study year. For the three-dose analysis, will also include a covariate for study group. Moreover, will model the 19-year trend (e.g. excluding peak titers at year 1) by including time as a single continuous variable (i.e. linear effect) and then model time flexibly using a natural spline to assess a potentially non-linear relationship.

    Time frame: Between years 11 and 20 after initial vaccination

  3. Proportion of individuals who serorevert

    For each dose regimen and for HPV 16, HPV 18, and a composite endpoint of either HPV type, will estimate the proportion of individuals who serorevert (i.e., become antibody negative by the assay cutoff) in years 1, 2, 3, 4, 7, 9, 11, 14, 16, 18, and 20. Will also report 95% confidence intervals for these estimates. Again, will follow the approach described in our previous work. Note, will consider both standard and updated cutoffs and will use batch-adjusted levels. Can obtain the relative risk for seroreversion and its 95% confidence interval using score tests. Will then use generalized linear mixed models with seroreversion as the outcome and all other parameters similar to above to assess trends over time.

    Time frame: Between years 11 and 20 after initial vaccination

07

Study locations

1 site
08

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2018 to primary completion in Mar 2026, 92 months.

Of 53 non-industry observational studies under Papillomavirus Infections, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 92. This study's 92 months is above that.

Counting every sponsor, half of 66 studies reached it within 46 months; a quarter within 24 and three quarters within 90.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 12, 2017
First posted
Oct 13, 2017
StartActual
Jul 2, 2018
Primary completionActual
Mar 5, 2026
CompletionEst.
Dec 31, 2028
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Enrollment
946→1
Nov 12, 2026
Show all 2 updates
  1. Nov 12, 2026
    Enrollment 946→1
  2. Sep 28, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT03309033
Responsible party
Sponsor
First posted
Oct 13, 2017
Start date
Jul 2, 2018
Primary completion
Mar 5, 2026
Completion
Dec 31, 2028 (estimated)
Last update
Nov 12, 2026

Study contacts

Aimee R Kreimer
principal investigator · National Cancer Institute (NCI)

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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