A Phase 4 interventional study of 9-valent HPV vaccine, 2 dose efficacy and 9-valent HPV vaccine, 3 doses standard timing in Immunization, Efficacy and Human Papilloma Virus, sponsored by The University of Texas Medical Branch, Galveston. Completed at 1 site in United States. Open to participants aged 15 Years to 26 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-16.
Sponsored by The University of Texas Medical Branch, Galveston · Phase 4, Interventional, and Other
The investigators are evaluating whether 15-26 year old males and females need a 3rd dose of the human papillomavirus (HPV) vaccine, or whether 2 doses provide similar protection as 3 doses from the 9 types of HPV that it protects against.
The investigators are studying an amended dosing regimen of an approved drug (Gardasil 9) in the population for which it is approved (vaccine is approved for ages 9-45 years and participants in this study will be 15-26 years of age.) The purpose of the study is to examine a delayed dosing schedule. The current recommendation is to administer the vaccine in 3 doses (administered at 0, 1-2 months and 6 months) to those 15-26 years of age but only 2 doses (0 and 6 months) if given at 9-14 years of age. The investigators will conduct a randomized study to determine if 2 doses will elicit an immune response similar to the standard 3 doses in those 15-26 years of age. Participants in the study group will receive 2 doses of Gardasil 9 at 0 and 6 months. Participants in the control group will receive 3 doses of Gardasil 9 at 0, 1-2 months and 6 months. All participants (Target Accrual n=512) will have 5 mLs of blood drawn at 0, 7, and 12 months. Following the 12 month blood draw, participants randomized to 2-doses will receive the 3rd dose. Potential participants will be recruited in the University of Texas Medical Branch (UTMB) clinics where providers have given the PI permission to directly contact patients. The investigators will also display signs and use email announcements at UTMB and other college campuses and will advertise the study online or by mail. The investigators will call UTMB patients if their provider gave permission to contact the patient, or if the patients gave prior consent to contact through the UTMB system. Potential participants (and their parents, if under 18 years of age) will be screened with inclusion/exclusion criteria. Eligible and interested parents and patients will sign informed written consent. Patients under 18 years of age will sign written assent. At the initial visit, eligible, consented participants will have their blood drawn, be randomized into either the study or control group, and receive a dose of the HPV vaccine. Participants will be re-screened against the inclusion/exclusion criteria at subsequent visits. All participants will receive compensation administered through a ClinCard following each of the 3 blood draws.
The University of Texas Medical Branch, Galveston is the lead sponsor of 251 studies on the registry; 38 are open to participants now.
Of its 30 completed or terminated interventional studies of FDA-regulated products, 25 (83%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Three doses of the 9-valent HPV vaccine to be administered to the comparison group (15-26 years of age) at 0, 2, and 6 months.
Biological: 9-valent HPV vaccine, 3 doses standard timing
Two doses of the 9-valent HPV vaccine to be administered to the experimental group (15-26 years of age) at 0 and 6 months. Additional HPV vaccine dose will be offered after final blood draw at 12 months.
Biological: 9-valent HPV vaccine, 2 dose efficacy
Three doses of the 9-valent HPV vaccine to be administered to the comparison group (15-26 years of age) at 0, 2, and 6 months.
Biological: 9-valent HPV vaccine, 3 doses standard timing
Two doses of the 9-valent HPV vaccine to be administered to the experimental group (15-26 years of age) at 0 and 6 months. Additional HPV vaccine dose will be offered after final blood draw at 12 months.
Biological: 9-valent HPV vaccine, 2 dose efficacy
Evaluate the efficacy of 2 doses of the HPV vaccine across a 12 month period following the 1st dose among 15-26 year old males and females.
Will be comparison group for 2 dose efficacy group.
Short-term Human Papillomavirus (HPV) Type-specific Antibody Response for Type HPV-6
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 6, measured as % of participants who seroconvert
Time frame: Month 7
Short-term HPV Type-specific Antibody Response for Type HPV-11
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 11, measured as measured as % of participants who seroconvert.
Time frame: Month 7
Short-term HPV Type-specific Antibody Response for Type HPV-16
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 16, measured as % of participants who seroconvert
Time frame: Month 7
Short-term HPV Type-specific Antibody Response for Type HPV-18
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 18, measured as % of participants who seroconvert
Time frame: Month 7
Short-term HPV Type-specific Antibody Response for Type HPV-31
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 31, measured as % of participants who seroconvert
Time frame: Month 7
Short-term HPV Type-specific Antibody Response for Type HPV-33
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 33, measured as % of participants who seroconvert
Time frame: Month 7
Short-term HPV Type-specific Antibody Response for Type HPV-45
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 45, measured as % of participants who seroconvert
Time frame: Month 7
Short-term HPV Type-specific Antibody Response for Type HPV-52
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 52, measured as % of participants who seroconvert
Time frame: Month 7
Short-term HPV Type-specific Antibody Response for Type HPV-58
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 58, measured as % of participants who seroconvert
Time frame: Month 7
HPV Type-specific Antibody Response for Type HPV-6
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 6, measured as % of participants who seroconvert
Time frame: Month 12
HPV Type-specific Antibody Response for Type HPV-11
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 11, measured as % of participants who seroconvert
Time frame: Month 12
HPV Type-specific Antibody Response for Type HPV-16
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 16, measured as % of participants who seroconvert
Time frame: Month 12
HPV Type-specific Antibody Response for Type HPV-18
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 18, measured as % of participants who seroconvert
Time frame: Month 12
HPV Type-specific Antibody Response for Type HPV-31
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 31, measured as % of participants who seroconvert
Time frame: Month 12
HPV Type-specific Antibody Response for Type HPV-33
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 33, measured as % of participants who seroconvert
Time frame: Month 12
HPV Type-specific Antibody Response for Type HPV-45
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 45, measured as % of participants who seroconvert
Time frame: Month 12
HPV Type-specific Antibody Response for Type HPV-52
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 52, measured as % of participants who seroconvert
Time frame: Month 12
HPV Type-specific Antibody Response for Type HPV-58
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 58, measured as % of participants who seroconvert
Time frame: Month 12
| Milestone | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Started | 221 | 217 | 165 | 164 |
| Completed | 168 | 173 | 140 | 130 |
| Not completed | 53 | 44 | 25 | 34 |
| Withdrew: Withdrawal by subject | 14 | 6 | 6 | 3 |
| Withdrew: Lost to follow-up | 12 | 13 | 6 | 9 |
| Withdrew: Pregnancy | 9 | 6 | 0 | 0 |
| Withdrew: Protocol violation | 3 | 4 | 10 | 11 |
| Withdrew: Moved | 15 | 15 | 3 | 11 |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 6, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term Human Papillomavirus (HPV) Type-specific Antibody Response for Type HPV-6 | 99.25 (95.88 to 99.98) | 100.00 (97.26 to 100.000) | 100.00 (97.05 to 100.00) | 100.00 (96.73 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 11, measured as measured as % of participants who seroconvert.
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term HPV Type-specific Antibody Response for Type HPV-11 | 99.25 (95.91 to 99.98) | 100.00 (97.32 to 100.00) | 100.00 (97.07 to 100.00) | 100.00 (96.73 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 16, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term HPV Type-specific Antibody Response for Type HPV-16 | 99.15 (95.37 to 99.98) | 100.00 (97.00 to 100.00) | 100.00 (96.76 to 100.00) | 100.00 (96.48 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 18, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term HPV Type-specific Antibody Response for Type HPV-18 | 99.29 (96.08 to 99.98) | 100.00 (97.26 to 100.00) | 100.00 (97.02 to 100.00) | 100.00 (96.84 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 31, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term HPV Type-specific Antibody Response for Type HPV-31 | 99.29 (96.11 to 99.98) | 100.00 (97.34 to 100.00) | 100.00 (97.09 to 100.00) | 100.00 (96.97 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 33, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term HPV Type-specific Antibody Response for Type HPV-33 | 99.35 (96.44 to 99.98) | 100.00 (97.60 to 100.00) | 100.00 (97.20 to 100.00) | 100.00 (97.09 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 45, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term HPV Type-specific Antibody Response for Type HPV-45 | 99.36 (96.48 to 99.98) | 100.00 (97.62 to 100.00) | 100.00 (97.14 to 100.00) | 100.00 (97.09 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 52, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term HPV Type-specific Antibody Response for Type HPV-52 | 99.22 (95.76 to 99.98) | 100.00 (97.20 to 100.00) | 100.00 (96.76 to 100.00) | 100.00 (96.61 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 58, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| Short-term HPV Type-specific Antibody Response for Type HPV-58 | 99.31 (96.22 to 99.98) | 100.00 (97.40 to 100.00) | 100.00 (97.11 to 100.00) | 100.00 (97.00 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 6, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-6 | 100.00 (97.11 to 100.00) | 100.00 (97.14 to 100.00) | 100.00 (96.95 to 100.00) | 99.06 (94.86 to 99.98) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 11, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-11 | 100.00 (97.14 to 100.00) | 100.00 (97.20 to 100.00) | 100.00 (96.97 to 100.00) | 100.00 (96.58 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 16, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-16 | 100.00 (96.82 to 100.00) | 100.00 (96.84 to 100.00) | 100.00 (96.67 to 100.00) | 100.00 (96.31 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 18, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-18 | 99.24 (95.85 to 99.98) | 98.43 (94.43 to 99.81) | 100.00 (96.35 to 100.00) | 99.09 (94.34 to 99.99) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 31, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-31 | 100.00 (97.26 to 100.00) | 100.00 (97.2 to 100.00) | 100.00 (97.00 to 100.00) | 99.13 (95.25 to 99.98) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 33, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-33 | 99.31 (96.19 to 99.98) | 100.00 (97.45 to 100.00) | 100.00 (97.11 to 100.00) | 99.17 (95.44 to 99.98) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 45, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-45 | 98.66 (95.24 to 99.84) | 97.92 (94.03 to 99.57) | 99.18 (95.52 to 99.98) | 95.00 (89.43 to 98.14) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 52, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-52 | 100.00 (97.02 to 100.00) | 100.00 (97.07 to 100.00) | 100.00 (96.64 to 100.00) | 100.00 (96.48 to 100.00) |
Yes/No for seroconversion, defined as changing from seronegative (no detectable antibodies) to seropositive (antibodies at or exceeding natural immunity levels) to HPV type 58, measured as % of participants who seroconvert
| % of participants with seroconversion | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose |
|---|---|---|---|---|
| HPV Type-specific Antibody Response for Type HPV-58 | 99.27 (96.00 to 99.98) | 100.00 (97.22 to 100.00) | 100.00 (97.02 to 100.00) | 99.14 (95.29 to 99.98) |
Collected over Adverse event data were collected beginning with the initial inoculation through 6 weeks after administration of the final dose (30 weeks). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Females, 3 Dose Standard | 0/221 (0%) | 0/221 (0%) | 0/221 (0%) |
| Females, 2 Dose With Delayed 3rd Dose | 0/217 (0%) | 0/217 (0%) | 0/217 (0%) |
| Males, 3 Dose Standard | 0/165 (0%) | 0/165 (0%) | 0/165 (0%) |
| Males, 2 Dose With Delayed 3rd Dose | 0/164 (0%) | 0/164 (0%) | 0/164 (0%) |
| Age, Continuous(Years) | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose | Total |
|---|---|---|---|---|---|
| Mean | 21.0 ± 3.41 | 21.3 ± 3.53 | 20.82 ± 3.78 | 20.63 ± 3.85 | 20.96 ± 3.62 |
| Sex: Female, Male(Participants) | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose | Total |
|---|---|---|---|---|---|
| Female | 221 | 217 | 0 | 0 | 438 |
| Male | 0 | 0 | 165 | 164 | 329 |
| Ethnicity (NIH/OMB)(Participants) | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 66 | 69 | 46 | 42 | 223 |
| Not Hispanic or Latino | 155 | 148 | 119 | 122 | 544 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 18 | 17 | 13 | 28 | 76 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 1 | 0 | 1 |
| Black or African American | 38 | 42 | 17 | 21 | 118 |
| White | 165 | 158 | 134 | 115 | 572 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Seropositivity at Baseline(Participants) | Females, 3 Dose Standard | Females, 2 Dose With Delayed 3rd Dose | Males, 3 Dose Standard | Males, 2 Dose With Delayed 3rd Dose | Total |
|---|---|---|---|---|---|
| HPV-6 | 45 | 50 | 22 | 26 | 143 |
| HPV-11 | 44 | 47 | 21 | 26 | 138 |
| HPV-16 | 60 | 62 | 33 | 34 | 189 |
| HPV-18 | 38 | 50 | 23 | 22 | 133 |
| HPV-31 | 37 | 46 | 20 | 17 | 120 |
| HPV-33 | 24 | 31 | 15 | 12 | 82 |
| HPV-45 | 22 | 30 | 18 | 12 | 82 |
| HPV-52 | 49 | 53 | 33 | 30 | 165 |
| HPV-58 | 33 | 43 | 19 | 16 | 111 |
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The University of Texas Medical Branch, Galveston