CClinicalTrials.gg
CompletedNCT03943875Updated Apr 16, 2026Results posted

GARDASIL 9: 3 Dose vs. 2 Dose With Delayed 3rd Dose

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

Phase
Phase 4
Study type
Interventional
Enrollment
767
Allocation
Randomized
Ages
15 Years to 26 Years
Sex
All
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • Immunization
  • Efficacy
  • Human Papilloma Virus

Keywords

  • HPV vaccination
  • Gardasil 9
  • vaccine efficacy
03

In context

Lead sponsor

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.

04

Who can participate

Ages eligible
15 Years to 26 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Males and females 15-26 years old.
  2. Ability to give informed consent. All participants under 18 years of age must have the informed consent of a parent and must assent to participation.
  3. Has not received any prior doses of the HPV vaccine. Investigators will ask the patient and his/her parent (if \<18) about prior vaccination and check the state registry (Immtrac), as well as the UTMB electronic medical record (if previously seen at UTMB), investigators will check with their primary care provider, if feasible, for patients who are not a previously established UTMB patient.
  4. Identified source of funding for vaccine which may include Texas Vaccines for Children (VFC) program, Medicaid, the Children's Health Insurance Plan (CHIP), Texas Healthy Women program or other public or private health insurance.
  5. Reliable telephone access.
  6. Participant and parent/ guardian (if \<18) can read and speak either English or Spanish.

Exclusion criteria

Exclusion Criteria:

  1. For females, currently pregnant or plans to become pregnant or donate eggs in next 12 months. Sexually active females must report that they use regular birth control. All female subjects will be required to take a urine pregnancy test before each Gardasil 9 dose, unless it can be verified that she gave birth within the last week. Any subjects with positive tests at the initial visit will be disqualified from the study and advised to seek prenatal care. If a subject is pregnant when her follow-up visit window closes, she will be removed from the study.
  2. History of 6 or more lifetime sexual partners.
  3. History of any immunodeficiencies (HIV+, chemotherapy treatment, status splenectomy) or autoimmune disorders (lupus, thyroid disorder, psoriasis).
  4. History of bleeding or platelet disorders such as hemophilia.
  5. Currently taking medication which can suppress immune function including systemic corticosteroids, radiation therapy, cyclophosphamide, azathioprine, methotrexate, cyclosporine, leflunomide, TNF-alpha antagonists, monoclonal antibody therapies, or intravenous immunoglobulin treatment.
  6. Known allergies to any components of the vaccine, including aluminum, yeast or Benzonase.
  7. Febrile at ≥100°F in the 24 hours prior to vaccination. This will be reviewed before each Gardasil 9 dose.
  8. Received any non-study inactive vaccines within the past 14 days or any live vaccines within the past 30 days. Those excluded for this reason will be re-screened under the same study number at a later date.
  9. Plan to move out of the Galveston/Houston area in the 13 months following study entry.
05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
767 participants (actual)

Study arms

  • Active comparator
    Females, 3 dose standard

    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

  • Experimental
    Females, 2 dose with delayed 3rd dose

    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

  • Active comparator
    Males, 3 dose standard

    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

  • Experimental
    Males, 2 dose with delayed 3rd dose

    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

Interventions

  • Biological9-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.

  • Biological9-valent HPV vaccine, 3 doses standard timing

    Will be comparison group for 2 dose efficacy group.

06

What researchers measure

Primary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  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

  8. 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

  9. 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

  10. 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

  11. 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

  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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

07

Results

Posted Feb 17, 2026

Participant flow

Participant flow — Overall Study
MilestoneFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Started221217165164
Completed168173140130
Not completed53442534
Withdrew: Withdrawal by subject14663
Withdrew: Lost to follow-up121369
Withdrew: Pregnancy9600
Withdrew: Protocol violation341011
Withdrew: Moved1515311

Outcome measures

PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term Human Papillomavirus (HPV) Type-specific Antibody Response for Type HPV-6
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term Human Papillomavirus (HPV) Type-specific Antibody Response for Type HPV-699.25 (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)
PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term HPV Type-specific Antibody Response for Type HPV-11
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term HPV Type-specific Antibody Response for Type HPV-1199.25 (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)
PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term HPV Type-specific Antibody Response for Type HPV-16
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term HPV Type-specific Antibody Response for Type HPV-1699.15 (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)
PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term HPV Type-specific Antibody Response for Type HPV-18
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term HPV Type-specific Antibody Response for Type HPV-1899.29 (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)
PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term HPV Type-specific Antibody Response for Type HPV-31
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term HPV Type-specific Antibody Response for Type HPV-3199.29 (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)
PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term HPV Type-specific Antibody Response for Type HPV-33
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term HPV Type-specific Antibody Response for Type HPV-3399.35 (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)
PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term HPV Type-specific Antibody Response for Type HPV-45
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term HPV Type-specific Antibody Response for Type HPV-4599.36 (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)
PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term HPV Type-specific Antibody Response for Type HPV-52
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term HPV Type-specific Antibody Response for Type HPV-5299.22 (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)
PrimaryShort-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
Reported as:
Number · % of participants with seroconversion
Short-term HPV Type-specific Antibody Response for Type HPV-58
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
Short-term HPV Type-specific Antibody Response for Type HPV-5899.31 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-6
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-6100.00 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-11
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-11100.00 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-16
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-16100.00 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-18
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-1899.24 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-31
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-31100.00 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-33
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-3399.31 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-45
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-4598.66 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-52
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-52100.00 (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)
PrimaryHPV 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
Reported as:
Number · % of participants with seroconversion
HPV Type-specific Antibody Response for Type HPV-58
% of participants with seroconversionFemales, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd Dose
HPV Type-specific Antibody Response for Type HPV-5899.27 (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)

Adverse events

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.

Adverse event summary by group
GroupDeathsSeriousOther
Females, 3 Dose Standard0/221 (0%)0/221 (0%)0/221 (0%)
Females, 2 Dose With Delayed 3rd Dose0/217 (0%)0/217 (0%)0/217 (0%)
Males, 3 Dose Standard0/165 (0%)0/165 (0%)0/165 (0%)
Males, 2 Dose With Delayed 3rd Dose0/164 (0%)0/164 (0%)0/164 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Females, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd DoseTotal
Mean21.0 ± 3.4121.3 ± 3.5320.82 ± 3.7820.63 ± 3.8520.96 ± 3.62
Sex: Female, Male
Sex: Female, Male(Participants)Females, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd DoseTotal
Female22121700438
Male00165164329
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Females, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd DoseTotal
Hispanic or Latino66694642223
Not Hispanic or Latino155148119122544
Unknown or Not Reported00000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Females, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd DoseTotal
American Indian or Alaska Native00000
Asian1817132876
Native Hawaiian or Other Pacific Islander00101
Black or African American38421721118
White165158134115572
More than one race00000
Unknown or Not Reported00000
Seropositivity at Baseline
Seropositivity at Baseline(Participants)Females, 3 Dose StandardFemales, 2 Dose With Delayed 3rd DoseMales, 3 Dose StandardMales, 2 Dose With Delayed 3rd DoseTotal
HPV-645502226143
HPV-1144472126138
HPV-1660623334189
HPV-1838502322133
HPV-3137462017120
HPV-332431151282
HPV-452230181282
HPV-5249533330165
HPV-5833431916111
08

Study locations

1 site
  • University of Texas Medical Branch
    Galveston, Texas 77555, United States
09

References and documents

Publications

  • Bergman H, Henschke N, Arevalo-Rodriguez I, Buckley BS, Crosbie EJ, Davies JC, Dwan K, Golder SP, Loke YK, Probyn K, Petkovic J, Villanueva G, Morrison J. Human papillomavirus (HPV) vaccination for the prevention of cervical cancer and other HPV-related diseases: a network meta-analysis. Cochrane Database Syst Rev. 2025 Nov 24;11(11):CD015364. doi: 10.1002/14651858.CD015364.pub2. PubMed 41276263 ↗
  • Berenson AB, Panicker G, Unger ER, Rupp RE, Kuo YF. Immunogenicity of 2 or 3 Doses of 9vHPV Vaccine in U.S. Female Individuals 15 to 26 Years of Age. NEJM Evid. 2024 Feb;3(2):EVIDoa2300194. doi: 10.1056/EVIDoa2300194. Epub 2024 Jan 23. PubMed 38320488 ↗

Study documents

  • Protocol and statistical analysis plan · Feb 13, 2025

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03943875
Lead sponsor
The University of Texas Medical Branch, Galveston
Collaborators
Cancer Prevention Research Institute of Texas
Responsible party
Sponsor
First posted
May 9, 2019
Start date
Jun 17, 2019
Primary completion
Jan 13, 2025
Completion
Jan 13, 2025
Results posted
Feb 17, 2026
Last update
Apr 16, 2026

Study contacts

Abbey B Berenson, MD, PhD
principal investigator · University of Texas

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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