ClinicalTrials.gg
Active, not recruitingNCT06436274HOPE IIUpdated Jan 12, 2026

Efficacy of Human Papillomavirus (HPV) Vaccination to Prevent Infection Among Women Living With HIV.

A Phase 4 interventional study of GARDASIL®9 and Menveo®/Menactra® in Human Papilloma Virus and Hiv, sponsored by Massachusetts General Hospital. Active, not recruiting at 3 sites in 3 countries. Open to female participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-01-12.

Primary conditionAcquired Immunodeficiency Syndrome(the registry's first term)UnverifiedIs this wrong?The registry often attaches Acquired Immunodeficiency Syndrome to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

Sponsored by Massachusetts General Hospital · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
778
Allocation
Randomized
Ages
16 Years and older
Sex
Female
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Study summary

The Efficacy of Human Papillomavirus (HPV) Vaccination to Prevent Infection Among Women Living with HIV: A Prospective, Individual, Double-Blind, Randomized Controlled Study is evaluating immediate or delayed single-dose nonavalent HPV vaccination among women living with HIV who received prior HPV vaccination.

Read the detailed description

The HOPE II Study is an individual-level, randomized trial of immediate or delayed vaccination with a single-dose of the nonavalent HPV vaccine. The primary outcome is single-dose HPV 16/18/31/33/45/52/58 vaccine efficacy (VE). The study will provide evidence on the efficacy of single-dose HPV 16/18/31/33/45/52/58 vaccination among women living with HIV.

Participants will be randomized 1:1 into two different Groups.

  • Group 1: Will receive nonavalent HPV vaccine at Day 0 and meningococcal vaccine at Month 18
  • Group 2: Will receive the meningococcal vaccine at Day 0 and nonavalent HPV at Month 18

The meningococcal vaccine was chosen as the control vaccination because meningococcal vaccination has no activity against HPV infection. Further, the meningococcal vaccine has the potential to be of benefit in a meningitis outbreak context and could be beneficial for young persons in a congregate setting such as tertiary institutions.

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Conditions studied

  • Human Papilloma Virus
  • Hiv

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03

In context

Acquired Immunodeficiency Syndrome Unverified

3,035 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 306 are open to participants now.

This study's enrollment of 778 is above the median of 96 across 2,251 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,586 studies on the registry; 447 are open to participants now.

Of its 222 completed or terminated interventional studies of FDA-regulated products, 168 (76%) have results posted.

Compared within Acquired Immunodeficiency Syndrome, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

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Who can participate

Ages eligible
16 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

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

  1. Age 16 years and above on the day of signing the ICF
  2. Living with with confirmed test results or clinic records
  3. History of receiving HPV vaccine
  4. Self-reported sexually active in the last six months
  5. Lives within the study area and willing to provide updated locator information over the course of the study
  6. Does not have an , degenerative, or genetic disease
  7. Does not have known advanced HIV (as per stage IV WHO clinical staging criteria for HIV)
  8. No other Investigator-determined factor would limit participation in the trial
  9. Has not and is not enrolled in a monoclonal, vaccine, or a large quantity blood draw study
  10. The participant has a cervix

Exclusion criteria

Exclusion Criteria:

  1. Anyone with cervical abnormality on examination
  2. Anyone with an allergy to vaccine components or yeast
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
778 participants (actual)

Study arms

  • Experimental
    Group 1

    Will receive GARDASIL®9 vaccine at Day 0 and Menveo®/Menactra® vaccine at Month 18

    Biological: GARDASIL®9 · Biological: Menveo®/Menactra®

  • Active comparator
    Group 2

    Will receive the Menveo®/Menactra® vaccine at Day 0 and GARDASIL®9 at Month 18

    Biological: GARDASIL®9 · Biological: Menveo®/Menactra®

Interventions

  • BiologicalGARDASIL®9

    GARDASIL®9 or equivalent vaccines will be used for this study. These are FDA-approved vaccines.

  • BiologicalMenveo®/Menactra®

    Menveo®/Menactra® or equivalent vaccines will be used for this study. These are FDA-approved vaccines.

06

What researchers measure

Primary outcomes

  1. Efficacy of single-dose HPV among women living with HIV who were vaccinated against HPV 16/18.

    Efficacy will be measured by the incidence of persistent infection from at least one of these HPV 16/18/31/33/45/52/58, where persistence is defined as a positive test at two consecutive visits at least 4.5 months apart.

    Time frame: 18 Months

Secondary outcomes

  1. Safety and tolerability of single-dose nonavalent HPV vaccination in women living with HIV.

    This will be evaluated by comparing the occurrence of serious adverse events reported among each study arm.

    Time frame: 18 Months

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Study locations

3 sites
  • Botswana Harvard Health Partnership
    Gaborone, 0000, Botswana
  • Ministry of Health and Center for Family Health Research
    Kigali, Kigali +250, Rwanda
  • Wits RHI, University of the Witwatersrand
    Johannesburg, Gauteng 2001, South Africa
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Timeline

Tracking 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

Started Oct 2024 (actual). Primary completion is estimated for Dec 2026, 26 months after the start.

Of 64 non-industry phase 4 interventional studies under Acquired Immunodeficiency Syndrome, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 49. This study's planned 26 months is below that.

Counting every sponsor, half of 70 studies reached it within 31 months; a quarter within 22 and three quarters within 47.

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

Registered
May 24, 2024
First posted
May 31, 2024
StartActual
Oct 14, 2024
Primary completionEst.
Dec 2026
CompletionEst.
Jun 2027
Last update
Jan 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.
No changes since tracking began. The registry record was last updated on Jan 12, 2026, 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
NCT06436274
Collaborators
University of Witwatersrand, South Africa, Botswana Harvard Health Partnership, Ministry of Health, Rwanda, Fred Hutchinson Cancer Center, National Cancer Institute (NCI), Karolinska Institutet
Responsible party
Ruanne Barnabas, MBChB, MSc, DPhil. (Chief of the Division of Infectious Diseases, Massachusetts General Hospital) — Principal investigator
First posted
May 31, 2024
Start date
Oct 14, 2024
Primary completion
Dec 2026 (estimated)
Completion
Jun 2027 (estimated)
Last update
Jan 12, 2026

Study contacts

Ruanne Barnabas, MBChB, MSc, DPhil
principal investigator · Massachusetts General Hospital
Sinead Delany-Moretlwe, MBBCh, PhD, DTM&H
principal investigator · Wits RHI, University of The Witwatersrand

Oversight

Data monitoring committee
Yes
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 Jan 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Human Papillomavirus Recombinant Vaccine nonavalent

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