ClinicalTrials.gg
Not yet recruitingNCT06681636HPV9vxFSWUpdated Nov 8, 2024

Effector and Memory Immune Responses to HPV Vaccination in Vietnamese Women Post Virus Exposure

A Phase 2 interventional study of Human papillomavirus 9-valent vaccine, Recombinant in HPV Infection, Cervical Cancer and Anogenital Cancer, sponsored by National Institute of Hygiene and Epidemiology, Vietnam. Not yet recruiting at 3 sites in 2 countries. Open to female participants aged 18 Years to 26 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-08.

Sponsored by National Institute of Hygiene and Epidemiology, Vietnam · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years to 26 Years
Sex
Female
01

Study summary

A Study to evaluate if the 3 dose extended schedule (0-6-18 months) for the HPV vaccine Gardasil-9 provide similar immune responses and short term protection against HPV infection compared to the regular 3 dose schedule (0-2-6 months) in high risk women in Vietnam

Read the detailed description

Primary objective:

To determine whether antibody geometric mean titer (GMT) to vaccine type HPV16 and HPV18 at 7 months (m) are non-inferior between female sex workers (FSW) aged 18-26 years who received the standard (0, 2m, 6m) and those received the extended 3-dose (at 0, 6m and 18m) 9vHPV schedule and age-matched non-FSW who received an extended 3-dose (at 0, 6m and 18m) 9vHPV schedule. This extended 3-dose schedule is in line with the recommended schedule by the vaccine manufacturer in Vietnam.

Secondary objectives:

  1. To compare antibody GMT at 2m, 7m, 18m and 19m between FSW who are HPV DNA+/seropositive with FSW who are HPV DNA-/seronegative at baseline.
  2. To compare antibody GMT at 18m and 19m between FSW and non-FSW.
  3. To determine cellular immune responses to HPV16 and 18 at baseline, 2m, 7m, 18m and 19m.
  4. To measure incidence and 6m/12m/18m persistent HPV infection.

Primary hypothesis:

HPV antibody GMT to HPV16 and 18 in FSW is non-inferior to those of young women of the same age group (non-FSW) at 7m.

Secondary hypothesis:

  1. HPV antibody GMT are similar at 2m, 7m, 18m and 19m between FSW who are HPV DNA+/seropositive and HPV DNA-/seronegative at month 0.
  2. HPV antibody GMT are similar at 18m and 19m between FSW and non-FSW who received the extended schedule.
  3. Cellular immune responses to HPV16 and 18 are similar between FSW and non-FSW at 2m, 7m, 18m and 19m who received the extended schedule.
  4. No new vaccine-type HPV infection in FSW and non-FSW in all groups at 6m, 12m, 18m.
02

Conditions studied

  • HPV Infection
  • Cervical Cancer
  • Anogenital Cancer
  • Anogenital Warts

Keywords

  • human papillomavirus
  • HPV vaccine
  • Vietnam
  • Female sex workers
  • immunogenicity
  • protection
  • extended schedule
  • HPV infection
  • cervical cancer
03

In context

Papillomavirus Infections

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

This study's planned enrollment of 300 is above the median of 235 across 402 interventional studies indexed under Papillomavirus Infections.

Browse Papillomavirus Infections studies →

Lead sponsor

National Institute of Hygiene and Epidemiology, Vietnam is the lead sponsor of 9 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
18 Years to 26 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • Is between the reporting ages of 18-26 years at the time of recruitment.
  • Engage in commercial sex in the last 6m (for FSW group) or have engaged in sexual activity (non-FSWs)
  • Willing and able to give written .
  • Willing to complete the follow-up requirements of the study.

Exclusion criteria

Exclusion criteria

Participants meeting any of the following criteria will be excluded from the trial:

  • Pregnant or possibly pregnant
  • Has received any HPV vaccine previously
  • Has an axillary temperate greater than 38°C
  • Known allergies to any vaccine component
  • incapacity to provide consent
  • Currently receiving medication or anti-cancer chemotherapy.
  • Known infection.
  • Known Congenital immune deficiency syndrome.
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Group 1 FSW

    100 FSWs aged 18-26 years receiving 3 doses of Gardasil-9 vaccine at 0-6-18 months

    Biological: Human papillomavirus 9-valent vaccine, Recombinant

  • Active comparator
    Group 2 non-FSW

    100 non-FSW aged 18-26 years receiving 3 doses of Gardasil-9 vaccine at 0-6-18 months

    Biological: Human papillomavirus 9-valent vaccine, Recombinant

  • Active comparator
    Group 3 FSW

    100 FSW aged 18-26 years receiving 3 doses of Gardasil-9 vaccine at 0-2-6 months

    Biological: Human papillomavirus 9-valent vaccine, Recombinant

Interventions

06

What researchers measure

Primary outcomes

  1. Comparison between antibody responses after the 3rd dose ofregular vaccine schedules among FSW and after the 2nd dose of the extended schedule

    geometric mean titer (GMT) ratios and 95% confidence intervals (CI) of HPV- specific antibody responses to HPV16 and HPV18 at 7m between FSWs aged 18-26 years who received either the standard (0, 2m, 6m) or extended 3-dose (at 0, 6m and 18m) 3-dose 9vHPV schedule and age-matched non-FSWs who received the extended 3-dose 9vHPV schedule (at 0, 6m and 18m).

    Time frame: 7 months from the first doses

Secondary outcomes

  1. Comparison of antibody responses after each doses among FSW according to HPV infection status pre-vaccination

    Antibody GMT at 2m, 7m, 18m and 19m between FSW who are HPV DNA+/seropositive with FSW who are HPV DNA-/seronegative at baseline.

    Time frame: 19 months after the 1st doses

  2. Comparison of antibody response after 3 doses of extended schedule between FSW and non-FSW

    Antibody GMT at 18m and 19m between FSW and non-FSW.

    Time frame: 19 month after the first doses

  3. Celular response after each vaccine dose

    Proportion of HPV16 and 18-specific B/T cells at baseline, 2m, 7m, 18m and 19m.

    Time frame: 19 months after the 1st dose

  4. HPV persistent during 19 month or more among vaccines

    4. Incidence (detection of the specific-type HPV DNA at least once during the follow-up period) and persistent HPV infection (defined as detection of the same HPV type in at least 2 samples not interrupted by negative sample during the follow-up period).

    Time frame: at least 19 months after the first dose

07

Study locations

3 sites
  • Murdoch Children Research Institute
    Parkville, Victoria 3052, Australia
  • Center for Supporting Community Development Initiatives SCDI-Vietnam
    Hai Phong, 180000, Vietnam
  • Hai Phong Center for Disease Control
    Hai Phong, 180000, Vietnam
08

References and documents

Publications

  • Nguyen TP, Luu HN, Nguyen MVT, Tran MT, Tuong TTV, Tran CTD, Boffetta P. Attributable Causes of Cancer in Vietnam. JCO Glob Oncol. 2020 Feb;6:195-204. doi: 10.1200/JGO.19.00239. PubMed 32045545 ↗
  • Thi Nguyen DN, Simms K, Vu Nguyen HQ, Van Tran T, Nguyen NH, LaMontagne DS, Castle P, Canfell K. The burden of cervical cancer in Vietnam: Synthesis of the evidence. Cancer Epidemiol. 2019 Apr;59:83-103. doi: 10.1016/j.canep.2018.11.008. Epub 2019 Jan 30. PubMed 30710841 ↗
  • Vandepitte J, Lyerla R, Dallabetta G, Crabbe F, Alary M, Buve A. Estimates of the number of female sex workers in different regions of the world. Sex Transm Infect. 2006 Jun;82 Suppl 3(Suppl 3):iii18-25. doi: 10.1136/sti.2006.020081. PubMed 16735288 ↗
  • VAN Trang N, Prem K, Toh ZQ, Viet Ha BT, Ngoc Lan PT, Tran HP, Pham QD, VAN Khuu N, Jit M, Luu DT, Khanh Ly LT, Cao V, LE-Ha TD, Bright K, Garland SM, Anh DD, Mulholland K. Prevalence and Determinants of Vaginal Infection With Human Papillomavirus Among Female University Students in Vietnam. In Vivo. 2022 Jan-Feb;36(1):241-250. doi: 10.21873/invivo.12697. PubMed 34972721 ↗
  • Tuan LA, Prem K, Pham QD, Toh ZQ, Tran HP, Nguyen PD, Mai CTN, Ly LTK, Cao V, Le-Ha TD, Tuan NA, Jit M, Bright K, Brisson M, Nguyen TV, Garland S, Anh DD, Trang NV, Mulholland K. Anal human papillomavirus prevalence and risk factors among men who have sex with men in Vietnam. Int J Infect Dis. 2021 Nov;112:136-143. doi: 10.1016/j.ijid.2021.09.016. Epub 2021 Sep 10. PubMed 34517047 ↗
  • Pham QD, Prem K, Le TA, Van Trang N, Jit M, Nguyen TA, Cao V, Le-Ha TD, Chu MTN, Le LTK, Toh ZQ, Brisson M, Garland S, Murray G, Bright K, Dang DA, Tran HP, Mulholland EK. Prevalence and risk factors for human papillomavirus infection among female sex workers in Hanoi and Ho Chi Minh City, Viet Nam: a cross-sectional study. Western Pac Surveill Response J. 2022 Nov 7;13(4):1-11. doi: 10.5365/wpsar.2022.13.4.894. eCollection 2022 Oct-Dec. PubMed 36817494 ↗
  • Hernandez BY, Vu Nguyen T. Cervical human papillomavirus infection among female sex workers in southern Vietnam. Infect Agent Cancer. 2008 Apr 23;3:7. doi: 10.1186/1750-9378-3-7. PubMed 18433504 ↗
  • Brown B, Blas M, Cabral A, Carcamo C, Gravitt P, Halsey N. Randomized trial of HPV4 vaccine assessing the response to HPV4 vaccine in two schedules among Peruvian female sex workers. Vaccine. 2012 Mar 16;30(13):2309-14. doi: 10.1016/j.vaccine.2012.01.058. Epub 2012 Feb 1. PubMed 22306855 ↗
  • Dobson SR, McNeil S, Dionne M, Dawar M, Ogilvie G, Krajden M, Sauvageau C, Scheifele DW, Kollmann TR, Halperin SA, Langley JM, Bettinger JA, Singer J, Money D, Miller D, Naus M, Marra F, Young E. Immunogenicity of 2 doses of HPV vaccine in younger adolescents vs 3 doses in young women: a randomized clinical trial. JAMA. 2013 May 1;309(17):1793-802. doi: 10.1001/jama.2013.1625. PubMed 23632723 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared. Results will be reported as grouped data

09

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

Start is estimated for Dec 2024; primary completion for Oct 2026, 22 months later.

Of 41 phase 2 interventional studies under Papillomavirus Infections, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 77. This study's planned 22 months is below that.

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

Registered
Nov 5, 2024
First posted
Nov 8, 2024
StartEst.
Dec 14, 2024
Primary completionEst.
Oct 31, 2026
CompletionEst.
Dec 31, 2027
Last update
Nov 8, 2024
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 Nov 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06681636
Lead sponsor
National Institute of Hygiene and Epidemiology, Vietnam
Collaborators
Murdoch Childrens Research Institute, CENTER FOR SUPPORTING COMMUNITY DEVELOPMENT INITIATIVES, Hai Phong Center for Disease Control
Responsible party
Nguyen Van Trang (Acting Manager, Center for Biomedical Researches, National Institute of Hygiene and Epidemiology, Vietnam) — Principal investigator
First posted
Nov 8, 2024
Start date
Dec 14, 2024 (estimated)
Primary completion
Oct 31, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Nov 8, 2024

Study contacts

Trang V Nguyen, PhD
Contact
nvt@nihe.org.vn
84902028181
Tuan A Le, MD, PhD
Contact
lat@nihe.org.vn
84983738688
Hong T Duong, MD, PhD
study director · National Institute of Hygiene and Epidemiology, Vietnam
Trang V Nguyen, PhD
principal investigator · National Institute of Hygiene and Epidemiology, Vietnam
Tuan A Le, MD, PhD
principal investigator · National Institute of Hygiene and Epidemiology, Vietnam

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 not yet recruiting, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

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

Start the discussion