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CervarixTM

Phase 3

Infections, Papillomavirus | Monoclonal antibody | Other |GSK plc|Last Updated: Jan 2, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials5
Total Enrollment2,202
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01418937Safety Evaluation of a Human Papillomavirus (HPV) Vaccine in Healthy Female Control Subjects From the GSK HPV 023 StudyPHASE3 COMPLETED 164May 29, 2012Jan 9, 2015Jul 12, 20185 Brazil
NCT00996125Immunogenicity and Safety Study of GSK Biologicals' Human Papillomavirus 580299 Vaccine in Healthy Female SubjectsPHASE3 COMPLETED 750Oct 24, 2009Dec 8, 2010Aug 17, 20181 China
NCT00552279Immunogenicity and Safety of GlaxoSmithKline Biologicals' Huma Papillomavirus (HPV) Vaccine 580299 in Healthy Females 15 - 25 Years of AgePHASE3 COMPLETED 805Nov 12, 2007Jul 20, 2009Jun 25, 201816 Italy, Romania +1
NCT00456807Complementary Testing to Evaluate Immunogenicity of Human Papillomavirus (HPV) Vaccine (580299) in Healthy Female Subjects Aged >/= 26 YearsPHASE3 COMPLETED 100Apr 1, 2007Jan 1, 2008Dec 16, 20162 Netherlands
NCT00359619Human Papillomavirus Vaccine Immunogenicity and Safety Trial in Young Adult Women With GSK Biologicals Novel HPV VaccinePHASE2 COMPLETED 383Sep 12, 2006Jan 30, 2007Jan 2, 202010 United States, Belgium
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Study Endpoints
Primary Endpoints
Number of Subjects With Serious Adverse Events (SAEs)
Throughout the study period (from Month 0 up to Month 12)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Number of Subjects With Potential Immune-mediated Disease (pIMDs)
Throughout the study period (from Month 0 up to Month 12)
Number of Subjects With Medically Significant Conditions (MSCs)
Throughout the study period (from Month 0 up to Month 12)

MSCs include AEs prompting emergency room or physician visits that are not related to common diseases or routine visits for physical examination or vaccination, or serious adverse events (SAEs) that are not related to common diseases. Common diseases include upper respiratory infections, sinusitis, pharyngitis, gastroenteritis, urinary tract infections, cervico-vaginal yeast infections, menstrual cycle abnormalities and injury.

Number of Pregnant Subjects Reporting Pregnancy Outcomes
Throughout the study period (from Month 0 up to Month 12)

The pregnancy outcomes were based on reports from pregnant subjects in the study population. Pregnancy outcomes are pregnancies resulting in live births.

Geometric Mean Titers (GMTs) for Antibodies Against Human Papillomavirus (HPV)-16/18 Antigens
One month after the third dose (at Month 7)

Titers were given as geometric mean titers and were measured by Enzyme-linked Immunosorbent Assay (ELISA) and expressed as Enzyme-linked Immunosorbent Assay Units Per Milliliter (EL.U/mL).

Number of Subjects Seroconverted for Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies
One month after the third vaccine dose

Seroconversion is defined as the appearance of anti-HPV-16 and/or anti- HPV-18 antibodies (i.e. antibody titer ≥ cut-off value) in the sera of subjects seronegative before vaccination. Cut-off values were 8 enzyme-linked immunosorbent assay units per milliliter (EL.U/mL) for anti-HPV-16 antibodies and 7 EL.U/mL for anti- HPV-18 antibodies.

Titer of Anti-HPV-16 and Anti-HPV-18 Antibodies
One month after the third vaccine dose

Titer given as geometric mean titer (GMT).

Number of Cytokine-positive CD4/CD8 Cells Per Million in Tests Producing at Least 2 Different Cytokines
At Month 12 and Month 18 after first vaccination

The geometric mean and 95% confidence interval of the number of Human Papilloma Virus type 16 (HPV-16) and HPV-18 specific CD4 and CD8 cells producing at least 2 different cytokines is reported per million of CD4 or CD8 T-cells, respectively.

Number of B-cells Per Million Showing a Specific Memory Response for HPV-16 and HPV-18
At Month 12 and Month 18 after first vaccination

The geometric mean and 95% confidence interval of the number of HPV-16 and HPV-18 specific memory B-cells is reported per million of B-cells. An arbitrary value of 0 was given for subjects with antibody concentration below the limit of quantification.

Number of Subjects With Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations Above Pre-defined Cut-off Values
At Month 12 and Month 18 after first vaccination

Cut-off values assessed include 8 enzyme-linked immunosorbent assay units Per Milliliter (EL.U/mL)for anti-HPV-16 antibodies and 7 EL.U/mL for anti-HPV-18 antibodies.

Titers of Anti-HPV-16 and Anti-HPV-18 Antibodies
At Month 12 and Month 18 after first vaccination

Titers are presented as Geometric Mean Titers (GMTs).

Titers of Anti-human Papilloma Virus 16 (Anti-HPV-16) Immunoglobulin G (IgG) Antibodies
At Month 12 and Month 18 after first vaccination

Titers given as Geometric Mean Titers (GMTs). An arbitrary value of 0 was given for subjects with antibody concentration below the limit of quantification.

Correlation of Anti-HPV-16 and Anti-HPV-18 Antibodies in Serum and in Cervical Secretion (CVS) Samples
At Month 12 and Month 18 after first vaccination

Pearson coefficients of correlation between serum and CVS for anti-HPV-16 and anti-HPV-18 titers standardized for total IgG were calculated.

Number of Seroconverted Subjects Against Human Papillomavirus-16 (HPV-16) Antibodies.
At Months 18, 24, 36 and 48.

Seroconversion was defined as the appearance of antibodies in the serum of subjects seronegative before vaccination. Seronegative subjects are subjects who had an antibody concentration below cut-off value. The assessed cut-off value was 8 ELISA units per milliliter (EL.U/mL).

Geometric Mean Titers (GMTs) for Human Papillomavirus-16 (HPV-16) Antibodies.
At Months 18, 24, 36 and 48.

Antibody titers were expressed as GMTs. The reference cut-off value was greater than or equal to (≥) 8 EL.U/mL.

Geometric Mean Titers (GMTs) for Human Papillomavirus-16 (HPV-16) Antibodies
At Months 18, 24, 36 and 48.

Antibody titers were expressed as GMTs. The reference cut-off value was greater than or equal to (≥) 8 EL.U/mL.

Number of Seroconverted Subjects Against Human Papillomavirus-18 (HPV-18) Antibodies.
At Months 18, 24, 36 and 48.

Seroconversion was defined as the appearance of antibodies in the serum of subjects seronegative before vaccination. Seronegative subjects are subjects who had an antibody concentration below cut-off value. The assessed cut-off value was 7 EL.U/mL.

Geometric Mean Titers (GMTs) for Human Papillomavirus-18 (HPV-18) Antibodies.
At Months 18, 24, 36 and 48.

Antibody titers were expressed as GMTs. The reference cut-off value was ≥ 7 EL.U/mL.

Geometric Mean Titers (GMTs) for Human Papillomavirus-18 (HPV-18) Antibodies
At Months 18, 24, 36 and 48.

Antibody titers were expressed as GMTs. The reference cut-off value was greater than or equal to (≥) 7 EL.U/mL.

Secondary Endpoints
Number of Subjects Seroconverted for Anti-HPV-16 and Anti-HPV-18 Antibodies
At Month 7
Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms
During the 7 days (Days 0 - 6) following each vaccination
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms
During the 7 days (Days 0 - 6) following each vaccination
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION
Treatment Arms
ArmTypeDescription
HPV GroupEXPERIMENTAL -
Cervarix GroupEXPERIMENTALSubjects received 3 doses of Cervarix vaccine. Cervarix vaccine was administered intramuscularly into the deltoid muscle of the non-dominant arm according to a 0, 1, 6-month schedule.
Placebo GroupEXPERIMENTALSubjects received 3 doses of placebo. Placebo vaccine was administered intramuscularly into the deltoid muscle of the non-dominant arm according to a 0, 1, 6-month schedule.
Cervarix-12 GroupEXPERIMENTALWomen received 3 doses of Cervarix TM (human papillomavirus (HPV) vaccine) administered according to a 0, 1, 12-month schedule
Cervarix-6 GroupACTIVE_COMPARATORWomen received 3 doses of Cervarix TM (HPV vaccine) administered according to a 0, 1, 6-month schedule.
Cervarix 1 GroupEXPERIMENTALFemale subjects, aged 18 to 25 years at the time of first vaccination, received 3 doses of Cervarix vaccine formulation 1 at Months 0, 1 and 6. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm.
Cervarix 2 GroupEXPERIMENTALFemale subjects, aged 18 to 25 years at the time of first vaccination, received 3 doses of Cervarix vaccine formulation 2 at Months 0, 1 and 6. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm.
Cervarix 3 GroupEXPERIMENTALFemale subjects, aged 18 to 25 years at the time of first vaccination, received 3 doses of Cervarix vaccine formulation 3 at Months 0, 1 and 6. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm.
Cervarix 4 GroupEXPERIMENTALFemale subjects, aged 18 to 25 years at the time of first vaccination, received 3 doses of Cervarix vaccine formulation 4 at Months 0, 1 and 6. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm.
Cervarix 5 GroupEXPERIMENTALFemale subjects, aged 18 to 25 years at the time of first vaccination, received 3 doses of Cervarix vaccine formulation 5 at Months 0, 1 and 6. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm.
Cervarix 6 GroupEXPERIMENTALFemale subjects, aged 18 to 25 years at the time of first vaccination, received 3 doses of Cervarix vaccine formulation 6 at Months 0, 1 and 6. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm.
Interventions
NameTypeDescription
CervarixTM (GSK580299)BIOLOGICALThree intramuscular injections
CervarixTMBIOLOGICALSubjects will receive three doses of the Cervarix vaccine intramuscularly according to a 0, 1, 6-month schedule.
ControlOTHERSubjects will receive three doses of control intramuscularly according to a 0, 1, 6-month schedule.
Cervarix TMBIOLOGICALIntramuscular administration into the deltoid region of the non-dominant arm according to a 0, 1, 12-month schedule.
PlaceboBIOLOGICALThree doses of vaccine administered intramuscularly according to a 0, 1, 6-month schedule.
HPV investigational vaccine GSK568893A, different formulationsBIOLOGICALSubjects were administered three doses of HPV investigational vaccine
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Eligibility Criteria
Age Range26 Years — N/A
SexFEMALE
Healthy VolunteersYes
Study Sites5

Inclusion Criteria: * Subjects who the investigator believes can and will comply with the requirements of the protocol. * A subject previously enrolled in Study HPV-023 (NCT00518336), who received placebo in Study HPV-001 (NCT00689741), and who is 26 years of age or older. * Written informed consen...

Countries:BrazilChinaItalyRomaniaSlovakiaNetherlandsUnited StatesBelgium
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