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HPV 16/18 VLP AS04

Phase 3

Infections, Papillomavirus | Monoclonal antibody | Other |GSK plc|Last Updated: Dec 12, 2019

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_CONTROLLEDBiomarker
Total Trials10
Total Enrollment6,492
FDA Designations
No designations recorded
Clinical Trials (10)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00485732A Study to Evaluate the Immune Response and Safety of GSK Biologicals' HPV-16/18 L1 VLP AS04 Vaccine/Cervarix TM Vaccine in Healthy Females Aged 15-25 YearsPHASE3 COMPLETED 225Jun 11, 2007Mar 30, 2008Jul 20, 20186 South Korea
NCT00345878Study to Evaluate the Immune Response and Safety of GSK Biologicals' HPV Vaccine in Healthy Women Aged 18-35 YearsPHASE3 COMPLETED 271Sep 25, 2006Dec 21, 2007Jul 20, 20182 Malaysia
NCT00344032Evaluation of the Immune and Safety Response of GlaxoSmithKline (GSK) Biologicals' HPV Vaccine in Healthy Indian WomenPHASE3 COMPLETED 354Jul 28, 2006Dec 4, 2007Jul 20, 20184 India
NCT00306241A Study to Evaluate the Immunogenicity and Safety of GSK Biologicals' HPV Vaccine in Healthy Women Aged 18-35 YearsPHASE3 COMPLETED 300Mar 1, 2006Jun 1, 2007Nov 4, 20161 Hong Kong
NCT00290277Evaluate the Immunogenicity & Safety of GSK Biologicals' HPV Vaccine in Female Subjects Aged 10-14 YearsPHASE3 COMPLETED 300Nov 1, 2005Aug 1, 2006Sep 28, 20168 South Korea
NCT00169494Human Papilloma Virus Vaccine Consistency and Non-inferiority Trial in Young Adult Women With GSK Bio HPV-16/18PHASE3 COMPLETED 770Sep 1, 2004Jul 1, 2005Sep 12, 201617 Denmark, Estonia +4
NCT00196924Human Papilloma Virus Vaccine Safety and Immunogenicity Trial in Young Adolescent Women With GSK Bio HPV-16/18.PHASE3 COMPLETED 2,067Jun 1, 2004Mar 1, 2006Mar 23, 201761 Australia, Colombia +10
NCT00316693Human Papillomavirus (HPV) Vaccine (Cervarix TM) Efficacy, Immunogenicity & Safety Trial in Adult Japanese Women With GSK Biologicals HPV-16/18 VaccinePHASE2 COMPLETED 1,046Apr 26, 2006Feb 10, 2009Sep 4, 20184 Japan,
NCT00231413Human Papilloma Virus Vaccine Immunogenicity and Safety Trial in Young Adult Women With GSK Bio's Novel HPV Vaccine.PHASE2 COMPLETED 383Mar 4, 2005Mar 27, 2006Dec 12, 201911 United States, Belgium
NCT00120848Follow-up Study of GSK Biologicals' Human Papilloma Virus (HPV) Vaccine to Prevent Cervical Infection in Young AdultsPHASE2 COMPLETED 776Nov 1, 2003Jul 1, 2007Nov 4, 201627 United States, Brazil +1
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Study Endpoints
Primary Endpoints
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 post Dose 3 (Month 7)

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.

Number of Subjects Who Seroconverted for Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies
At Month 7

Seroconversion is defined as the appearance of antibodies with titers greater than or equal to the predefined cut-off value in the serum of subjects seronegative before 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.

Seroconversion rates to HPV-16 and HPV-18 as assessed by enzyme-linked immunosorbent assay (ELISA)
At Month 7
To evaluate antibody responses against HPV-16 and HPV-18 in all HPV vaccine recipients at Month 7.
Demonstration of lot-to-lot consistency in terms of immunogenicity of 3 lots of HPV-16/18 vaccine.
Demonstration of non-inferiority in terms of immunogenicity of the HPV vaccine produced with a revised manufacturing process compared to the HPV vaccine produced with a previous manufacturing process
Demonstration of safety of the HPV vaccine compared to the control (occurrence of SAEs) up to month 7.
Number of Subjects With Persistent Cervical Infection With Human Papillomavirus 16 (HPV-16) or Human Papillomavirus 18 (HPV-18)
Throughout the study period (up to Month 24)

Persistent HPV-16 or HPV-18 infection is defined as at least 2 positive Human Papillomavirus (HPV) deoxyribonucleic acid (DNA) polymerase chain reaction (PCR) assays for the same viral genotype with no negative DNA sample between the 2 positive DNA samples, over an approximate interval of 6 months (\> 150 days) \[as assessed in women who were, for the corresponding HPV type, seronegative at Month 0 and HPV DNA negative (by PCR) at Month 0 and Month 6\].

Number of Seroconverted Subjects for Anti-Human Papillomavirus (Anti-HPV)-16 at Month 7
At Month 7

Seroconversion was defined as the appearance of anti-HPV-16 antibodies \[i.e. antibody titer greater than or equal to (≥) the cut-off value\] in the serum of subjects seronegative before vaccination. The cut-off value was 8 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

Number of Seroconverted Subjects for Anti-HPV-18 at Month 7
At Month 7

Seroconversion was defined as the appearance of anti-HPV-18 antibodies (i.e. antibody titer ≥ cut-off value) in the serum of subjects seronegative before vaccination. The cut-off value was 7 EL.U/mL.

Anti-HPV-16 Antibody Titers Assessed by ELISA at Month 7
At Month 7

Anti-HPV-16 antibody titers were presented as Geometric Mean Titers (GMT) and expressed in EL.U/mL.

Anti-HPV-18 Antibody Titers Assessed by ELISA at Month 7
At Month 7

Anti-HPV-18 antibody titers were presented as Geometric Mean Titers and expressed in EL.U/mL.

Incident cervical infection with HPV-16 and/or HPV-18
Secondary Endpoints
Anti-HPV-16 and Anti-HPV-18 Antibody Titres
Before vaccination (PRE) and one month post Dose 3 (Month 7)
Number of Subjects Reporting Solicited Local Symptoms
During the 7-day (Days 0-6) period following each vaccination
Number of Subjects Reporting Solicited General Symptoms
During the 7-day (Days 0-6) period following each vaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Cervarix GroupEXPERIMENTAL -
Placebo GroupPLACEBO_COMPARATOR -
CervarixEXPERIMENTALSubjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
PlaceboPLACEBO_COMPARATORSubjects who received 3 doses of Placebo (at 0, 1, 6 months).
Aimmugen GroupACTIVE_COMPARATORSubjects received 3 doses of Aimmugen™ (Hepatitis A \[HAV\] vaccine) according to a 0, 1, 6-month schedule.
HPV-16/18 GroupACTIVE_COMPARATORFemale subjects who received 3 doses of the HPV-16/18 L1 AS04 vaccine intramuscularly, into the deltoid of the non-dominant arm according to a 3-dose 0, 1, 6-month vaccination schedule.
HPV-TETRA A GroupEXPERIMENTALFemale subjects who received 3 doses of the HPV-16/18/31/45 L1/AS04 vaccine, formulation 1 intramuscularly, into the deltoid of the non-dominant arm according to a 3-dose 0, 1, 6-month vaccination schedule.
HPV-TETRA B GroupEXPERIMENTALFemale subjects who received 3 doses of the HPV-16/18/31/45 L1/AS04 vaccine, formulation 2 intramuscularly, into the deltoid of the non-dominant arm according to a 3-dose 0, 1, 6-month vaccination schedule.
HPV-TETRA C GroupEXPERIMENTALFemale subjects who received 3 doses of the HPV-16/18/31/45 L1/AS04 vaccine, formulation 3 intramuscularly, into the deltoid of the non-dominant arm according to a 3-dose 0, 1, 6-month vaccination schedule.
HPV-TETRA D GroupEXPERIMENTALFemale subjects who received 3 doses of the HPV-16/18/31/45 L1/AS04 vaccine, formulation 4 intramuscularly, into the deltoid of the non-dominant arm according to a 3-dose 0, 1, 6-month vaccination schedule.
HPV-TETRA E GroupEXPERIMENTALFemale subjects who received 3 doses of the HPV-16/18/31/45 L1/AS04 vaccine, formulation 5 intramuscularly, into the deltoid of the non-dominant arm according to a 3-dose 0, 1, 6-month vaccination schedule.
HPV-TETRA F GroupEXPERIMENTALFemale subjects who received 3 doses of the HPV-16/18/31/45 L1/AS04 vaccine, formulation 6 intramuscularly, into the deltoid of the non-dominant arm according to a 3-dose 0, 1, 6-month vaccination schedule.
Interventions
NameTypeDescription
HPV-16/18 VLP/AS04 vaccine (Cervarix TM)BIOLOGICALThree doses of vaccine administered intramuscularly according to a 0, 1, 6-month schedule.
PlaceboBIOLOGICALThree doses of placebo administered intramuscularly according to a 0, 1, 6-month schedule.
HPV-16/18 L1 VLP AS04 (Cervarix TM)BIOLOGICALThree doses of vaccine administered intramuscularly according to a 0, 1, 6-month schedule.
HPV-16/18 L1 VLP AS04BIOLOGICAL -
HPV-16/18 L1/AS04BIOLOGICAL -
HPV-16/18 vaccine (Cervarix™)BIOLOGICALIntramuscular injection, 3 doses
Aimmugen™BIOLOGICALIntramuscular injection, 3 doses
HPV 16/18 L1 AS04BIOLOGICAL3 doses of 0.6 mL supplied as a liquid in individual pre-filled syringes administered intramuscularly in the deltoid muscle of the non-dominant arm, at Day 0, Month 1 and Month 6.
HPV-16/18/31/45 L1 AS04 Formulation 1BIOLOGICAL3 doses of 0.6 mL supplied as a liquid in individual pre-filled syringes administered intramuscularly in the deltoid muscle of the non-dominant arm, at Day 0, Month 1 and Month 6.
HPV-16/18/31/45 L1 AS04 Formulation 2BIOLOGICAL3 doses of 0.6 mL supplied as a liquid in individual pre-filled syringes administered intramuscularly in the deltoid muscle of the non-dominant arm, at Day 0, Month 1 and Month 6.
HPV-16/18/31/45 L1 AS04 Formulation 3BIOLOGICAL3 doses of 0.6 mL supplied as a liquid in individual pre-filled syringes administered intramuscularly in the deltoid muscle of the non-dominant arm, at Day 0, Month 1 and Month 6.
HPV-16/18/31/45 L1 AS04 Formulation 4BIOLOGICAL3 doses of 0.6 mL supplied as a liquid in individual pre-filled syringes administered intramuscularly in the deltoid muscle of the non-dominant arm, at Day 0, Month 1 and Month 6.
HPV-16/18/31/45 L1 AS04 Formulation 5BIOLOGICAL3 doses of 0.6 mL supplied as a liquid in individual pre-filled syringes administered intramuscularly in the deltoid muscle of the non-dominant arm, at Day 0, Month 1 and Month 6.
HPV-16/18/31/45 L1 AS04 Formulation 6BIOLOGICAL3 doses of 0.6 mL supplied as a liquid in individual pre-filled syringes administered intramuscularly in the deltoid muscle of the non-dominant arm, at Day 0, Month 1 and Month 6.
HPV 16/18 VLP AS04BIOLOGICAL -
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Eligibility Criteria
Age Range15 Years — 25 Years
SexFEMALE
Healthy VolunteersYes
Study Sites6

Inclusion Criteria: * Subjects who the investigator believes that they or their parents/guardians can and will comply with the requirements of the protocol should be enrolled in the study. * A female between, and including, 15 and 25 years of age at the time of the first vaccination. * Written info...

Countries:South KoreaMalaysiaIndiaHong KongDenmarkEstoniaFinlandGreeceNetherlandsRussiaAustraliaColombiaCzechiaFranceGermanyHondurasNorwayPanamaSpainSwedenTaiwanJapanUnited StatesBelgiumBrazilCanada
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