Protocol summary
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Study aim
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Examine the non-inferiority and safety of papilloma virus vaccine (bi-valency, by Noyan Pajouhan Biopharma) in comparison with Cervarix® (Bivalency, by GlaxoSmithKline)
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Design
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Phase III, randomized, two arm, double blind, parallel, active controlled in 218 female subjects
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Settings and conduct
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Study will be conducted in Arash Women’s hospital in Tehran. Study is double blinded (nurse, investigator and the volunteers), Information of investigational vaccine in a sealed envelope with continue number will be given to them.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria:
Female subject of 15-25 years
Being Healthy
Subjects that have an intact uterus and cervix
obtaining written informed consent
Subjects who can and will comply with the requirements of the protocol.
Exclusion criteria:
Previous vaccination against HPV.
History of allergic reaction to vaccine administration.
Chronic administration of immune-suppressants (more than 14 days) or other immune-modifying drugs within six months prior to the first vaccine dose.
History of immunosuppressive or immunodeficient condition
Known chronic diseases.
Administration of immunoglobulin and/or any blood products within the 90 days before first dose of vaccine.
Positive β-HCG test.
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Intervention groups
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This study has two arm in which one arm will receive the HPV vaccine 16,18 (Noyan Pajouhan Biopharma) and other arm will receive the Cervarix® (GlaxoSmithKline) at a dose of 0.5 ml intramuscularly in 0,1,6 month schedule.
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Main outcome variables
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Primary outcome:
Antibody titer against papillomavirus 16,18 with GMT comparision after 7 months.
Secondary outcome:
Proportion of local and systemic solicited and unsolicited events
Proportion of serous adverse events
Number of females with seroconversin against HPV 16,18 at the end of study.
General information
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Reason for update
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Acronym
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HPV
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IRCT registration information
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IRCT registration number:
IRCT20090526001952N9
Registration date:
2018-09-02, 1397/06/11
Registration timing:
prospective
Last update:
2019-09-01, 1398/06/10
Update count:
3
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Registration date
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2018-09-02, 1397/06/11
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Expected recruitment start date
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2019-07-06, 1398/04/15
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Expected recruitment end date
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2019-10-07, 1398/07/15
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Actual recruitment start date
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empty
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Actual recruitment end date
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empty
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Trial completion date
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empty
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Scientific title
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A Phase III, Randomized,Two armed, Parallel, Double blinded, Active controlled Non-inferiority to evaluate the efficacy of Protection and safety of Papillomavirus vaccine (Bivalent, manufactured by Noyan Pajouhan Biopharma) in comparison with Cervarix® (Bivalent, manufactured by GlaxoSmithKline) in immunogenicity and GMT (Geometric Mean Titer) ratio in healthy female volunteers of 15 to 25 years of age.
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Public title
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Evaluate non-inferiority efficacy of protection and safety of noyan pajouhan Biopharma human papillomavirus vaccine type 16,18 in healthy female volunteers.
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Purpose
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Prevention
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Inclusion/Exclusion criteria
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Inclusion criteria:
Female subjects between, and including, 15 to 25 years of age at the time of the first vaccination
Healthy subjects as established by medical history and history-oriented clinical examination before entering into the study
Subjects that have an intact uterus and cervix
Written informed consent obtained from the subject prior to enrollment.
Subjects who can and will comply with the requirements of the protocol.
Exclusion criteria:
Previous vaccination against HPV
History of allergic reaction to vaccine administration
Chronic administration of immune-suppressants (more than 14 days) or other immune-modifying drugs within six months prior to the first vaccine dose.
Planned administration of a vaccine not foreseen by the study protocol.
Any confirmed or suspected immunosuppressive or immunodeficient condition (based on medical history and physical examination).
Known chronic disease such as Cancer, hepatic or renal disease, neurologic disease, diabetes or autoimmune diseases
Administration of immunoglobulin and/or any blood products within the 90 days preceding the first dose of study vaccine
Positive β-HCG test.
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Age
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From 15 years old to 25 years old
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Gender
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Female
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Phase
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3
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Groups that have been masked
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- Participant
- Care provider
- Investigator
- Outcome assessor
- Data analyser
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Sample size
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Target sample size:
218
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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Randomization sequences will be made by R-CRAN software. This randomization sequence is consist of quadruple permuted balanced blocks to achieve the target sample size of 202 volunteers ( made of 51 blocks that are only 202 sequences out of 204 sequences chain). Each of these sequences will be converted to untitled codes of alphabet and number. Centrally, master sheet of randomization will be kept with data manager team, therefor, after approval of eligibility of each volunteer, through phone call will be given to the site of study. Series of untitled codes and initial alphabets of volunteer’s name and family name will make the identity number of volunteers for using in Case Report Form and made the information bank.
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Blinding (investigator's opinion)
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Double blinded
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Blinding description
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All the healthy volunteers will be vaccinated by an experienced nurse in the site of study and based on availability of vaccine in the stock and adhering the trial sticker on the vaccine and administration by nurse the nurse, investigator and the volunteers won’t be aware of brand of administered vaccine, since in ICF aim of study has been mentioned, volunteers know that they will be randomly assigned in one of study vaccine groups and neither involved persons in the study nor volunteers are aware of type of administered vaccine. Randomization won’t be disclosed to people who conduct the trial and the information in a sealed envelope with continue number will be given to them.
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Placebo
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Not used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2018-07-31, 1397/05/09
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Ethics committee reference number
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IR.TUMS.VCR.REC.1397.321
Health conditions studied
1
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Description of health condition studied
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cervical cancer
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ICD-10 code
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C53
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ICD-10 code description
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Malignant neoplasm of cervix uteri
Primary outcomes
1
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Description
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Antibody titre against papillomavirus 16,18 with GMT comparison after 7 months.
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Timepoint
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After 7 months
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Method of measurement
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Geometric Mean Titre
Secondary outcomes
1
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Description
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Percentage of any adverse effects
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Timepoint
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Solicited adverse effects after one week of each injection; Unsolicited adverse effects after one month of each injection;
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Method of measurement
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Solicited, unsolicited and serious adverse event: ratio of events to total study population in percentage.
2
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Description
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Percentage of participants with seroconversion against HPV 16 and 18
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Timepoint
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Number of females with seroconversion after 6 months of first injection
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Method of measurement
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For seroconversion of type 16,18 Human papillomavirus measure the ratio of level of threshold of antibody against human papillomavirus 16,18 to total population in percentage.
Intervention groups
1
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Description
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Intervention group: Candidate vaccine: pre-filled vaccine syringe of HPV vaccine 16,18 (manufactured by Noyan Pajouhan Biopharma) 20 g HPV-16 L1 VLP/20 g HPV-18 L1 VLP intramuscular injection of (deltoid muscle non-dominant hand) 0.5 ml in 0,1,6 month schedule.
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Category
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Prevention
2
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Description
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Control group: Pre-filled vaccine syringe of HPV vaccine 16,18 (manufactured by GlaxoSmithKline) 20 g HPV-16 L1 VLP/20 g HPV-18 L1 VLP intramuscular injection of (deltoid muscle nondominent hand) 0.5 ml in 0,1,6 month schedule
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Category
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Prevention
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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Yes
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Title of funding source
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Noyan Pajouhan biopharma
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Proportion provided by this source
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100
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Public or private sector
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Private
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Persons
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Undecided - It is not yet known if there will be a plan to make this available
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Study Protocol
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No - There is not a plan to make this available
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Statistical Analysis Plan
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No - There is not a plan to make this available
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Informed Consent Form
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No - There is not a plan to make this available
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Clinical Study Report
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No - There is not a plan to make this available
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Analytic Code
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No - There is not a plan to make this available
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Data Dictionary
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No - There is not a plan to make this available