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

NCT ID: NCT06436274

Condition: Human Papilloma Virus
Hiv

Conditions: Official terms:
Papilloma

Study type: Interventional

Study phase: Phase 4

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Crossover Assignment

Intervention model description: 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.

Primary purpose: Prevention

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Biological
Intervention name: GARDASIL®9
Description: GARDASIL®9 or equivalent vaccines will be used for this study. These are FDA-approved vaccines.
Arm group label: Group 1
Arm group label: Group 2

Intervention type: Biological
Intervention name: Menveo®/Menactra®
Description: Menveo®/Menactra® or equivalent vaccines will be used for this study. These are FDA-approved vaccines.
Arm group label: Group 1
Arm group label: Group 2

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 one HPV vaccination prior to HIV diagnosis.

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.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Assigned female at birth 2. Age 16 years and above on the day of signing the informed consent form 3. Living with HIV with confirmed test results or clinic records 4. History of receiving a single dose of an HPV vaccine before HIV diagnosis 5. Self-reported sexually active in the last six months 6. Lives within the study area and willing to provide updated locator information over the course of the study 7. Does not have an autoimmune, degenerative, or genetic disease 8. Does not have known advanced HIV (as per stage IV World Health Organization clinical staging criteria for HIV) 9. No other Investigator-determined factor would limit participation in the trial 10. Has not and is not enrolled in a monoclonal, investigational vaccine, or a large quantity blood draw study 11. The participant has a cervix Exclusion Criteria: 1. Anyone with cervical abnormality on examination 2. Anyone with an allergy to vaccine components or yeast

Gender: Female

Gender based: Yes

Gender description: Assigned female at birth

Minimum age: 16 Years

Maximum age: N/A

Healthy volunteers: No

Start date: September 2024

Completion date: June 2027

Lead sponsor:
Agency: Massachusetts General Hospital
Agency class: Other

Collaborator:
Agency: University of Witwatersrand, South Africa
Agency class: Other

Collaborator:
Agency: Botswana Harvard AIDS Institute Partnership
Agency class: Other

Collaborator:
Agency: Ministry of Health, Rwanda
Agency class: Other

Collaborator:
Agency: Fred Hutchinson Cancer Center
Agency class: Other

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: Massachusetts General Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06436274

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