Informations générales (source: ClinicalTrials.gov)
Efficacy Study of the Quadrivalent Human Papilloma Virus (HPV) Vaccine to Prevent Recurrence of External Genital Warts (EGW) in Patients Who Were Cured in the First Place (CONDYVAC)
Interventional
Phase 3
Assistance Publique - Hôpitaux de Paris (Voir sur ClinicalTrials)
novembre 2017
avril 2020
19 avril 2025
External genital warts (EGW) are a frequent disease (typical yearly incidence of 100 to
200 new cases per 100.000 person-years, typical prevalence of 1 to 4% of the sexually
active population), with a heavy toll on patients' quality of life: low self-esteem and
severe impairment of sexual well-being are common consequences. Treatments are painful
and take time to achieve cure because of low complete remission (20 to 60%) and high
recurrence rates (10 to 40%, 30% on average). Finding new means to reduce these
recurrence rates thus seems justified. Infection with Human Papillomavirus (HPV) is
responsible for EGW,other warts and some epithelial cancers. Out of two currently
available HPV vaccines (Cervarix and Gardasil®), only Gardasil® is " quadrivalent " i.e.
contains virus like particles imparting protection versus 4 genotypes of HPV, 2 of them
responsible of most cancers and pre cancers of the cervix (HPV 16 and 18), and 2 for 90%
of EGW (HPV 6 and 11). A close to 100 % efficacy of the quadrivalent HPV vaccine (QHV) on
prevention of EGW in naive patients has been shown, leading to their near disappearance
in the vaccinated population of countries with a good vaccine coverage. Beside this
preventive efficacy, literature data also show that HPV vaccines have an up-to-100%
protective effect versus recurrence of destroyed precancerous lesions of the cervix in
non-naive patients with an up-to-40 month's follow-up. Also, there is anecdotal evidence
that they could help treat severe wart conditions. QHV is also safe and well tolerated
when used in a preventive manner.
Investigator hypothesis is that QHV could have a protective effect on the recurrence of
EGW in patients who achieve complete remission.
The primary objective is to evaluate if the HPV vaccine, as compared to placebo, reduces
the relapse rate of external genital warts over a 12 month-period after their first
injection.
The primary endpoint is the Relapse-free "survival". Relapse will have to be clinically
confirmed.
The secondary objectives are : 1. To assess the improvement of the quality of life of the
patients 2. To investigate the clinical tolerance to three doses of HPV vaccine. The
secondary endpoints are
1. Disease relief score as evaluated by patients on a specific questionnaire for
Condylomata Acuminata (CECA) and Dermatology Life Quality Index (DLQI)
self-administered questionnaires over the treatment and follow-up periods
2. The clinical tolerance to HPV vaccine will be evaluated by assessment of the
percentage of patients with local and/or systemic reactions during the study
This is a National multicenter Phase III comparative, double blind randomized,
two-parallel groups clinical trial evaluating the efficacy of Gardasil vaccine versus
placebo in EGW population. Patients (300) recently cured of EGW will be enrolled over a
18 month-period and will be randomized in a 1:1 ratio to receive three intra muscular
(IM) vaccinations of either Gardasil vaccine (150 subjects) or placebo (150 subjects) :
- Group 1: Gardasil (at M0) + Gardasil (at M2) + Gardasil (at M6)
- Group 2: Placebo (at M0) + Placebo (at M2) + Placebo (at M6) Subjects meeting all
the inclusion criteria and none of the exclusion criteria will be vaccinated by the
investigator or designee of the investigational center and will be examined by the
investigator or designee 30 minutes post immunization to assess for local and
systemic reactions.
All subjects will be followed by the investigators or designee during the study by phone
contacts and visits on site. Diary cards will be used after each vaccination to follow
the patients.
Number of visits /participant: 9 Schedule of visits : 1 selection visit (V0) , 3
vaccinations scheduled on site at M0, M2 and M6, 3 phone contacts at M1, M3 and M7, 2
clinical follow up visits on site at M9 and M12 + 1 unscheduled visit on site in case of
EGW relapse during the study
Etablissements
| Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| AP-HP - Hôpital Ambroise Paré | FOUERE Sebastien | 18/04/2025 07:56:27 | Contacter | ||
| AP-HP - Hôpital Cochin | FOUERE Sebastien | 18/04/2025 07:56:27 | Contacter | ||
| AP-HP - Hôpital Henri Mondor-Albert Chenevier | FOUERE Sebastien | 18/04/2025 07:56:27 | Contacter | ||
| AP-HP - Hôpital Lariboisiere-Fernand Widal | FOUERE Sebastien | 18/04/2025 07:56:27 | Contacter | ||
| CHI DE CRETEIL | Giao DO PHAM | 06/02/2025 16:23:32 | Contacter | ||
| Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
| GH Cochin - Broca - Hôtel-Dieu, - 75679 - Paris - France | Odile LAUNAY, PH | Contact (sur clinicalTrials) | |||
| Hôpital St Louis - 75010 - Paris - France | Sebastien FOUERE, MD, MSc | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Patients aged 18 years and older;
- Patients who, after the nature of the study has been explained to them, and prior to
any protocol specific procedures being performed, have given written consent
according to local regulatory requirements
- Patients completely cured (no clinically visible lesions) for over two weeks and
less than a month prior to inclusion visit (V1, M0) after initial success of classic
treatment. If the patient has an EGW relapse, they will not be randomized and will
be considered as a screening failure. Screen-failed patients could perform another
selection visit after being completely cured (no clinically visible lesions).
- Women of childbearing potential must have a negative pregnancy test and an effective
contraception from selection visit (V0) and up to the end of the vaccination period
of 6 months;
- Males must have an effective contraception with condoms from selection visit (V0)
and up to the end of the vaccination period of 6 months;
- Patients affiliated to a social security regimen;
- Patients able to participate during the 12 months of the study.
- Patients aged 18 years and older;
- Patients who, after the nature of the study has been explained to them, and prior to
any protocol specific procedures being performed, have given written consent
according to local regulatory requirements
- Patients completely cured (no clinically visible lesions) for over two weeks and
less than a month prior to inclusion visit (V1, M0) after initial success of classic
treatment. If the patient has an EGW relapse, they will not be randomized and will
be considered as a screening failure. Screen-failed patients could perform another
selection visit after being completely cured (no clinically visible lesions).
- Women of childbearing potential must have a negative pregnancy test and an effective
contraception from selection visit (V0) and up to the end of the vaccination period
of 6 months;
- Males must have an effective contraception with condoms from selection visit (V0)
and up to the end of the vaccination period of 6 months;
- Patients affiliated to a social security regimen;
- Patients able to participate during the 12 months of the study.
- Patients with diagnosis of internal ano-genital warts (intra rectal, intra vaginal,
intra urethral) at the selection visit
- Patients with positive HIV, Hepatitis C virus (HCV) or Hepatitis B virus (HBV) (Ag
HBS) tests;
- Patients whose regular partner(s) have active uncontrolled clinical EGW;
- Patients who received the HPV Vaccine at any time before enrolment to the study;
- Any serious chronic or progressive disease according to the judgement of the
investigator;
- Patients with history of an autoimmune disorder or any other known or suspected
impairment /alteration of the immune system, or under immunosuppressive therapy
including use of systemic corticosteroids or chronic immunosuppressant medication
(more than 14 days) (i.e. prednisone, or equivalent ≥10 mg/day) within :
- the 28 days preceding the first vaccination at the inclusion visit V1 in case
of corticosteroids administration
- the 3 months preceding the first vaccination at the inclusion visit V1 in case
of administration of cyclophosphamide, anti-Tumor Necrosis Factor (TNF) alpha ,
intravenous immunoglobulins, abatacept, corticosteroids as a bolus injection
- the 6 months preceding the first vaccination at the inclusion visit V1 in case
of Cluster of Differentiation antigen 20 (anti-CD20) administration. Topical or
inhaled uses of steroid including intranasal are allowed;
- Patients with history of known allergies/hypersensitivity to any component of study
vaccine;
- Patients who have any malignancy or lymphoproliferative disorder;
- Patients with thrombocytopenia or coagulation disorder/treatment contra-indicating
intramuscular injection;
- Women who are pregnant or are breast-feeding, or are of childbearing age who do not
use or do not plan to use acceptable birth control measures, during the first 6
months of the study ;
- Male who do not use or do not plan to use condoms during the first 6 months of the
study;
- Patients under a measure of legal protection or unable to consent;
- Patients participating in any clinical trial with another investigational product 28
days prior to first study visit or intent to participate in another clinical study
at any time during the conduct of this study.