120 Participants Needed

Gardasil HPV Vaccine for Human Papillomavirus

(PROTECT Trial)

Recruiting at 2 trial locations
OH
OO
Overseen ByOnyinyechi Ogbumbadiugha-Weekes, MPH
Age: 18+
Sex: Male
Trial Phase: Phase 2
Sponsor: University of Maryland, Baltimore
Must be taking: Androgen blockers, Estrogen
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests the Gardasil9 vaccine to evaluate its effectiveness in boosting the immune system against the human papillomavirus (HPV). The focus is on individuals born male who have used or are using hormone treatments, such as androgen blockers or estrogen, including those living with HIV and those without. Participants will receive the vaccine and have their immune response assessed after the final dose. Suitable candidates for this trial are HIV-positive or HIV-negative individuals, born male, who have used hormone treatments or have had sexual contact with a person with a penis in the past year. As a Phase 2 trial, this research aims to measure the treatment's effectiveness in an initial, smaller group, allowing participants to contribute to significant medical advancements.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, if you are on treatments like systemic chemotherapy or certain immune-affecting drugs, you may not be eligible to participate.

Is there any evidence suggesting that Gardasil9 is likely to be safe for humans?

Research has shown that Gardasil9, the HPV vaccine being tested, is generally safe. Common side effects include pain, redness, and swelling at the injection site. Some individuals might also experience mild reactions such as headaches or dizziness. These effects resemble those caused by other vaccines and are usually not serious. Serious side effects, such as fainting, occur rarely. No evidence links the vaccine to infertility or other long-term health problems. The vaccine's approval for use in other groups suggests a good safety record.12345

Why do researchers think this study treatment might be promising?

Unlike other treatments for human papillomavirus (HPV) prevention, Gardasil9 is noteworthy because it covers nine different HPV strains, offering broader protection compared to earlier vaccines that cover fewer strains. Researchers are particularly excited about this treatment for its potential to protect individuals with unique health backgrounds, such as those with past exposure to hormone treatments, who may have different immune responses. This expanded protection could significantly reduce HPV-related health issues in these populations, making Gardasil9 a promising advancement in HPV prevention.

What evidence suggests that Gardasil9 might be an effective treatment for HPV?

Research has shown that the Gardasil9 vaccine effectively protects against HPV, a common virus. Over 98% of recipients develop an immune response to the virus. This trial will administer the Gardasil9 vaccine to participants in different groups. One group includes people born male with current or past exposure to androgen blockers or estrogen, while another group includes HIV-negative individuals who are either in the same category or are men who have had sex with a person with a penis. The vaccine can prevent up to 90% of infections from certain types of HPV linked to cancers and genital warts. It has been proven to lower the risk of several diseases related to HPV. The vaccine is safe and provides strong protection for many people.678910

Who Is on the Research Team?

OH

Omar Harfouch, MD

Principal Investigator

University of Maryland, Baltimore

Are You a Good Fit for This Trial?

This trial is for individuals born male, aged 18-70, who may or may not be living with HIV. It's specifically for those who identify as transgender, non-binary, gender diverse, or have had sexual relations with another person with a penis in the past year. Participants should not have received the Gardasil9 vaccine before and must be able to consent.

Inclusion Criteria

I can understand and agree to the study's procedures and risks.
I am living with HIV.
I do not have HIV.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a 3-dose series of the Gardasil9 vaccine at Day 0, Month 2, and Month 6

6 months
3 visits (in-person)

Follow-up

Participants are monitored for immune response and safety 1 month after the final vaccine dose

1 month
1 visit (in-person)

Optional Follow-up

Participants with anal dysplasia at study entry may have an optional visit for repeat HRA and additional sample collection

What Are the Treatments Tested in This Trial?

Interventions

  • Gardasil9
Trial Overview The study tests how well the Gardasil9 HPV vaccine works in people assigned male at birth who are taking hormones like estrogen or androgen blockers. The vaccine will be given three times over six months to both HIV-positive and HIV-negative groups to compare immune responses.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: People born male with current or past exposure to androgen blockers or estrogen (BM-EABE)Experimental Treatment1 Intervention
Group II: HIV Negative BM-EABE or HIV Negative men who had sex with a person with a penis (MSPP)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Maryland, Baltimore

Lead Sponsor

Trials
729
Recruited
540,000+

Published Research Related to This Trial

In a study involving 12,066 women aged 9 to 26 years who received the HPV vaccines Gardasil® and Cervarix® over three years, 61% reported experiencing mild and transient adverse events after the first dose.
The high rate of reported adverse events is attributed to the study's design, which encouraged participants to document all occurrences, highlighting the importance of ongoing surveillance for vaccine safety, especially for newly marketed vaccines.
[Human papillomavirus vaccine register].Spila-Alegiani, S., Da Cas, R., Giambi, C., et al.[2013]
The introduction of the quadrivalent vaccine Gardasil and the bivalent vaccine Cervarix has significantly advanced the prevention of HPV-related diseases, including various cancers and benign conditions like genital warts.
A new multivalent vaccine, Gardasil 9, has been approved and shows promise in providing broader protection against nine HPV subtypes, with ongoing efforts to improve vaccine accessibility and reduce production costs, especially in developing countries.
Second-generation prophylactic HPV vaccines: current options and future strategies for vaccines development.Fruscalzo, A., Londero, AP., Bertozzi, S., et al.[2016]
The post-licensure safety profile of HPV vaccines Gardasil and Cervarix was evaluated using data from three sources, including VigiBase and VAERS, confirming that the reported adverse events align with existing safety data.
The analysis showed that the safety profiles of both vaccines are consistent with the information provided in their Summary of Product Characteristics (SPC), indicating that they are safe for public use.
Postlicensure safety evaluation of human papilloma virus vaccines.Labadie, J.[2015]

Citations

Efficacy of GARDASIL®9 (Human Papillomavirus 9-valent ...Efficacy against certain HPV-related cancers and diseases in individuals aged 16-26 · ~98% · 100% · 100% · ~75% · ~97% · ~88% · 95%.
HPV Vaccine EfficacyMore than 98% of recipients develop an antibody response to HPV types included in the respective vaccines 1 month after completing a full vaccination series.
Human Papillomavirus Vaccine Efficacy and Effectiveness ...Maximal reductions of approximately 90% for HPV 6/11/16/18 infections, approximately 90% for genital warts, approximately 45% for low-grade cytological cervical ...
Merck Announces Positive Top-line Results from Phase 3 ...The trial met its primary and secondary endpoints demonstrating that administration of a 3-dose regimen of GARDASIL 9 reduced the combined incidence of ...
Update on the new 9-valent vaccine for human ...The 9-valent HPV vaccine, which protects against HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58, is safe and effective and will further reduce the incidence ...
GARDASIL 9 safety and side effectsThe most common side effects of GARDASIL 9 include: pain, swelling, redness, itching, bruising, bleeding, and a lump where your child got the shot.
Human Papillomavirus (HPV) Vaccine SafetyGardasil 9, Gardasil and Cervarix · The most common side effect reported was pain, swelling, and redness in the arm where the shot was given. · These mild side ...
8.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40662677/
Adverse events following 9-valent human papillomavirus ...Among reported events, most were non-serious and consistent with known reactogenicity patterns, including syncope, headache, and injection site ...
Gardasil Package InsertThe injection site adverse reactions that were observed among recipients of GARDASIL at a frequency of at least 1.0% and also at a greater frequency than that ...
Parent Concerns About HPV Vaccine Safety Increasing - NCIThe most common serious side effects of HPV vaccination are dizziness and fainting. There is no evidence that HPV vaccines lead to infertility ...
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