Status:

COMPLETED

SGN-00101 Vaccine in Treating Human Papillomavirus in Patients Who Have Abnormal Cervical Cells

Lead Sponsor:

National Cancer Institute (NCI)

Conditions:

Atypical Squamous Cells of Undetermined Significance

Cervical Cancer

Eligibility:

FEMALE

18-50 years

Phase:

PHASE2

Brief Summary

This randomized phase II trial is studying how well SGN-00101 vaccine works compared to a placebo in treating human papillomavirus and preventing cervical cancer in patients with abnormal cervical cel...

Detailed Description

PRIMARY OBJECTIVES: I. Compare the effectiveness of SGN-00101 vaccine vs placebo in reducing the human papillomavirus (HPV)-16 viral load in patients with atypical squamous cells of undetermined sign...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Meets criteria for 1 of the following groups:
  • Prospective group, meeting the following criteria:
  • Evidence of atypical squamous cells of undetermined significance (ASCUS) or low-grade squamous intraepithelial lesions (LSIL) by Pap test
  • Human papillomavirus (HPV)-16-positive by polymerase chain reaction (PCR) and PGMY09/PGMY11 oligonucleotide primers viral load assay
  • Medical records-based group, meeting the following criteria:
  • Medical-record evidence of ASCUS or LSIL by Pap test within the past 6-12 months
  • Meets 1 of the following criteria:
  • Liquid-cytology findings of ASCUS or LSIL
  • Colposcopic evidence of a LSIL by the Reid Index score of 1-5
  • Historically persistent HPV-16-infection by PCR and HPV reverse transcription (RT)-PCR
  • No evidence of high-grade squamous intraepithelial lesions (HSIL) by colposcopy (Reid Index ≥ 6)
  • Reports no sex partner change since last index Pap screening test
  • Specimen-based group, meeting the following criteria:
  • Medical-record evidence of ASCUS or LSIL by Pap test within the past 6-12 months
  • Liquid-based cytology specimen available
  • Meets 1 of the following criteria:
  • Liquid-cytology findings of ASCUS or LSIL
  • Colposcopic evidence of a LSIL by the Reid Index score of 1-5
  • Historically persistent HPV-16-infection by PCR and, where measurable, HPV RT-PCR showing no greater than 3-fold reduction over the index liquid-cytology specimen
  • No evidence of HSIL by colposcopy (Reid Index ≥ 6)
  • Menstrual period occurred at least once within the past 52 weeks
  • No HSIL by Pap test within the past year
  • Performance status - ECOG 0
  • No severe or unstable coagulation
  • Hepatitis B surface antigen negative
  • Hepatitis C antibody negative
  • No angina
  • No heart failure
  • No other cardiac condition
  • No respiratory condition
  • No asthma
  • No immunological disorders (e.g., lupus, diabetes, multiple sclerosis, or myasthenia gravis)
  • Not immunocompromised, suggestive of severe immune deficiency
  • HIV negative
  • No AIDS
  • No active infection, defined as fever \> 100° F
  • No syphilis
  • No severe allergic reactions (anaphylactic response) to drugs or any other allergen
  • No history of allergy to any vaccine constituents, including cell- or tissue-system elements used to prepare the vaccine (e.g., bread products, yeast, or recombinant DNA technology using yeast systems)
  • Must agree to use effective form of contraception throughout vaccination period
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during vaccination period and for 5 months after study treatment
  • No sexual intercourse within 48 hours of virus specimen collection during study visits
  • No objects (e.g., tampons, douche, suppositories, fingers, or toes) within the vagina or rectum within 48 hours of virus specimen collection during study visits
  • No prior malignancy except nonmelanoma skin cancer
  • No medical or psychiatric illness than would preclude study participation or compliance
  • No other disorders requiring medical intervention that would preclude study participation
  • No prior HPV vaccine
  • More than 30 days since prior investigational vaccine
  • More than 30 days since prior systemic steroid therapy
  • No prior splenectomy
  • More than 30 days since prior investigational drug
  • More than 72 hours since prior antibiotic therapy for active infection

Exclusion

    Key Trial Info

    Start Date :

    September 1 2004

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    Estimated Enrollment :

    139 Patients enrolled

    Trial Details

    Trial ID

    NCT00091130

    Start Date

    September 1 2004

    Last Update

    June 3 2013

    Active Locations (1)

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    University of California Medical Center At Irvine-Orange Campus

    Orange, California, United States, 92868