Self-assembly of human papillomavirus type 1 capsids by expression of the L1 protein alone or by coexpression of the L1 and L2 capsid proteins.
M E Hagensee, N Yaegashi, D A Galloway
https://pubmed.ncbi.nlm.nih.gov/8380079/Actively Recruiting
Led by Louisiana State University Health Sciences Center in New Orleans · Updated on 2025-04-18
250
Participants Needed
1
Research Sites
26 weeks
Total Duration
Researchers are investigating the immune response to the nonavalent HPV vaccine Gardasil-9 in adults living with well-controlled HIV infection. The study aims to measure how strongly and broadly the serum antibody response develops after vaccination. It also seeks to observe short-term clinical effects on HPV infections and related diseases, and to evaluate the protection Gardasil-9 provides over time in those previously vaccinated. The study focuses on adults with virologically controlled HIV and compares their immune response with HIV-negative individuals. Participants will receive the Gardasil-9 vaccine in a three-dose series given at 0, 1, and 6 months. There is also a second group of adults who have already completed a full Gardasil vaccine series prior to joining. Both groups will be monitored with blood, saliva, and swab samples collected at various visits to assess antibody levels and HPV infection status. The study includes men and women representative of a diverse population and involves detailed laboratory testing of samples to identify HPV types and antibody responses. Throughout the 18-month study period, participants will complete surveys and provide biological samples at scheduled visits to track immune response and clinical outcomes related to HPV infection and disease. Researchers will analyze antibody titers, HPV infection clearance or persistence, and tissue changes associated with HPV. Data will be evaluated over time and compared to historical HIV-negative controls. Safety monitoring includes observation after vaccination and collection of relevant clinical laboratory data. The total participation duration extends up to 18 months with multiple follow-up assessments.
CONDITIONS
Immunogenicity of Gardasil-9 HPV Vaccine in People Living With HIV
V
Vice Chancellor for Academic Affairs and Research
E
Executive Director, Office of Research Services
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Louisiana State University Health Sciences Center in New Orleans
Lead Sponsor
Merck Sharp & Dohme LLC
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Gardasil-9 (9-valent HPV vaccine) given in study | Previously vaccinated (Gardasil-4 or Gardasil-9) cohort | Current recommended HPV vaccination (per guidelines) |
|---|---|---|---|
| What is this option? | Gardasil-9 is a recombinant subunit vaccine protecting against nine HPV types. The trial arm includes adults living with HIV who have not previously received Gardasil-9, with immune intact status and stable antiretroviral therapy. | Participants in this cohort have previously completed a series of Gardasil-4 or Gardasil-9 HPV vaccine as part of routine clinical care and are observed for immune response and HPV infection outcomes. | Guideline-based care recommends HPV vaccination for adults living with HIV, using the 9-valent HPV vaccine (Gardasil-9) when available. Vaccination is advised regardless of prior HPV exposure. |
| Role in the study | Investigational intervention: newly administered Gardasil-9 vaccine, with immune response and HPV infection tracked over 18 months. | Internal comparison group: observed immune response and HPV infection outcomes after prior vaccination, no new intervention during study. | Standard clinical practice: offers HPV vaccination to adults living with HIV to reduce risk of persistent HPV infection and associated conditions. |
| Primary use or purpose | To assess immune response and impact on HPV infection status following Gardasil-9 vaccination in HIV-positive adults. | To document antibody levels and HPV infection status in previously vaccinated participants as an internal reference. | To reduce the risk of persistent HPV infection and related cervical, anal, and oral lesions in people living with HIV. |
| How is it given? | Gardasil-9 is administered as a series of intramuscular injections according to protocol; immune response and HPV infection are monitored over 18 months. | Participants previously received Gardasil-4 or Gardasil-9 as per routine clinical care, not as part of the study protocol. | HPV vaccine is typically given as a series of injections according to age- and risk-specific schedules for adults living with HIV, with multidisciplinary follow-up. |
| Evidence status | Study results pending; evidence from published trials supports immunogenicity and prevention of HPV-related disease in broad populations, but specific response in people living with HIV is under current investigation. | Outcomes described in the registry involve immune response and HPV infection status after prior completion of HPV vaccination; existing literature suggests maintained antibody titers but variation depending on HIV status. | Studies and guidelines support HPV vaccine immunogenicity and effectiveness in people living with HIV, though optimal timing and response may vary compared to general population. |
| Important limitations | Single-group design without randomization; outcomes depend on immune status and antiretroviral regimen; results pending for specific HIV-positive population. | Observational cohort lacks new intervention or randomization; immune response may differ by time since vaccine, HIV control, and medication use. | Guidelines note limited real-world evidence in HIV-positive adults; immunogenicity and protection may depend on degree of immune suppression and timing of vaccination. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 6 months
Participants receive the 3-dose Gardasil-9 vaccine series at 0, 1, and 6 months with observation for 30 minutes after each vaccination.
3 visits for vaccination and observation
Duration - 12 months after last vaccination (up to 18 months total)
Participants complete social history surveys and provide blood, saliva, and swab samples for HPV antibody and infection testing at multiple time points to evaluate immunogenicity and HPV infection status.
4 visits at 0, 7, 12, and 18 months
Duration - Single time-point
Participants with prior Gardasil vaccination are observed at a single time-point to evaluate serum antibody titers and HPV prevalence.
1 visit (in-person)
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SINGLE_GROUP
Primary Purpose
PREVENTION
Number of Arms
2
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M E Hagensee, N Yaegashi, D A Galloway
https://pubmed.ncbi.nlm.nih.gov/8380079/Louisiana State University Health Sciences Center in New Orleans
Lead Sponsor
Merck Sharp & Dohme LLC
Collaborating Sponsor