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NCT00543543 · OUTCOME

Base Study: Geometric Mean Titers (GMTs) to HPV Types 6/11/16/18/31/33/45/52/58

Broad Spectrum HPV (Human Papillomavirus) Vaccine Study in 16-to 26-Year-Old Women (V503-001) · Source last updated 2018-11-27

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
GEOMETRIC_MEAN
Unit
milli Merck U/mL
Interval / dispersion
95% Confidence Interval
Time frame
4 weeks postdose 3 in the base study

What was measured

Serum antibodies to HPV types 6/11/16/18/31/33/45/52/58 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL. Statistical analysis was performed only for HPV types contained in both vaccines.

Analysis population: The Per-protocol Immunogenicity population included all participants who were not protocol violators, received all 3 vaccinations of mid-dose V503 or Gardasil within acceptable ranges, were seronegative at Day 1 and PCR negative from Day 1- Month 7 for the relevant HPV types, and had a Month 7 serum sample collected within an acceptable range

Groups in this outcome

Mid-dose V503

V503 (9-Valent HPV Vaccine) mid-dose 0.5 mL injection in a 3-dose regimen in the base study. A subset of participants (Cohort 1) received a fourth V503 mid-dose vaccination in the extension study.

Gardasil

Gardasil (4-Valent HPV Vaccine) 0.5 mL injection in a 3-dose regimen in the base study. Participants (Cohort 2) were offered the V503 mid-dose 3-dose regimen in the extension study.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Mid-dose V5036792
Gardasil6795

Reported measurements

Anti-HPV Type 6 (n=3993, 3975)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V503893.1Not reported871.7915.1Not reported
Gardasil875.2Not reported854.2896.8Not reported
Anti-HPV Type 11 (n=3995, 3982)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V503666.3Not reported649.6683.4Not reported
Gardasil830.0Not reported809.2851.4Not reported
Anti-HPV Type 16 (n=4032, 4062)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V5033131.1Not reported3057.13206.9Not reported
Gardasil3156.6Not reported3082.33232.7Not reported
Anti-HPV Type 18 (n=4539, 4541)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V503804.6Not reported782.7827.1Not reported
Gardasil678.7Not reported660.2697.7Not reported
Anti-HPV Type 31 (n=4466, 4377)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V503658.4Not reported636.7680.9Not reported
Gardasil9.7Not reported9.410.1Not reported
Anti-HPV Type 33 (n=4702, 4691)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V503415.9Not reported405.6426.4Not reported
GardasilNANot reportedNANAThe GMT value was \<4 milli Merck U/mL
Anti-HPV Type 45 (n=4792, 4750)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V503252.8Not reported246.2259.6Not reported
GardasilNANot reportedNANAThe GMT value was \<3 milli Merck U/mL
Anti-HPV Type 52 (n=4455, 4335)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V503379.7Not reported371.6388.0Not reported
GardasilNANot reportedNANAThe GMT value was \<3 milli Merck U/mL
Anti-HPV Type 58 (n=4486, 4446)
Values in milli Merck U/mL · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Mid-dose V503482.5Not reported469.9495.3Not reported
GardasilNANot reportedNANAThe GMT value was \<4 milli Merck U/mL

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.99
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.06
    estimate Comment
    GMT ratio = GMT (V503) / GMT (Gardasil)
    group Description
    Anti-HPV Type 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority required that the lower bound of the two-sided confidence interval (CI) of the GMT ratio was \>0.67
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    p Value
    <0.001
    param Type
    GMT ratio
    param Value
    1.02
    statistical Method
    ANOVA
  2. ci Lower Limit
    0.77
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.83
    estimate Comment
    GMT ratio = GMT (V503) / GMT (Gardasil)
    group Description
    Anti-HPV Type 11
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority required that the lower bound of the two-sided CI of the GMT ratio was \>0.67
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    p Value
    <0.001
    param Type
    GMT ratio
    param Value
    0.80
    statistical Method
    ANOVA
  3. ci Lower Limit
    0.96
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.03
    estimate Comment
    GMT ratio = GMT (V503) / GMT (Gardasil)
    group Description
    Anti-HPV Type 16
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority required that the lower bound of the two-sided CI of the GMT ratio was \>0.67
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    p Value
    <0.001
    param Type
    GMT ratio
    param Value
    0.99
    statistical Method
    ANOVA
  4. ci Lower Limit
    1.14
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.23
    estimate Comment
    GMT ratio = GMT (V503) / GMT (Gardasil)
    group Description
    Anti-HPV Type 18
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority required that the lower bound of the two-sided CI of the GMT ratio was \>0.67
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    p Value
    <0.001
    param Type
    GMT ratio
    param Value
    1.19
    statistical Method
    ANOVA
Complete source fields
analyses
  1. ci Lower Limit
    0.99
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.06
    estimate Comment
    GMT ratio = GMT (V503) / GMT (Gardasil)
    group Description
    Anti-HPV Type 6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority required that the lower bound of the two-sided confidence interval (CI) of the GMT ratio was \>0.67
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    p Value
    <0.001
    param Type
    GMT ratio
    param Value
    1.02
    statistical Method
    ANOVA
  2. ci Lower Limit
    0.77
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.83
    estimate Comment
    GMT ratio = GMT (V503) / GMT (Gardasil)
    group Description
    Anti-HPV Type 11
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority required that the lower bound of the two-sided CI of the GMT ratio was \>0.67
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    p Value
    <0.001
    param Type
    GMT ratio
    param Value
    0.80
    statistical Method
    ANOVA
  3. ci Lower Limit
    0.96
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.03
    estimate Comment
    GMT ratio = GMT (V503) / GMT (Gardasil)
    group Description
    Anti-HPV Type 16
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority required that the lower bound of the two-sided CI of the GMT ratio was \>0.67
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    p Value
    <0.001
    param Type
    GMT ratio
    param Value
    0.99
    statistical Method
    ANOVA
  4. ci Lower Limit
    1.14
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.23
    estimate Comment
    GMT ratio = GMT (V503) / GMT (Gardasil)
    group Description
    Anti-HPV Type 18
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority required that the lower bound of the two-sided CI of the GMT ratio was \>0.67
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    p Value
    <0.001
    param Type
    GMT ratio
    param Value
    1.19
    statistical Method
    ANOVA
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        871.7
        upper Limit
        915.1
        value
        893.1
      2. group Id
        OG001
        lower Limit
        854.2
        upper Limit
        896.8
        value
        875.2
    title
    Anti-HPV Type 6 (n=3993, 3975)
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        649.6
        upper Limit
        683.4
        value
        666.3
      2. group Id
        OG001
        lower Limit
        809.2
        upper Limit
        851.4
        value
        830.0
    title
    Anti-HPV Type 11 (n=3995, 3982)
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        3057.1
        upper Limit
        3206.9
        value
        3131.1
      2. group Id
        OG001
        lower Limit
        3082.3
        upper Limit
        3232.7
        value
        3156.6
    title
    Anti-HPV Type 16 (n=4032, 4062)
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        782.7
        upper Limit
        827.1
        value
        804.6
      2. group Id
        OG001
        lower Limit
        660.2
        upper Limit
        697.7
        value
        678.7
    title
    Anti-HPV Type 18 (n=4539, 4541)
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        636.7
        upper Limit
        680.9
        value
        658.4
      2. group Id
        OG001
        lower Limit
        9.4
        upper Limit
        10.1
        value
        9.7
    title
    Anti-HPV Type 31 (n=4466, 4377)
  6. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        405.6
        upper Limit
        426.4
        value
        415.9
      2. comment
        The GMT value was \<4 milli Merck U/mL
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    title
    Anti-HPV Type 33 (n=4702, 4691)
  7. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        246.2
        upper Limit
        259.6
        value
        252.8
      2. comment
        The GMT value was \<3 milli Merck U/mL
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    title
    Anti-HPV Type 45 (n=4792, 4750)
  8. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        371.6
        upper Limit
        388.0
        value
        379.7
      2. comment
        The GMT value was \<3 milli Merck U/mL
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    title
    Anti-HPV Type 52 (n=4455, 4335)
  9. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        469.9
        upper Limit
        495.3
        value
        482.5
      2. comment
        The GMT value was \<4 milli Merck U/mL
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
    title
    Anti-HPV Type 58 (n=4486, 4446)
denoms
  1. counts
    1. group Id
      OG000
      value
      6792
    2. group Id
      OG001
      value
      6795
    units
    Participants
description
Serum antibodies to HPV types 6/11/16/18/31/33/45/52/58 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL. Statistical analysis was performed only for HPV types contained in both vaccines.
dispersion Type
95% Confidence Interval
groups
  1. description
    V503 (9-Valent HPV Vaccine) mid-dose 0.5 mL injection in a 3-dose regimen in the base study. A subset of participants (Cohort 1) received a fourth V503 mid-dose vaccination in the extension study.
    id
    OG000
    title
    Mid-dose V503
  2. description
    Gardasil (4-Valent HPV Vaccine) 0.5 mL injection in a 3-dose regimen in the base study. Participants (Cohort 2) were offered the V503 mid-dose 3-dose regimen in the extension study.
    id
    OG001
    title
    Gardasil
param Type
GEOMETRIC_MEAN
population Description
The Per-protocol Immunogenicity population included all participants who were not protocol violators, received all 3 vaccinations of mid-dose V503 or Gardasil within acceptable ranges, were seronegative at Day 1 and PCR negative from Day 1- Month 7 for the relevant HPV types, and had a Month 7 serum sample collected within an acceptable range
reporting Status
POSTED
time Frame
4 weeks postdose 3 in the base study
title
Base Study: Geometric Mean Titers (GMTs) to HPV Types 6/11/16/18/31/33/45/52/58
type
PRIMARY
unit Of Measure
milli Merck U/mL

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