A Dose Escalation Phase I Trial of the Safety and Immunogenicity of RG1-VLP, A Candidate Broadly Protective Vaccine for the Prevention of HPV-Associated Cancer
National Cancer Institute (NCI)
Summary
This phase I trial tests the safety, side effects, and best dose of RG1-virus-like particle (VLP) in preventing human papillomavirus (HPV)-related cancers in women. RG1-VLP is a vaccine that aims to protect against rare HPV types not targeted by currently approved HPV vaccines. HPV is a common sexually-transmitted infection that can cause certain genital and oral cancers. RG1-VLP contains a protein of HPV type 16 (HPV16) with a slightly different structure than the licensed Gardasil-9 vaccine. Gardasil-9 is approved by the Federal Drug Administration to help protect against diseases caused by some types of HPV. Gardasil-9 also contains 9 different HPV proteins. Both vaccines contain alum to stimulate the immune system. The usual approach for the prevention of HPV-related cancers for patients who are at increased risk is to consider the currently approved HPV vaccine like Gardasil-9, as well as to be followed closely by their doctor to watch for the development of cancer via routine pap smears. This trial may allow researchers to find out whether the RG1-VLP vaccine can safely trigger an immune response against HPV in healthy women and if it is better or worse than the usual approach for the prevention of HPV-related cancers.
Description
PRIMARY OBJECTIVE: I. Assess the safety of RG1-virus-like particles (VLP) in healthy 18-60 years old women at 3 escalating doses. SECONDARY OBJECTIVES: I. Determine the immunogenicity of RG1-VLP in healthy 18-60 year old women at 3 escalating doses via the following assays: Ia. Determine serum antibody responses induced by RG1-VLP vaccination by both human papillomavirus (HPV) 16 L1 VLP and HPV16 L2 RG1-peptide enzyme-linked immunosorbent assay (ELISA). This will be assessed at months 0, 1, 2, 3, 6, 7 and 12; Ib. Determine whether vaccination-induced serum antibody response neutralizes HPV…
Eligibility
- Age range
- 18–60 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Women, age 18 - 60 years. Because no dosing or adverse event (AE) data is currently available for the use of RG1-VLP in humans, children and adolescents are excluded from this study * White blood cell (WBC) between 3000/mm\^3 - institutional upper limit of normal * Hemoglobin (Hgb) between 10 g/dl - institutional upper limit of normal * Platelets \>= 100,000/mm\^3 * Serum creatinine within institutional normal limits * Bilirubin =\< 2x institutional upper limit of normal * Alanine aminotransferase (ALT) =\< 2x institutional upper limit of normal * Aspartate aminotransfer…
Interventions
- ProcedureBiospecimen Collection
Undergo blood sample and vaginal swab collection
- BiologicalHPV16 RG1 VLP Vaccine
Given IM
- OtherQuestionnaire Administration
Ancillary studies
- BiologicalRecombinant Human Papillomavirus Nonavalent Vaccine
Given via injection
Locations (5)
- University of Alabama at Birmingham Cancer CenterBirmingham, Alabama
- Johns Hopkins University/Sidney Kimmel Cancer CenterBaltimore, Maryland
- Staten Island University HospitalStaten Island, New York
- University of Wisconsin Carbone Cancer Center - University HospitalMadison, Wisconsin
- Medical University ViennaVienna