Table A1.
Co-primary immunogenicity endpoint | To demonstrate non-inferiority of AS04-HPV-16/18 versus (vs.) 4vHPV in terms of geometric mean titers (GMTs) against HPV-16 and HPV-18 measured by Pseudovirion-based neutralization assay (PBNA) one month after administration of the third dose of vaccine in HIV+ subjects. Criterion: Non-inferiority was to be demonstrated if the lower limit of the 95% confidence interval (CI) for the ratio of GMTs (AS04-HPV-16/18 over 4vHPV) was above 0·5 for both HPV types. |
If non-inferiority was demonstrated, demonstrate superiority of AS04-HPV-16/18 over 4vHPV in terms of GMTs against HPV-16 and HPV-18 measured by PBNA in HIV+ subjects assessed in a sequential approach:
Superiority was to be demonstrated if the lower limit of the 95% CI for the ratio of GMTs (AS04-HPV-16/18 over 4vHPV) was above 1 for HPV-16 type with a statistically significant p-value. | |
Co-primary safety endpoint | Safety: safety and reactogenicity of both vaccines in HIV+ subjects for up to one month after the third dose of vaccine (up to month 7).
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Secondary immunogenicity endpoints | To demonstrate superiority of AS04-HPV-16/18 vs. 4vHPV in terms of GMTs against HPV-16 or HPV-18 measured by PBNA one month after the administration of the third dose of vaccine in HIV- subjects. Criterion: Superiority of AS04-HPV-16/18 vs. 4vHPV was to be demonstrated if the lower limit of the 97·5% CI for the ratio of GMTs (AS04-HPV-16/18 over 4vHPV) was above 1 for the antigen considered with a statistically significant p-value. |
To evaluate the antibody response of both vaccines with respect to HPV-16 and HPV-18 antibody titers and total IgG titers by Enzyme-Linked Immunosorbent Assay (ELISA) in serum at Day 0, Week 6, Week 10, Months 7, 12, 18 and 24 in all (HIV+ and HIV-) subjects. | |
To evaluate the antibody response with respect to HPV-16 and HPV-18 antibody titers and total IgG titers, by ELISA in cervico-vaginal secretions (CVS) at Day 0, Week 6, Week 10, Months 7, 12 and 24 in post-menarcheal subjects who volunteer for this procedure. | |
To evaluate the memory B and T cell-mediated immune (CMI) response (frequencies of HPV-16 and HPV-18 specific B-cells and T cells) at Day 0, Week 6, Week 10, Months 7 and 12 in a subset of approximately 100 subjects (50 HIV+ and 50 HIV-). | |
Secondary safety endpoints | Safety: Safety and reactogenicity of both vaccines in HIV- subjects for up to one month after the third dose of vaccine. Safety and reactogenicity of both vaccines in all subjects for up to 24 months after the first vaccine dose |