Evidence map›Paper›PMID 40609265›Full record

ArticleVaccine2025

Design of a multicenter, randomized, double-blinded, placebo-controlled phase III trial evaluating the 9-valent human papillomavirus (HPV) vaccine to prevent persistent oral HPV infection in men living with human immunodeficiency virus: ULACNet trial 201.

Anna R Giuliano, Anna Beltrame, Luisa L Villa, Eduardo Lazcano-Ponce, Jorge Santana-Bagur, Betania Allen-Leigh, Alejandra J Portillo-Romero, Vikrant V Sahasrabuddhe, Margaret G House, Emma Brofsky and 9 more

2 registry-linked trialsAbstract readClinical Trial Protocol
In one paragraph

Article in Vaccine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04199689 phase3active not recruitingnot on this map

A Phase 3, International, Multi-center, Randomized, Double-blind, Placebo-controlled Clinical Trial to Study the Efficacy, Immunogenicity, and Safety of the 9vHPV Vaccine, a Multivalent L1 Virus-like Particle Vaccine, in the Prevention of Oral Persistent Infection With HPV Types 16, 18, 31, 33, 45, 52, or 58 in Adult Males, 20 to 45 Years of Age

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2020 to 2028Enrolled6,033ConditionsPapillomavirus InfectionsArms9vHPV Vaccine, Placebo (Saline for Injection)
NCT04255849 phase3active not recruitingnot on this map

Nine-valent HPV Vaccine to Prevent Persistent Oral HPV Infection in Men Living With HIV

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2021 to 2026Enrolled700ConditionsHPV Positive Oropharyngeal Squamous Cell Carcinoma, HIV-1-infection, HPV InfectionArms9 valent human papillomavirus vaccine (Types 6, 11, 16, 18, 31, 33, 45, 52, 58), Saline Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Anna R GiulianoCenter for Immunization and Infection Research in Cancer (CIIRC), H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA. Electronic address: anna.giuliano@moffitt.org.
Anna BeltrameCenter for Immunization and Infection Research in Cancer (CIIRC), H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Luisa L VillaUniversidade de São Paulo Faculdade de Medicina (FMUSP) Instituto do Cancer Estado de São Paulo, Brazil.
Eduardo Lazcano-PonceNational Institute of Public Health, Mexico.
Jorge Santana-BagurThe University of Puerto Rico School of Medicine, Puerto Rico.
Betania Allen-LeighNational Institute of Public Health, Mexico.
Alejandra J Portillo-RomeroNational Institute of Public Health, Mexico.
Vikrant V SahasrabuddheDivision of Cancer Prevention, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.
Margaret G HouseDivision of Cancer Prevention, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.
Emma BrofskyDivision of Cancer Prevention, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.
Lenice Galan de PaulaUniversidade de São Paulo Faculdade de Medicina (FMUSP) Instituto do Cancer Estado de São Paulo, Brazil.
Roberto Carvalho da SilvaCentro de Referencia e Treinamento em DST e AIDS, São Paulo, Brazil.
Michael J SchellBiostatistics and Bioinformatics Shared Resource, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Julie RathwellCenter for Immunization and Infection Research in Cancer (CIIRC), H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Kimberly Isaacs-SorianoCenter for Immunization and Infection Research in Cancer (CIIRC), H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Wenyi FanBiostatistics and Bioinformatics Shared Resource, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Caique MelloDivision of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, California, USA.
Grant B EllsworthDivision of Infectious Diseases, Weill Cornell Medicine, New York, NY, USA.
Timothy WilkinDivision of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, California, USA.

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Partnership for Prevention of HPV-Associated Cancers in People Living with HIV: Brazil, Mexico, and Puerto Rico - Supplemental ExtensionU54CA242639 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI ELLSWORTH, GRANT B., GIULIANO, ANNA R. · 2019 to 2025
$9.4M
NCI NIH HHS P30 CA076292NCI NIH HHS U54 CA242639
6 · The paper itself

Abstract

HPV-related oropharyngeal squamous cell carcinoma (OPSCC) has increased significantly among men, especially among men living with HIV. HPV vaccines have proven efficacy in preventing persistent anogenital HPV infections. However, less is known regarding vaccine efficacy against persistent oral HPV infection, the obligate precursor of OPSCC. In 2020, the 9-valent HPV (9vHPV) vaccine received accelerated approval from the FDA for the indication of prevention of HPV-related OPSCC and other head and neck cancers, pending confirmation of clinical benefit in further trials. Currently a Phase III trial is ongoing to evaluate efficacy of the 9vHPV vaccine in preventing persistent oral HPV infection in immunocompetent men (NCT04199689); however, no trials have been conducted in people living with HIV. Here we describe the rationale, design, and study population characteristics of the first randomized (1:1), double-blind, placebo-controlled trial evaluating the efficacy and immunogenicity of the 9vHPV vaccine in preventing persistent oral HPV infection in men aged 20-50 living with HIV. The primary objective is to demonstrate that the 9vHPV vaccine when given in a 3-dose regimen (Day 1, Months 2 and 6) reduces the incidence of persistent (≥6 months) oral HPV infection with 9vHPV vaccine types 6, 11, 16, 18, 31, 33, 45, 52, and 58 in men living with HIV who are oral HPV negative to the relevant HPV type at enrollment, compared with placebo. The trial began in February 2021 and completed enrollment of 700 men at clinical sites in Brazil, Mexico, and Puerto Rico in February 2024. The secondary objectives are to evaluate the vaccine-induced serum anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 responses, and the safety and tolerability of the 9vHPV vaccine in men living with HIV. Results from this study may inform policy regarding vaccination strategies for people living with HIV. ClinicalTrials.gov Identifier: NCT04255849.

Indexed as

HIV InfectionsPapillomavirus InfectionsPapillomavirus VaccinesAdultClinical Trials, Phase III as TopicDouble-Blind MethodHuman Papillomavirus VirusesHumansMaleMiddle AgedMulticenter Studies as TopicOropharyngeal NeoplasmsRandomized Controlled Trials as TopicVaccine EfficacyPapillomavirus VaccinescancerGenotypesHIVHPV-16OropharyngealProphylactic vaccine

Identifiers

PMID40609265
PMCPMC12829300

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.