Status: Planned
First registered on:
02/08/2019
Last updated on:
02/08/2019
1. Study identification
EU PAS Register NumberEUPAS30769
Official titleHPV vaccines effectiveness to prevent genital warts in Valencia Region, Spain
Study title acronym
Study typeObservational study
Brief description of the studyGenital warts are a frequent sexually-transmitted disease. It has been estimated that about 5–10% of the population will have at least one episode of genital warts during their lifetime1. It has been recently described an overall annual incidence of genital warts from 160 to 289/100,000 person-years. Over 90% of genital warts are related to HPV6/11. In Europe there are three licensed vaccines containing recombinant HPV L1 capsid proteins. In the Valencian Community in Spain, the quadrivalent HPV vaccine (HPV 6/11/16/18) was used only between 2008 and 2010 and was administered in a three-dose regimen to vaccinate girls when they were 14 years old. Thereafter, the bivalent vaccine AS04-bHPV (HPV 16/18) was used. This change allowed us to perform the first analysis (to our knowledge) of the effectiveness of both HPV vaccines in preventing genital warts in the same population. In the previous population-based study the oldest vaccinated women in our cohort was 19 years old at the end of the follow up period, so we were unable to assess the vaccine impact on cervical cancer as these women did not reach the screening age. Unvaccinated girls and those vaccinated with the bivalent vaccine had the same risk of incidence of genital warts. HPV-related tumors in HIVpositive patients tend to occur at a younger age and at a more advanced stage than in HIV-negative patients. One of our objectives in the present study is to estimate the effectiveness of the HPV vaccines to prevent genital warts in women aged from 14 to 23+ (depending on the date of data extraction) years old. We also propose to assess the incidence and treatment-costs of GW in subjects aged from 14 to 65 years old. Another secondary objective is to estimate the effectiveness of the HPV vaccines to prevent genital warts in IC women aged from 14 to 23+ years old. Finally, towards future studies we aim to explore the precancerous lesions diagnoses in women aged from 14 to 65 years old.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre nameFISABIO
Centre locationValencia
Details of (Primary) lead investigator
Title Dr
Last name Munoz-Quiles
First name Cintia
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
Spain
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed05/10/2018
Start date of data collection05/11/2018
Start date of data analysis05/06/2019
Date of interim report, if expected
Date of final study report05/06/2020
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesMSD100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Munoz-Quiles
First name Cintia
Address line 1Avenida Cataluña 21
Address line 2
Address line 3
CityValencia
Postcode
CountrySpain
Phone number (incl. country code)0034961925950
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Munoz-Quiles
First name Cintia
Address line 1Avenida Cataluña 21
Address line 2
Address line 3
CityValencia
Postcode
CountrySpain
Phone number (incl. country code)0034961925950
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Papilloma viral infection
8. Population under study
Age
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Adults (45 - 64 years)
Sex
Female
9. Number of subjects
Estimated total number of subjects3300000
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Exposure registry
11. Scope of the study
What is the scope of the study?
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
To estimate the effectiveness of the HPV vaccines to prevent genital warts in women aged from 14 to 23+ years old (depending on the date of data extraction).
Are there primary outcomes?Yes
Incident cases of Genital Warts in primary care and outpatient clinics.
Are there secondary outcomes?Yes
Precancerous lesions
13. Study design
What is the design of the study?
Population-based, retrospective cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Inclusion in the study:1st January 2009 if the subject was continuously registered in PHS for at least 6 months before this date and was aged 14 to 65 years old, or first date after 1st January 2009 when the subject was continuously registered for at least 6 months before this date and was 14 years old. Follow up ended: when they left Valencia, they are 66 or they death at the end of the study.
15. Data analysis plan
Please provide a brief summary of the analysis method
Crude and adjusted VE overall and in IC population for bivalent and quadrivalent vaccines and the risk of GW in IC subjects respect to IC-free will be estimated by statistical models considering time-dependent variables. Variables that are relevant to the disease or can impact on the incidence of genital warts will be considered.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Available when the study ends
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
