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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01190176
Registration number
NCT01190176
Ethics application status
Date submitted
26/08/2010
Date registered
27/08/2010
Titles & IDs
Public title
Gynaecological Follow-up of a Subset of HPV-015 (NCT00294047) Study Subjects
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Scientific title
Gynaecological Follow-up of a Subset of HPV-015 Study Subjects
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Secondary ID [1]
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2009-017282-35
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Secondary ID [2]
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113617
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Infections, Papillomavirus
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0
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Pancreatic Cancer
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0
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Non Small Cell Lung Cancer
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0
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Condition category
Condition code
Infection
0
0
0
0
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Studies of infection and infectious agents
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Infection
0
0
0
0
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Other infectious diseases
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Oral and Gastrointestinal
0
0
0
0
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Inflammatory bowel disease
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Inflammatory and Immune System
0
0
0
0
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Other inflammatory or immune system disorders
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Oral and Gastrointestinal
0
0
0
0
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Crohn's disease
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Cancer
0
0
0
0
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Pancreatic
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Cancer
0
0
0
0
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Lung - Mesothelioma
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Cancer
0
0
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0
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Lung - Non small cell
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Cancer
0
0
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0
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - Gynaecological follow-up
Treatment: Other - Cervarix
Treatment: Other - Placebo control
Treatment: Drugs - Demcizumab
Treatment: Drugs - Abraxane®
Treatment: Drugs - Gemcitabine
Treatment: Drugs - Demcizumab
Experimental: HPV-062 study subjects Group - HPV-015 (NCT00294047) study subjects who had normal cervical cytology, but tested positive for oncogenic HPV infection at their concluding HPV-015 (NCT00294047) study visit or were pregnant, so that no cervical sample could be collected at their concluding HPV-015 (NCT00294047) study visit.
Experimental: Gemcitabine and demcizumab With or Without Abraxane® - Gemcitabine and demcizumab With or Without Abraxane®
Experimental: Carboplatin and Pemetrexed plus demcizumab - Carboplatin and Pemetrexed plus demcizumab
Experimental: Pemetrexed plus demcizumab - Pemetrexed plus demcizumab
Treatment: Surgery: Gynaecological follow-up
Subjects will receive a gynaecological follow-up with cytology and oncogenic HPV DNA testing every 12 months, for up to a maximum of four years.
Treatment: Other: Cervarix
Subjects received 3 doses of the HPV vaccine administered intramuscularly according to a 0, 1, 6 month vaccination schedule in the primary study HPV-015.
Treatment: Other: Placebo control
Subjects received 3 doses of the control \[Al(OH)3\] administered intramuscularly according to a 0, 1, 6 month vaccination schedule in the primary study HPV-015.
Treatment: Drugs: Demcizumab
Up to 50 subjects will be enrolled at up to 8 centers in Australia, New Zealand, and Spain. Up to 28 days (4 weeks) prior to treatment you will undergo testing to determine your eligibility to take part in this study, and then if you are enrolled in the study you will receive intravenous (in the vein) infusions of the demcizumab administered once every 2 weeks, and gemcitabine and Abraxane® administered weekly for 3 weeks, out of every 4 weeks. After 9 weeks, you will undergo assessments to determine the status of your disease. If there is no evidence of progression of your disease or if your tumor is smaller, you will continue to receive one additional infusion of demcizumab, and you will continue to receive infusions of gemcitabine and Abraxane® once weekly for 3 consecutive weeks out of every 4 weeks until it has been shown that your cancer has progressed. You will undergo assessments every 8 weeks thereafter to determine the status of your disease.
Treatment: Drugs: Abraxane®
Abraxane® which will be administered by IV infusion at a dose of 125 mg/m2 over 30 minutes once a week for 3 weeks in a row, followed by a week of rest.
Treatment: Drugs: Gemcitabine
Gemcitabine will be administered intravenously over 30 minutes initially at a dose of 1000 mg/m2 once a week for 3 weeks in a row, followed by a week of rest. If you develop side effects during this time period, your physician may decide to hold or reduce the dose of gemcitabine.
Treatment: Drugs: Demcizumab
The 6 subjects in the first cohort will receive demcizumab 5 mg/kg once every 3 weeks; the 6 subjects in the subsequent cohort will be treated with 10 mg/kg once every 3 weeks; and the 6 subjects in the final cohort will be treated with 15 mg/kg once every 3 weeks. A Data Safety Monitoring Board (DSMB) will review the data for the 6 subjects in each dose cohort after the last subject in that cohort has been on study for 56 days and then decide whether it is safe to escalate to the next highest dose cohort. Once the dose-escalation portion of the study has been completed, 14 additional subjects will be treated at the highest dose level that the DSMB deems as safe.
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Intervention code [1]
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Treatment: Surgery
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Intervention code [2]
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Treatment: Other
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Intervention code [3]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Subjects Reporting Positive Oncogenic HPV DNA Results by Hybrid Capture II Test (HCII) at Month 12
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Assessment method [1]
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Subjects with 2 positive oncogenic HPV DNA tests or 1 cervical cytology reading =ASC-US (atypical squamous cells of undetermined significance) positive for oncogenic HPV DNA or 1 cervical cytology reading =LSIL (low grade squamous intraepithelial lesion) were referred for colposcopy evaluation according to the clinical management algorithm.
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Timepoint [1]
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0
At Month 12 [12 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [2]
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Number of Subjects Reporting Positive Oncogenic HPV DNA Results by Hybrid Capture II Test (HCII) at Month 24
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Assessment method [2]
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Subjects with 2 positive oncogenic HPV DNA tests or 1 cervical cytology reading =ASC-US (atypical squamous cells of undetermined significance) positive for oncogenic HPV DNA or 1 cervical cytology reading =LSIL (low grade squamous intraepithelial lesion) were referred for colposcopy evaluation according to the clinical management algorithm.
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Timepoint [2]
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0
At Month 24 [24 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [3]
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Number of Subjects Reporting Positive Oncogenic HPV DNA Results by Hybrid Capture II Test (HCII) at Month 36
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Assessment method [3]
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Subjects with 2 positive oncogenic HPV DNA tests or 1 cervical cytology reading =ASC-US (atypical squamous cells of undetermined significance) positive for oncogenic HPV DNA or 1 cervical cytology reading =LSIL (low grade squamous intraepithelial lesion) were referred for colposcopy evaluation according to the clinical management algorithm.
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Timepoint [3]
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At Month 36 [36 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [4]
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Number of Subjects Reporting Positive Oncogenic HPV DNA Results by Hybrid Capture II Test (HCII) at Month 48
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Assessment method [4]
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Subjects with 2 positive oncogenic HPV DNA tests or 1 cervical cytology reading =ASC-US (atypical squamous cells of undetermined significance) positive for oncogenic HPV DNA or 1 cervical cytology reading =LSIL (low grade squamous intraepithelial lesion) were referred for colposcopy evaluation according to the clinical management algorithm.
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Timepoint [4]
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0
At Month 48 [48 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [5]
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Number of Subjects With Any Cytological Abnormalities in Cervical Samples by ThinPrep PapTest at Month 12
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Assessment method [5]
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Cytological abnormalities = atypical squamous cells of undetermined significance (ASC-US).
Cervical cytology was performed using the ThinPrep PapTest by Quest Diagnostics, or another GSK designated laboratory. Cervical cells for ThinPrep cytology were collected using the sampling device provided and rinsed into a collection vial containing PreservCyt medium.
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Timepoint [5]
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At Month 12 [12 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [6]
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Number of Subjects With Any Cytological Abnormalities in Cervical Samples by ThinPrep PapTest at Month 24
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Assessment method [6]
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Cytological abnormalities = atypical squamous cells of undetermined significance (ASC-US).
Cervical cytology was performed using the ThinPrep PapTest by Quest Diagnostics, or another GSK designated laboratory. Cervical cells for ThinPrep cytology were collected using the sampling device provided and rinsed into a collection vial containing PreservCyt medium.
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Timepoint [6]
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At Month 24 [24 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [7]
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Number of Subjects With Any Cytological Abnormalities in Cervical Samples by ThinPrep PapTest at Month 36
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Assessment method [7]
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Cytological abnormalities = atypical squamous cells of undetermined significance (ASC-US).
Cervical cytology was performed using the ThinPrep PapTest by Quest Diagnostics, or another GSK designated laboratory. Cervical cells for ThinPrep cytology were collected using the sampling device provided and rinsed into a collection vial containing PreservCyt medium.
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Timepoint [7]
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At Month 36 [36 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [8]
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Number of Subjects With Any Cytological Abnormalities in Cervical Samples by ThinPrep PapTest at Month 48
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Assessment method [8]
0
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Cytological abnormalities = atypical squamous cells of undetermined significance (ASC-US).
Cervical cytology was performed using the ThinPrep PapTest by Quest Diagnostics, or another GSK designated laboratory. Cervical cells for ThinPrep cytology were collected using the sampling device provided and rinsed into a collection vial containing PreservCyt medium.
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Timepoint [8]
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At Month 48 [48 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [9]
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Number of Subjects With Referral to Colposcopy at Month 12
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Assessment method [9]
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Detection was done on all subjects irrespective of their baseline HPV DNA status.
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Timepoint [9]
0
0
At Month 12 [12 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [10]
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0
Number of Subjects With Referral to Colposcopy at Month 24
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Assessment method [10]
0
0
Detection was done on all subjects irrespective of their baseline HPV DNA status.
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Timepoint [10]
0
0
At Month 24 [24 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [11]
0
0
Number of Subjects With Referral to Colposcopy at Month 36
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Assessment method [11]
0
0
Detection was done on all subjects irrespective of their baseline HPV DNA status.
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Timepoint [11]
0
0
At Month 36 [36 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [12]
0
0
Number of Subjects With Referral to Colposcopy at Month 48
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Assessment method [12]
0
0
Detection was done on all subjects irrespective of their baseline HPV DNA status.
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Timepoint [12]
0
0
At Month 48 [48 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [13]
0
0
Number of Subjects With Referral to Treatment at Month 12
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Assessment method [13]
0
0
If a high-grade lesion was observed, the subject was referred to treatment according to local medical practice. Any further management following local cervical therapy for cervical lesions was handled according to local medical practice within the local health care system. After treatment, the subject's participation in the study ended.
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Timepoint [13]
0
0
At Month 12 [12 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [14]
0
0
Number of Subjects With Referral to Treatment at Month 24
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Assessment method [14]
0
0
If a high-grade lesion was observed, the subject was referred to treatment according to local medical practice. Any further management following local cervical therapy for cervical lesions was handled according to local medical practice within the local health care system. After treatment, the subject's participation in the study ended.
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Timepoint [14]
0
0
At Month 24 [24 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [15]
0
0
Number of Subjects With Referral to Treatment at Month 36
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Assessment method [15]
0
0
If a high-grade lesion was observed, the subject was referred to treatment according to local medical practice. Any further management following local cervical therapy for cervical lesions was handled according to local medical practice within the local health care system. After treatment, the subject's participation in the study ended.
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Timepoint [15]
0
0
At Month 36 [36 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [16]
0
0
Number of Subjects With Referral to Treatment at Month 48
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Assessment method [16]
0
0
If a high-grade lesion was observed, the subject was referred to treatment according to local medical practice. Any further management following local cervical therapy for cervical lesions was handled according to local medical practice within the local health care system. After treatment, the subject's participation in the study ended.
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Timepoint [16]
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0
At Month 48 [48 months post concluding HPV-015 visit (Visit 9, Visit 11 or last HPV-015 study visit)]
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Primary outcome [17]
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0
To determine the maximum tolerated dose of demcizumab (OMP-21M18) when combined with gemcitabine +/- Abraxane®
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Assessment method [17]
0
0
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Timepoint [17]
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Until disease progression
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Primary outcome [18]
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0
To the determine the maximum tolerated dose of demcizumab (OMP-21M18) plus carboplatin and pemetrexed
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Assessment method [18]
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0
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Timepoint [18]
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When each patient in the dose cohort reaches Day 56
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Secondary outcome [1]
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Number of Subjects Who Develop Double-stranded Deoxyribonucleic Acid (dsDNA) Antibodies During the Study
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Assessment method [1]
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Anti-dsDNA are autoantibodies. Anti-dsDNA titers will be determined every 12 weeks starting at Week 14, and at the Completion/Early Termination and Safety Follow-Up (SFU) Visits.
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Timepoint [1]
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0
At the time of completion or termination visit (up to 298 weeks)
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Secondary outcome [2]
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Percentage of Subjects in Clinical Remission
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Assessment method [2]
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Percentage of subjects in clinical remission (clinical remission is defined as a Pediatric Crohn's Disease Activity Index (PCDAI) score = 10)
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Timepoint [2]
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0
At the time of completion or termination visit (up to 298 weeks)
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Secondary outcome [3]
0
0
To determine the safety of gemcitabine +/- Abraxane® plus demcizumab (OMP-21M18)
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Assessment method [3]
0
0
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Timepoint [3]
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0
Until disease progression
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Secondary outcome [4]
0
0
To determine the rate of immunogenicity of gemcitabine +/- Abraxane® plus demcizumab (OMP-21M18)
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Assessment method [4]
0
0
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Timepoint [4]
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0
Until disease progression
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Secondary outcome [5]
0
0
To determine the preliminary efficacy of gemcitabine +/- Abraxane® plus demcizumab (OMP-21M18)
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Assessment method [5]
0
0
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Timepoint [5]
0
0
Until disease progression
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Secondary outcome [6]
0
0
To determine population pharmacokinetics of demcizumab (OMP-21M18)
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Assessment method [6]
0
0
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Timepoint [6]
0
0
Until disease progression
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Secondary outcome [7]
0
0
To determine the exploratory biomarker changes of gemcitabine plus demcizumab (OMP-21M18)
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Assessment method [7]
0
0
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Timepoint [7]
0
0
Until disease progression
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Secondary outcome [8]
0
0
To determine the safety of carboplatin and pemetrexed plus demcizumab (OMP-21M18)
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Assessment method [8]
0
0
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Timepoint [8]
0
0
until treatment termination plus 30 days
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Secondary outcome [9]
0
0
To determine the rates of immunogenicity of carboplatin and pemetrexed plus demcizumab (OMP-21M18)
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Assessment method [9]
0
0
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Timepoint [9]
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0
Up to 12 weeks post treatment termination
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Secondary outcome [10]
0
0
To determine the preliminary efficacy of carboplatin and pemetrexed plus demcizumab (OMP-21M18)
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Assessment method [10]
0
0
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Timepoint [10]
0
0
Until disease progression
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Secondary outcome [11]
0
0
To determine population pharmacokinetics
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Assessment method [11]
0
0
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Timepoint [11]
0
0
Day 21 and 63
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Secondary outcome [12]
0
0
To determine the exploratory biomarker changes of carboplatin and pemetrexed plus demcizumab (OMP-21M18)
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Assessment method [12]
0
0
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Timepoint [12]
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Until Day 112
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Eligibility
Key inclusion criteria
* Written informed consent obtained from the subject prior to enrolment.
* Subjects who the investigator believes that they can and will comply with the requirements of the protocol.
* A subject previously enrolled in the study NCT00294047 and who fulfils either of the following criteria:
* displayed normal cervical cytology but tested positive for oncogenic HPV infection at her concluding NCT00294047 study visit
* was pregnant so that no cervical sample could be collected at her concluding NCT00294047 study visit
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Minimum age
28
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* A subject who at the NCT00294047 concluding study visit displayed normal cervical cytology and who was negative for oncogenic HPV infection at that visit.
* A subject who at the NCT00294047 concluding study visit had a cervical lesion at that visit or who had a cervical lesion that required treatment at her NCT00294047 exit colposcopy.
* A subject for whom the cervical cytology results from the concluding NCT00294047 study visit were unavailable for reasons other than pregnancy.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/09/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
20/09/2017
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Sample size
Target
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Accrual to date
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Final
34
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Recruitment in Australia
Recruitment state(s)
VIC,NSW,QLD,SA,WA
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Recruitment hospital [1]
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0
301 - Parkville
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Recruitment hospital [2]
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0
Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [3]
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0
Box Hill Hospital - Box Hill
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Recruitment hospital [4]
0
0
The Austin Hospital - Heidelberg
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Recruitment hospital [5]
0
0
Royal Brisbane & Women's Hospital - Herston
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Recruitment hospital [6]
0
0
Ashford Cancer Centre Research - Kurralta Park
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Recruitment hospital [7]
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0
Monash Medical Centre - Clayton
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Recruitment hospital [8]
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0
Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
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0
- Parkville
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Recruitment postcode(s) [2]
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0
2050 - Camperdown
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Recruitment postcode(s) [3]
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0
3128 - Box Hill
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Recruitment postcode(s) [4]
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0
- Heidelberg
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Recruitment postcode(s) [5]
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0
4029 - Herston
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Recruitment postcode(s) [6]
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0
5037 - Kurralta Park
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Recruitment postcode(s) [7]
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0
3168 - Clayton
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Recruitment postcode(s) [8]
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0
6009 - Nedlands
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
Iowa
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Country [2]
0
0
United States of America
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State/province [2]
0
0
Kansas
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Washington
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Country [4]
0
0
Canada
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State/province [4]
0
0
Alberta
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Country [5]
0
0
Canada
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State/province [5]
0
0
British Columbia
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Country [6]
0
0
Canada
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State/province [6]
0
0
Nova Scotia
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Country [7]
0
0
Canada
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State/province [7]
0
0
Quebec
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Country [8]
0
0
Netherlands
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State/province [8]
0
0
Amsterdam
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Country [9]
0
0
Netherlands
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State/province [9]
0
0
Rotterdam
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Country [10]
0
0
Portugal
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State/province [10]
0
0
Almada
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Country [11]
0
0
Portugal
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State/province [11]
0
0
Coimbra
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Country [12]
0
0
Portugal
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State/province [12]
0
0
Lisboa
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Country [13]
0
0
Portugal
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State/province [13]
0
0
Setúbal
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Country [14]
0
0
Russian Federation
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State/province [14]
0
0
Moscow
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Country [15]
0
0
Russian Federation
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State/province [15]
0
0
Sankt-Petersburg
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Country [16]
0
0
Singapore
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State/province [16]
0
0
Singapore
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Country [17]
0
0
United Kingdom
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State/province [17]
0
0
London
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Country [18]
0
0
United Kingdom
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State/province [18]
0
0
Manchester
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Country [19]
0
0
United States of America
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State/province [19]
0
0
California
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Country [20]
0
0
United States of America
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State/province [20]
0
0
Colorado
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Country [21]
0
0
United States of America
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State/province [21]
0
0
Georgia
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Country [22]
0
0
United States of America
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State/province [22]
0
0
Louisiana
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Country [23]
0
0
United States of America
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State/province [23]
0
0
Maryland
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Country [24]
0
0
United States of America
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State/province [24]
0
0
New Jersey
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Country [25]
0
0
Canada
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State/province [25]
0
0
Ontario
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Country [26]
0
0
New Zealand
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State/province [26]
0
0
Christchurch
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Country [27]
0
0
New Zealand
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State/province [27]
0
0
Hamilton
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Country [28]
0
0
Spain
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State/province [28]
0
0
Madrid
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Country [29]
0
0
New Zealand
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State/province [29]
0
0
Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
GlaxoSmithKline
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Address
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Country
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Other collaborator category [1]
0
0
Commercial sector/industry
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Name [1]
0
0
Novotech (Australia) Pty Limited
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Address [1]
0
0
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Country [1]
0
0
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Other collaborator category [2]
0
0
Commercial sector/industry
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Name [2]
0
0
Novotech (Australia) Pty Limited
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Address [2]
0
0
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Ethics approval
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Summary
Brief summary
This study is intended to provide up to a maximum of four years of annual oncogenic human papillomavirus (HPV) DNA testing and cervical cytology examination for NCT00294047 study subjects who displayed normal cervical cytology but tested positive for oncogenic HPV infection at their concluding NCT00294047 study visit. Women who were pregnant at their concluding NCT00294047 study visit may also be included in this study, as no cervical sample could be collected at that visit. The objectives and outcome measures of the primary phase (NCT00294047) are presented in a separate protocol posting.
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Trial website
https://clinicaltrials.gov/study/NCT01190176
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Trial related presentations / publications
McKeage MJ, Kotasek D, Markman B, Hidalgo M, Millward MJ, Jameson MB, Harris DL, Stagg RJ, Kapoun AM, Xu L, Hughes BGM. Phase IB Trial of the Anti-Cancer Stem Cell DLL4-Binding Agent Demcizumab with Pemetrexed and Carboplatin as First-Line Treatment of Metastatic Non-Squamous NSCLC. Target Oncol. 2018 Feb;13(1):89-98. doi: 10.1007/s11523-017-0543-0.
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Public notes
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Contacts
Principal investigator
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GSK Clinical Trials
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GlaxoSmithKline
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
IPD for this study is available via the Clinical Study Data Request site.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR)
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When will data be available (start and end dates)?
IPD is available via the Clinical Study Data Request site (click on the link provided below)
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Available to whom?
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.clinicalstudydatarequest.com/SearchAllPostings.aspx?searchparam=113617
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What supporting documents are/will be available?
No Supporting Document Provided
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Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/76/NCT01190176/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/76/NCT01190176/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01190176