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Observational Surveillance Study to Detect Potential Safety Signals in Patients Who Have Had at Least One Dose of GARDASIL™ (V501-031)

Completed
Conditions
Human Papillomavirus Infection
Registration Number
NCT01078220
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

This is a post-licensure safety surveillance program to detect potential safety signals in subjects, from the managed care organizations database, who have used GARDASIL™.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
189629
Inclusion Criteria

3-Dose Safety Population

  • Female 9-26 years at the time of first dose of GARDASIL™
  • Completed the 3-dose regimen of GARDASIL™ per protocol

Pregnancy Safety Population

  • Received at least one dose of GARDASIL™ up to 30 days prior to the date of conception or any time between conception and the day of pregnancy resolution

Autoimmune Safety Population

  • Female who has received at least one dose of GARDASIL™
  • Has been a member of same Managed Care Organization (MCO) for at least 12 months prior to the receipt of GARDASIL™

Any Dose Safety Population

  • Female who has received at least one dose of GARDASIL™
Exclusion Criteria

3-Dose Safety Population

  • Male
  • Receives incomplete regimen of GARDASIL™
  • Completes the three dose regimen of GARDASIL™ in more than 12 months
  • Less than 28 day interval between doses 1 and 2 or less than a 12 week interval between doses 2 and 3
  • Younger than 9 or older than 26 years of age at receipt of first dose

Pregnancy Safety Population

  • Males
  • No record of pregnancy at the Managed Care Organization (MCO)

Autoimmune Safety Population

  • Member of the same MCO for less than 12 months prior to receiving the first dose
  • Male

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence Rate of SyncopeOn day of each vaccination

Syncope was defined as the presence of a syncope diagnosis code in the emergency room or hospital setting in the vaccination risk period or in the post-vaccination self-comparison period. These codes could have represented a new event, a pre-existing event, a prior history of the event, a "rule out" diagnosis, miscoding, or a misdiagnosis. Consistent with the study's design, diagnosis codes for general safety analyses were not confirmed in this study.

Incidence Rate of CellulitisWithin 14 days and within 60 days immediately after each vaccination

Cellulitis was defined as the presence of a cellulitis or abscess diagnosis code in the emergency room or hospital setting in the vaccination risk period or in the post-vaccination self-comparison period. These codes could have represented a new event, a pre-existing event, a prior history of the event, a "rule out" diagnosis, miscoding, or a misdiagnosis. Consistent with the study's design, diagnosis codes for general safety analyses were not confirmed in this study.

Secondary Outcome Measures
NameTimeMethod
Number of Congenital Anomalies Among Females Who Received Gardasil During PregnancyFirst dose of Gardasil in pregnancy up to 6 months after birth

Pregnancy exposure was defined as receipt of Gardasil at any time from 1 month prior to conception through end of pregnancy.

Number of Miscarriages Among Females Who Received Gardasil During PregnancyFirst dose of Gardasil in pregnancy up to pregnancy resolution

Pregnancy exposure was defined as receipt of Gardasil at any time from 1 month prior to conception through end of pregnancy.

Number of Cases of New Onset Autoimmune Conditions in Females Receiving at Least One Dose of Gardasilwithin 6 months immediately after each vaccination

Autoimmune cases were defined as newly diagnosed cases within 6 months after any

dose of Gardasil, as confirmed by medical record review by panels of physicians specializing in the 16 autoimmune conditions of interest.

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