pBI-11 DNA vaccine delivered by electroporation for HPV16/18 cervical infection
Official title: Double-Blind Randomized Phase II Clinical Trial Assessing Administration of pBI-11 Via Electroporation for the Treatment of Patients With HPV16/18+ <CIN2
Run by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · NCT06210854 · Data updated 2026-11-12
This study tests whether the pBI-11 DNA vaccine given with an electroporation device is safe and feasible and may help clear HPV16/18 in women with persistent cervical infection.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 48 (estimated) |
| Sponsor | Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Academic / other |
| Locations | 2 sites (Birmingham, Alabama and 1 other locations) |
| Status | Recruiting |
| Started | June 25, 2026 |
| Main results expected | November 2028 |
| Study ends | May 2029 |
| Registry record updated | July 1, 2026 |
| Trial ID | NCT06210854 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adult women (18+) with persistent HPV16 and/or HPV18 cervical infection and CIN2 or less, good performance status, and adequate organ function.
✕Probably not a fit
Patients without persistent HPV16/18 infection or with advanced cervical lesions beyond CIN2 may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase 2 randomized, double-blind, placebo-controlled trial with a cross-over design. It evaluates the safety and feasibility of two administrations of the pBI-11 DNA vaccine delivered intramuscularly with the TriGrid Delivery System and, separately, its potential to clear HPV16/18 DNA from cervical tissue. Participants have persistent HPV16/18 infection with CIN2 or less and good overall health. The study also assesses the reliability of the delivery device and compares two-dose, one-dose, and placebo regimens. Enrollment includes adults with specific HPV status and acceptable organ function across participating centers at Johns Hopkins and University of Alabama at Birmingham.
Why it matters
Potential benefit: If successful, participants may experience clearance of HPV16/18 DNA and a potential reduction in infection-related cervical abnormalities.
How similar studies have gone: Prior studies with DNA vaccines and electroporation in HPV contexts have shown safety and potential immunogenicity, but this specific approach is investigational.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Negative for Intraepithelial Lesions (NEIL), Atypical Squamous Cells of Undetermined Significance (ASC-US), or Low-grade Squamous Intraepithelial Lesion (LSIL) determined by cervical cytology AND * HPV16 and/or 18+ by Roche Cobas 4800, Roche Linear Array HPV Genotyping test, or other FDA-approved HPV genotyping test (Co-infections with HPV types other than HPV16/18 are permissible). * Age ≥ 18 years * Baseline Eastern Cooperative Oncology Group performance status of 0 or 1 at the time of enrollment. * Patients must have adequate organ function at the time of enrollment as defined by the following parameters: * White blood cell count ≥ 3,000 cells/uL * Absolute lymphocyte number ≥ 500 cells/uL * Absolute neutrophil count ≥ 1,500 cells/uL * Platelets ≥ 90,000 cells/uL * Hemoglobulin ≥ 9 g/dL * Total bilirubin \< 3 X the institutional limit of normal * Aspartate Aminotransferase (AST) and Alanine Aminotransferase(ALT) \< 3 X the institutional limit of normal * Creatinine \< 2.5 X the institutional limit of normal * Women of child-bearing potential must agree to use long acting contraception (e.g. tubal ligation, intrauterine device or hormonal implant) or two forms of contraception (e.g. barrier method, oral contraceptives) prior to study entry and for 3 months after final vaccination. * Ability to understand and the willingness to sign a written informed consent document. * Able to adhere to the study visit schedule and other protocol requirements. Exclusion Criteria: * Histologic evidence of CIN2, cervical intraepithelial neoplasia 3 (CIN3), adenocarcinoma in situ or malignancy. * Patients with a diagnosis of immunosuppression or active systemic use of immunosuppressive medications such as steroids. * Patients who are receiving any other investigational agents within 28 days prior to the first dose of study vaccine. * Patients with an uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. * Patients with a history of systemic autoimmune disease such as multiple sclerosis or systemic lupus erythematosus (SLE), but exclusive of a history of thyroiditis, psoriasis, Sjogren's, or inflammatory bowel disease. * Patients who are pregnant or breast feeding or plan to become pregnant within 12 months of first study treatment. * History of allergic reactions attributed to compounds of similar chemical or biologic composition to pBI-11 DNA vaccine. * Patient with active infection of, or receiving treatment for Human Immunodeficiency Virus (HIV), Hepatitis C Virus (HCV), or Hepatitis B Virus (HBV). * History of prior malignancy with disease free interval \<5 years; however, individuals with completely resected basal cell or squamous cell carcinoma of the skin within this interval may be enrolled. * Participants with metal implant(s) at the site of injection or any electronic stimulation device, such as cardiac demand pacemakers, automatic implantable cardiac defibrillator, nerve stimulators, or deep brain stimulators. * Participants with any chronic or active neurologic disorder, including seizures and epilepsy, excluding a single febrile seizure as a child or episode of seizure in pregnancy due to eclampsia. * Participants with syncopal episode within 12 months of screening, excluding fainting for a known and unrelated cause such as anemia which has been resolved. * Administration of immunoglobulins and/or any blood products within the 120 days preceding study entry or planned administration during the study period. * Participants with a skin-fold measurement of the cutaneous and subcutaneous tissue for all eligible injection sites (vastus lateralis muscles with intact lymph drainage) exceeds 50 mm. * Participants in whom the ability to observe possible local reactions at the injection site (lateralis region) is, in the opinion of the investigator, unacceptably obscured due to a physical condition or permanent body art.
Where it's running
-
Johns Hopkins University
Baltimore, Maryland, United States Recruiting -
University of Alabama at Birmingham
Birmingham, Alabama, United States Not yet recruiting
Study contacts
- Principal investigator: Kimberly Levinson, MD — Johns Hopkins University
- Study coordinator: Kimberly Levinson, MD
- Email: klevins1@jhmi.edu
- Phone: 410-955-8240
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.