Efficacy, Immunogenicity and Safety Study of Recombinant Human Papillomavirus Vaccine(6,11,16,18,31,33,45,52,58 Type)(E.Coli)

NCT04537156 | Active Not Recruiting Phase 3 DMC

• 1 other identifier: HPV-PRO-009
• Study Type: interventional
• Target: 9,327
• Locations: 1 country
• Sites: 2

Brief Summary

This phase III clinical study was designed to evaluate the efficacy,immunogenicity and safety of Recombinant Human Papillomavirus Vaccine (6,11,16,18,31,33,45,52,58 Type)(E.Coli) manufactured by Xiamen Innovax Biotech CO., LTD., in healthy women aged 18-45 years old.

Conditions

Cervical Intraepithelial Neoplasia; Cervical Cancer; Condylomata Acuminata

Keywords

human papillomavirus vaccine; cervical cancer; cervical intraepithelial neoplasia; condylomata acuminata

Outcome Measures

Primary Outcomes (3)

• Non-inferiority of anti-HPV 16 and 18 seroconversion rates and geometric mean concentrations at Months 7 (type specific neutralizing antibody) in the PPS-I set

  Detect the level of anti-HPV 16 and 18 specific neutralizing antibodies at one month after the third dose to determine whether nine-valent HPV vaccine is non-inferior to the control bivalent HPV vaccine

  Specific neutralizing antibodies at 7 months after first dose

• Persistent infection of HPV31, 33, 45, 52 and 58 (over 12 months) (Combined analysis of the 5 types) in the mITT-PI set

  To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  Cumulative incidence of this endpoint events in 78 months after the first dose

• Incidence of CIN2 + and/or VIN2 + and/or VaIN2 + lesions related to HPV 31, 33, 45, 52 or 58 (Combined analysis of the 5 types) in the mITT-E when the first two endpoints are satisfied

  To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  Cumulative incidence of this endpoint events in 78 months after the first dose

Secondary Outcomes (16)

• Efficacy1: Incidence of CIN2 + and/or VIN2 + and/or VaIN2 + lesions related to HPV 31, 33, 45, 52 or 58(Combined analysis of the 5 types) and genital warts related to HPV 6, 11 (Combined analysis of each type)

  Cumulative incidence of this endpoint events in 78 months after the first dose

• Efficacy2: Incidence of CIN1 + and/or VIN1 + and/or VaIN1 + lesions related to HPV 31, 33, 45, 52 or 58(Combined analysis of the 5 types) and genital warts related to HPV 6, 11 (Combined analysis of each type)

  Cumulative incidence of this endpoint events in 78 months after the first dose

• Efficacy3: Incidence of Persistent infection of HPV31, 33, 45, 52 and 58 (transient infection and over 6 months) (Combined analysis of the 5 types)

  Cumulative incidence of this endpoint events in 78 months after the first dose

• Efficacy4: Incidence of CIN1 + and/or VIN1 + and/or VaIN1 + lesions related to HPV 31, 33, 45, 52 or 58(Combined analysis of the 5 types)

  Cumulative incidence of this endpoint events in 78 months after the first dose

• Efficacy5: Incidence of Persistent infection of HPV31, 33, 45, 52 and 58 (over 6 months) and/or incidence of CIN1 + and/or VIN1 + and/or VaIN1 + lesions related to HPV 31, 33, 45, 52 or 58(Combined analysis of the 5 types)

  Cumulative incidence of this endpoint events in 78 months after the first dose

Other Outcomes (3)

• Incidence of CIN2 + and/or VIN2 + and/or VaIN2 + lesions related to HPV 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 or 68 (Combined analysis of the high risk types)

  Cumulative incidence of this endpoint events in 78 months after the first dose

• Incidence of CIN1 + and/or VIN1 + and/or VaIN1 + lesions related to HPV 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 or 68 (Combined analysis of the high risk types)

  Cumulative incidence of this endpoint events in 78 months after the first dose

• Incidence of Persistent infection of HPV35, 39,51,56,59 and 68 (total infection and over 6 months and over 12 months) (Independent analysis of each type)

  Cumulative incidence of this endpoint events in 78 months after the first dose

Study Arms (2)

HPV vaccine (6,11,16,18,31,33,45,52,58 Types)

EXPERIMENTAL

Participants in this arm would receive 270μg/0.5ml HPV vaccines (6,11,16,18,31,33,45,52,58 Types).

Biological: Nonavalent HPV vaccine

HPV vaccine (16,18 Types)

ACTIVE COMPARATOR

Participants in this arm would receive 60μg/0.5ml HPV vaccines (16,18 Types).

Biological: Bivalent HPV vaccine

Interventions

Nonavalent HPV vaccine BIOLOGICAL

Nonavalent HPV vaccine (270μg/0.5ml) administered intramuscularly according to a 0, 1, 6 month vaccination schedule.

HPV vaccine (6,11,16,18,31,33,45,52,58 Types)

Bivalent HPV vaccine BIOLOGICAL

Bivalent HPV vaccine (60μg/0.5ml) administered intramuscularly according to a 0, 1, 6 month vaccination schedule.

HPV vaccine (16,18 Types)

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Female aged between 18 and 45 years at the first vaccination;
• Be able to understand and comply with the request of the protocol(e.g. biological specimen collection, diary card entry and attend regular follow-up), and sign written informed consent;
• Women who agree to use effective contraception within 8 months after the first vaccination, or women who have undergone tubal ligation, benign subtotal hysterectomy, benign ovarian tumor removal, or postmenopausal women;
• The number of sexual partners so far less than four;
• Have intact cervix and have no history of physical or surgical treatment;
• No previous history of sexually transmitted diseases (including syphilis, gonorrhea, chancroid, venereal lymphogranuloma, groin granuloma, etc.);
• No previous history of abnormal cervical screening results or cervical intraepithelial neoplasia (CIN), and no abnormality in gynecological examination;
• Sexual intercourse has occurred.

You may not qualify if:

• Participants with acute cervicitis and acute lower genital tract infection, or with obvious condyloma;
• Participants during menstruation, or have vaginal medication, sexual behavior (including anal, vaginal or external genital contact, regardless of the sex of parterner) within two days (48 hours) before the visit, which may affect gynecological examinations and specimens collection.
• Axillary temperature \> 37.0℃;
• Participants who have positive urine pregnancy test, or are pregnant or breastfeeding;
• Have used other investigational or unregistered products (drugs or vaccines) within 30 days before receiving the research vaccine or have participated in another clinical research in the past two years, or plan to use other research or unregistered products or participate in other research during the research period;
• Long-term use (more than 14 continuous days) of immunosuppressors and other Immunoregulatory agents or systemic corticosteroids (Except intranasal steroid, the use of low dose topical, ophthalmic and inhaled steroid preparations will be permitted.) 6 months prior to vaccination.
• Administration of immunoglobulin and/or blood products 3 months prior to vaccination or intending to use them during the study.
• Administration of inactivated vaccine within 14 days before vaccination or live vaccine within 21 days;
• Fever (Axillary temperature \>38.0℃) 3 days prior to vaccination or system administration of antibiotics or antiviral agents (Anti-flu agents include but are not limited to Tamiflu, Tamiflu, Symmetrel and Flumadine) 5 days prior to vaccination.
• Have received other HPV vaccines or participated in clinical research related to HPV or cervical cancer previously;
• Immunodeficiency disease, primary disease of important viscera, cancer and autoimmune disease (including systemic lupus erythematosus, rheumatoid arthritis, asplenia or splenectomy due to any condition, and other autoimmune diseases that investigators believe may influence the immune response).
• History of severe allergy (e.g., anaphylaxis, generalized urticaria, dyspnea, angioedema, and other significant reaction) to any previous vaccines, or allergy to any of the components of investigational vaccine.
• Asthma, which has been unstable for the past two years and requires emergency treatment, hospitalization, oral or intravenous corticosteroids;
• Suffered from a serious medical illness;
• Self-report past coagulation disorders or abnormal coagulation function;

Sponsors & Collaborators

• Xiamen University: lead
• Xiamen Innovax Biotech Co., Ltd: collaborator
• Beijing Wantai Biological Pharmacy Enterprise Co., Ltd.: collaborator

Study Sites (2)

Jiangsu Provincial Centre for Disease Control and Prevention

Nanjing, Jiangsu, 210009, China

Location

Sichuan Provincial Centre for Disease Control and Prevention

Chengdu, Sichuan, 610041, China

Location

MeSH Terms

Conditions

Uterine Cervical Dysplasia; Uterine Cervical Neoplasms; Condylomata Acuminata

Interventions

human papillomavirus vaccine, L1 type 16, 18

Condition Hierarchy (Ancestors)

Precancerous Conditions; Neoplasms; Uterine Cervical Diseases; Uterine Diseases; Genital Diseases, Female; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Genital Diseases; Uterine Neoplasms; Genital Neoplasms, Female; Urogenital Neoplasms; Neoplasms by Site; Papillomavirus Infections; Sexually Transmitted Diseases, Viral; Sexually Transmitted Diseases; Communicable Diseases; Infections; DNA Virus Infections; Virus Diseases; Warts; Skin Diseases, Viral; Tumor Virus Infections; Skin Diseases, Infectious; Skin Diseases; Skin and Connective Tissue Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Jun Zhang, master

  Xiamen University

  STUDY CHAIR

• Hong-xing Pan, master

  Jiangsu Provincial Centre for Disease Control and Prevention

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: professor

Study Record Dates

• First Submitted: August 19, 2020
• First Posted: September 3, 2020
• Study Start: September 5, 2020
• Primary Completion (Estimated): December 31, 2027
• Study Completion (Estimated): December 31, 2027
• Last Updated: November 21, 2025

Record last verified: 2025-02

Locations

CN (2)