search
Back to results

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

Primary Purpose

Cervical Intraepithelial Neoplasia, Cervical Cancer, Condylomata Acuminata

Status
Active
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Nonavalent HPV vaccine
Bivalent HPV vaccine
Sponsored by
Xiamen University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Cervical Intraepithelial Neoplasia focused on measuring human papillomavirus vaccine, cervical cancer, cervical intraepithelial neoplasia, condylomata acuminata

Eligibility Criteria

18 Years - 45 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Female aged between 18 and 45 years at the first vaccination;
  2. 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;
  3. 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;
  4. The number of sexual partners so far less than four;
  5. Have intact cervix and have no history of physical or surgical treatment;
  6. No previous history of sexually transmitted diseases (including syphilis, gonorrhea, chancroid, venereal lymphogranuloma, groin granuloma, etc.);
  7. No previous history of abnormal cervical screening results or cervical intraepithelial neoplasia (CIN), and no abnormality in gynecological examination;
  8. Sexual intercourse has occurred.

Exclusion Criteria:

  1. Participants with acute cervicitis and acute lower genital tract infection, or with obvious condyloma;
  2. 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.
  3. Axillary temperature > 37.0℃;
  4. Participants who have positive urine pregnancy test, or are pregnant or breastfeeding;
  5. 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;
  6. 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.
  7. Administration of immunoglobulin and/or blood products 3 months prior to vaccination or intending to use them during the study.
  8. Administration of inactivated vaccine within 14 days before vaccination or live vaccine within 21 days;
  9. 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.
  10. Have received other HPV vaccines or participated in clinical research related to HPV or cervical cancer previously;
  11. 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).
  12. 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.
  13. Asthma, which has been unstable for the past two years and requires emergency treatment, hospitalization, oral or intravenous corticosteroids;
  14. Suffered from a serious medical illness;
  15. Self-report past coagulation disorders or abnormal coagulation function;
  16. Epilepsy, excluding febrile epilepsy under 2 years of age, alcoholic epilepsy 3 years prior to abstinence or simple epilepsy that did not require treatment in the past 3 years;
  17. According to the judgement of investigator, various medical, psychological, social, vocational or other factors that are not suitable for participating in the clinical trial.

Sites / Locations

  • Jiangsu Provincial Centre for Disease Control and Prevention
  • Sichuan Provincial Centre for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

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

HPV vaccine (16,18 Types)

Arm Description

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

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

Outcomes

Primary Outcome Measures

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
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
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

Secondary Outcome Measures

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)
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
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)
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Efficacy3: Incidence of Persistent infection of HPV31, 33, 45, 52 and 58 (transient infection and over 6 months) (Combined analysis of the 5 types)
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
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)
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
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)
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Efficacy6: Incidence of genital warts related to HPV 6, 11
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Efficacy7: Incidence of Persistent infection of HPV31, 33, 45, 52, 58, 6 and 11 (transient infection and over 6 months and over 12 months) (Combined analysis of the 7 types)
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Efficacy8: Incidence of Persistent infection of HPV31, 33, 45, 52, 58, 6 and 11 (over 6 months and over 12 months) (Independent analysis of each type)
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Immunogenicity1: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 seroconversion rates and geometric mean concentrations at Months 7
Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.
Immunogenicity2: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 seroconversion rates and geometric mean concentrations at Months 18 and 30
Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.
Immunogenicity3: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 seroconversion rates and geometric mean concentrations at Months 42, 54, 66 and 78
Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.
Safety1: Local and systematic adverse events/reactions occurred within 7 days after each vaccination
safety analysis
Safety2: Adverse events/reactions occurred within 30 days after each vaccination
safety analysis
Safety3: Serious adverse events occurred throughout the study
safety analysis. To evaluate number of SAEs compared with the control vaccine.
Safety4: Pregnancy and pregnancy outcome
safety analysis. To evaluate number of births and terminations compared with the control vaccine.
Safety5: Emerging chronic diseases
safety analysis.To evaluate number of emerging chronic diseases compared with the control vaccine.

Full Information

First Posted
August 19, 2020
Last Updated
June 14, 2023
Sponsor
Xiamen University
Collaborators
Xiamen Innovax Biotech Co., Ltd, Beijing Wantai Biological Pharmacy Enterprise Co., Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT04537156
Brief Title
Efficacy, Immunogenicity and Safty Study of Recombinant Human Papillomavirus Vaccine(6,11,16,18,31,33,45,52,58 Type)(E.Coli)
Official Title
A Multicenter, Randomized, Double-Blind, Controlled (Bivalent Human Papillomavirus Vaccine (16,18 Type)(E. Coli)) Phase III Clinical Trial to Estimate Efficacy, Immunogenicity and Safty of the Recombinant Human Papillomavirus Vaccine (6,11,16,18,31,33,45,52,58 Type) (E.Coli) in Healthy Women Aged 18 to 45 Years
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 5, 2020 (Actual)
Primary Completion Date
December 31, 2027 (Anticipated)
Study Completion Date
December 31, 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Xiamen University
Collaborators
Xiamen Innovax Biotech Co., Ltd, Beijing Wantai Biological Pharmacy Enterprise Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Intraepithelial Neoplasia, Cervical Cancer, Condylomata Acuminata
Keywords
human papillomavirus vaccine, cervical cancer, cervical intraepithelial neoplasia, condylomata acuminata

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
9327 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HPV vaccine (6,11,16,18,31,33,45,52,58 Types)
Arm Type
Experimental
Arm Description
Participants in this arm would receive 270μg/0.5ml HPV vaccines (6,11,16,18,31,33,45,52,58 Types).
Arm Title
HPV vaccine (16,18 Types)
Arm Type
Active Comparator
Arm Description
Participants in this arm would receive 60μg/0.5ml HPV vaccines (16,18 Types).
Intervention Type
Biological
Intervention Name(s)
Nonavalent HPV vaccine
Intervention Description
Nonavalent HPV vaccine (270μg/0.5ml) administered intramuscularly according to a 0, 1, 6 month vaccination schedule.
Intervention Type
Biological
Intervention Name(s)
Bivalent HPV vaccine
Intervention Description
Bivalent HPV vaccine (60μg/0.5ml) administered intramuscularly according to a 0, 1, 6 month vaccination schedule.
Primary Outcome Measure Information:
Title
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
Description
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
Time Frame
Specific neutralizing antibodies at 7 months after first dose
Title
Persistent infection of HPV31, 33, 45, 52 and 58 (over 12 months) (Combined analysis of the 5 types) in the mITT-PI set
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
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
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Secondary Outcome Measure Information:
Title
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)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
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)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
Efficacy3: Incidence of Persistent infection of HPV31, 33, 45, 52 and 58 (transient infection and over 6 months) (Combined analysis of the 5 types)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
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)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
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)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
Efficacy6: Incidence of genital warts related to HPV 6, 11
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
Efficacy7: Incidence of Persistent infection of HPV31, 33, 45, 52, 58, 6 and 11 (transient infection and over 6 months and over 12 months) (Combined analysis of the 7 types)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
Efficacy8: Incidence of Persistent infection of HPV31, 33, 45, 52, 58, 6 and 11 (over 6 months and over 12 months) (Independent analysis of each type)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
Immunogenicity1: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 seroconversion rates and geometric mean concentrations at Months 7
Description
Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.
Time Frame
Month 7 after first vaccination
Title
Immunogenicity2: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 seroconversion rates and geometric mean concentrations at Months 18 and 30
Description
Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.
Time Frame
Month 18 and 30 after first vaccination
Title
Immunogenicity3: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 seroconversion rates and geometric mean concentrations at Months 42, 54, 66 and 78
Description
Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.
Time Frame
Month 42, 54, 66 and 78 after first vaccination
Title
Safety1: Local and systematic adverse events/reactions occurred within 7 days after each vaccination
Description
safety analysis
Time Frame
During the 7-day (Day 0-6) period following each vaccination
Title
Safety2: Adverse events/reactions occurred within 30 days after each vaccination
Description
safety analysis
Time Frame
Within 30 days (Day 0-30) after any vaccination
Title
Safety3: Serious adverse events occurred throughout the study
Description
safety analysis. To evaluate number of SAEs compared with the control vaccine.
Time Frame
Up to 78 month
Title
Safety4: Pregnancy and pregnancy outcome
Description
safety analysis. To evaluate number of births and terminations compared with the control vaccine.
Time Frame
Up to 78 month
Title
Safety5: Emerging chronic diseases
Description
safety analysis.To evaluate number of emerging chronic diseases compared with the control vaccine.
Time Frame
Up to 78 month
Other Pre-specified Outcome Measures:
Title
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)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
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)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose
Title
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)
Description
To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine
Time Frame
Cumulative incidence of this endpoint events in 78 months after the first dose

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 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. Exclusion Criteria: 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; Epilepsy, excluding febrile epilepsy under 2 years of age, alcoholic epilepsy 3 years prior to abstinence or simple epilepsy that did not require treatment in the past 3 years; According to the judgement of investigator, various medical, psychological, social, vocational or other factors that are not suitable for participating in the clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jun Zhang, master
Organizational Affiliation
Xiamen University
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Feng-cai Zhu, master
Organizational Affiliation
Jiangsu Provincial Centre for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jiangsu Provincial Centre for Disease Control and Prevention
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210009
Country
China
Facility Name
Sichuan Provincial Centre for Disease Control and Prevention
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China

12. IPD Sharing Statement

Learn more about this trial

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

We'll reach out to this number within 24 hrs