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An Immuno-bridging Study of a Nonavalent HPV Vaccine (E.Coli) in Healthy Population Aged 9-17 vs Aged 18-26 Years Old

Primary Purpose

Cervical Cancer, Condylomata Acuminata

Status
Active
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
3 doses of the Recombinant Human Papillomavirus Nonavalent (Types 6,11,16,18,31,33,45,52,58 )Vaccine(E.Coli)
2 doses of theRecombinant Human Papillomavirus Nonavalent (Types 6,11,16,18,31,33,45,52,58 )Vaccine(E.Coli)
Sponsored by
Xiamen University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Cervical Cancer focused on measuring human papillomavirus vaccine, immunogenicity

Eligibility Criteria

9 Years - 26 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subject is female between and including 9-26 years of age, or male between and including 9-17 years of age at the first vaccination;
  2. Subject (and their legal guardian) is able to understand and comply with the requirements of the protocol(e.g. biological specimen collection, completion of the diary cards, return for follow-up visits), and written informed consent must be obtained from the subject prior to enrollment;
  3. Adolescent female subject who agrees to practice effective contraception within 8 months after the first vaccination or has undergone tubal ligation,subtotal hysterectomy for benign lesion, ovarian benign tumor resection;
  4. No previous history of sexually transmitted diseases (including syphilis, gonorrhea, chancroid, venereal lymphogranuloma, groin granuloma, etc.);
  5. Male, or female without previous history of abnormal cervical screening results or cervical intraepithelial neoplasia (CIN);

Exclusion Criteria:

  1. Axillary temperature > 37.2℃;
  2. Adolescent female subject who has a positive urine pregnancy test, or is pregnant or breastfeeding;
  3. Subject has used of any investigational or non-registered product (drug or vaccine) within 30 days preceding the first dose of study vaccine or plans to use during the study period , or has participated in another clinical research in the past two years, or plans to participate in another research during the study period;
  4. Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs or systemic corticosteroids (Except intranasal steroid, the use of low dose topical, ophthalmic and inhaled steroid preparations will be permitted.) within 6 months prior to vaccination.
  5. Administration of immunoglobulin and/or blood products within 3 months prior to vaccination or planned to use them within 7 months after the first dose.
  6. Administration of inactivated vaccine within 14 days prior to vaccination or live vaccine within 21 days;
  7. Fever (Axillary temperature ≥38.0℃) 3 days prior to vaccination or system administration of antibiotics or antiviral agents within 5 days, or medicines containing antipyretic ingredients within 24 hours prior to vaccination;
  8. Subject has received other HPV vaccines or participated in clinical research related to HPV or cervical cancer previously;
  9. Subject has severe immunodeficiency disease, severe primary disease of important viscera, cancer and autoimmune disease (including systemic lupus erythematosus, rheumatoid arthritis, asplenia or splenectomy due to any condition, and other immunological diseases that investigators believe may influence the immune response).
  10. History of severe allergy (e.g., anaphylaxis, generalized urticaria, dyspnea, angioedema, and other significant reaction) to any previous vaccination, or be allergic to any of the components of the study vaccines.
  11. Asthma, which has been unstable for the past two years and requires emergency treatment, hospitalization, oral or intravenous corticosteroids;
  12. Subject has serious medical disorders;
  13. Self-report (subject and their legal guardian) coagulation disorders or abnormal coagulation function;
  14. Epilepsy, excluding febrile epilepsy under 2 years of age, alcoholic epilepsy 3 years prior to abstinence or simple epilepsy that does not require treatment in the past 3 years;
  15. Medical, psychological, social conditions, occupation or other factors, which considered by the investigator that may influence the conduct of the clinical study.

Sites / Locations

  • Sichuan Provincial Centre for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

9-17y (0,6m)

9-17y (0,1,6m)

18-26y (0,1,6m)

Arm Description

Subjects who aged 9-17 years old would receive 2 doses of 270μg/0.5ml Recombinant HPV nonavalent (Types 6/11/16/18/31/33/45/52/58) Vaccine(E.Coli) .

Subjects who aged 9-17 years old would receive 3 doses of 270μg/0.5ml Recombinant HPV nonavalent (Types 6/11/16/18/31/33/45/52/58) Vaccine(E.Coli) .

Subjects who aged 18-26 years old would receive 3 doses of 270μg/0.5ml Recombinant HPV nonavalent (Types 6/11/16/18/31/33/45/52/58) Vaccine(E.Coli) .

Outcomes

Primary Outcome Measures

Immunogenicity1: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 type specific antibody levels at Months 7 in the population aged 9-26 years old receiving 3 doses of the nanovalent vaccine
To determine whether the immune responses (antibodies to HPV-6, 11, 16, 18, 31, 33, 45, 52, and 58) at month 7 (one month after the final dose) in the population aged 9-17 years receiving 3 doses of the nanovalent vaccine are noninferior to those in women aged 18-26 years receiving 3 doses of vaccine.

Secondary Outcome Measures

Immunogenicity2: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 type specific antibody levels at Months 7 in the population aged 9-17 years old receiving 2 doses of the nanovalent vaccine
To determine whether the immune responses (antibodies to HPV-6, 11, 16, 18, 31, 33, 45, 52, and 58) at month 7 (one month after the final dose) in the population aged 9-17 years receiving 2 doses of the nanovalent vaccine are noninferior to those in women aged 18-26 years receiving 3 doses of vaccine.
Safety1: Local and systematic adverse events/reactions occurred within 7 days after each vaccination.
Local and systematic adverse events/reactions occurred within 7 days after each vaccination.
Safety2: Adverse events/reactions occurred within 30 days after each vaccination.
Adverse events/reactions occurred within 30 days after each vaccination.
Safety3: Severe adverse events occurred throughout the study.
Severe adverse events occurred throughout the study. To evaluate number of SAEs between the different arms.
Safety4: Pregnancy and pregnancy outcome.
Pregnancy and pregnancy outcome. To evaluate number of births and terminations between the different arms.

Full Information

First Posted
September 13, 2021
Last Updated
January 24, 2023
Sponsor
Xiamen University
Collaborators
Xiamen Innovax Biotech Co., Ltd, Beijing Wantai Biological Pharmacy Enterprise Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05056402
Brief Title
An Immuno-bridging Study of a Nonavalent HPV Vaccine (E.Coli) in Healthy Population Aged 9-17 vs Aged 18-26 Years Old
Official Title
Immunogenicity Non-inferiority Immuno-bridging Study of a Recombinant Human Papillomavirus Nonavalent (Types 6,11,16,18,31,33,45,52,58) Vaccine (E.Coli) in Healthy Population Aged 9-17 Years Old vs Aged 18-26 Years Old
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 19, 2021 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (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
No

5. Study Description

Brief Summary
This is a open label clinical trial to evaluate the safety and immunogenicity of a Recombinant Human Papillomavirus Nonavalent (Types 6,11,16,18,31,33,45,52,58)Vaccine(E.Coli) manufactured by Xiamen Innovax Biotech CO., Ltd., in healthy population aged 9-17 years old in comparison with aged 18-26.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer, Condylomata Acuminata
Keywords
human papillomavirus vaccine, immunogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1382 (Actual)

8. Arms, Groups, and Interventions

Arm Title
9-17y (0,6m)
Arm Type
Experimental
Arm Description
Subjects who aged 9-17 years old would receive 2 doses of 270μg/0.5ml Recombinant HPV nonavalent (Types 6/11/16/18/31/33/45/52/58) Vaccine(E.Coli) .
Arm Title
9-17y (0,1,6m)
Arm Type
Experimental
Arm Description
Subjects who aged 9-17 years old would receive 3 doses of 270μg/0.5ml Recombinant HPV nonavalent (Types 6/11/16/18/31/33/45/52/58) Vaccine(E.Coli) .
Arm Title
18-26y (0,1,6m)
Arm Type
Experimental
Arm Description
Subjects who aged 18-26 years old would receive 3 doses of 270μg/0.5ml Recombinant HPV nonavalent (Types 6/11/16/18/31/33/45/52/58) Vaccine(E.Coli) .
Intervention Type
Biological
Intervention Name(s)
3 doses of the Recombinant Human Papillomavirus Nonavalent (Types 6,11,16,18,31,33,45,52,58 )Vaccine(E.Coli)
Intervention Description
Three doses administered intramuscularly at 0, 1 and 6 month.
Intervention Type
Biological
Intervention Name(s)
2 doses of theRecombinant Human Papillomavirus Nonavalent (Types 6,11,16,18,31,33,45,52,58 )Vaccine(E.Coli)
Intervention Description
Two doses administered intramuscularly at 0 and 6 month.
Primary Outcome Measure Information:
Title
Immunogenicity1: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 type specific antibody levels at Months 7 in the population aged 9-26 years old receiving 3 doses of the nanovalent vaccine
Description
To determine whether the immune responses (antibodies to HPV-6, 11, 16, 18, 31, 33, 45, 52, and 58) at month 7 (one month after the final dose) in the population aged 9-17 years receiving 3 doses of the nanovalent vaccine are noninferior to those in women aged 18-26 years receiving 3 doses of vaccine.
Time Frame
7 months after the first dose
Secondary Outcome Measure Information:
Title
Immunogenicity2: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 type specific antibody levels at Months 7 in the population aged 9-17 years old receiving 2 doses of the nanovalent vaccine
Description
To determine whether the immune responses (antibodies to HPV-6, 11, 16, 18, 31, 33, 45, 52, and 58) at month 7 (one month after the final dose) in the population aged 9-17 years receiving 2 doses of the nanovalent vaccine are noninferior to those in women aged 18-26 years receiving 3 doses of vaccine.
Time Frame
7 months after the first dose
Title
Safety1: Local and systematic adverse events/reactions occurred within 7 days after each vaccination.
Description
Local and systematic adverse events/reactions occurred within 7 days after each vaccination.
Time Frame
During the 7-day period following each vaccination
Title
Safety2: Adverse events/reactions occurred within 30 days after each vaccination.
Description
Adverse events/reactions occurred within 30 days after each vaccination.
Time Frame
Within 30 days (Day 0-30) after any vaccination
Title
Safety3: Severe adverse events occurred throughout the study.
Description
Severe adverse events occurred throughout the study. To evaluate number of SAEs between the different arms.
Time Frame
Up to 8 month
Title
Safety4: Pregnancy and pregnancy outcome.
Description
Pregnancy and pregnancy outcome. To evaluate number of births and terminations between the different arms.
Time Frame
Up to 8 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
9 Years
Maximum Age & Unit of Time
26 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject is female between and including 9-26 years of age, or male between and including 9-17 years of age at the first vaccination; Subject (and their legal guardian) is able to understand and comply with the requirements of the protocol(e.g. biological specimen collection, completion of the diary cards, return for follow-up visits), and written informed consent must be obtained from the subject prior to enrollment; Adolescent female subject who agrees to practice effective contraception within 8 months after the first vaccination or has undergone tubal ligation,subtotal hysterectomy for benign lesion, ovarian benign tumor resection; No previous history of sexually transmitted diseases (including syphilis, gonorrhea, chancroid, venereal lymphogranuloma, groin granuloma, etc.); Male, or female without previous history of abnormal cervical screening results or cervical intraepithelial neoplasia (CIN); Exclusion Criteria: Axillary temperature > 37.2℃; Adolescent female subject who has a positive urine pregnancy test, or is pregnant or breastfeeding; Subject has used of any investigational or non-registered product (drug or vaccine) within 30 days preceding the first dose of study vaccine or plans to use during the study period , or has participated in another clinical research in the past two years, or plans to participate in another research during the study period; Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs or systemic corticosteroids (Except intranasal steroid, the use of low dose topical, ophthalmic and inhaled steroid preparations will be permitted.) within 6 months prior to vaccination. Administration of immunoglobulin and/or blood products within 3 months prior to vaccination or planned to use them within 7 months after the first dose. Administration of inactivated vaccine within 14 days prior to 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 within 5 days, or medicines containing antipyretic ingredients within 24 hours prior to vaccination; Subject has received other HPV vaccines or participated in clinical research related to HPV or cervical cancer previously; Subject has severe immunodeficiency disease, severe primary disease of important viscera, cancer and autoimmune disease (including systemic lupus erythematosus, rheumatoid arthritis, asplenia or splenectomy due to any condition, and other immunological 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 vaccination, or be allergic to any of the components of the study vaccines. Asthma, which has been unstable for the past two years and requires emergency treatment, hospitalization, oral or intravenous corticosteroids; Subject has serious medical disorders; Self-report (subject and their legal guardian) 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 does not require treatment in the past 3 years; Medical, psychological, social conditions, occupation or other factors, which considered by the investigator that may influence the conduct of the clinical study.
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
Xue-cheng Liu, master
Organizational Affiliation
Sichuan Provincial Centre for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
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

An Immuno-bridging Study of a Nonavalent HPV Vaccine (E.Coli) in Healthy Population Aged 9-17 vs Aged 18-26 Years Old

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