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Clinical Study of HPV Therapeutic DNA Vaccine (NWRD08) in Patients With Cervical HPV16 and/or HPV18 Positive

Primary Purpose

HSIL of Cervix

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
NWRD08
Sponsored by
Newish Technology (Beijing) Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HSIL of Cervix

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria: Age ≥18 years old; women who have sex; HPV16 and/or 18 DNA and E6E7 mRNA were positive; Patients with highly squamous intraepithelial lesions of the cervix confirmed by histology and cytology, or persistent cervical PV16 and/or 18 infection for more than 12 months; Cervical tissue specimens/sections should be provided 4 weeks before the first treatment of HISL; Electrocardiogram (ECG) is normal; Women of reproductive age must have a negative serum pregnancy test within 1 week prior to the first dose and have agreed to use effective contraception during the study drug use period and within 6 months after the last dose of the study drug. For males, it should be surgical sterilization or consent to effective contraception during the study drug use period and within 6 months after the last study drug administration; Have fully understood the study and voluntarily signed the ICF, be able to communicate well with the investigator and complete all treatments, examinations and visits required by the study protocol. Exclusion Criteria: any histopathologically confirmed adenocarcinoma in situ (AIS), high-grade vulvar, vaginal or anal intraepithelial tumors, or invasive cancers; Patients with unsatisfactory colposcope; Patients who were satisfied with colposcopy but not satisfied with ECC (patients who were positive for HPV18 or had abnormal adenocytes on cervical cytology but satisfied with colposcopy should undergo ECC examination); Positive HPV type 31 or 33 or 45 or 52 or 58; Have received cervical physical therapy; pregnant, breastfeeding, or considering becoming pregnant during the study period; previous history of therapeutic or preventive HPV vaccination; Received any non-investigational inactivated vaccine injection within 2 weeks; Received any non-investigational live vaccine within 4 weeks; Acute or chronic bleeding or coagulopathy; Less than two sites can be used for intramuscular injection; Received chemotherapy, molecular targeted therapy, biological immunotherapy, or Chinese patent drugs for cervical lesions within 30 days before or during screening; participated in other clinical trials within 30 days prior to screening, or was in the observation period of other clinical trials; Continuous (more than 1 week) glucocorticoid therapy (dose equivalent to prednisone > 10 mg/ day), except hormone replacement therapy and endotracheal administration; History of immune deficiency or autoimmune disease (such as rheumatoid joint disease, systemic lupus erythematosus, multiple sclerosis, etc.); with uncontrolled severe infection; Patients with a history of hepatitis B virus (HBV), hepatitis C virus (HCV) infection or human immunodeficiency virus (HIV) infection or syphilis carriers; Patients with severe other organ dysfunction or cardiopulmonary disease, including myocardial infarction, stroke, congestive heart failure, severe lung disease, metabolic diseases, wound healing abnormalities, ulcers or fractures; Epilepsy accompanied by medication (such as steroids or antiepileptic drugs); Previous or present malignant neoplasms; A history of severe allergies, or a history of allergic diseases, or an allergic constitution, or a severe iodine contrast allergy, meeting any of these criteria; serious mental disorders; A history of drug or alcohol abuse; A pregnant or lactating woman, or a woman of childbearing age who has a positive blood pregnancy test, or a patient of childbearing age and her spouse who is unwilling to take effective contraceptive measures during the clinical study period and within 6 months after the end of treatment; Patients deemed unsuitable for this clinical trial by the investigator.

Sites / Locations

  • Heze Municipal HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

lose dose,high dose

Arm Description

Four dose groups were set up: dose group 1, a single dose of 2mg, administered at week 0, 4 and 12, three times in total; Dose group 2, a single dose of 6mg, respectively at the 0, 4, 12 weeks, a total of 3 times; Dose group 3, a single dose of 2mg, was given at the 0, 2, 4, 12 weeks, a total of 4 times; Dose group 4, with a single dose of 6mg, was given 4 times at week 0, 2, 4 and 12, respectively. There were 3 subjects in each group. Climb from the low dose group to the high dose group.

Outcomes

Primary Outcome Measures

HPV 16/18 E6E7 specific immune response in peripheral blood after vaccination compared to before vaccination.
Analysis of immunogenicity data included the level, type, subtype, and time and duration of specific humoral and cellular immune responses in peripheral blood before and after vaccination.

Secondary Outcome Measures

Adverse Events (AEs)
Adverse Events (AEs), adverse events according to type, frequency, severity [according to the Classification Scale of Adverse Events in Clinical Trials for Preventive Vaccines issued by the Center for Drug Evaluation (CDE) of the National Medical Products Administration in 2019], occurrence time, and severity. And whether it's related to treatment.
proportion of patients with HPV virus clearance
Proportion of patients with negative HPV16/18 DNA and E6E7 mRNA.
proportion of patients with regression of cervical lesions
HSIL patients 36 weeks group / 18 DNA and E6E7 mRNA overcast and histological ratio dropped below CIN1 and patients; HSIL patients 36 weeks group / 18 DNA and E6E7 mRNA overcast and histological the proportion of patients with squamous intraepithelial lesions; LSIL patients 18 DNA and 36 weeks group/E6E7 mRNA overcast and cytology squamous intraepithelial lesions;

Full Information

First Posted
May 23, 2023
Last Updated
June 6, 2023
Sponsor
Newish Technology (Beijing) Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05905354
Brief Title
Clinical Study of HPV Therapeutic DNA Vaccine (NWRD08) in Patients With Cervical HPV16 and/or HPV18 Positive
Official Title
Clinical Study of HPV Therapeutic DNA Vaccine (NWRD08) in Patients With Cervical HPV16 and/or HPV18 Positive
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 7, 2022 (Actual)
Primary Completion Date
June 30, 2024 (Anticipated)
Study Completion Date
December 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Newish Technology (Beijing) 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 an open-label exploratory clinical study. The main objective is to explore the immunogenicity of HPV therapeutic DNA vaccine NWRD08.
Detailed Description
The main objective is to explore the immunogenicity of HPV therapeutic DNA vaccine NWRD08.The secondary objective was to observe the safety of NWRD08 in cervical patients who were positive for HPV16 and/or HPV18, and to initially explore the efficacy of NWRD08.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HSIL of Cervix

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Sequential Assignment
Model Description
3+3 dose climb
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
lose dose,high dose
Arm Type
Experimental
Arm Description
Four dose groups were set up: dose group 1, a single dose of 2mg, administered at week 0, 4 and 12, three times in total; Dose group 2, a single dose of 6mg, respectively at the 0, 4, 12 weeks, a total of 3 times; Dose group 3, a single dose of 2mg, was given at the 0, 2, 4, 12 weeks, a total of 4 times; Dose group 4, with a single dose of 6mg, was given 4 times at week 0, 2, 4 and 12, respectively. There were 3 subjects in each group. Climb from the low dose group to the high dose group.
Intervention Type
Biological
Intervention Name(s)
NWRD08
Intervention Description
Subjects in dose group 1 and 2 were intramuscularly injected with NWRD08 at week 0, week 4 and week 12 by electric pulse gene delivery instrument, respectively. Subjects in dose group 3 and 4 were intramuscularly injected NWRD08 at week 0, week 2, week 4 and week 12 by electric pulse gene delivery instrument, respectively.
Primary Outcome Measure Information:
Title
HPV 16/18 E6E7 specific immune response in peripheral blood after vaccination compared to before vaccination.
Description
Analysis of immunogenicity data included the level, type, subtype, and time and duration of specific humoral and cellular immune responses in peripheral blood before and after vaccination.
Time Frame
Week36
Secondary Outcome Measure Information:
Title
Adverse Events (AEs)
Description
Adverse Events (AEs), adverse events according to type, frequency, severity [according to the Classification Scale of Adverse Events in Clinical Trials for Preventive Vaccines issued by the Center for Drug Evaluation (CDE) of the National Medical Products Administration in 2019], occurrence time, and severity. And whether it's related to treatment.
Time Frame
End of study
Title
proportion of patients with HPV virus clearance
Description
Proportion of patients with negative HPV16/18 DNA and E6E7 mRNA.
Time Frame
Week 36
Title
proportion of patients with regression of cervical lesions
Description
HSIL patients 36 weeks group / 18 DNA and E6E7 mRNA overcast and histological ratio dropped below CIN1 and patients; HSIL patients 36 weeks group / 18 DNA and E6E7 mRNA overcast and histological the proportion of patients with squamous intraepithelial lesions; LSIL patients 18 DNA and 36 weeks group/E6E7 mRNA overcast and cytology squamous intraepithelial lesions;
Time Frame
Week 36

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age ≥18 years old; women who have sex; HPV16 and/or 18 DNA and E6E7 mRNA were positive; Patients with highly squamous intraepithelial lesions of the cervix confirmed by histology and cytology, or persistent cervical PV16 and/or 18 infection for more than 12 months; Cervical tissue specimens/sections should be provided 4 weeks before the first treatment of HISL; Electrocardiogram (ECG) is normal; Women of reproductive age must have a negative serum pregnancy test within 1 week prior to the first dose and have agreed to use effective contraception during the study drug use period and within 6 months after the last dose of the study drug. For males, it should be surgical sterilization or consent to effective contraception during the study drug use period and within 6 months after the last study drug administration; Have fully understood the study and voluntarily signed the ICF, be able to communicate well with the investigator and complete all treatments, examinations and visits required by the study protocol. Exclusion Criteria: any histopathologically confirmed adenocarcinoma in situ (AIS), high-grade vulvar, vaginal or anal intraepithelial tumors, or invasive cancers; Patients with unsatisfactory colposcope; Patients who were satisfied with colposcopy but not satisfied with ECC (patients who were positive for HPV18 or had abnormal adenocytes on cervical cytology but satisfied with colposcopy should undergo ECC examination); Positive HPV type 31 or 33 or 45 or 52 or 58; Have received cervical physical therapy; pregnant, breastfeeding, or considering becoming pregnant during the study period; previous history of therapeutic or preventive HPV vaccination; Received any non-investigational inactivated vaccine injection within 2 weeks; Received any non-investigational live vaccine within 4 weeks; Acute or chronic bleeding or coagulopathy; Less than two sites can be used for intramuscular injection; Received chemotherapy, molecular targeted therapy, biological immunotherapy, or Chinese patent drugs for cervical lesions within 30 days before or during screening; participated in other clinical trials within 30 days prior to screening, or was in the observation period of other clinical trials; Continuous (more than 1 week) glucocorticoid therapy (dose equivalent to prednisone > 10 mg/ day), except hormone replacement therapy and endotracheal administration; History of immune deficiency or autoimmune disease (such as rheumatoid joint disease, systemic lupus erythematosus, multiple sclerosis, etc.); with uncontrolled severe infection; Patients with a history of hepatitis B virus (HBV), hepatitis C virus (HCV) infection or human immunodeficiency virus (HIV) infection or syphilis carriers; Patients with severe other organ dysfunction or cardiopulmonary disease, including myocardial infarction, stroke, congestive heart failure, severe lung disease, metabolic diseases, wound healing abnormalities, ulcers or fractures; Epilepsy accompanied by medication (such as steroids or antiepileptic drugs); Previous or present malignant neoplasms; A history of severe allergies, or a history of allergic diseases, or an allergic constitution, or a severe iodine contrast allergy, meeting any of these criteria; serious mental disorders; A history of drug or alcohol abuse; A pregnant or lactating woman, or a woman of childbearing age who has a positive blood pregnancy test, or a patient of childbearing age and her spouse who is unwilling to take effective contraceptive measures during the clinical study period and within 6 months after the end of treatment; Patients deemed unsuitable for this clinical trial by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Liu Defang, Doctor
Phone
(+86)010-87661655
Email
ldf@newishes.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sun Guodong, Master
Organizational Affiliation
Shandong Heze Municipal Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Heze Municipal Hospital
City
Heze
State/Province
Shandong
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sun Guodong, Master
Phone
(+86)0530-5613206
Email
sunguodong0723@163.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Study of HPV Therapeutic DNA Vaccine (NWRD08) in Patients With Cervical HPV16 and/or HPV18 Positive

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