Immunobridging Study of 9-valent Human Papillomavirus Recombinant Vaccine in Chinese Females Aged 9 to 19 Years
Primary Purpose
HPV Infections, Cervical Cancer, Vulvar Cancer
Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
9-valent HPV vaccine
Sponsored by
About this trial
This is an interventional prevention trial for HPV Infections
Eligibility Criteria
Inclusion Criteria:
Inclusion Criteria for the first stage:
- Healthy Chinese females aged 9 to 45 years; Provide legal identification;
- The subject voluntarily agrees to enroll in this study. If the subject is a minor, both the subject and subject's legal guardian should voluntarily agree to enroll in this study and sign an informed consent form;
- Be able to understand the study procedures and promise to participate in regular follow-ups under the requirements;
- Had a negative urine pregnancy test on the day of enrollment, among the subjects of childbearing age; Not in the duration of breast-feeding and no birth plan within 7 months; According to the investigator's judgment that there is no possibility of pregnancy at that time: subjects have taken effective contraception, or asexual life after the last menstrual period, or use IUD, or had undergone ligation; subjects agree to continue take effective contraception such as taking OCS and condom use;
No fever symptoms on the day of enrollment (aged> 14 years old, axillary temperature<37.3°C; aged ≤ 14 years old, axillary temperature<37.5°C );
Inclusion Criteria for the second stage:
- Received all 3 doses of trial vaccination;
- Subjects aged 9 to 19 years at the first stage.
Exclusion Criteria:
- Received marketed HPV vaccine or plan to receive marketed HPV vaccine during this study period or have enrolled in HPV vaccine clinical trials;
- History of positive test to HPV, history of cervical cancer (e.g. abnormal screening test results, abnormal cervical biopsy results, including CIN, AIS, and cervical cancer) or history of hysterectomy (vaginal or abdominal radical hysterectomy), or history of pelvic radiotherapy; History of genital diseases related to HPV infection (e.g. uterine peristalsis, VIN, VAIN, AIN, and related cancers); History of STDs, including syphilis, gonorrhea, genital herpes, Mycoplasma genitalium, Lymphgranuloma Venereum, granuloma inguinale, etc.;
- Known allergy to any vaccine components or history of severe allergic diseases requiring treatment, including shock, laryngeal edema, urticarial, Henoch-Schonlein purpura, Arthus reaction, etc.;
- Had primary or acquired immunodeficiency such as HIV, SLE, JRA, etc. or received immunosuppressive treatment within one month before study such as long-term glucocorticoid use(≥2mg per kg per day, lasted more than two wks), or plan to receive such treatment from day 0 to month 7 after the last dose;
- Had chronic diseases or congenital malformations, which might interfere with the process and completion of this study, such as Down Syndrome, heart diseases, liver diseases, chronic diabetes complications, and malignant tumor;
- Enrolling or plan to enroll in other clinical trials (drug or vaccine);
- Had infectious diseases such as TB, viral hepatitis, and/or HIV infection;
- Had convulsions, epilepsy, encephalopathy, and mental illness or family history;
- With prohibitive contraindications such as Thrombocytopenia or coagulopathy;
- Asplenic, functionally asplenic, or splenectomy caused by any condition;
- Within 3 days prior to vaccination, have an acute disease or are in the acute attack of a chronic disease or have used antipyretic, analgesic and anti-allergic drugs (such as: acetaminophen, ibuprofen, aspirin, loratadine, ceti Rizine, etc.);
- Receipt of inactivated or recombinant vaccines within 14 days, live vaccines within 28 days;
- Receipt of immune globulin or blood-related products within 3 months; or plan to receive such products during this study period;
- Had fever symptoms within 24 hours on the first day (aged> 14 years old, axillary temperature ≥ 37.3°C; aged ≤ 14 years old, axillary temperature ≥37.5°C );
- Untreated/uncontrolled hypertension before vaccination (aged 9 to 17 years: systolic BP>120mmHg and/or diastolic BP>80mmHg; aged more than 18 years: Systolic BP≥140mmHg and/or diastolic BP ≥90mmHg);
- Plan to permanently relocate from the area before the end of the study or leave the local area for a long time during the study visit (affecting the scheduled visit time);
- According to the investigator's judgment, the subject has any condition may interfere with process of evaluation or participating in this study cannot guarantee the object's maximum benefit.
Sites / Locations
- Huakun LvRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
9-valent HPV vaccine
Arm Description
9-valent HPV recombinant vaccine (Hansenula Polymorpha) All subjects aged 9 to 45 years received 3 doses of 9v HPV vaccine at 0,2,6 month scehdule
Outcomes
Primary Outcome Measures
The primary immunogenicity objective
The primary outcome measure for assessing vaccine immunogenicity, among subjects aged between 9 and 45, is the results of seroconversion rate of neutralizing antibodies after immunization in pre-immune negative subjects from 30 days after the last dose (3 doses schedule, Month 7) to HPV 6, 11, 16, 18, 31, 33, 45, 52 , and 58.
Secondary Outcome Measures
Number of patients with postive antibodies after the whole schedule vaccination from the former negative subjects
The secondary outcome measure for assessing vaccine immunogenicity, among subjects aged between 9 and 45, is the geometric mean titer (GMT) from 30 days after the last dose (3 doses schedule, Month 7) to HPV 6, 11, 16, 18, 31, 33, 45, 52 , and 58.
Rate of seroconversion among the patient aged 9-26 after the whole schedule vaccination
To assess vaccine immunogenicity among the subjects aged between 9 and 26, is the seroconversion rate of neutralizing antibodies and the GMT from 30 days after the last dose (3 doses schedule, Month 7) to HPV 6, 11, 16, 18, 31, 33, 45, 52 , and 58.
GMT and seropositive rate of HPV in the 9-19 age group after 60-month follow-up
After receiving all 3 doses vaccinations, the subjects aged 9 to 19 years will be followed for 60 month (Month 12/24/36/48/60) after first vaccination to assess the GMT and seropositive rate (4-fold-increase) to HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58.
Full Information
NCT ID
NCT04895020
First Posted
May 17, 2021
Last Updated
February 23, 2022
Sponsor
Shanghai Bovax Biotechnology Co., Ltd.
Collaborators
Chongqing Bovax Biopharmaceutical Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04895020
Brief Title
Immunobridging Study of 9-valent Human Papillomavirus Recombinant Vaccine in Chinese Females Aged 9 to 19 Years
Official Title
Evaluating the Immunogenicity and Safety of 9-valent Human Papillomavirus(Type6, 11, 16, 18, 31, 33, 45, 52 and 58) Recombinant Vaccine in Chinese Females Aged 9 to 45 Years: A Phase 3, Open-label, Non-randomised Clinical Trial
Study Type
Interventional
2. Study Status
Record Verification Date
May 2021
Overall Recruitment Status
Recruiting
Study Start Date
May 28, 2021 (Actual)
Primary Completion Date
May 2026 (Anticipated)
Study Completion Date
May 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Bovax Biotechnology Co., Ltd.
Collaborators
Chongqing Bovax Biopharmaceutical 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 phase 3 study will evaluate the immunogenicity and safety of 9-valent HPV recombinant vaccine in Chinese females aged 9 to 45 years
Detailed Description
This study (protocol 9-HPV-3003) is an immunogenicity and safety study in the subjects (9-19 years of age) who received the 9-valent HPV recombinant vaccine compared with the subjects (20-45 years of age). In this study, we will assess whether the immunogenicity of the 9-valent HPV vaccine given 3-dose schedule in the subjects (9-19 years of age) in noninferior to that in the subjects (20-45 years of age) receiving 3 doses, while assessing the safety of this vaccine.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HPV Infections, Cervical Cancer, Vulvar Cancer, Vaginal Cancer, CIN1, CIN2, CIN 3, VaIN1, VaIN2, VaIN3, Genital Wart, VIN 1, VIN 2, VIN 3, AIS
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1200 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
9-valent HPV vaccine
Arm Type
Experimental
Arm Description
9-valent HPV recombinant vaccine (Hansenula Polymorpha) All subjects aged 9 to 45 years received 3 doses of 9v HPV vaccine at 0,2,6 month scehdule
Intervention Type
Biological
Intervention Name(s)
9-valent HPV vaccine
Intervention Description
9-valent HPV recombinant vaccine (Hansenula Polymorpha) All subjects aged 9 to 45 years received 3 doses of 9v HPV vaccine at 0,2,6 month scehdule
Primary Outcome Measure Information:
Title
The primary immunogenicity objective
Description
The primary outcome measure for assessing vaccine immunogenicity, among subjects aged between 9 and 45, is the results of seroconversion rate of neutralizing antibodies after immunization in pre-immune negative subjects from 30 days after the last dose (3 doses schedule, Month 7) to HPV 6, 11, 16, 18, 31, 33, 45, 52 , and 58.
Time Frame
30 days after the last dose(3 doses schedule)
Secondary Outcome Measure Information:
Title
Number of patients with postive antibodies after the whole schedule vaccination from the former negative subjects
Description
The secondary outcome measure for assessing vaccine immunogenicity, among subjects aged between 9 and 45, is the geometric mean titer (GMT) from 30 days after the last dose (3 doses schedule, Month 7) to HPV 6, 11, 16, 18, 31, 33, 45, 52 , and 58.
Time Frame
30 days after the last dose(3 doses schedule)
Title
Rate of seroconversion among the patient aged 9-26 after the whole schedule vaccination
Description
To assess vaccine immunogenicity among the subjects aged between 9 and 26, is the seroconversion rate of neutralizing antibodies and the GMT from 30 days after the last dose (3 doses schedule, Month 7) to HPV 6, 11, 16, 18, 31, 33, 45, 52 , and 58.
Time Frame
30 days after the last dose(3 doses schedule)
Title
GMT and seropositive rate of HPV in the 9-19 age group after 60-month follow-up
Description
After receiving all 3 doses vaccinations, the subjects aged 9 to 19 years will be followed for 60 month (Month 12/24/36/48/60) after first vaccination to assess the GMT and seropositive rate (4-fold-increase) to HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58.
Time Frame
Day 1 to 60 months post vaccination 3
Other Pre-specified Outcome Measures:
Title
Number of AE within 30 minutes after each dose
Description
Adverse events reported within 30 minutes after each dose
Time Frame
30 mins after each dose
Title
Number of SAE within 7days after each dose
Description
Solicited adverse events reported between day 0 to day 7 after each dose
Time Frame
day 0 to day 7 after each dose
Title
Number of unsolicited adverse events within 30days after each dose
Description
Unsolicited adverse events reported between day 0 to day 30 after each dose
Time Frame
day 0 to day 30 after each dose
Title
Number of all SAE during the study period
Description
Serious adverse events reported during the study period
Time Frame
Stage 1: from month 6 to month 12 after the last dose; Stage 2: 6 month after receiving the whole vaccine schedule to 60 month after the 1st dose
Title
Number and rate of pregnancy events
Description
Pregnant event and pregnant outcome reported during the study period
Time Frame
Stage 1: from month 6 to month 12 after the last dose; Stage 2: 9-to-19-year-old subjects received 3 doses vaccinations, 6 month after receiving the whole vaccine schedule to 60 month after the 1st dose
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
9 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Inclusion Criteria for the first stage:
Healthy Chinese females aged 9 to 45 years; Provide legal identification;
The subject voluntarily agrees to enroll in this study. If the subject is a minor, both the subject and subject's legal guardian should voluntarily agree to enroll in this study and sign an informed consent form;
Be able to understand the study procedures and promise to participate in regular follow-ups under the requirements;
Had a negative urine pregnancy test on the day of enrollment, among the subjects of childbearing age; Not in the duration of breast-feeding and no birth plan within 7 months; According to the investigator's judgment that there is no possibility of pregnancy at that time: subjects have taken effective contraception, or asexual life after the last menstrual period, or use IUD, or had undergone ligation; subjects agree to continue take effective contraception such as taking OCS and condom use;
No fever symptoms on the day of enrollment (aged> 14 years old, axillary temperature<37.3°C; aged ≤ 14 years old, axillary temperature<37.5°C );
Inclusion Criteria for the second stage:
Received all 3 doses of trial vaccination;
Subjects aged 9 to 19 years at the first stage.
Exclusion Criteria:
Received marketed HPV vaccine or plan to receive marketed HPV vaccine during this study period or have enrolled in HPV vaccine clinical trials;
History of positive test to HPV, history of cervical cancer (e.g. abnormal screening test results, abnormal cervical biopsy results, including CIN, AIS, and cervical cancer) or history of hysterectomy (vaginal or abdominal radical hysterectomy), or history of pelvic radiotherapy; History of genital diseases related to HPV infection (e.g. uterine peristalsis, VIN, VAIN, AIN, and related cancers); History of STDs, including syphilis, gonorrhea, genital herpes, Mycoplasma genitalium, Lymphgranuloma Venereum, granuloma inguinale, etc.;
Known allergy to any vaccine components or history of severe allergic diseases requiring treatment, including shock, laryngeal edema, urticarial, Henoch-Schonlein purpura, Arthus reaction, etc.;
Had primary or acquired immunodeficiency such as HIV, SLE, JRA, etc. or received immunosuppressive treatment within one month before study such as long-term glucocorticoid use(≥2mg per kg per day, lasted more than two wks), or plan to receive such treatment from day 0 to month 7 after the last dose;
Had chronic diseases or congenital malformations, which might interfere with the process and completion of this study, such as Down Syndrome, heart diseases, liver diseases, chronic diabetes complications, and malignant tumor;
Enrolling or plan to enroll in other clinical trials (drug or vaccine);
Had infectious diseases such as TB, viral hepatitis, and/or HIV infection;
Had convulsions, epilepsy, encephalopathy, and mental illness or family history;
With prohibitive contraindications such as Thrombocytopenia or coagulopathy;
Asplenic, functionally asplenic, or splenectomy caused by any condition;
Within 3 days prior to vaccination, have an acute disease or are in the acute attack of a chronic disease or have used antipyretic, analgesic and anti-allergic drugs (such as: acetaminophen, ibuprofen, aspirin, loratadine, ceti Rizine, etc.);
Receipt of inactivated or recombinant vaccines within 14 days, live vaccines within 28 days;
Receipt of immune globulin or blood-related products within 3 months; or plan to receive such products during this study period;
Had fever symptoms within 24 hours on the first day (aged> 14 years old, axillary temperature ≥ 37.3°C; aged ≤ 14 years old, axillary temperature ≥37.5°C );
Untreated/uncontrolled hypertension before vaccination (aged 9 to 17 years: systolic BP>120mmHg and/or diastolic BP>80mmHg; aged more than 18 years: Systolic BP≥140mmHg and/or diastolic BP ≥90mmHg);
Plan to permanently relocate from the area before the end of the study or leave the local area for a long time during the study visit (affecting the scheduled visit time);
According to the investigator's judgment, the subject has any condition may interfere with process of evaluation or participating in this study cannot guarantee the object's maximum benefit.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Huakun Lv
Phone
13588458021
Email
hklv@cdc.zj.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Person(s) responsible for the overall scientific leadership of Lv
Organizational Affiliation
Zhejiang Provincial Center for Disease Control and Prevention
Official's Role
Study Director
Facility Information:
Facility Name
Huakun Lv
City
Hangzhou
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Huakun Lv
Phone
13588458021
Email
hklv@cdc.zj.cn
12. IPD Sharing Statement
Learn more about this trial
Immunobridging Study of 9-valent Human Papillomavirus Recombinant Vaccine in Chinese Females Aged 9 to 19 Years
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