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Phase III Study Comparing the Immunogenicity of 9-valent HPV Recombinant Vaccine and Gardasil-9

Primary Purpose

Cervical Cancer, Genital Wart, CIN

Status
Active
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Zerun HPV-9
GARDASIL ®9
Sponsored by
Shanghai Zerun Biotechnology Co.,Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Cervical Cancer focused on measuring Human Papillomavirus, Papillomavirus Vaccines, Genital Warts, Cervical Cancer

Eligibility Criteria

16 Years - 26 Years (Child, Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy female 16-26 years of age
  • 16-17 years old subjects and their guardians able to provide legal identification; 18-26 years old subjects able to provide their legal identification;
  • Able to understand (not illiterate) and sign the informed consent;
  • Able to make a decision to participate in the clinical trial and the subject agrees to participate in the clinical trial;
  • Women of child-bearing age (WOCBA): subjects must have a negative urine pregnancy test result, have used effective contraceptive measures within 2 weeks before enrollment, have no pregnancy plans, and agree to use adequate contraceptive precautions from enrollment to the 7th month (one month after full immunization).

Exclusion Criteria:

  • Abnormal cervical cancer screen test results (ASC-US or worse), history of HPV infection, history of abnormal cervical biopsy results, or history of genital warts;
  • Subjects with severe congenital malformations or that cause serious organ damage, developmental disorders, genetic defects, or severe malnutrition;
  • Subjects have received a marketed HPV vaccine or participated in an HPV vaccine clinical trial, or participated in clinical trials of other vaccines within the past 6 months;
  • Fever prior to vaccination (axillary body temperature ≥37.3℃);
  • History of severe allergic reaction that required medical intervention (such as swelling of the mouth and throat, dyspnea, hypotension or shock, etc.);
  • History of allergic to vaccine, or to any ingredient of vaccine (Aluminum phosphate adjuvant, sodium chloride, histidine, polysorbate 80),or history of severe adverse reaction
  • History of epilepsy, psychosis, major depression requiring medication, seizures, convulsions, or family history of mental illness
  • Subjects are immunocompromised or have been diagnosed as suffering from congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia, systemic lupus erythematosus (SLE), rheumatoid arthritis, juvenile rheumatoid arthritis inflammation (JRA), inflammatory bowel disease or other autoimmune diseases, administration of immunosuppressants with six months prior to the first vaccine dose
  • History of asthma, thyroidectomy, angioedema, severe liver, kidney, or cardiovascular disease, diabetes mellitus that can not be controlled by stable doses of insulin, or malignancy;
  • Asplenia, functional asplenia, or any circumstances result of asplenia or splenectomy;
  • Medical diagnosis of coagulation abnormalities (eg, clotting factor deficiency, coagulation disorders, platelet anomaly) or obvious bruising or coagulation disorder
  • Acute diseases or acute stage of chronic diseases or use of antipyretic, analgesic drugs (eg: acetaminophen, ibuprofen, aspirin, etc.) and anti-allergic drugs (such as: loratadine, cetirizine, etc.) within 3 days preceding the vaccination;
  • Untreated/uncontrolled hypertension before vaccination (16-17 years of age > 120 mmHg and / or diastolic blood pressure > 80 mmHg; 18-26 years of age with physical examination systolic blood pressure ≥140 mmHg and / or diastolic blood pressure ≥90 mmHg);
  • Subjects who received whole blood, plasma, or immunoglobulin therapy within 3 months prior to vaccination;
  • Received live attenuated vaccine within 28 days prior to vaccination;
  • Received subunits or inactivated vaccines within 14 days prior to vaccination;
  • Breastfeeding or pregnant, or within 6 weeks after the end of pregnancy;
  • According to the judgment of the investigator, subjects who have any other factors that are not suitable for participating in this clinical trial.

Sites / Locations

  • GuangXi Center for Diseases Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Zerun HPV-9

GARDASIL®9

Arm Description

Subjects receive 3 doses of Zerun HPV-9 vaccine

Subjects receive 3 doses of GARDASIL®9

Outcomes

Primary Outcome Measures

Geometric Mean Titers (GMT) of HPV neutralizing antibodies
HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58 neutralizing antibodies GMT
Seroconversion Percentages to HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58
Seroconversion is defined as a participant in PPS who was anti-HPV seronegative at Day 0 (before vaccination) and became seropositive 30days after the third dose (Month 7).

Secondary Outcome Measures

Percentage of subjects reporting solicited local symptoms
Solicited local symptoms assessed including pain, redness, swelling, induration and pruritus.
Percentage of subjects reporting solicited general symptoms
Solicited general symptoms assessed including fever, headache, fatigue, nausea, diarrhea, vomiting, myalgia, allergic reaction
Percentage of subjects reporting unsolicited adverse events (AEs)
An unsolicited adverse event is defined as any adverse event (AE) reported in addition to those solicited during the clinical study.
Percentage of subjects reporting serious adverse events (SAEs)
Serious adverse events are defined as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

Full Information

First Posted
October 11, 2022
Last Updated
October 26, 2022
Sponsor
Shanghai Zerun Biotechnology Co.,Ltd
Collaborators
Walvax Biotechnology Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05580341
Brief Title
Phase III Study Comparing the Immunogenicity of 9-valent HPV Recombinant Vaccine and Gardasil-9
Official Title
A Phase III, Randomized, Blinded, Positive-controlled Study to Compare the Immunogenicity of Zerun 9-valent Human Papillomarivus (Types 6, 11, 16, 18, 31, 33, 45, 52 and 58) Recombinant Vaccine (Pichia Pastoris) in Healthy Female Subjects Aged 16-26 Years.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 1, 2022 (Actual)
Primary Completion Date
June 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Zerun Biotechnology Co.,Ltd
Collaborators
Walvax Biotechnology 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 study will evaluate the immunogenicity and safety of Zerun 9-valent HPV recombinant vaccine in healthy female 16-26 years of age by comparing with GARDASIL®9.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer, Genital Wart, CIN, VIN, Papillomavirus Infections
Keywords
Human Papillomavirus, Papillomavirus Vaccines, Genital Warts, Cervical Cancer

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Zerun HPV-9
Arm Type
Experimental
Arm Description
Subjects receive 3 doses of Zerun HPV-9 vaccine
Arm Title
GARDASIL®9
Arm Type
Active Comparator
Arm Description
Subjects receive 3 doses of GARDASIL®9
Intervention Type
Biological
Intervention Name(s)
Zerun HPV-9
Intervention Description
Zerun 9-valent Human Papillomarivus (Types 6, 11, 16, 18, 31, 33, 45, 52 and 58) Recombinant Vaccine (Pichia Pastoris), 0.5mL, three doses, 0,2,6 months
Intervention Type
Biological
Intervention Name(s)
GARDASIL ®9
Intervention Description
GARDASIL®9 vaccine, 0.5mL, three doses, 0,2,6 months
Primary Outcome Measure Information:
Title
Geometric Mean Titers (GMT) of HPV neutralizing antibodies
Description
HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58 neutralizing antibodies GMT
Time Frame
30 days postdose 3 (Month 7)
Title
Seroconversion Percentages to HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58
Description
Seroconversion is defined as a participant in PPS who was anti-HPV seronegative at Day 0 (before vaccination) and became seropositive 30days after the third dose (Month 7).
Time Frame
30 days postdose 3 (Month 7)
Secondary Outcome Measure Information:
Title
Percentage of subjects reporting solicited local symptoms
Description
Solicited local symptoms assessed including pain, redness, swelling, induration and pruritus.
Time Frame
0-7 days after each dose
Title
Percentage of subjects reporting solicited general symptoms
Description
Solicited general symptoms assessed including fever, headache, fatigue, nausea, diarrhea, vomiting, myalgia, allergic reaction
Time Frame
0-7 days after each dose
Title
Percentage of subjects reporting unsolicited adverse events (AEs)
Description
An unsolicited adverse event is defined as any adverse event (AE) reported in addition to those solicited during the clinical study.
Time Frame
0-30 days after each dose
Title
Percentage of subjects reporting serious adverse events (SAEs)
Description
Serious adverse events are defined as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.
Time Frame
Month 0 to Month 12

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
26 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy female 16-26 years of age 16-17 years old subjects and their guardians able to provide legal identification; 18-26 years old subjects able to provide their legal identification; Able to understand (not illiterate) and sign the informed consent; Able to make a decision to participate in the clinical trial and the subject agrees to participate in the clinical trial; Women of child-bearing age (WOCBA): subjects must have a negative urine pregnancy test result, have used effective contraceptive measures within 2 weeks before enrollment, have no pregnancy plans, and agree to use adequate contraceptive precautions from enrollment to the 7th month (one month after full immunization). Exclusion Criteria: Abnormal cervical cancer screen test results (ASC-US or worse), history of HPV infection, history of abnormal cervical biopsy results, or history of genital warts; Subjects with severe congenital malformations or that cause serious organ damage, developmental disorders, genetic defects, or severe malnutrition; Subjects have received a marketed HPV vaccine or participated in an HPV vaccine clinical trial, or participated in clinical trials of other vaccines within the past 6 months; Fever prior to vaccination (axillary body temperature ≥37.3℃); History of severe allergic reaction that required medical intervention (such as swelling of the mouth and throat, dyspnea, hypotension or shock, etc.); History of allergic to vaccine, or to any ingredient of vaccine (Aluminum phosphate adjuvant, sodium chloride, histidine, polysorbate 80),or history of severe adverse reaction History of epilepsy, psychosis, major depression requiring medication, seizures, convulsions, or family history of mental illness Subjects are immunocompromised or have been diagnosed as suffering from congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia, systemic lupus erythematosus (SLE), rheumatoid arthritis, juvenile rheumatoid arthritis inflammation (JRA), inflammatory bowel disease or other autoimmune diseases, administration of immunosuppressants with six months prior to the first vaccine dose History of asthma, thyroidectomy, angioedema, severe liver, kidney, or cardiovascular disease, diabetes mellitus that can not be controlled by stable doses of insulin, or malignancy; Asplenia, functional asplenia, or any circumstances result of asplenia or splenectomy; Medical diagnosis of coagulation abnormalities (eg, clotting factor deficiency, coagulation disorders, platelet anomaly) or obvious bruising or coagulation disorder Acute diseases or acute stage of chronic diseases or use of antipyretic, analgesic drugs (eg: acetaminophen, ibuprofen, aspirin, etc.) and anti-allergic drugs (such as: loratadine, cetirizine, etc.) within 3 days preceding the vaccination; Untreated/uncontrolled hypertension before vaccination (16-17 years of age > 120 mmHg and / or diastolic blood pressure > 80 mmHg; 18-26 years of age with physical examination systolic blood pressure ≥140 mmHg and / or diastolic blood pressure ≥90 mmHg); Subjects who received whole blood, plasma, or immunoglobulin therapy within 3 months prior to vaccination; Received live attenuated vaccine within 28 days prior to vaccination; Received subunits or inactivated vaccines within 14 days prior to vaccination; Breastfeeding or pregnant, or within 6 weeks after the end of pregnancy; According to the judgment of the investigator, subjects who have any other factors that are not suitable for participating in this clinical trial.
Facility Information:
Facility Name
GuangXi Center for Diseases Control and Prevention
City
Nanning
State/Province
Guangxi
Country
China

12. IPD Sharing Statement

Learn more about this trial

Phase III Study Comparing the Immunogenicity of 9-valent HPV Recombinant Vaccine and Gardasil-9

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