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Active, Not Recruiting

NCT Number: NCT04537156

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

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.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Nonavalent HPV vaccine

Biological

Nonavalent HPV vaccine (270μg/0.5ml) administered intramuscularly according to a 0, 1, 6 month vaccination schedule.

Bivalent HPV vaccine

Biological

Bivalent HPV vaccine (60μg/0.5ml) administered intramuscularly according to a 0, 1, 6 month vaccination schedule.

Primary outcomes

  1. 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

    Time frame: Specific neutralizing antibodies at 7 months after first dose

    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

  2. Persistent infection of HPV31, 33, 45, 52 and 58 (over 12 months) (Combined analysis of the 5 types) in the mITT-PI set

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  3. 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

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

Secondary outcomes

  1. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  2. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  3. Efficacy3: Incidence of Persistent infection of HPV31, 33, 45, 52 and 58 (transient infection and over 6 months) (Combined analysis of the 5 types)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  4. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  5. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  6. Efficacy6: Incidence of genital warts related to HPV 6, 11

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  7. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  8. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  9. Immunogenicity1: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 seroconversion rates and geometric mean concentrations at Months 7

    Time frame: Month 7 after first vaccination

    Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.

  10. Immunogenicity2: Anti-HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 seroconversion rates and geometric mean concentrations at Months 18 and 30

    Time frame: Month 18 and 30 after first vaccination

    Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.

  11. 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

    Time frame: Month 42, 54, 66 and 78 after first vaccination

    Analysis the seroconversion and geometric mean concertration of the type specific antibodies of the 7 types.

  12. Safety1: Local and systematic adverse events/reactions occurred within 7 days after each vaccination

    Time frame: During the 7-day (Day 0-6) period following each vaccination

    safety analysis

  13. Safety2: Adverse events/reactions occurred within 30 days after each vaccination

    Time frame: Within 30 days (Day 0-30) after any vaccination

    safety analysis

  14. Safety3: Serious adverse events occurred throughout the study

    Time frame: Up to 78 month

    safety analysis. To evaluate number of SAEs compared with the control vaccine.

  15. Safety4: Pregnancy and pregnancy outcome

    Time frame: Up to 78 month

    safety analysis. To evaluate number of births and terminations compared with the control vaccine.

  16. Safety5: New-onset acute and chronic diseases (especially autoimmune diseases)

    Time frame: Up to 78 month

    safety analysis.To evaluate number of new-onset acute and chronic diseases (especially new-onset autoimmune diseases) throughout the study.

Other outcomes

  1. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  2. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

  3. 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)

    Time frame: Cumulative incidence of this endpoint events in 78 months after the first dose

    To evaluate the efficacy of the nine-valent vaccine against this outcome compared with the control vaccine

Sponsors and collaborators

Lead sponsor

Xiamen University

Other

Collaborators

  • Beijing Wantai Biological Pharmacy Enterprise Co., Ltd.
  • Xiamen Innovax Biotech Co., Ltd

Registry information

Official study 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

Important dates

Study start
2020
Primary completion
2027
Study completion
2027
First posted
Sep 3, 2020
Registry last updated
Nov 21, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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