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Cervical Intraepithelial NeoplasiaPhase 3NCT04537156

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

A Phase 3 study testing Nonavalent HPV vaccine and Bivalent HPV vaccine in people with Cervical Intraepithelial Neoplasia and Cervical Cancer, run by Xiamen University at 2 sites in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 to 45 years, women onlyHealthy volunteers can take part
What is being tested?
Nonavalent HPV vaccine and Bivalent HPV vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9,327 participants
Where
2 sitesChina
Study dates
5 Sep 2020to 31 Dec 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 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.

Who cannot join

  • 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.
Show all 17Show fewer
  • 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.

Trial locations and contacts

2 sites in 1 country.

China2 sites
  • Sichuan Provincial Centre for Disease Control and Prevention

    Chengdu, Sichuan, 610041

  • Jiangsu Provincial Centre for Disease Control and Prevention

    Nanjing, Jiangsu, 210009

Other trials in China

About this study

Official 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

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.

Being tested
Nonavalent HPV vaccine, Bivalent HPV vaccine
Keywords
human papillomavirus vaccine, cervical cancer, cervical intraepithelial neoplasia, condylomata acuminata
Medical subject headings
Uterine Cervical Dysplasia, Uterine Cervical Neoplasms, Condylomata Acuminata

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nonavalent HPV vaccineBiological

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

  • Bivalent HPV vaccineBiological

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

Study groups in NCT04537156
Study groupRoleWhat they receive
HPV vaccine (6,11,16,18,31,33,45,52,58 Types)ExperimentalParticipants in this arm would receive 270μg/0.5ml HPV vaccines (6,11,16,18,31,33,45,52,58 Types).
Receives: Biological: Nonavalent HPV vaccine
HPV vaccine (16,18 Types)Active comparatorParticipants in this arm would receive 60μg/0.5ml HPV vaccines (16,18 Types).
Receives: Biological: Bivalent HPV vaccine

What is being measured

The primary outcome is the main question the study is designed to answer.

  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

    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

    Measured: Specific neutralizing antibodies at 7 months after first dose

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

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

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

  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

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

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

Secondary outcomes (16)
  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)

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

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

  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)

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

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

  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)

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

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

  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)

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

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

  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)

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

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

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

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

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

  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)

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

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

  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)

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

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

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

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

    Measured: Month 7 after first vaccination

  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

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

    Measured: Month 18 and 30 after first vaccination

  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

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

    Measured: Month 42, 54, 66 and 78 after first vaccination

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

    safety analysis

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

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

    safety analysis

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

  14. Safety3: Serious adverse events occurred throughout the study

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

    Measured: Up to 78 month

  15. Safety4: Pregnancy and pregnancy outcome

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

    Measured: Up to 78 month

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

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

    Measured: Up to 78 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Sep 2020
  2. Study start5 Sep 2020
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
9,327 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04537156
Sponsor's protocol ID
HPV-PRO-009
Status last verified
Feb 2025
First submitted
19 Aug 2020
Last updated
21 Nov 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Pan HX, Bi ZF, Jing YL, Hu SY, Zhang L, Zhu KX, Chu K, Hong Y, Chang SF, Pan QJ, Zhang X, Xu JB, Tang J, Yuan DY, Jiang H, Du C, Sun G, Zhong GH, Chen Q, Wei LH, Qiao YL, Li SW, Su YY, Zhang QF, Huang SJ, Zhao FH, Huang WJ, Wu T, Zhang J, Xia NS. Efficacy, safety, and immunogenicity of an Escherichia coli-produced nine-valent human papillomavirus vaccine: a multicentre, double-blind, randomised, controlled, phase 3 trial. Lancet Infect Dis. 2026 Jun 30:S1473-3099(26)00221-5. doi: 10.1016/S1473-3099(26)00221-5. Online ahead of print.

    PubMed 42379209

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nonavalent HPV vaccine and Bivalent HPV vaccine in people with Cervical Intraepithelial Neoplasia and Cervical Cancer, run by Xiamen University at 2 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 21 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

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). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04537156, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Nov 2025.

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