Cervical Intraepithelial NeoplasiaPhase 3NCT01735006
Efficacy and Immunogenicity Study of Recombinant Human Papillomavirus Bivalent(Type 16/18 )Vaccine
A Phase 3 study testing HPV Vaccine and HEV vaccine in people with Cervical Intraepithelial Neoplasia and Cervical Cancer, run by Xiamen University at 1 site in China.
Trial summary
This is a Phase III clinical trial of the novel recombinant HPV 16/18 bivalent vaccine manufactured by Xiamen Innovax Biotech CO., LTD. The primary objective of this study is to demonstrate the efficacy of the vaccine against relevant outcomes in healthy women above 18 years old at enrolment. Read more about this study
- Who is it for?
- Ages 18 to 45 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Cervical Intraepithelial Neoplasia, Cervical Cancer, Vaginal Intraepithelial Neoplasia
- What is being tested?
- HPV Vaccine and HEV vaccine
- Type of treatment
- Vaccines
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 7,372 participants
- Where
- 1 siteChina
- Study dates
- 22 Nov 2012to 18 Oct 2019
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 subjects between, and including, 18 and 45 years of age at the first vaccination;
- Healthy subjects as established by medical history and history-oriented clinical examination;
- Be able to understand and comply with the request of the protocol;
- Without acute cervicitis;
- Not pregnant;
- Have intact cervix.
Who cannot join
- Use of any investigational or non-registered product (drug or vaccine)within 30 days preceding the first vaccination, or plan to use during the study period;
- Are using immunosuppressants;
- Administration of immunoglobulin and/or any blood products within the three months preceding the first vaccination or planned administration during the study period;
- Vaccinated of inactivated vaccine 14 days or attenuated vaccine 21 days before the enrollment;
- Fever;
- Concurrently participating another clinical trial;
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- Has received vaccines against HPV 16/18 ;
- Immunodeficient;
- History of allergic disease;
- Serious medical disorders;
- Blood coagulation disorders;
- Epilepsy;
- Unable to comply with protocol due to the mental illness;
- Visible Condyloma;
- Pregnant or breast-feeding women;
- vergins;
- Have more than 4 sexual partners.
Trial locations and contacts
1 site in 1 country.
China1 site
Cancer Institute & Hospital Chinese Academy of Medical Sciences
Beijing, 100021
About this study
Official title: A Phase III Multicenter, Randomized, Double-Blind, Placebo(Hepatitis E Vaccine)Controlled Study to Evaluate the Efficacy, Immunogenicity and Safety of a Recombinant(E.Coli)Human Papillomavirus Bivalent Vaccine in Healthy Women
This is a Phase III clinical trial of the novel recombinant HPV 16/18 bivalent vaccine manufactured by Xiamen Innovax Biotech CO., LTD. The primary objective of this study is to demonstrate the efficacy of the vaccine against relevant outcomes in healthy women above 18 years old at enrolment. The secondary objectives are to evaluate the safety, immunogenicity and immuno-persistence of the vaccine. Meanwhile, this study tries to compare the difference of safety and immunogenicity among different lots. Approximately 6000 study subjects will be enrolled and randomly stratified into 2 groups and receive human papillomavirus (HPV) vaccine(three different lots) or commercialized hepatitis E vaccine(Hecolin) according to a 0-1-6 month schedule.
- Conditions
- Cervical Intraepithelial Neoplasia, Cervical Cancer, Vaginal Intraepithelial Neoplasia, Vulvar Intraepithelial Neoplasia, Persistent Infection
- Being tested
- HPV Vaccine, HEV vaccine
- Keywords
- Human Papillomavirus 16, Human Papillomavirus 18, vaccine, Cervical Intraepithelial Neoplasia, cervical Cancer, Vaginal intraepithelial neoplasia, Vulvar intraepithelial neoplasia
- Medical subject headings
- Uterine Cervical Dysplasia, Uterine Cervical Neoplasms, Persistent Infection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HPV VaccineBiological
3 doses at month 0,1 and 6
HEV vaccineBiological
Also called Hecolin
3 doses at month 0,1 and 6
| Study group | Role | What they receive |
|---|---|---|
| HPV vaccine | Experimental | This dosage contains 40μg HPV 16 virus-like particle antigen and 20μg HPV 18 virus-like particle antigen adsorbed in alum-adjuvant Receives: Biological: HPV Vaccine |
| HEV vaccine | Placebo comparator | commercialized HEV vaccine which contains 30μg HEV antigen adsorbed in alum-adjuvant Receives: Biological: HEV vaccine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects With Histopathologically-confirmed CIN2+ and/or VIN2+ and/or VaIN2+ Associated With HPV-16 and/or -18 Cervical Infection
Measured: expected 5-6 years
Number of Subjects With HPV-16 and/or -18 persistent cervical infection(6-month+ definition)
Measured: expected 2-3 years
Secondary outcomes (7)
Number of Subjects Reporting Solicited Local and General Symptoms
Measured: Within 7 days after each vaccination
Number of Subjects Reporting Unsolicited Adverse Events
Measured: Month 7
Number of Subjects Reporting Serious Adverse Events (SAEs)
Measured: expected 5-6 years
number of subjects with persistent cervical infection (12-month+ definition)associated with HPV-16 and/or HPV-18
Measured: expected 5-6 years
number of subjects Histopathologically-confirmed CIN1+ and/or VIN1+ and/or VaIN1+ associated with HPV-16 and/or -18 cervical infection
Measured: expected 5-6 years
number of subjects with incidence infection associated with HPV-16 and/or HPV-18
Measured: expected 2-3 years
Anti-HPV16 and anti-HPV18 seroconversion rates and geometric mean concentrations at Months 7
Measured: month 7
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Nov 2012 (estimated)
- Study start22 Nov 2012
- Primary completion1 Aug 2019
- Study completion18 Oct 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Cervical Intraepithelial NeoplasiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 7,372 participants (actual)
Sponsor and investigators
- Lead sponsor
- Xiamen University
- Sponsor type
- University, hospital or other
- Collaborators
- Xiamen Innovax Biotech Co., Ltd, Beijing Wantai Biological Pharmacy Enterprise Co., Ltd., Ministry of Science and Technology of the People´s Republic of China
- Responsible party
- Principal investigator, Jun Zhang, Xiamen University
- Investigators
- Jun Zhang, Master, Study chair, Xiamen UniversityYoulin Qiao, Ph.D, Principal investigator, Cancer Institute and Hospital, Chinese Academy of Medical SciencesTing Wu, Ph. D, Study director, Xiamen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01735006
- Sponsor's protocol ID
- HPV-PRO-003
- Status last verified
- Feb 2020
- First submitted
- 18 Nov 2012
- Last updated
- 24 Feb 2020
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Quan J, Chen Q, Lan L, Zhang B, Hu Y, Zhao F, Wang X, Wang X, Huang J, Zhong G, Bi Z, Su Y, Huang S, Wei L, Zhao F, Zhang J, Wu T, Xia N. Type- and age-specific natural history of high-risk human papillomavirus infections in healthy women: A prospective cohort study in China. Int J Cancer. 2026 May 15;158(10):2736-2746. doi: 10.1002/ijc.70337. Epub 2026 Jan 16.
PubMed 41544035Liao M, Quan J, Zhu K, Hu X, Shen S, Xu J, Nie C, Xu W, Jiang H, Wu X, Zhong Y, Peng Y, Cai S, Chen J, Zhang C, Lin B, Su Y, Huang S, Chen Q, Wu T, Zhang J, Xia N. Immunopersistence of one or two doses of an Escherichia coli produced bivalent HPV vaccine. NPJ Vaccines. 2025 Dec 17;11(1):16. doi: 10.1038/s41541-025-01335-2.
PubMed 41407728Chen Q, Yao X, Quan J, Jia X, Li Y, Zhu K, Hu X, Huang X, Zhong G, Qiu L, Bi Z, Liao M, Chen L, Kuang X, Wang Z, Hu S, Zhuang C, Huang S, Wei L, Chen W, Su Y, Zhao F, Wu T, Qiao Y, Zhang J, Xia N. The variations in the natural history of high-risk human papillomavirus infections in Chinese healthy women aged 27-45 years compared with 18-26 years: A prospective cohort study. Int J Cancer. 2025 Mar 1;156(5):1043-1054. doi: 10.1002/ijc.35290. Epub 2024 Dec 13.
PubMed 39670565Zhao FH, Wu T, Hu YM, Wei LH, Li MQ, Huang WJ, Chen W, Huang SJ, Pan QJ, Zhang X, Hong Y, Zhao C, Li Q, Chu K, Jiang YF, Li MZ, Tang J, Li CH, Guo DP, Ke LD, Wu X, Yao XM, Nie JH, Lin BZ, Zhao YQ, Guo M, Zhao J, Zheng FZ, Xu XQ, Su YY, Zhang QF, Sun G, Zhu FC, Li SW, Li YM, Pan HR, Zhang J, Qiao YL, Xia NS. Efficacy, safety, and immunogenicity of an Escherichia coli-produced Human Papillomavirus (16 and 18) L1 virus-like-particle vaccine: end-of-study analysis of a phase 3, double-blind, randomised, controlled trial. Lancet Infect Dis. 2022 Dec;22(12):1756-1768. doi: 10.1016/S1473-3099(22)00435-2. Epub 2022 Aug 26.
PubMed 36037823
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Multicenter, Randomized, Double-Blind, Placebo(Hepatitis E Vaccine)Controlled Study to Evaluate the Efficacy, Immunogenicity and Safety of a Recombinant(E.Coli)Human Papillomavirus Bivalent Vaccine in Healthy Women
- ClinicalTrials.gov ID
- NCT01735006
- Acronym / sponsor ID
- HPV-PRO-003
- Conditions
- Cervical Intraepithelial Neoplasia, Cervical Cancer, Vaginal Intraepithelial Neoplasia, Vulvar Intraepithelial Neoplasia, Persistent Infection
- Keywords
- Human Papillomavirus 16, Human Papillomavirus 18, vaccine, Cervical Intraepithelial Neoplasia, cervical Cancer, Vaginal intraepithelial neoplasia, Vulvar intraepithelial neoplasia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 7,372 participants (actual)
- Lead sponsor
- Xiamen UniversityUniversity, hospital or other
- Collaborators
- Xiamen Innovax Biotech Co., Ltd, Beijing Wantai Biological Pharmacy Enterprise Co., Ltd., Ministry of Science and Technology of the People´s Republic of China
- Study start
- 22 Nov 2012 (actual)
- Primary completion
- 1 Aug 2019 (actual)
- Study completion
- 18 Oct 2019 (actual)
- First posted
- 28 Nov 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase III clinical trial of the novel recombinant HPV 16/18 bivalent vaccine manufactured by Xiamen Innovax Biotech CO., LTD. The primary objective of this study is to demonstrate the efficacy of the vaccine against relevant outcomes in healthy women above 18 years old at enrolment. The secondary objectives are to evaluate the safety, immunogenicity and immuno-persistence of the vaccine. Meanwhile, this study tries to compare the difference of safety and immunogenicity among different lots. Approximately 6000 study subjects will be enrolled and randomly stratified into 2 groups and receive human papillomavirus (HPV) vaccine(three different lots) or commercialized hepatitis E vaccine(Hecolin) according to a 0-1-6 month schedule.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| HPV vaccine | Experimental | Biological: HPV VaccineThis dosage contains 40μg HPV 16 virus-like particle antigen and 20μg HPV 18 virus-like particle antigen adsorbed in alum-adjuvant |
| HEV vaccine | Placebo comparator | Biological: HEV vaccinecommercialized HEV vaccine which contains 30μg HEV antigen adsorbed in alum-adjuvant |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Female subjects between, and including, 18 and 45 years of age at the first vaccination;
- Healthy subjects as established by medical history and history-oriented clinical examination;
- Be able to understand and comply with the request of the protocol;
- Without acute cervicitis;
- Not pregnant;
Key exclusion criteria (17 listed)
- Use of any investigational or non-registered product (drug or vaccine)within 30 days preceding the first vaccination, or plan to use during the study period;
- Are using immunosuppressants;
- Administration of immunoglobulin and/or any blood products within the three months preceding the first vaccination or planned administration during the study period;
- Vaccinated of inactivated vaccine 14 days or attenuated vaccine 21 days before the enrollment;
- Fever;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| HPV Vaccine3 doses at month 0,1 and 6 | Biological | HPV vaccine |
| HEV vaccineAlso: Hecolin3 doses at month 0,1 and 6 | Biological | HEV vaccine |
Primary outcome
Number of Subjects With Histopathologically-confirmed CIN2+ and/or VIN2+ and/or VaIN2+ Associated With HPV-16 and/or -18 Cervical Infection
Time frame: expected 5-6 years
Number of Subjects With HPV-16 and/or -18 persistent cervical infection(6-month+ definition)
Time frame: expected 2-3 years
7 secondary outcomes
Number of Subjects Reporting Solicited Local and General Symptoms
Time frame: Within 7 days after each vaccination
Number of Subjects Reporting Unsolicited Adverse Events
Time frame: Month 7
Number of Subjects Reporting Serious Adverse Events (SAEs)
Time frame: expected 5-6 years
number of subjects with persistent cervical infection (12-month+ definition)associated with HPV-16 and/or HPV-18
Time frame: expected 5-6 years
number of subjects Histopathologically-confirmed CIN1+ and/or VIN1+ and/or VaIN1+ associated with HPV-16 and/or -18 cervical infection
Time frame: expected 5-6 years
number of subjects with incidence infection associated with HPV-16 and/or HPV-18
Time frame: expected 2-3 years
Anti-HPV16 and anti-HPV18 seroconversion rates and geometric mean concentrations at Months 7
Time frame: month 7
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2020.
- Derived from this study: PubMed 41544035Quan J, Chen Q, Lan L, Zhang B, Hu Y, Zhao F, Wang X, Wang X, Huang J, Zhong G, Bi Z, Su Y, Huang S, Wei L, Zhao F, Zhang J, Wu T, Xia N. Type- and age-specific natural history of high-risk human papillomavirus infections in healthy women: A prospective cohort study in China. Int J Cancer. 2026 May 15;158(10):2736-2746. doi: 10.1002/ijc.70337. Epub 2026 Jan 16.
- Derived from this study: PubMed 41407728Liao M, Quan J, Zhu K, Hu X, Shen S, Xu J, Nie C, Xu W, Jiang H, Wu X, Zhong Y, Peng Y, Cai S, Chen J, Zhang C, Lin B, Su Y, Huang S, Chen Q, Wu T, Zhang J, Xia N. Immunopersistence of one or two doses of an Escherichia coli produced bivalent HPV vaccine. NPJ Vaccines. 2025 Dec 17;11(1):16. doi: 10.1038/s41541-025-01335-2.
- Derived from this study: PubMed 39670565Chen Q, Yao X, Quan J, Jia X, Li Y, Zhu K, Hu X, Huang X, Zhong G, Qiu L, Bi Z, Liao M, Chen L, Kuang X, Wang Z, Hu S, Zhuang C, Huang S, Wei L, Chen W, Su Y, Zhao F, Wu T, Qiao Y, Zhang J, Xia N. The variations in the natural history of high-risk human papillomavirus infections in Chinese healthy women aged 27-45 years compared with 18-26 years: A prospective cohort study. Int J Cancer. 2025 Mar 1;156(5):1043-1054. doi: 10.1002/ijc.35290. Epub 2024 Dec 13.
- Derived from this study: PubMed 36037823Zhao FH, Wu T, Hu YM, Wei LH, Li MQ, Huang WJ, Chen W, Huang SJ, Pan QJ, Zhang X, Hong Y, Zhao C, Li Q, Chu K, Jiang YF, Li MZ, Tang J, Li CH, Guo DP, Ke LD, Wu X, Yao XM, Nie JH, Lin BZ, Zhao YQ, Guo M, Zhao J, Zheng FZ, Xu XQ, Su YY, Zhang QF, Sun G, Zhu FC, Li SW, Li YM, Pan HR, Zhang J, Qiao YL, Xia NS. Efficacy, safety, and immunogenicity of an Escherichia coli-produced Human Papillomavirus (16 and 18) L1 virus-like-particle vaccine: end-of-study analysis of a phase 3, double-blind, randomised, controlled trial. Lancet Infect Dis. 2022 Dec;22(12):1756-1768. doi: 10.1016/S1473-3099(22)00435-2. Epub 2022 Aug 26.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jun Zhang, Master study chair
Xiamen University
Youlin Qiao, Ph.D principal investigator
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Ting Wu, Ph. D study director
Xiamen University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing HPV Vaccine and HEV vaccine in people with Cervical Intraepithelial Neoplasia and Cervical Cancer, run by Xiamen University at 1 site 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 6 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: finished, as of the sponsor's last update on 24 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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. Some participants in this study may receive a placebo. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Number of Subjects With Histopathologically-confirmed CIN2+ and/or VIN2+ and/or VaIN2+ Associated With HPV-16 and/or -18 Cervical Infection (time frame: expected 5-6 years). The study lists 2 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 NCT01735006, which also lists 4 linked publications.
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 24 Feb 2020.