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Hand, Foot and Mouth DiseasePhase 1/2NCT06063057

Inactivated Bivalent Enterovirus Vaccine (Vero Cell) Phase I/II Clinical Trial

A Phase 1/2 study testing low dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated, medium dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated and high dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated in people with Hand, Foot and Mouth Disease and Herpangina, run by Sinovac Biotech Co., Ltd at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The Phase I clinical trial is divided into two parts. The first part uses an open-label design, while the second part uses a randomized, double-blind, and controlled design. The goal of this clinical trial is to evaluate the tolerability and safety of a bivalent (EV71/CA16, Enterovirus 71/Coxsackievirus A16)… Read more about this study

Who is it for?
Ages 6 months to 59 yearsHealthy volunteers can take part
Conditions the study is for
Hand, Foot and Mouth Disease, Herpangina
What is being tested?
low dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated, medium dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated and high dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
744 participants
Where
1 siteChina
Study dates
20 Sep 2023to 10 Mar 2026
Phase
Phase 1/2
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 6 months to 59 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Healthy participants aged 18-59 years, 6-12 years, and 6-71 months.
  • Participants and/or their guardians can understand and voluntarily sign the informed consent form (participants aged 8-12 years require dual signatures from both participants and their guardians).
  • Willing and able to comply with all visit schedules, sample collection, vaccine administration, and other trial procedures.
  • Provide legal identification of the participants and/or their guardians.

Who cannot join

  • History of hand, foot, and mouth disease or EV71 vaccination.
  • Known severe allergy to the vaccine or vaccine components, such as urticaria, respiratory distress, and angioedema.
  • Congenital abnormalities or developmental disorders, genetic defects (such as Down syndrome, thalassemia, or G6PD deficiency), severe malnutrition, etc.
  • Based on medical history and physical examination, the presence of severe chronic diseases, severe cardiovascular diseases, uncontrolled hypertension or diabetes, liver or kidney diseases, etc.
  • Based on medical history and physical examination, the presence of autoimmune diseases, immunodeficiency diseases, and/or blood diseases (including but not limited to systemic lupus erythematosus, ankylosing spondylitis, thyroidectomy, autoimmune thyroid disease, any form of malignancy, asplenia, functional asplenia).
  • Based on medical history and physical examination, abnormal coagulation function (such as coagulation factor deficiency, coagulation disorders, platelet abnormalities) or obvious bruising or bleeding disorders.
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  • Based on medical history and physical examination, the presence of severe neurological diseases (epilepsy, convulsions, or seizures), mental illness, or corresponding family history.
  • Long-term use (more than 14 days) of corticosteroids or other immunosuppressive agents (excluding corticosteroid sprays for allergic rhinitis and surface corticosteroid treatment for acute non-complicated dermatitis) or cytotoxic therapy or planning to receive such treatment during the trial.
  • History of long-term alcohol abuse or drug abuse.
  • Females who are breastfeeding, pregnant, or planning to become pregnant within 90 days, or females with positive pregnancy test results. Note: male participants whose spouse plans to become pregnant within 90 days are also included.
  • Received immunoglobulin and/or other blood products in the past 3 months or planning to receive such treatment during the trial.
  • Received other investigational drugs or vaccines within the past 30 days or planning to receive such drugs or vaccines during the trial.
  • Vaccinated with attenuated live vaccines within the past 14 days or subunit or inactivated vaccines within the past 7 days.
  • Suspected or confirmed fever within 72 hours before vaccination or axillary temperature >37.0℃ on the day of vaccination.
  • Clinical laboratory testing shows laboratory abnormalities beyond the reference range and with clinical significance (applicable only to Phase I clinical trials for adults/6-12-year-old children/24-71-month-old children):
  • Complete blood count: white blood cell count, hemoglobin, platelet count.B. Blood biochemistry: alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL), creatinine (CR), fasting blood glucose (Glu).C. Urine routine: urine protein (PRO).
  • Any acute illness (with or without fever) or exacerbation of chronic illness within the past 7 days.
  • According to the investigator's judgment, there are any other factors that make the participant unsuitable for participation in the clinical trial.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Dayao County Center for Disease Control and Prevention

    Chuxiong, Yunnan

Other trials in China

About this study

Official title: Inactivated Bivalent Enterovirus Vaccine Phase I/II Clinical Trial: Open-Label Observation in Healthy Adults and Children, and Randomized, Double-Blind, Controlled Clinical Trial in Children

The Phase I clinical trial is divided into two parts. The first part uses an open-label design, while the second part uses a randomized, double-blind, and controlled design. The goal of this clinical trial is to evaluate the tolerability and safety of a bivalent (EV71/CA16, Enterovirus 71/Coxsackievirus A16) inactivated enterovirus vaccine (Vero cell) developed by Sinovac. The vaccine will be administered to healthy adults, children aged 6 to 12 years, and children aged 6 to 71 months.

The Phase II clinical trial will also use a randomized, double-blind, and controlled design to evaluate the safety and immunogenicity of the same bivalent inactivated enterovirus vaccine (Vero cell) developed by Sinovac. This trial will involve healthy children aged 6 to 71 months.

Read the detailed description

For phase I clinical trial:

The first part of the trial plans to recruit thirty-six healthy adults aged 18-59 years and thirty-six children aged 6-12 years, with twelve participants in each of the low-dose (EV71 480 U-CA16 600 SU/0.5 ml), medium-dose (EV71 960 U-CA16 600 SU/0.5 ml), and high-dose (EV71 1920U-CA16 1200SU/0.5ml) experimental groups. The participants will receive two doses of the experimental vaccine according to a 0-1-month schedule, with adults vaccinated before children.

The second part of the trial plans to recruit seventy-two healthy children aged 6-71 months, with each dose group having twelve participants in the 6-23 months and 24-71 months age groups. The participants will receive two doses of the experimental vaccine according to a 0-1-month schedule, with each dose group being randomized, double-blind, and positive-controlled. The vaccine will be compared to a control (EV71 vaccine) at each dose level.

The dose escalation principle within each age group is from low to high doses: After completing the first dose of the lower dose stage, a safety observation period of 0-7 days will be conducted to confirm safety based on adverse event occurrence and blood routine, blood biochemistry, and urine routine tests (if any) before proceeding to the higher dose stage. The sequential enrollment principle between different age groups is from adults and children aged 6-12 years to children aged 6-71 months. After the first dose of each dose group is administered to adults, children aged 6-12 years in the same dose group can be enrolled only after a safety observation period of 0-7 days confirms safety. After completing the second dose of the medium-dose group in adults, vaccination of children aged 6-71 months can begin.

Participants in the adult and children aged 6-12 years groups will have approximately 5.5 mL of blood (2.0 mL anticoagulated blood and 3.5 mL non-anticoagulated blood) and about 2-10 mL of urine samples collected before and on day three after each dose for blood routine, blood biochemistry, and urine routine tests to evaluate vaccine safety. Only participants aged 24-71 months in the second stage of the trial will undergo these tests before the first dose. Whether participants aged 24-71 months to conduct tests on days 3 (Visit2), 30 (Visit5), and 33 (Visit6) will depend on the relevant test results in the children aged 6-12 years group. If 10% of participants in each dose stage of the children aged 6-12 years group have abnormal test results related to the vaccine that is clinically significant after the first dose, blood and urine samples will be collected from corresponding dose stage participants aged 24-71 months on days 3 (Visit2), 30 (Visit5), and 33 (Visit6).

For phase II clinical trial:

A total of six hundred children aged 6-71 months will be recruited, including 360 children aged 6-23 months and 240 children aged 24-71 months. The participants will be randomly allocated to the low-dose (EV71 480U-CA16 600SU/0.5ml), medium-dose (EV71 960U-CA16 600SU/0.5ml), high-dose (EV71 1920U-CA16 1200SU/0.5ml) experimental groups and control group (EV71 vaccine) in a 1:1:1:1 ratio.

Participants will be given two doses of either the experimental or control vaccine, administered one month apart.

During phase II of the trial, all participants will undergo blood collection on three different days: day zero, day sixty, and day 210 after vaccination. The collection will involve approximately 3.0 mL of venous blood to be separated into serum for EV71 and CA16 neutralizing antibodies assays. These assays will help evaluate the immunogenicity and immune persistence of the vaccine.

All participants in phases I/II will be observed for immediate reactions within 30 minutes after each dose, and adverse events (AEs) will be collected for the first seven days after each dose and non-solicited AEs for the first 30 days after each dose. Serious adverse events (SAEs) will be monitored from the start of vaccination until six months after completion of the vaccination course. In phase I, pregnancy events within three months (120 days) after vaccination will be collected based on self-report.

Once safety data for all participants has been obtained for 30 days after completing the vaccination course in phase I, the investigators will seek ethics approval. If the safety results are deemed satisfactory and approved by the ethics committee, the investigators will move forward to phase II clinical trial.

Being tested
low dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated, medium dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated, high dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated, Enterovirus type EV71 vaccine (Vero cell), Inactivated
Keywords
Inactivated enterovirus vaccine, Bivalent enterovirus vaccine
Medical subject headings
Hand, Foot and Mouth Disease, Herpangina

What participants receive

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

  • low dose Bivalent Enterovirus Vaccine (Vero Cell), InactivatedBiological

    Bivalent Enterovirus Vaccine (Vero Cell), Inactivated antigen content: EV71 480 U-CA16 600 SU/0.5 ml

  • medium dose Bivalent Enterovirus Vaccine (Vero Cell), InactivatedBiological

    Bivalent Enterovirus Vaccine (Vero Cell), Inactivated antigen content: EV71 960 U-CA16 600 SU/0.5 ml

  • high dose Bivalent Enterovirus Vaccine (Vero Cell), InactivatedBiological

    Bivalent Enterovirus Vaccine (Vero Cell), Inactivated antigen content: EV71 1920U-CA16 1200SU/0.5ml

  • Enterovirus type EV71 vaccine (Vero cell), InactivatedBiological

    Enterovirus type EV71 vaccine (Vero cell), Inactivated (Sinovac)

Study groups in NCT06063057
Study groupRoleWhat they receive
low-dose experimental groupExperimentalphase Ⅰ: 18~59 years old,6~12 years old,6~71 months old; phase Ⅱ:6~71 months old
Receives: Biological: low dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated
medium-dose experimental groupExperimentalphase Ⅰ: 18~59 years old,6~12 years old,6~71 months old; phase Ⅱ:6~71 months old
Receives: Biological: medium dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated
high-dose experimental groupExperimentalphase Ⅰ: 18~59 years old,6~12 years old,6~71 months old; phase Ⅱ:6~71 months old
Receives: Biological: high dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated
Active control groupActive comparatorphase Ⅰ: 6~71 months old; phase Ⅱ:6~71 months old
Receives: Biological: Enterovirus type EV71 vaccine (Vero cell), Inactivated

What is being measured

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

  1. Phase Ⅰ: Based on adverse events, evaluate the safety of the trial vaccine among participants in different age groups

    the incidence rates of adverse reactions from the start of vaccination to 30 days after the end of the entire vaccination course

    Measured: 30 days

  2. Phase Ⅱ: Evaluate the immunogenicity of the trial vaccine in the target population.

    The seroconversion rate of EV71 and CA16 neutralizing antibodies in children aged 6-71 months 30 days after the end of the entire vaccination course.

    Measured: 30 days

Secondary outcomes (12)
  1. Phase Ⅰ: Based on adverse events, evaluate the safety of the trial vaccine among participants in different age groups.

    • The incidence rate of adverse reactions from 0-7 days after each dose.

    Measured: 7 days

  2. Phase Ⅰ: Based on adverse events, evaluate the safety of the trial vaccine among participants in different age groups.

    • The incidence rate of serious adverse events from the start of vaccination to 6 months after the end of the entire vaccination course.

    Measured: 6 months

  3. Phase Ⅰ: Based on laboratory abnormalities, evaluate the safety of the trial vaccine among participants in different age groups.

    -The incidence rate of clinically significant abnormal blood biochemistry, blood routine, and urine routine indexes within 3 days after each dose.

    Measured: 3 days

  4. Phase Ⅱ: Evaluate other immunogenicity indicators of the trial vaccine.

    -The seropositive rates of EV71 and CA16 neutralizing antibodies 30 days after the end of the entire vaccination course.

    Measured: 30 days

  5. Phase Ⅱ: Evaluate other immunogenicity indicators of the trial vaccine.

    -The GMTs (Geometric Mean Titers) of EV71 and CA16 neutralizing antibodies 30 days after the end of the entire vaccination course.

    Measured: 30 days

  6. Phase Ⅱ: Evaluate other immunogenicity indicators of the trial vaccine.

    -The GMFRs (Geometric Mean Fold Rise) of EV71 and CA16 neutralizing antibodies 30 days after the end of the entire vaccination course.

    Measured: 30 days

  7. Phase Ⅱ: Based on adverse events, evaluate the safety of the trial vaccine.

    -The incidence rate of adverse reactions from the start of vaccination to 30 days after the end of the entire vaccination course.

    Measured: 30 days

  8. Phase Ⅱ: Based on adverse events, evaluate the safety of the trial vaccine.

    -The incidence rate of adverse reactions from 0-7 days after each dose.

    Measured: 7 days

  9. Phase Ⅱ: Based on adverse events, evaluate the safety of the trial vaccine.

    -The incidence rate of SAEs from the start of vaccination to 6 months after the end of the entire vaccination course.

    Measured: 6 months

  10. Phase Ⅱ: Evaluate the immune persistence of the trial vaccine.

    -The seropositive rates of neutralizing antibodies against EV71 and CA16 6 months after the vaccination course.

    Measured: 6 months

  11. Phase Ⅱ: Evaluate the immune persistence of the trial vaccine.

    -The seropositive rates of EV71, and CA16 neutralizing antibodies 6 months after the end of the entire vaccination course.

    Measured: 6 months

  12. Phase Ⅱ: Evaluate the immune persistence of the trial vaccine.

    -The GMTs of EV71, and CA16 neutralizing antibodies 6 months after the end of the entire vaccination course.

    Measured: 6 months

Timeline

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

  1. First posted2 Oct 2023
  2. Study start20 Sep 2023
  3. Primary completion19 Dec 2025
  4. Study completion10 Mar 2026

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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
744 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06063057
Sponsor's protocol ID
PRO-EV71/CA16-1001
Status last verified
Jan 2026
First submitted
15 Sep 2023
Last updated
26 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing low dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated, medium dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated and high dose Bivalent Enterovirus Vaccine (Vero Cell), Inactivated in people with Hand, Foot and Mouth Disease and Herpangina, run by Sinovac Biotech Co., Ltd 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 4 inclusion and 18 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 26 Jun 2026. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Phase Ⅰ: Based on adverse events, evaluate the safety of the trial vaccine among participants in different age groups (time frame: 30 days). 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?
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 26 Jun 2026.

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