a phase iii clinical trial of a 11-valent recombinant human papillomavirus vaccine (hansenulapolymorpha) in chinese women aged 9-45 years

Conditions: HPV InfectioN; HPV-Related Carcinoma

Summary: a total of 13500 chinese women aged 18-45 years old were divided into three age groups: 18-26 years old, 27-35 years old, and 35-45 years old. the experimental group and the placebo group were randomly assigned in a ratio of 1:1. all subjects enrolled in the upper arm deltoid muscle were injected with 3 doses of test vaccine or placebo according to the 0, 2, and 6 months immunization program.


Eligibility criteria:
inclusion criteria: - non-gynecological related 1. \*chinese women with a history of sexual life who are 18-45 years old at the time of enrollment and can provide legal identification; 2. \*axillary body temperature \<37.3℃ on the day of enrollment; 3. the subjects themselves have the ability to understand the clinical trial and voluntarily sign the informed consent; 4. subjects have the ability to read, understand, and fill out research application forms such as diary cards/contact cards, and promise to follow the research requirements participate in follow-up visits; 5. no previous hpv vaccination history, no commercially available hpv vaccine during the study period (about 6 years after enrollment) plan of; 6. the subject has a negative urine pregnancy test on the day before vaccination. - gynecology related 7. \*effective contraception was taken from day 1 of last menstrual cycle to day 0 of the study, and no childbearing within 7 months after enrollment plan. 8. \*before the gynecological visit and within 48 hours before any subsequent visit that includes a gynecological sample collection: asexual life (including same-sex or opposite-sex anal, vaginal or genital contact), unwashed/washed vagina (except for normal bathing outside the vagina）, no vaginal drugs or preparations are used. exclusion criteria: first dose exclusion criteria: (visits may be rescheduled if the criteria described in the "\*" option are met at screening) - non-gynecological related 1. \* those with abnormal blood pressure (systolic blood pressure ≥ 140mmhg and/or diastolic blood pressure ≥ 90mmhg) on physical examination before vaccination; 2. \*3 months prior to vaccination or planned to receive any immune globulin or blood products within 7 months of enrollment; 3. \*received any vaccine within 14 days prior to vaccination, or received live vaccine within 28 days; 4. \*3 days before vaccination, suffering from acute febrile illness (body temperature ≥38.5℃) or using antipyretic, analgesic and antiallergic drugs (eg: acetaminophen, ibuprofen, aspirin, loratadine, cetirizine, etc.); 5. history of severe allergies/conditions requiring medical intervention (e.g. anaphylactic shock, anaphylactic laryngeal edema, anaphylactoid purpura, thrombocytopenic purpura, local allergic necrosis(arthus reaction) etc.); 6. immunocompromised or diagnosed with congenital or acquired immunodeficiency, hiv infection, lymphoma, leukemia blood disease, systemic lupus erythematosus (sle), rheumatoid arthritis, juvenile rheumatoid arthritis (jra), inflammation std or other autoimmune disease; 7. 1 month before vaccination or plan to receive immunosuppressive therapy within 7 months after enrollment, such as oral administration for more than 2 consecutive weeks oral or injectable systemic corticosteroid therapy (≥2 mg/kg/day or ≥20 mg/day prednisone or equivalent to prednisone) amount); however, topical medications (such as ointments, eye drops, inhalers, or nasal sprays) are not limited; 8. previous splenectomy or impaired spleen function; 9. those with previous or current severe liver, kidney and cardiovascular diseases, complicated diabetes, and malignant tumors; 10. have a history of epilepsy, convulsions, mental illness or a family history of mental illness; 11. suffering from thrombocytopenia or any coagulation disorder that can become a contraindication to intramuscular injection; 12. participate in other clinical studies (drugs, vaccines and medical devices) within 3 months before vaccination or during the planned study period; 13. the investigator believes that the subject has any other factors that are not suitable for participating in the clinical trial (such as: poor compliance or planning permanent relocation from the area before the study is completed, etc.). - gynecology related 14. \*pregnant, breastfeeding, or within 6 weeks of pregnancy at the time of the first dose of the vaccine; 15. \*the subject is in the menstrual period; 16. \*acute lower genital tract infection (such as acute vulvitis/vaginitis/cervicitis, etc.) found by the naked eye during gynecological examination; 17. previous history of abnormal cervical cancer screening or lesions (including hpv dna positive, squamous intraepithelial lesion (sil)or atypical squamous cells of undetermined significance (asc-us), atypical squamous epithelial cells - excluding high-grade squamous cells intraepithelial lesions (asc-h), atypical glandular cells (agc) or with cervical intraepithelial neoplasia (cin),adenocarcinoma in situ (ais) or cervical cancer, etc.); 18. past or current anal and genital diseases (such as vulvar intraepithelial neoplasia, vaginal intraepithelial neoplasia, genital warts,vulvar cancer, vaginal cancer and anal cancer, etc.); 19. previous hysterectomy or pelvic radiation therapy or severe cervical/vaginal dysplasia. exclusion criteria for 2nd and 3rd dose vaccination： if any of the following occurs, the investigator will terminate the subject's vaccination with the investigational vaccine. * meet the first dose exclusion criteria 5, 6, 7, 8, 9, 12; * any other reasons that, in the judgment of the investigator, warrant discontinuation of the investigational vaccination.

Keywords: hpv infection hpv vaccine