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Not yet recruitingNCT07326878Updated Jan 8, 2026

Phase I Clinical Trial of Enterovirus Type71 - Coxsackievirus Type A16 Bivalent Vaccine

A Phase 1 interventional study of Low Dose Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine, inactivated (human diploid cell) and Medium Dose Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine, inactivated (human diploid cell) in Hand, Foot and Mouth Disease (HFMD), HFMD and Hand, Foot and Mouth Disease, sponsored by Institute of Medical Biology, Chinese Academy of Medical Sciences. Not yet recruiting at 1 site in China. Open to participants aged 6 Months to 59 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-08.

Sponsored by Institute of Medical Biology, Chinese Academy of Medical Sciences · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
6 Months to 59 Years
Sex
All
01

Study summary

This is a randomized, double-blinded, placebo-controlled phase I clinical trial to evaluate the safety and preliminary immunogenicity of the Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine in subjects ( aged 6 months to 59 years ).

Read the detailed description

This is a single-center, randomized, double-blinded, placebo-controlled phase I clinical trial in which three dose levels of the Enterovirus Type71 -Coxsackievirus Type A16 bivalent vaccine will be evaluated the safety and preliminary immunogenicity in subjects aged 6 months to 59 years. A total of 144 participants will be enrolled, including 48 adults (aged 18-59 years), 48 adolescents (aged 6-17 years), and 48 children (aged 6 months-5 years). Participants will be randomized into vaccine group and placebo group in a 3:1 ratio, and receive two doses of vaccine or placebo according to the 0- and 28-day immunization schedule.The dose escalation principle within each age group is from low to high doses, and the sequential enrollment principle between different age groups is from adults to children.

Primary endpoints are the occurrence of safety events after vaccination including the incidence of adverse events within 30 minutes/7 days/28 days after each dose, as well as the incidence of serious adverse events within 12 months after the final dose which will be defined as the secondary safety endpoint. Besides, the secondary immunogenicity endpoints are the geometric mean titers, geometric mean fold increases, seropositive rates, and seroconversion rates of anti-EV71 neutralizing antibodies and anti-CA16 neutralizing antibodies 28 days after the final dose.

02

Conditions studied

  • Hand, Foot and Mouth Disease (HFMD)
  • HFMD
  • Hand, Foot and Mouth Disease
03

In context

Hand, Foot and Mouth Disease

59 studies on the registry are indexed under Hand, Foot and Mouth Disease; 10 are open to participants now.

This study's planned enrollment of 144 is below the median of 467 across 50 interventional studies indexed under Hand, Foot and Mouth Disease.

Browse Hand, Foot and Mouth Disease studies →

Lead sponsor

Institute of Medical Biology, Chinese Academy of Medical Sciences is the lead sponsor of 29 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Months to 59 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age Requirement: volunteers aged 6 months and 59 years.
  • Provision of Legal Identification: volunteers and their legal guardians or appointed representatives must provide valid legal identification documents.
  • : participants, legal guardians, or appointed representatives of volunteers must have the capacity to understand the informed consent document and the research process, voluntarily participate, sign the informed consent form, and be able to comply with the requirements in the study as well as complete relevant visits on time.
  • 6\~23months old: term delivery (gestational week 37 weeks \~ 42 weeks at birth), 2500g ≤ birth weight ≤ 4000g.
  • Requirements for : agree to take contraception actions in 12 months.
  • Temperature Requirement: axillary body temperature is less than 37.3°C.

Exclusion criteria

Exclusion Criteria:

Subjects meeting any of the following exclusion criteria will be not eligible for enrollment.

  • Subjects who have been allergic to any component of the vaccine in the past, or have any history of vaccine allergy or suspected allergy or other serious adverse reactions, such as urticaria, respiratory distress, and angioedema.
  • History of taking administration of a non-SARS-CoV-2 inactivated vaccine or subunit vaccine within 7 days before enrollment, or any or SARS-CoV-2 vaccine within 14 days before enrollment.
  • Subjects with convulsion, epilepsy, encephalopathy, psychiatric history or family history.
  • Known to have serious congenital malformations, developmental disorders, genetic defects or abnormal growth and development, or clinically diagnosed serious chronic diseases, including but not limited to neurological, cardiovascular, blood and lymphatic system, immune system, kidney, liver, gastrointestinal, respiratory system, metabolism and bone diseases and a history of malignant tumors.
  • Subjects are acutely ill or in the acute phase of a chronic illness within 3 days before vaccination.
  • Subjects with a hereditary bleeding tendency or coagulopathy, or a history of bleeding disorders.
  • Subjects who intolerance to venipuncture and with a history of needle- or blood-induced syncope.
  • History of surgical removal of the spleen or other vital organs for any reason.
  • Donation or loss of blood (≥400 mL), receipt of blood products, or receipt of blood transfusion within the 3 months before enrollment.
  • Use of any or unregistered product (drug, vaccine, biological product, or device) other than a study vaccine within 3 months before enrollment or planned for use during the study.
  • Have treatment with agents within 6 months before enrollment, such as long-term systemic therapy (e.g., prednisone or a similar drug for more than 2 consecutive weeks within 6 months), but topical use (e.g., ointments, eye drops, inhalers, or nasal sprays) was allowed. Topical use should not exceed the recommended dose on the label or have any signs of systemic exposure.
  • History of any EV71 antigen-containing vaccination, whether commercially available or investigational.
  • Subjects with history of hand, foot, and mouth disease.
  • Subjects with abnormal vital signs with clinical significance.
  • Subjects who do not meet the criteria for good health based on comprehensive physical examination, including: (1) abnormal vital signs with clinical significance; (2) clinical laboratory testing shows laboratory abnormalities and with clinical significance (applicable only to subjects aged 2 years and above).
  • Have been diagnosed with an infectious disease that may interfere with the conduct or completion of the study, such as active tuberculosis, viral hepatitis, (HIV) infection, etc.
  • Females with positive pregnancy test results.
  • Females who are lactating, or subjects who plan to conceive or to donate sperm or ova from the time of signing the form until 12 months after completion of the full vaccination schedule (applicable only to subjects aged 18 to 59 years).
  • Subjects with a history of abnormal birth delivery, birth asphyxia, neurological impairment, or clinically diagnosed pathological jaundice (applicable only to subjects aged 6 to 23 months).
  • Subjects deemed by the investigator to be unsuitable for participation in the study.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Investigator)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    low-dose experimental group

    Participants aged 18\~59 years old, 6\~17years old, 6months old\~5 years old

    Biological: Low Dose Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine, inactivated (human diploid cell)

  • Experimental
    medium-dose experimental group

    Participants aged 18\~59 years old, 6\~17years old, 6months old\~5 years old

    Biological: Medium Dose Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine, inactivated (human diploid cell)

  • Experimental
    high-dose experimental group

    Participants aged 18\~59 years old, 6\~17years old, 6months old\~5 years old

    Biological: High Dose Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine, inactivated (human diploid cell)

  • Placebo comparator
    Placebo control group

    Participants aged 18\~59 years old, 6\~17years old, 6months old\~5 years old

    Biological: Placebo

Interventions

  • BiologicalLow Dose Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine, inactivated (human diploid cell)

    Low-dose vaccine,dosage and immunization procedure: 0.1 ml/dose, 2 doses, 28-day interval

  • BiologicalMedium Dose Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine, inactivated (human diploid cell)

    Medium-dose vaccine,dosage and immunization procedure: 0.1 ml/dose, 2 doses, 28-day interval

  • BiologicalHigh Dose Enterovirus Type71 - Coxsackievirus Type A16 bivalent vaccine, inactivated (human diploid cell)

    High-dose vaccine,dosage and immunization procedure: 0.1 ml/dose, 2 doses, 28-day interval

  • BiologicalPlacebo

    Placebo,dosage and immunization procedure: 0.1 ml/dose, 2 doses, 28-day interval

06

What researchers measure

Primary outcomes

  1. Safety index - incidence of adverse events

    Incidence of adverse events after each dose vaccination

    Time frame: 0- 30 minutes/Day 0 to 7 days/Day 0 to 28 days after each dose

Secondary outcomes

  1. Safety index - incidence of serious adverse events

    Incidence of serious adverse events/adverse reactions after vaccination

    Time frame: From the beginning of the vaccination up to12 months after the last vaccination completed

  2. Immunogenicity index-Seroconversion rates

    The seroconversion rates of anti-EV71 neutralizing antibodies and anti-CA16 neutralizing antibodies after the end of the entire vaccination course.

    Time frame: Between baseline and Day 28 after full vaccination

  3. Immunogenicity index - Geometric mean titer (GMT)

    The GMT of anti-EV71 neutralizing antibodies and anti-CA16 neutralizing antibodies 28 days after the end of the entire vaccination course.

    Time frame: Day 28 after full vaccination

  4. Immunogenicity index - Geometric mean fold increases (GMFI)

    The GMFI of anti-EV71 neutralizing antibodies and anti-CA16 neutralizing antibodies after the end of the entire vaccination course.

    Time frame: Between baseline and Day 28 after full vaccination

  5. Immunogenicity index-Seropositive rates

    The seropositive rates of anti-EV71 neutralizing antibodies and anti-CA16 neutralizing antibodies 28 days after the end of the entire vaccination course.

    Time frame: Day 28 after full vaccination

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07326878
Lead sponsor
Institute of Medical Biology, Chinese Academy of Medical Sciences
Responsible party
Sponsor
First posted
Jan 8, 2026
Start date
Dec 30, 2025 (estimated)
Primary completion
Aug 15, 2026 (estimated)
Completion
Aug 15, 2027 (estimated)
Last update
Jan 8, 2026

Study contacts

Longding Liu
Contact
liuld@imbcams.com.cn
0871-68334551 ext. +86
Xian Yu
principal investigator · The Second Affiliated Hospital of Chongqing Medical University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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