ClinicalTrials.gg
Not yet recruitingNCT07530679Updated Apr 15, 2026

Study on the Safety, Humoral Immune Response, and Memory B Cell Response Characteristics of Sequential 9-Valent HPV Vaccination

An interventional study of 9-valent HPV vaccination at months 0 and 6 and 9-valent HPV vaccination at months 0 , 1 and 6 in Cervical Cancer Prevention, sponsored by Jiangsu Province Centers for Disease Control and Prevention. Not yet recruiting. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-15.

Sponsored by Jiangsu Province Centers for Disease Control and Prevention · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
360
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This is a single-center, prospective, open-label, partially randomized, matched-controlled trial designed as a cohort study. The study plans to enroll 360 healthy female participants aged 18 to 45 years, divided into three groups: a three-dose sequential group, a two-dose sequential group, and a primary immunization group, with 120 participants in each group. All participants will be stratified by two age subgroups (18-26 years and 27-45 years) to ensure demographic balance across groups.

As blinding is not feasible in this study, a prospective, open-label, partially randomized, controlled trial design is adopted. A combination of randomized and non-randomized (i.e., partially randomized) enrollment methods is used to balance study feasibility with intergroup comparability.

Participants in the three-dose sequential group and the primary immunization group will receive one dose of the nine-valent HPV vaccine at months 0, 1, and 6, while those in the two-dose sequential group will receive the nine-valent HPV vaccine at months 0 and 6. Before the second and third doses, investigators must confirm that participants do not meet the criteria for early withdrawal or for postponement of the second and third doses. After each vaccination, a 30-minute safety observation will be conducted at the vaccination site to monitor for adverse events (AEs). Subsequently, the study visit procedures will be followed, including collection of solicited AEs within 7 days post-vaccination, unsolicited AEs within 30 days, and serious AEs (SAEs) throughout the study period. Participants will also complete other scheduled study visits, including safety observations and immunogenicity blood sampling at various time points before and after vaccination.

The study aims to evaluate the immune response characteristics and safety of sequential vaccination with different doses of the nine-valent HPV vaccine (three doses at 0, 1, 6 months and two doses at 0, 6 months) in healthy female participants who have previously completed vaccination with the bivalent HPV vaccine.

02

Conditions studied

  • Cervical Cancer Prevention
03

In context

Uterine Cervical Neoplasms

2,366 studies on the registry are indexed under Uterine Cervical Neoplasms; 677 are open to participants now.

This study's planned enrollment of 360 is above the median of 100 across 1,738 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Jiangsu Province Centers for Disease Control and Prevention is the lead sponsor of 77 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
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

  • 1. Female volunteers, aged 18-45 years at the time of receiving the first trial vaccine dose;
  • 2. Volunteers (and their legal guardians) are able to understand the study procedures and are capable of complying with protocol requirements (such as collecting biological samples, filling out diary cards, and attending follow-up visits on schedule), and have signed the form;
  • 3. Adult female volunteers agree not to plan a pregnancy and to use effective within 8 months after completing the first dose, or are women who have undergone tubal ligation, subtotal hysterectomy for benign lesions, or removal of benign ovarian tumors;

For participants in the sequential group, the following additional criteria must be met:

  • 4. Previously completed the full three-dose schedule of XinKeNing, XiRuiShi, and WoZeHui [full three-dose schedule is defined as completing the second and third doses within 12 months after the first dose];
  • 5. The interval between the last dose of XinKeNing, XiRuiShi, or WoZeHui and the enrollment date is ≥ 12 months.

Exclusion criteria

Exclusion Criteria:

  • 1. Axillary temperature > 37.0°C;
  • 2. Positive urine pregnancy test in adult female volunteers, or being currently pregnant or breastfeeding;
  • 3. Use of any other or unregistered product (drug or vaccine) within 30 days prior to study vaccination, or planned use of other investigational or unregistered products or participation in another clinical study during the study period;
  • 4. Long-term (continuous for more than 14 days) use of or other immunomodulatory medications within 6 months prior to vaccination. Systemic administration of medications is excluded, while topical use (e.g., ointments, eye drops, inhalers, or nasal sprays) is permitted;
  • 5. Use of immunoglobulins and/or blood products within 3 months prior to vaccination, or planned use within 7 months after the first dose, with the exception of emergency post-exposure use of tetanus immunoglobulin and rabies immunoglobulin;
  • 6. Receipt of an inactivated vaccine within 7 days, or a within 14 days, prior to study vaccination;
  • 7. Experienced fever (axillary temperature ≥38.0°C) within 3 days prior to vaccination, or any serious acute illness requiring systemic antibiotic or antiviral therapy within the past 5 days, or taken medication containing antipyretic ingredients within the past 24 hours;
  • 8. Previous vaccination with any HPV vaccine other than Cecolin, Cervarix, or Walvax;
  • 9. Suffering from severe immunodeficiency diseases, severe primary diseases of vital organs, cancer (or precancerous lesions), diseases (including systemic lupus erythematosus, rheumatoid arthritis, immunodeficiency caused by asplenia or splenectomy due to any reason, and other autoimmune diseases considered by the investigator to potentially affect the immune response);
  • 10. History of severe allergies, including severe adverse reactions to previous vaccinations such as anaphylactic shock, acute urticaria, dyspnea, angioedema, or allergy to any component of the study vaccine (aluminum adjuvant, polysorbate, sodium dihydrogen phosphate, disodium hydrogen phosphate);
  • 11. Asthma that has been unstable in the past two years, requiring emergency treatment, hospitalization, oral or intravenous corticosteroids;
  • 12. Coagulation abnormalities or bleeding disorders;
  • 13. Epilepsy, excluding febrile seizures under 2 years of age, alcohol-related seizures in the 3 years prior to abstinence, or simple epilepsy that has not required treatment in the past 3 years;
  • 14. Any medical, psychological, social, occupational, or other conditions that, in the judgment of the investigator after reviewing the volunteer's medical history and relevant physical examination, may interfere with the conduct of the clinical 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.

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
360 participants (estimated)

Study arms

  • Experimental
    Two-dose sequential vaccination group

    Individuals with prior 2-valent HPV vaccination will receive 2 sequential 9-valent doses at months 0, and 6.

    Biological: 9-valent HPV vaccination at months 0 and 6

  • Experimental
    Three-dose sequential vaccination group

    Individuals with prior 2-valent HPV vaccination will receive 3 sequential 9-valent doses at months 0, 1, and 6

    Biological: 9-valent HPV vaccination at months 0 , 1 and 6

  • Active comparator
    Primary immunization group

    Individuals with no history of HPV vaccination will receive three doses of the 9-valent HPV vaccine according to the 0, 1, 6-month schedule

    Biological: 9-valent HPV vaccination at months 0 , 1 and 6

Interventions

  • Biological9-valent HPV vaccination at months 0 and 6

    Administer the 9-valent HPV vaccine at month 0 and month 6 according to the immunization schedule

  • Biological9-valent HPV vaccination at months 0 , 1 and 6

    Administer the 9-valent HPV vaccine at month 0, 1 and month 6 according to the immunization schedule

06

What researchers measure

Primary outcomes

  1. Geometric mean concentrations (GMC) of neutralizing antibody levels against HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58;

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  2. Incidence of adverse reactions/events within 7 days after each dose of vaccination;

    Time frame: Within 7 days after each dose of vaccination

Secondary outcomes

  1. Neutralizing antibody positive for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  2. Seroconversion rates for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  3. IgG binding antibody GMC for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  4. IgG binding antibody positivity rates for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  5. IgG binding antibody seroconversion rates for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  6. Neutralizing antibody GMC for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 1 Month post-dose 2 (i.e., 2 months after the first dose; 3-dose sequential & primary groups) and 1 Month post-dose 1 (i.e., 1 month after the first dose; 2-dose sequential group)

  7. Neutralizing antibody Positivity rates for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 1 Month post-dose 2 (i.e., 2 months after the first dose; 3-dose sequential & primary groups) and 1 Month post-dose 1 (i.e., 1 month after the first dose; 2-dose sequential group)

  8. Neutralizing antibody seroconversion rates for HPV 6, 11,16, 18, 31, 33, 45, 52, 58

    Time frame: 1 Month post-dose 2 (3-dose sequential & primary groups) and 1 Month post-dose 1(2-dose sequential group)

  9. IgG binding antibody GMC for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 1 Month post-dose 2 (i.e., 2 months after the first dose; 3-dose sequential & primary groups) and 1 Month post-dose 1 (i.e., 1 month after the first dose; 2-dose sequential group)

  10. IgG binding antibody positivity rates for HPV 6, 11, 16, 18, 31, 33, 45, 52, 58

    Time frame: 1 Month post-dose 2 (i.e., 2 months after the first dose; 3-dose sequential & primary groups) and 1 Month post-dose 1 (i.e., 1 month after the first dose; 2-dose sequential group)

  11. IgG binding antibody seroconversion rates for HPV 6, 11, 16,18, 31, 33,45, 52, 58

    Time frame: 1 Month post-dose 2 (i.e., 2 months after the first dose; 3-dose sequential & primary groups) and 1 Month post-dose 1 (i.e., 1 month after the first dose; 2-dose sequential group)

  12. Incidence of adverse events within 30 days after each dose of vaccination

    Time frame: within 30 days after each dose of vaccination

  13. Incidence of serious adverse events throughout the study period, as well as pregnancy events and outcomes

    Time frame: through study completion, an average of 7 months

Other outcomes

  1. Memory B Cell Frequency and Breadth Index for HPV Types 6,11,16,18,31,33,45,52,58 Using [Flow Cytometry]

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  2. Reactivation Capacity of HPV-Specific Memory B Cells (Recall Response)

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  3. Secretory Function of HPV-Specific Memory B Cells (Recall Response)

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  4. Single B Cell Cloning Efficiency Measured by FACS-Based Single B Cell Sorting

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  5. Recombinant Antibody Production Yield Measured by Recombinant Expression Assay

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  6. Broad-Spectrum Neutralizing Activity of Candidate Monoclonal Antibodies Measured by Pseudovirus-Based Neutralization Assay

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

  7. Epitope Characterization of Candidate Monoclonal Antibodies Measured by Peptide Mapping and Competitive ELISA

    Time frame: 7 months after the first dose (i.e., 1 month after completion of the full vaccination series)

07

Study locations

No study locations are listed for this record.

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 Apr 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07530679
Lead sponsor
Jiangsu Province Centers for Disease Control and Prevention
Responsible party
Sponsor
First posted
Apr 15, 2026
Start date
Apr 12, 2026 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Apr 15, 2026

Study contacts

Mingwei Wei
Contact
jscdc_wmw@163.com
#86-25-83759912

Oversight

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

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