This study aims to assess the immunogenicity and safety of a sequential 2vhpv to 9vhpv immunization schedule in girls aged 9-14 years
A post-marketing study is being conducted in Zhejiang Province to evaluate the immunogenicity and safety of a sequential 2vhpv to 9vhpv immunization schedule in girls aged 9-14 years. The study plans to recruit 300 healthy participants, who will be randomly assigned in a 1:1:1 ratio to three groups. In Experimental Group A, participants will receive one dose of the bivalent HPV vaccine followed six months later by two doses of the 9-valent HPV vaccine. In Experimental Group B, participants will receive one dose of the 9-valent HPV vaccine six months after a single dose of the bivalent HPV vaccine. The control group will receive two doses of the 9-valent HPV vaccine at a six-month interval. Venous blood samples will be collected before the first dose, before and one month after each dose of the 9-valent vaccine, and at 12 and 24 months after full immunization to assess HPV vaccine-type-specific neutralizing antibodies. In addition, 100 healthy girls will be enrolled as an external control group receiving two doses of the bivalent vaccine, with blood samples collected before each dose and at 1, 12, and 24 months post-vaccination to assess HPV vaccine-type-specific neutralizing antibodies. Furthermore, 6 participants from each of the following groups who received the Wantai or Merck Sharp \& Dohme HPV vaccine were selected as the cellular immune subgroup: Experimental Group A (2vhpv\[Cecolin\]-9vhpv\[Cecolin 9\]- 9vhpv\[Cecolin 9\] and 2vhpv\[Cecolin\]-9vhpv\[Gardasil 9\]-9vhpv\[Gardasil 9\]), Experimental Group B (2vhpv\[Cecolin\]-9vhpv\[Cecolin 9\] and 2vhpv\[Cecolin\] -9vhpv\[Gardasil 9\]), control group (9vhpv\[Cecolin 9\]-9vhpv\[Cecolin 9\] and 9vhpv\[Gardasil 9\]-9vhpv\[Gardasil 9\]), and external control group (2vhpv\[Cecolin\] -2vhpv\[Cecolin\]). For the cellular immune subgroup of Experimental Group A, venous blood samples were collected before the second dose (9-valent vaccine), at 7 days and 1 month after the second dose, and at 1 month after the third dose (9-valent vaccine) to isolate plasma and PBMCs. For the cellular immune subgroups of Experimental Group B, the control group, and the external control group, venous blood samples were collected before the second dose, at 7days and 1 month after the second dose to isolate plasma and PBMCs for analysis of antigen-specific cellular response characteristics.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
400
Bivalent HPV vaccine produced by Shanghai Zerun Biotechnology Co.,Ltd. or Wantai BioPharm.
9-valent HPV vaccine is produced by Wantai BioPharm or Merck Sharp \& Dohme LLC.
Jinyun center for Disease Control and Prevention
Lishui, Zhejiang, China
Seropositive rate of the vaccination
The percentage of participants with positive antibody against vaccine-specific HPV
Time frame: Before the first vaccine, before and 1 month after each dose of the 9-valent vaccine, and 12 and 24 months after the entire vaccination course. External Control Group: Before each vaccine, and 1, 12, and 24 months after the entire vaccination course
Seroconversion rate of the vaccination
The proportion of participants who are determined to have seroconversion of Vaccine-specific HPV antibody
Time frame: Before the first vaccine, before and 1 month after each dose of the 9-valent vaccine, and 12 and 24 months after the entire vaccination course. External Control Group: Before each vaccine, and 1, 12, and 24 months after the entire vaccination course
Geometric mean concentration (GMC)
The GMC of vaccine-specific HPV antibody
Time frame: Before the first vaccine, before and 1 month after each dose of the 9-valent vaccine, and 12 and 24 months after the entire vaccination course. External Control Group: Before each vaccine, and 1, 12, and 24 months after the entire vaccination course
Geometric mean increase (GMI)
The GMI of vaccine-specific HPV antibody
Time frame: Before the first vaccine, before and 1 month after each dose of the 9-valent vaccine, and 12 and 24 months after the entire vaccination course. External Control Group: Before each vaccine, and 1, 12, and 24 months after the entire vaccination course
Description of AE; Incidence of AR and SAE
Describe AE according to study group, site of occurrence, severity, and relevance; calculate the incidence rates of AR and SAE.
Time frame: within 30 minutes and within 30 days after vaccination (AE/AR); within 6 months after the entire vaccination course
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