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Type: Artigo de periódico
Title: Sustained Efficacy, Immunogenicity, And Safety Of The Hpv-16/18 As04-adjuvanted Vaccine: Final Analysis Of A Long-term Follow-up Study Up To 9.4 Years Post-vaccination
Author: Naud P.S.
Roteli-Martins C.M.
De Carvalho N.S.
Teixeira J.C.
De Borba P.C.
Sanchez N.
Zahaf T.
Catteau G.
Geeraerts B.
Descamps D.
Abstract: HPV-023 (NCT00518336; is a long-term follow-up of an initial double-blind, randomized (1:1), placebo-controlled study (HPV-001, NCT00689741) evaluating the efficacy against human papillomavirus (HPV)-16/18 infection and associated cyto-histopathological abnormalities, persistence of immunogenicity, and safety of the HPV-16/18 AS04-adjuvanted vaccine. Among the women, aged 15-25 years, enrolled in HPV-001 and who participated in the follow-up study HPV-007 (NCT00120848), a subset of 437 women from 5 Brazilian centers participated in this 36-month long-term follow-up (HPV-023) for a total of 113 months (9.4 years). During HPV-023, anti-HPV-16/18 antibodies were measured annually by enzyme-linked immunosorbent assay (ELISA) and pseudovirion-based neutralisation assay (PBNA). Cervical samples were tested for HPV DNA every 6 months, and cyto-pathological examinations were performed annually. During HPV-023, no new HPV-16/18-associated infections and cyto-histopathological abnormalities occurred in the vaccine group. Vaccine efficacy (VE) against HPV-16/18 incident infection was 100% (95%CI: 66.1, 100). Over the 113 months (9.4 years), VE was 95.6% (86.2, 99.1; 3/50 cases in vaccine and placebo groups, respectively) against incident infection, 100% (84.1, 100; 0/21) against 6-month persistent infection (PI); 100% (61.4, 100; 0/10) against 12-month PI; 97.1% (82.5, 99.9; 1/30) against ≥ ASC-US; 95.0% (68.0, 99.9; 1/18) against ≥ LSIL; 100% (45.2, 100; 0/8) against CIN1+; and 100% (-128.1, 100; 0/3) against CIN2+ associated with HPV-16/18. All vaccinees remained seropositive to HPV-16/18, with antibody titers remaining several folds above natural infection levels, as measured by ELISA and PBNA. There were no safety concerns. To date, these data represent the longest follow-up reported for a licensed HPV vaccine.
Editor: Landes Bioscience
Rights: fechado
Identifier DOI: 10.4161/hv.29532
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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