Evidence map›Paper›PMID 22209292›Full record

Trial reportJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2012

Evidence of immune memory 8.5 years following administration of a prophylactic human papillomavirus type 16 vaccine.

Ali Rowhani-Rahbar, Frances B Alvarez, Janine T Bryan, James P Hughes, Stephen E Hawes, Noel S Weiss, Laura A Koutsky

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02276521 (Evaluation of Long-term Immunological Responses Following Reduced Dose Quadrivalent Human Papillomavirus), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02276521 completednot on this mapstarted 2015, after this paper: background citation

Evaluation of Long-term Immunological Responses Following Reduced Dose Quadrivalent Human Papillomavirus (HPV) Vaccine Schedules: A Phase II/III Clinical Trial

TypeobservationalSponsorMurdoch Childrens Research InstituteRan2015 to 2015Enrolled200ConditionsCervical Cancer, Anogenital WartsArmsCervarix®
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. HPV vaccination in India.South Asian journal of cancer · 2014
    Article
  11. Long-term efficacy and safety of human papillomavirus vaccination.International journal of women's health · 2014
    Review
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Ali Rowhani-RahbarDepartment of Epidemiology, University of Washington, Seattle, WA, USA. ali.x.rowhani-rahbar@kp.org
Frances B Alvarez
Janine T Bryan
James P Hughes
Stephen E Hawes
Noel S Weiss
Laura A Koutsky
University of Washington · USUnited States Military Academy · USKaiser Permanente · US

Funding

ACQUISITION &NATURAL HISTORY OF GENITAL HPV INFECTIONSR01AI038383 · NIAID · UNIVERSITY OF WASHINGTON · PI KOUTSKY, LAURA A · 1995 to 2009
$6.0M
NIAID NIH HHS R01 AI038383NIAID NIH HHS R01 AI38383
6 · The paper itself

Abstract

backgroundThe duration of protection conferred by prophylactic human papillomavirus (HPV) L1 virus-like particle vaccines is a critical determinant of their public health impact. A feature of vaccines that confer long-term immunity is their ability to induce immune memory.

objectivesWe evaluated antibody responses against HPV types 6, 11, 16 and 18 following administration of the quadrivalent HPV-6/11/16/18 vaccine to women who had previously received a monovalent HPV-16 vaccine. STUDY

designAs part of an extended follow-up study conducted between 2006 and 2009 in Seattle, Washington, we administered the quadrivalent HPV-6/11/16/18 vaccine to 52 women (19 vaccine and 33 placebo recipients) who had participated in a monovalent HPV-16 vaccine trial 8.5 years earlier. Serum samples were tested for anti-HPV antibodies using competitive Luminex immunoassay.

resultsFollowing administration of the first dose of the quadrivalent HPV-6/11/16/18 vaccine, the anti-HPV-16 geometric mean titer among monovalent HPV-16 vaccine recipients (GMT=5024.0 milli-Merck units per milliliter [mMU/mL]; 95% confidence interval [CI]: 2710.1, 9313.6 mMU/mL) substantially exceeded that among the placebo recipients (GMT=136.1; 95% CI: 78.5, 235.8 mMU/mL; p<0.01) and their own highest anti-HPV-16 response observed during the original trial (GMT at month 7 of the original trial=1552.7 mMU/mL; 95% CI: 1072.6, 2247.7 mMU/mL; p<0.01).

conclusionsThe findings suggest that the administration of the three-dose regimen of the monovalent HPV-16 vaccine had produced memory lymphocytes, characterized by a heightened immune response following administration of the quadrivalent HPV-6/11/16/18 vaccine that effectively served as an antigen challenge.

Indexed as

AdultAlphapapillomavirusAntibodies, ViralDouble-Blind MethodFemaleFollow-Up StudiesHuman papillomavirus 16Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18HumansImmunoassayImmunologic MemoryPapillomavirus InfectionsPapillomavirus VaccinesUterine Cervical NeoplasmsAntibodies, ViralHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18Papillomavirus Vaccines

Identifiers

PMID22209292
PMCPMC3279625
OpenAlexW2019921550

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.