Evidence map›Paper›PMID 25540273›Full record

Trial reportClinical and vaccine immunology : CVI2015

Post hoc analysis of the PATRICIA randomized trial of the efficacy of human papillomavirus type 16 (HPV-16)/HPV-18 AS04-adjuvanted vaccine against incident and persistent infection with nonvaccine oncogenic HPV types using an alternative multiplex type-specific PCR assay for HPV DNA.

Frank Struyf, Brigitte Colau, Cosette M Wheeler, Paulo Naud, Suzanne Garland, Wim Quint, Song-Nan Chow, Jorge Salmerón, Matti Lehtinen, M Rowena Del Rosario-Raymundo and 21 more

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and vaccine immunology : CVI, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00122681 (A Phase III, Double-blind, Randomized, Controlled, Multi-center Study to Evaluate the Efficacy of GlaxoSmithKline Biologicals. HPV-16/18 VLP AS04 Vaccine Compared to Hepatitis A Vaccine as Control in Prevention of Persistent HPV-16 or HPV-18 Cervical Infection and Cervical Neoplasia, Administered Intramuscularly According to a 0, 1, 6 Month Schedule in Healthy Females 15-25 Years of Age.), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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.

NCT00122681 phase3completednot on this map

A Phase III, Double-blind, Randomized, Controlled, Multi-center Study to Evaluate the Efficacy of GlaxoSmithKline Biologicals. HPV-16/18 VLP AS04 Vaccine Compared to Hepatitis A Vaccine as Control in Prevention of Persistent HPV-16 or HPV-18 Cervical Infection and Cervical Neoplasia, Administered Intramuscularly According to a 0, 1, 6 Month Schedule in Healthy Females 15-25 Years of Age.

TypeinterventionalSponsorGlaxoSmithKlineRan2004 to 2009Enrolled18,729ConditionsInfections, PapillomavirusArmsCervarix™, Havrix™-based investigational formulation
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  7. Observational
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  12. Will HPV vaccination prevent cervical cancer?Journal of the Royal Society of Medicine · 2020
    Review
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  17. Review
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

31 authors at 20 institutions in 12 countries.

Frank StruyfGlaxoSmithKline Vaccines, Rixensart, Belgium frank.struyf@gsk.com.
Brigitte ColauGlaxoSmithKline Vaccines, Rixensart, Belgium.
Cosette M WheelerDepartments of Pathology and Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.
Paulo NaudUniversity Federal of Rio Grande do Sul, Hospital de Clínica de Porto Alegre, Porto Alegre, Brazil.
Suzanne GarlandMicrobiology and Infectious Diseases Department, Royal Women's and Royal Children's Hospitals, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia.
Wim QuintDDL Diagnostic Laboratory, Rijswijk, the Netherlands.
Song-Nan ChowDepartment of Obstetrics and Gynecology, College of Medicine and the Hospital, National Taiwan University, Taipei, Taiwan.
Jorge SalmerónUnidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Morelos, Mexico.
Matti LehtinenUniversity of Tampere, School of Public Health, Tampere, Finland.
M Rowena Del Rosario-RaymundoDepartment of Obstetrics and Gynecology, San Pablo Colleges Medical Center, San Pablo City, Laguna, Philippines.
Jorma PaavonenDepartment of Obstetrics and Gynecology, University of Helsinki, Helsinki, Finland.
Júlio C TeixeiraDepartamento de Tocoginecologia da Unicamp, University of Campinas, Campinas, Brazil.
Maria Julieta GermarUniversity of the Philippines College of Medicine, Philippine General Hospital, Manila, Philippines.
Klaus PetersFacharzt für Frauenheilkunde und Geburtshilfe, Hamburg, Germany.
S Rachel SkinnerVaccine Trials Group, Telethon Institute for Child Health Research, Sydney, New South Wales, Australia Sydney University Discipline of Paediatrics and Child Health, Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Genara LimsonUniversity of the Philippines, College of Medicine, Philippine General Hospital, Makati Medical Centre, Makati City, Philippines.
Xavier CastellsaguéInstitut Català d'Oncologia, IDIBELL, CIBER-ESP, L'Hospitalet de Llobregat, Catalonia, Spain.
Willy A J PoppeDepartment of Gynaecology, University Hospital KU Leuven Gasthuisberg, Leuven, Belgium.
Brian RamjattanFirst Line Medical Services Ltd., St John's, Newfoundland and Labrador, Canada.
Terry D KleinHeartland Research Associates, LLC, Wichita, Kansas, USA.
Tino F SchwarzCentral Laboratory and Vaccination Centre, Stiftung Juliusspital, Academic Teaching Hospital of the University of Wuerzburg, Wuerzburg, Germany.
Archana ChatterjeeDepartment of Pediatrics, University of South Dakota, Sanford School of Medicine and Sanford Children's Specialty Clinic, Sioux Falls, South Dakota, USA.
Wiebren A A TjalmaMultidisciplinary Breast Clinic, Gynecological Oncology Unit, Department of Obstetrics and Gynecology, Antwerp University Hospital, University of Antwerp, Antwerp, Belgium.
Francisco Diaz-MitomaAdvanced Medical Research Institute of Canada, Sudbury, Ontario, Canada.
David J M LewisClinical Research Centre, University of Surrey, Surrey, United Kingdon.
Diane M HarperGeisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
Anco MolijnDDL Diagnostic Laboratory, Rijswijk, the Netherlands.
Leen-Jan van DoornDDL Diagnostic Laboratory, Rijswijk, the Netherlands.
Marie-Pierre DavidGlaxoSmithKline Vaccines, Rixensart, Belgium.
Gary DubinGlaxoSmithKline Vaccines, King of Prussia, Pennsylvania, USA.
HPV PATRICIA Study Group
DDL Diagnostic Laboratory · NLGlaxoSmithKline (Belgium) · BEPhilippine General Hospital · PHAntwerp University Hospital · BEDartmouth College · USGlaxoSmithKline (United States) · USHeartland Research Associates · USHospital de Clínicas de Porto Alegre · BRInstitut Català d'Oncologia · ESKlinik für Frauenheilkunde · DEKU Leuven · BEMexican Social Security Institute · MXMurdoch Children's Research Institute · AUNational Taiwan University Hospital · TWSanford Children's Specialty Clinic · USStiftung Juliusspital · DETampere University · FIUniversidade Estadual de Campinas (UNICAMP) · BRUniversity of Helsinki · FIUniversity of New Mexico · US

Funding

WOMEN'S CANCERS RESEARCH PROGRAMP30CA118100 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Yolanda Sanchez · 2005 to 2026
$57.1M
NCI NIH HHS P30 CA118100
6 · The paper itself

Abstract

The efficacy of the human papillomavirus type 16 (HPV-16)/HPV-18 AS04-adjuvanted vaccine against cervical infections with HPV in the Papilloma Trial against Cancer in Young Adults (PATRICIA) was evaluated using a combination of the broad-spectrum L1-based SPF10 PCR-DNA enzyme immunoassay (DEIA)/line probe assay (LiPA25) system with type-specific PCRs for HPV-16 and -18. Broad-spectrum PCR assays may underestimate the presence of HPV genotypes present at relatively low concentrations in multiple infections, due to competition between genotypes. Therefore, samples were retrospectively reanalyzed using a testing algorithm incorporating the SPF10 PCR-DEIA/LiPA25 plus a novel E6-based multiplex type-specific PCR and reverse hybridization assay (MPTS12 RHA), which permits detection of a panel of nine oncogenic HPV genotypes (types 16, 18, 31, 33, 35, 45, 52, 58, and 59). For the vaccine against HPV types 16 and 18, there was no major impact on estimates of vaccine efficacy (VE) for incident or 6-month or 12-month persistent infections when the MPTS12 RHA was included in the testing algorithm versus estimates with the protocol-specified algorithm. However, the alternative testing algorithm showed greater sensitivity than the protocol-specified algorithm for detection of some nonvaccine oncogenic HPV types. More cases were gained in the control group than in the vaccine group, leading to higher point estimates of VE for 6-month and 12-month persistent infections for the nonvaccine oncogenic types included in the MPTS12 RHA assay (types 31, 33, 35, 45, 52, 58, and 59). This post hoc analysis indicates that the per-protocol testing algorithm used in PATRICIA underestimated the VE against some nonvaccine oncogenic HPV types and that the choice of the HPV DNA testing methodology is important for the evaluation of VE in clinical trials. (This study has been registered at ClinicalTrials.gov under registration no. NCT00122681.).

Indexed as

Adjuvants, ImmunologicAdolescentAdultAluminum HydroxideDNA, ViralFemaleGenotypeHumansLipid APapillomaviridaePapillomavirus InfectionsPapillomavirus VaccinesPolymerase Chain ReactionTreatment OutcomeYoung AdultAdjuvants, ImmunologicAluminum HydroxideASO4 mixtureDNA, Viralhuman papillomavirus vaccine, L1 type 16, 18Lipid APapillomavirus Vaccines

Identifiers

PMID25540273
PMCPMC4308870
OpenAlexW2107628226

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.