Evidence map›Paper›PMID 26908726›Full record

Trial reportThe Journal of infectious diseases2016

Randomized Open Trial Comparing 2-Dose Regimens of the Human Papillomavirus 16/18 AS04-Adjuvanted Vaccine in Girls Aged 9-14 Years Versus a 3-Dose Regimen in Women Aged 15-25 Years.

Thanyawee Puthanakit, Li-Min Huang, Cheng-Hsun Chiu, Ren-Bin Tang, Tino F Schwarz, Susanna Esposito, Louise Frenette, Carlo Giaquinto, Shelly McNeil, Paul Rheault and 12 more

Registry-linked trialOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01381575 (Immunogenicity and Safety Study of GlaxoSmithKline Biologicals' HPV-16/18 L1 AS04 Vaccine When Administered According to Alternative 2-dose Schedules in 9 - 14 Year Old Females), which is not on this map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT01381575 phase3completednot on this map

Immunogenicity and Safety Study of GlaxoSmithKline Biologicals' HPV-16/18 L1 AS04 Vaccine When Administered According to Alternative 2-dose Schedules in 9 - 14 Year Old Females

TypeinterventionalSponsorGlaxoSmithKlineRan2011 to 2014Enrolled1,447ConditionsInfections, PapillomavirusArmsGSK Biologicals' HPV vaccine 580299
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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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

22 authors at 14 institutions in 7 countries.

Thanyawee PuthanakitDivision of Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Li-Min HuangDepartment of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei.
Cheng-Hsun ChiuDivision of Pediatric Infectious Diseases, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University College of Medicine, Kweishan, Taoyuan.
Ren-Bin TangDepartment of Pediatrics, Cheng Hsin General Hospital, Taipei, Taiwan.
Tino F SchwarzCentral Laboratory and Vaccination Centre, Stiftung Juliusspital, Würzburg, Germany.
Susanna EspositoPediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Cá Granda Ospedale Maggiore Policlinico, Milan, Italy.
Louise FrenetteQ&T Research Incorporated, Sherbrooke, Québec, Canada.
Carlo GiaquintoDipartimento di Pediatria, Azienda Ospedaliera Universitaria di Padova, Italy.
Shelly McNeilCanadian Center for Vaccinology, IWK Health Centre and NovaScotia Health Authority, Dalhousie University, Halifax.
Paul RheaultMedicor Research Inc, Sudbury, Ontario, Canada.
Paolo DurandoDepartment of Health Sciences, School of Medical and Pharmaceutical Sciences, Vaccines and Clinical Trials Unit, IRCCS AOU San Martino-IST, University of Genoa, Italy.
Michael HornPediatric Office Dr. med. Michael Horn, Bavaria.
Maximilian KlarDepartment of Obstetrics and Gynecology, Freiburg Medical School, Germany.
Sylviane PonceletGSK Vaccines, Rixensart.
Stéphanie De SimoniGSK Vaccines, Rixensart.
Damien FrielGSK Vaccines, Wavre, Belgium.
Benoit De MuynckGSK Vaccines, Wavre, Belgium.
Pemmaraju V SuryakiranGSK Pharmaceuticals India Ltd., Bangalore, Karnataka, India.
Marjan HezarehChiltern International for GSK, Wavre, Belgium.
Dominique DescampsGSK Vaccines, Wavre, Belgium.
Florence ThomasGSK Vaccines, Wavre, Belgium.
Frank StruyfGSK Vaccines, Wavre, Belgium.
GlaxoSmithKline (Belgium) · BEGlaxoSmithKline (Switzerland) · CHAzienda Ospedaliera di Padova · ITChang Gung Children's Hospital · TWCheng Hsin General Hospital · TWChulalongkorn University · THNational Taiwan University Hospital · TWNova Scotia Health Authority · CAQ & T Research · CAStiftung Juliusspital · DEUniversity Medical Center Freiburg · DEUniversity of Genoa · ITUniversity of Milan · ITUniversity of Sudbury · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis randomized, open trial compared regimens including 2 doses (2D) of human papillomavirus (HPV) 16/18 AS04-adjuvanted vaccine in girls aged 9-14 years with one including 3 doses (3D) in women aged 15-25 years.

methodsGirls aged 9-14 years were randomized to receive 2D at months 0 and 6 (M0,6; (n = 550) or months 0 and 12 (M0,12; n = 415), and women aged 15-25 years received 3D at months 0, 1, and 6 (n = 482). End points included noninferiority of HPV-16/18 antibodies by enzyme-linked immunosorbent assay for 2D (M0,6) versus 3D (primary), 2D (M0,12) versus 3D, and 2D (M0,6) versus 2D (M0,12); neutralizing antibodies; cell-mediated immunity; reactogenicity; and safety. Limits of noninferiority were predefined as <5% difference in seroconversion rate and <2-fold difference in geometric mean antibody titer ratio.

resultsOne month after the last dose, both 2D regimens in girls aged 9-14 years were noninferior to 3D in women aged 15-25 years and 2D (M0,12) was noninferior to 2D (M0,6). Geometric mean antibody titer ratios (3D/2D) for HPV-16 and HPV-18 were 1.09 (95% confidence interval, .97-1.22) and 0.85 (.76-.95) for 2D (M0,6) versus 3D and 0.89 (.79-1.01) and 0.75 (.67-.85) for 2D (M0,12) versus 3D. The safety profile was clinically acceptable in all groups.

conclusionsThe 2D regimens for the HPV-16/18 AS04-adjuvanted vaccine in girls aged 9-14 years (M0,6 or M0,12) elicited HPV-16/18 immune responses that were noninferior to 3D in women aged 15-25 years. CLINICAL TRIALS REGISTRATION: NCT01381575.

Indexed as

Immunization ScheduleAdjuvants, ImmunologicAdolescentAge FactorsAluminum HydroxideAntibodies, NeutralizingAntibodies, ViralChildFemaleHuman papillomavirus 16Human papillomavirus 18HumansLipid APapillomavirus InfectionsPapillomavirus VaccinesTreatment OutcomeAdjuvants, ImmunologicAluminum HydroxideAntibodies, NeutralizingAntibodies, ViralASO4 mixtureLipid APapillomavirus Vaccines2-dose scheduleAdjuvant System containing 50 µg 3-O-desacyl-4′-monophosphoryl lipid A (MPL) adsorbed on aluminum salt (500 µg Al3+)AS04cell-mediated immunitycervical cancerCMIgeometric mean antibody titerGMTHPVhuman papillomavirusIgGimmunogenicity

Identifiers

PMID26908726
PMCPMC4957434
OpenAlexW2299081775

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.