Evidence map›Paper›PMID 26933961›Full record

ReviewHuman vaccines & immunotherapeutics2016

Less than 3 doses of the HPV vaccine - Review of efficacy against virological and disease end points.

Partha Basu, Neerja Bhatla, Twalib Ngoma, Rengaswamy Sankaranarayanan

Open access · bronzeAbstract readReview
In one paragraph

Review in Human vaccines & immunotherapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 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

4 authors at 3 institutions in 3 countries.

Partha Basua Screening Group, Early Detection and Prevention Section, International Agency for Research on Cancer (IARC-WHO) , Lyon , France.
Neerja Bhatlab Department of Obstetrics & Gynaecology , All India Institute of Medical Sciences , New Delhi , India.
Twalib Ngomac Department of Clinical Oncology , Muhimbili University of Health and Allied Sciences , Dar Es Salaam , Tanzania.
Rengaswamy Sankaranarayanana Screening Group, Early Detection and Prevention Section, International Agency for Research on Cancer (IARC-WHO) , Lyon , France.
Centre International de Recherche sur le Cancer · FRAll India Institute of Medical Sciences · INMuhimbili University of Health and Allied Sciences · TZ

Funding

World Health Organization 001
6 · The paper itself

Abstract

World Health Organization (WHO) recommended 2 doses of the Human Papillomavirus (HPV) vaccine for girls below 15 y on the basis of the immune-bridging studies demonstrating non-inferior immune response of 2 doses in the adolescent girls compared to 3 doses in the young adult women in whom the efficacy against disease is established. The biological nature of the antigens (virus-like particles) constituting the HPV vaccine is responsible for the vigorous antibody response that may make the third dose redundant. The protection offered by 2 doses has been demonstrated in non-randomized clinical trials to be comparable to that offered by 3 doses against incident and persistent infections of vaccine targeted HPV types. However, results emerging from the ecological and nested case-control studies embedded in the population based screening programs of different countries indicate reduced efficacy of 2 doses against virological and disease end points. Some recent studies observed the protective effect of single dose of the vaccine against incident and persistent infections of the vaccine targeted HPV types to be similar to 3 doses in spite of immunological inferiority. The sample size, duration of follow-ups and number of events were limited in these studies. Longer follow ups of the less than 3 doses cohorts in the ongoing studies as well as appropriately designed and ethically justifiable randomized studies are needed to establish the protection offered by the alternative schedules at least beyond 10 y of vaccination.

Indexed as

Immunization ScheduleCase-Control StudiesHumansPapillomaviridaePapillomavirus InfectionsPapillomavirus VaccinesTreatment OutcomePapillomavirus Vaccinescervical cancercervical intraepithelial neoplasiagenital warthuman papillomavirusincident infectionpersistent infectionreviewsingle dosetwo dosesvaccine

Identifiers

PMID26933961
PMCPMC4964672
OpenAlexW2326407562

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.