Evidence map›Paper›PMID 31273942›Full record

ArticleCancer medicine2019

Risk of newly detected infections and cervical abnormalities in adult women seropositive or seronegative for naturally acquired HPV-16/18 antibodies.

Dominique Rosillon, Laurence Baril, Maria Rowena Del Rosario-Raymundo, Cosette Marie Wheeler, Susan Rachel Skinner, Suzanne Marie Garland, Jorge Salmeron, Eduardo Lazcano-Ponce, Carlos Santiago Vallejos, Tanya Stoney and 18 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00294047 (A Study to Evaluate Safety, Immunogenicity and Efficacy of GSK Biologicals HPV-16/18 L1/AS04 Vaccine Administered Intramuscularly According to a Three-dose Schedule), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT00294047 phase3completednot on this map

A Study to Evaluate Safety, Immunogenicity and Efficacy of GSK Biologicals HPV-16/18 L1/AS04 Vaccine Administered Intramuscularly According to a Three-dose Schedule (0, 1, 6 Month) in Healthy Adult Female Subjects Aged 26 Years and Above

TypeinterventionalSponsorGlaxoSmithKlineRan2006 to 2014Enrolled5,752ConditionsInfections, Papillomavirus, Papillomavirus VaccinesArmsCervarix, Placebo control
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Long-Term immunopersistence and safety of theHuman vaccines & immunotherapeutics · 2022
    Trial
  3. Trial
  4. Review
  5. Immune Responses to Human Papillomavirus After Infection and Vaccination.Current topics in microbiology and immunology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

28 authors at 20 institutions in 11 countries.

Dominique RosillonGSK, Wavre, Belgium.ORCID 0000-0001-7230-1978
Laurence BarilGSK, Wavre, Belgium.
Maria Rowena Del Rosario-RaymundoDepartment of Obstetrics and Gynecology, San Pablo Colleges Medical Center, San Pablo City, The Philippines.
Cosette Marie WheelerUniversity of New Mexico Health Sciences Center, Albuquerque, New Mexico.
Susan Rachel SkinnerVaccines Trials Group, Telethon Kids Institute, Perth, Western Australia, Australia.
Suzanne Marie GarlandThe Royal Women's Hospital, The Royal Children's Hospital, Murdoch Childrens Research Institute, University of Melbourne, Parkville, Victoria, Australia.
Jorge SalmeronInstituto Mexicano del Seguro Social, Morelos, Mexico.
Eduardo Lazcano-PonceNational Institute of Public Health, Cuernavaca, Mexico.
Carlos Santiago VallejosDepartamento de Oncología Médica, Oncosalud-AUNA, Lima, Peru.
Tanya StoneyTelethon Kids Institute, University of Western Australia, Perth, Western Australia, Australia.
Bram Ter HarmselDepartment of Gynecology, Roosevelt Kliniek, Leiden, Delft, The Netherlands.
Timothy Yong Kuei LimKK Hospital, Singapore City, Singapore.
Swee Chong QuekASC Clinic for Women, Gleneagles Hospital, Singapore City, Singapore.
Galina MinkinaCity Clinical Hospital, Moscow, Russia.
Shelly Ann McNeilCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, Halifax, Nova Scotia, Canada.
Celine BouchardClinique de Recherche en Santé des Femmes, Québec City, Québec, Canada.
Kah Leng FongSingapore General Hospital, Singapore City, Singapore.
Deborah MoneyThe Women's Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.
Arunachalam IlancheranDivision of Gynaecologic Oncology, Department of Obstetrics and Gynaecology, National University Hospital, Singapore City, Singapore.
Alevtina SavichevaLaboratory of Microbiology, DO Ott Research Institute of Obstetrics, Gynaecology and Reproductology, St. Petersburg, Russia.
Margaret CruickshankDepartment of Obstetrics and Gynaecology, Aberdeen Maternity Hospital, NHS Grampian, Scotland, UK.
Archana ChatterjeeDepartment of Pediatrics, University of South Dakota Sanford School of Medicine/Sanford Children's Specialty Clinic, Sioux Falls, South Dakota.
Alison FianderLeading Safe Choices Programme, Royal College of Obstetricians and Gynaecologists, London, UK.
Mark MartensReading Hospital, Pennsylvania.
Marie Cecile Bozonnat4Clinics, Paris, France.
Frank StruyfGSK, Wavre, Belgium.
Gary DubinGSK, King of Prussia, Pennsylvania.
Xavier CastellsaguéInstitut Català d'Oncologia (ICO), IDIBELL, CIBER-ESP, L'Hospitalet de Llobregat, Catalonia, Spain.
GlaxoSmithKline (Belgium) · BESingapore General Hospital · SGAberdeen Maternity Hospital · GBBrainclinics · NLCanadian Women's Health Network · CACSL (United States) · USDalhousie University · CAEsSALUD · PEGleneagles Hospital · SGInstitut d'Investigació Biomédica de Bellvitge · ESInstituto Nacional de Salud Pública · MXMexican Social Security Institute · MXMoscow City Hospital No 29 · RUNational University Hospital · SGReading Hospital · USResearch Institute of Obstetrics and Gynecology named after D.O. Ott · RURoosevelt Institute for American Studies · NLRoyal Children's Hospital · AURoyal College of Obstetricians and Gynaecologists · GBThe Kids Research Institute Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfections with human papillomavirus (HPV) types 16 and 18 account for ~70% of invasive cervical cancers but the degree of protection from naturally acquired anti-HPV antibodies is uncertain. We examined the risk of HPV infections as defined by HPV DNA detection and cervical abnormalities among women >25 years in the Human Papilloma VIrus Vaccine Immunogenicity ANd Efficacy trial's (VIVIANE, NCT00294047) control arm.

methodsSerum anti-HPV-16/18 antibodies were determined at baseline and every 12 months in baseline DNA-negative women (N = 2687 for HPV-16 and 2705 for HPV-18) by enzyme-linked immunosorbent assay (ELISA) from blood samples. HPV infections were identified by polymerase chain reaction (PCR) every 6-months, and cervical abnormalities were confirmed by cytology every 12 months. Data were collected over a 7-year period. The association between the risk of type-specific infection and cervical abnormalities and serostatus was assessed using Cox proportional hazard models.

resultsRisk of newly detected HPV-16-associated 6-month persistent infections (PI) (hazard ratio [HR] = 0.56 [95%CI:0.32; 0.99]) and atypical squamous cells of undetermined significance (ASC-US+) (HR = 0.28 [0.12; 0.67]) were significantly lower in baseline seropositive vs baseline seronegative women. HPV-16-associated incident infections (HR = 0.81 [0.56; 1.16]) and 12-month PI (HR = 0.53 [0.24; 1.16]) showed the same trend. A similar trend of lower risk was observed in HPV-18-seropositive vs -seronegative women (HR = 0.95 [0.59; 1.51] for IIs, HR = 0.43 [0.16; 1.13] for 6-month PIs, HR = 0.31 [0.07; 1.36] for 12-month PIs, and HR = 0.61 [0.23; 1.61] for ASC-US+).

conclusionsNaturally acquired anti-HPV-16 antibodies were associated with a decreased risk of subsequent infection and cervical abnormalities in women >25 years. This possible protection was lower than that previously reported in 15- to 25-year-old women.

Indexed as

AdultAntibodies, ViralClinical Trials, Phase III as TopicDNA, ViralFemaleHuman papillomavirus 16Human papillomavirus 18HumansPapillomavirus InfectionsProportional Hazards ModelsUterine Cervical NeoplasmsAntibodies, ViralDNA, Viralcervical abnormalityhuman papillomavirus infectionnaturally acquired antibodiesredetection or reactivation of HPV infectionrisk reduction

Identifiers

PMID31273942
PMCPMC6712465
OpenAlexW2955610386

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.