Evidence map›Paper›PMID 31305011›Full record

Trial reportCancer medicine2019

Efficacy, immunogenicity and safety of the AS04-HPV-16/18 vaccine in Chinese women aged 18-25 years: End-of-study results from a phase II/III, randomised, controlled trial.

Feng-Cai Zhu, Shang-Ying Hu, Ying Hong, Yue-Mei Hu, Xun Zhang, Yi-Ju Zhang, Qin-Jing Pan, Wen-Hua Zhang, Fang-Hui Zhao, Cheng-Fu Zhang and 18 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report 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 NCT00779766 (Efficacy, Immunogenicity and Safety of GlaxoSmithKline Biologicals' HPV GSK 580299 Vaccine in Healthy Chinese Female Subjects), which is not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT00779766 phase3completednot on this map

Efficacy, Immunogenicity and Safety of GlaxoSmithKline Biologicals' HPV GSK 580299 Vaccine in Healthy Chinese Female Subjects

TypeinterventionalSponsorGlaxoSmithKlineRan2008 to 2016Enrolled6,081ConditionsInfections, PapillomavirusArmsHPV GSK 580299 vaccine, Placebo control
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 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

28 authors at 7 institutions in 3 countries.

Feng-Cai ZhuJiangsu Province Center for Disease Prevention and Control, Nanjing, China.
Shang-Ying HuNational Cancer Center - Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College (PUMC), Beijing, China.
Ying HongAffiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Yue-Mei HuJiangsu Province Center for Disease Prevention and Control, Nanjing, China.
Xun ZhangNational Cancer Center - Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College (PUMC), Beijing, China.
Yi-Ju ZhangJiangsu Province Center for Disease Prevention and Control, Nanjing, China.
Qin-Jing PanNational Cancer Center - Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College (PUMC), Beijing, China.
Wen-Hua ZhangNational Cancer Center - Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College (PUMC), Beijing, China.
Fang-Hui ZhaoNational Cancer Center - Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College (PUMC), Beijing, China.ORCID 0000-0001-9294-0005
Cheng-Fu ZhangLianshui Center for Disease Prevention and Control, Lianshui, China.
Xiaoping YangJintan Center for Disease Prevention and Control, Jintan, China.
Jia-Xi YuXuzhou Center for Disease Prevention and Control, Xuzhou, China.
Jiahong ZhuLianshui Center for Disease Prevention and Control, Lianshui, China.
Yejiang ZhuBinhai Center for Disease Prevention and Control, Yancheng, China.
Feng ChenNational Cancer Center - Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College (PUMC), Beijing, China.
Qian ZhangNational Cancer Center - Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College (PUMC), Beijing, China.
Hong WangNational Cancer Center - Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical College (PUMC), Beijing, China.
Changrong WangJintan Center for Disease Prevention and Control, Jintan, China.
Jun BiXuzhou Center for Disease Prevention and Control, Xuzhou, China.
Shiyin XueLianshui Center for Disease Prevention and Control, Lianshui, China.
Lingling ShenXuzhou Center for Disease Prevention and Control, Xuzhou, China.
Yan-Shu ZhangBinhai Center for Disease Prevention and Control, Yancheng, China.
Yunkun HeGSK, Shanghai, China.
Haiwen TangGSK, Shanghai, China.
Naveen KarkadaGSK, Bangalore, India.
Pemmaraju SuryakiranGSK, Bangalore, India.
Dan BiGSK, Wavre, Belgium.
Frank StruyfGSK, Wavre, Belgium.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNJiangsu Provincial Center for Disease Control and Prevention · CNGlaxoSmithKline (Belgium) · BEGlaxoSmithKline (China) · CNGlaxoSmithKline (India) · INJiangsu University · CNNanjing Drum Tower Hospital · CN

Funding

GlaxoSmithKline Biologicals
6 · The paper itself

Abstract

backgroundCervical cancer is a major public health concern in China. We report the end-of-study results of a phase II/III trial to assess the efficacy, immunogenicity, and safety of the AS04-human papillomavirus (HPV)-16/18 vaccine in Chinese women aged 18-25 years followed for up to 72 months after first vaccination. Results of approximately 57 months following first vaccination have been previously reported.

methodsHealthy 18-25-year-old women (N = 6051) were randomized (1:1) to receive three doses of AS04-HPV-16/18 vaccine or Al(OH)

resultsIn initially HPV-16/18 seronegative/DNA-negative women, vaccine efficacy against HPV-16/18-associated CIN grade 2 or worse was 87.3% (95% CI: 5.5, 99.7) in the ATP-E, 88.7% (95% CI: 18.5, 99.7) in the TVC-E, and 100% (95% CI: 17.9, 100) in the TVC-naïve. Cross-protective efficacy against incident infection with HPV-31, HPV-33 and HPV-45 was 59.6% (95% CI: 39.4, 73.5), 42.7% (95% CI: 15.6, 61.6), and 54.8% (95% CI: 19.3, 75.6), respectively (ATP-E). At Month 72, >95% of initially seronegative women who received HPV vaccine in the ATP cohort for immunogenicity (N = 664) remained seropositive for anti-HPV-16/18 antibodies; anti-HPV-16 and anti-HPV-18 geometric mean titers were 678.1 EU/mL (95% CI: 552.9, 831.5) and 343.7 EU/mL (95% CI: 291.9, 404.8), respectively. Serious adverse events were infrequent (1.9% vaccine group [N = 3026]; 2.7% control group [N = 3025]). Three and zero women died in the control group and the vaccine group respectively. New onset autoimmune disease was reported in two women in the vaccine group and two in the control group.

conclusionsThis is the first large-scale randomized clinical trial of HPV vaccination in China. High and sustained vaccine efficacy against HPV-16/18-associated infection and cervical lesions was demonstrated up to Month 72. The vaccine had an acceptable safety profile. Combined with screening, prophylactic HPV vaccination could potentially reduce the high burden of HPV infection and cervical cancer in China.

trial registrationNCT00779766.

Indexed as

Immunogenicity, VaccineAdolescentAdultAge FactorsChinaFemaleHuman papillomavirus 16Human papillomavirus 18HumansOutcome Assessment, Health CarePapillomavirus InfectionsPapillomavirus VaccinesPublic Health SurveillanceTime FactorsVaccinationYoung AdultPapillomavirus VaccinesAS04-HPV-16/18 vaccineChinaefficacyhuman papillomavirusimmunogenicitysafety

Identifiers

PMID31305011
PMCPMC6797633
OpenAlexW2961523598

What OpenQuestion holds

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LicenceCC BY
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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.