Evidence map›Paper›PMID 32106837›Full record

Trial reportBMC public health2020

Can the prophylactic quadrivalent HPV vaccine be used as a therapeutic agent in women with CIN? A randomized trial.

Mojgan Karimi-Zarchi, Leila Allahqoli, Ameneh Nehmati, Abolfazl Mehdizadeh Kashi, Shokouh Taghipour-Zahir, Ibrahim Alkatout

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

Trial report in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06536855 (Faster Elimination of HPV Infection and Cervical Cancer Using Concomitant HPV Vaccination and HPV Screening), which is not on this map. Cited by 41 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 12 pooled it
7.9field-weighted citation impact, top 2% 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.

NCT06536855 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

Faster Elimination of HPV Infection and Cervical Cancer Using Concomitant HPV Vaccination and HPV Screening: A Demonstration Project in Rwanda

TypeinterventionalSponsorRwanda Biomedical CentreRan2024 to 2026Enrolled100,000ConditionsCervical CancerArmsGardasil 9
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 12 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Human papillomavirus (HPV) vaccination in women with conisation.The Cochrane database of systematic reviews · 2025
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Guideline
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Review
  18. Oral HPV infection clearance and acquisition after nonavalent vaccination in men who have sex with men and transgender women: a prospective analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  19. HPV Infections-Classification, Pathogenesis, and Potential New Therapies.International journal of molecular sciences · 2024
    Review
  20. 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

6 authors at 4 institutions in 2 countries.

Mojgan Karimi-ZarchiEndometriosis Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Leila AllahqoliEndometriosis Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Ameneh NehmatiIslamic Azad University, Yazd Branch, Yazd, Iran.
Abolfazl Mehdizadeh KashiEndometriosis Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Shokouh Taghipour-ZahirShahid Sadoughi University of Medical Science, Yazd, Iran.
Ibrahim AlkatoutDepartment of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany. Ibrahim.Alkatout@uksh.de.ORCID http://orcid.org/0000-0002-7194-6034
Iran University of Medical Sciences · IRIslamic Azad University, Yazd · IRShahid Sadoughi University of Medical Sciences and Health Services · IRUniversity Hospital Schleswig-Holstein · DE

Funding

Shahid Sadoughi University of Medical Sciences (SSUMS), Yazd, Iran IRCT20190603043801N1
6 · The paper itself

Abstract

backgroundHuman papillomavirus (HPV) is one of the most significant risk factors for cervical cancer. The HPV vaccine has a very significant impact on the incidence of cervical cancer. The present study aimed to investigate the impact of prophylactic quadrivalent HPV vaccine in the treatment of women with cervical intraepithelial neoplasia (CIN 1-3).

methodsThis randomized controlled trial was conducted in the Shahid Sadoughi University of Medical Sciences (SSUMS), Yazd, Iran, from October 2011 to November 2015 in women with histologically confirmed residual/recurrent CIN 1 or high-grade CIN (CIN 2-3). Eligible women were assigned randomly to an intervention and a control group. Women in the intervention group were given HPV vaccinations while those in the control group were not. Participants were followed up for 24 months. Primary and secondary outcomes, and adverse effects of the treatment in the two groups were compared using Student's t test, the chi-square test, or Fisher's exact test. P values < 0.05 or less were considered statistically significant.

resultsThree-hundred and twelve women were randomized to the two groups; the data of 138 in the intervention group and 104 in the control group were analyzed. The mean age of the women was 32.59 ± 4.85 years. Differences in age, marital status, and grades of CIN weren't significant between the two groups. At the end of the two-year follow-up period, the number of women with CIN 2-3 in the intervention and control groups was reduced by 75% (from 93 to 23) versus 40% (from 69 to 41). The efficacy of the HPV vaccine in women with CIN 1-3 was 58.7% (p = 0.018). No serious adverse effects related to the vaccines were reported.

conclusionsThe prophylactic quadrivalent HPV vaccine after treatment may have a therapeutic effect in women with residual/recurrent CIN 1 or high-grade CIN (CIN 2-3).

trial registrationIranian Registry of Clinical Trials, IRCT20190603043801N1. Registered 24 July 2019 - Retrospectively registered, http://www.irct.ir/user/trial/40017/view.

Indexed as

AdultFemaleHumansIranPapillomavirus VaccinesTreatment OutcomeUterine Cervical DysplasiaPapillomavirus VaccinesCervical cancerHPVPap smearSecondary preventionVaccine

Identifiers

PMID32106837
PMCPMC7045378
OpenAlexW3011979767

What OpenQuestion holds

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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.