Evidence map›Paper›PMID 33092049›Full record

ReviewVaccines2020

Immunogenicity of Alternative Dosing Schedules for HPV Vaccines among Adolescent Girls and Young Women: A Systematic Review and Meta-Analysis.

Andrew M Secor, Matthew Driver, Brenda Kharono, Dianna Hergott, Gui Liu, Ruanne V Barnabas, Peter Dull, Stephen E Hawes, Paul K Drain

Abstract readReview
In one paragraph

Review in Vaccines, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

9 authors.

Andrew M SecorSTART Center, University of Washington, Seattle, WA 98195, USA.ORCID 0000-0001-6882-6237
Matthew DriverSTART Center, University of Washington, Seattle, WA 98195, USA.
Brenda KharonoSTART Center, University of Washington, Seattle, WA 98195, USA.
Dianna HergottSTART Center, University of Washington, Seattle, WA 98195, USA.ORCID 0000-0001-9417-4340
Gui LiuDepartment of Epidemiology, University of Washington, Seattle, WA 98195, USA.
Ruanne V BarnabasDepartment of Global Health, University of Washington, Seattle, WA 98195, USA.
Peter DullBill and Melinda Gates Foundation, Seattle, WA 98109, USA.
Stephen E HawesSTART Center, University of Washington, Seattle, WA 98195, USA.
Paul K DrainSTART Center, University of Washington, Seattle, WA 98195, USA.ORCID 0000-0002-9569-4097

Funding

Bill and Melinda Gates Foundation OPP1155935
6 · The paper itself

Abstract

Alternative dosing schedules for licensed human papilloma virus (HPV) vaccines, particularly single dose and extended intervals between doses (>12 months), are being considered to address vaccine shortages and improve operational flexibility. We searched PUBMED/MEDLINE for publications reporting immunogenicity data following administration of one of the licensed HPV vaccines (2vHPV, 4vHPV, and 9vHPV) to females aged 9-26 years. We conducted non-inferiority analyses comparing alternative to standard schedules using mixed effects meta-regression controlling for baseline HPV status and disaggregated by vaccine, subtype, time point, and age group (9-14 and 15-26 years). Non-inferiority was defined as the lower bound of the 95% confidence interval (CI) for the geometric mean titer (GMT) ratio being greater than 0.5. Our search returned 2464 studies, of which 23 were included in data analyses. When evaluated against standard schedules, although robust immunogenicity was demonstrated across all multi-dose groups, non-inferiority of extended interval dosing was mixed across vaccines, subtypes, and time points. Single dose did not meet the criteria for non-inferiority in any comparisons. Sparse data limited the number of possible comparisons, and further research is warranted.

Indexed as

alternative dosing schedulesHPVimmunogenicitymeta-analysisvaccines

Identifiers

PMID33092049
PMCPMC7712330

What OpenQuestion holds

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LicenceCC BY
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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.