Evidence map›Paper›PMID 34579786›Full record

ArticleTrials2021

Single-dose HPV vaccination efficacy among adolescent girls and young women in Kenya (the KEN SHE Study): study protocol for a randomized controlled trial.

Ruanne V Barnabas, Elizabeth R Brown, Maricianah Onono, Elizabeth A Bukusi, Betty Njoroge, Rachel L Winer, Deborah Donnell, Denise Galloway, Stephen Cherne, Kate Heller and 8 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.8field-weighted citation impact, top 4% 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.

NCT02834637 phase3active not recruitingnot on this map

A Dose Reduction Immunobridging and Safety Study of Two HPV Vaccines in Tanzanian Girls

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2017 to 2027Enrolled930ConditionsHuman Papilloma VirusArmsbivalent HPV vaccine, nonavalent HPV vaccine
NCT03675256 phase4unknown statusnot on this map

KENya Single-dose HPV-vaccine Efficacy - The KEN-SHE Study

TypeinterventionalSponsorMassachusetts General HospitalRan2018 to 2024Enrolled2,275ConditionsPapillomavirus InfectionsArmsimmediate Gardasil 9, delayed MenVeo vaccine, immediate MenVeo vaccine, delayed Gardasil 9, immediate Cervarix, delayed MenVeo vaccine
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Towards Global HPV Eradication: Single-Dose HPV Vaccination vs. Pseudoscience.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

18 authors at 2 institutions in 2 countries.

Ruanne V BarnabasDepartment of Global Health, University of Washington, Seattle, USA. rbarnaba@uw.edu.ORCID http://orcid.org/0000-0002-1793-6003
Elizabeth R BrownVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, USA.
Maricianah OnonoKenya Medical Research Institute, Nairobi, Kenya.
Elizabeth A BukusiDepartment of Global Health, University of Washington, Seattle, USA.
Betty NjorogeKenya Medical Research Institute, Nairobi, Kenya.
Rachel L WinerDepartment of Epidemiology, University of Washington, Seattle, USA.
Deborah DonnellDepartment of Global Health, University of Washington, Seattle, USA.
Denise GallowayDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, USA.
Stephen CherneDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, USA.
Kate HellerDepartment of Global Health, University of Washington, Seattle, USA.
Hannah LeingangDepartment of Global Health, University of Washington, Seattle, USA.
Susan MorrisonDepartment of Global Health, University of Washington, Seattle, USA.
Elena RechkinaDepartment of Global Health, University of Washington, Seattle, USA.
R Scott McClellandDepartment of Global Health, University of Washington, Seattle, USA.
Jared M BaetenDepartment of Global Health, University of Washington, Seattle, USA.
Connie CelumDepartment of Global Health, University of Washington, Seattle, USA.
Nelly MugoDepartment of Global Health, University of Washington, Seattle, USA.
KEN SHE Study Team
University of Washington · USKenya Medical Research Institute · KE

Funding

Bill and Melinda Gates Foundation OPP1188693
6 · The paper itself

Abstract

backgroundHPV infection is the primary cause of cervical cancer, a leading cause of cancer among women in Kenya and many sub-Saharan African countries. High coverage of HPV vaccination is a World Health Organization priority to eliminate cervical cancer globally, but vaccine supply and logistics limit widespread implementation of the current two or three dose HPV vaccine schedule.

methodsWe are conducting an individual randomized controlled trial to evaluate whether a single dose of the bivalent (HPV 16/18) or nonavalent (HPV 16/18/31/33/45/52/58/6/11) HPV vaccine prevents persistent HPV infection, a surrogate marker for precancerous lesions and cervical cancer. The primary objective is to compare the efficacy of immediate, single-dose bivalent or nonavalent vaccination with delayed HPV vaccination. Kenyan women age 15-20 years old are randomized to immediate bivalent HPV and delayed meningococcal vaccine (group 1), immediate nonavalent HPV vaccine and delayed meningococcal vaccine (group 2), or immediate meningococcal vaccine and delayed HPV vaccine (group 3) with 36 months of follow-up. The primary outcome is persistent vaccine-type HPV infection by month 18 and by month 36 for the final durability outcome. The secondary objectives include to (1) evaluate non-inferiority of antibody titers among girls and adolescents (age 9 to 14 years) from another Tanzanian study, the DoRIS Study (NCT02834637), compared to KEN SHE Study participants; (2) assess the memory B cell immune response at months 36 and 37; and (3) estimate cost-effectiveness using the trial results and health economic models. DISCUSSION: This study will evaluate single-dose HPV vaccine efficacy in Africa and has the potential to guide public health policy and increase HPV vaccine coverage. The secondary aims will assess generalizability of the trial results by evaluating immunobridging from younger ages, durability of the immune response, and the long-term health benefits and cost of single-dose HPV vaccine delivery.

trial registrationClinicalTrials.gov NCT03675256 . Registered on September 18, 2018.

Indexed as

Papillomavirus InfectionsPapillomavirus VaccinesUterine Cervical NeoplasmsAdolescentChildEquivalence Trials as TopicFemaleHuman papillomavirus 16Human papillomavirus 18HumansKenyaRandomized Controlled Trials as TopicVaccinationYoung AdultPapillomavirus VaccinesHuman papillomavirusMulti-age cohortRandomized controlled trialReduced dose scheduleSingle-dose vaccination

Identifiers

PMID34579786
PMCPMC8475401
OpenAlexW3166955959

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.