Evidence map›Paper›PMID 40794702›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

A Phase IV, Open-label, Single-Arm, Multicentric Clinical Trial for Evaluation of Human Papillomavirus 9vHPV Vaccine Immunogenicity in Men Who Have Sex With Men With HIV: GeSIDA Study 10 017.

Raquel Ron, Claudio Díaz-García, Elena Sendagorta, Alfonso Cabello-Úbeda, Elena Moreno, Clara Crespillo-Andújar, Rosa Feltes-Ochoa, Irene Carrillo-Acosta, Roser Navarro-Soler, Herminia Esteban and 4 more

Erratum issuedAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Raquel RonDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, CIBERINFEC, Spain.ORCID 0000-0002-3439-8438
Claudio Díaz-GarcíaDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, CIBERINFEC, Spain.ORCID 0000-0001-7570-7113
Elena SendagortaDepartment of Dermatology, Hospital Universitario La Paz, CIBERINFEC, Madrid, Spain.ORCID 0000-0002-6255-7037
Alfonso Cabello-ÚbedaFundación SEIMC-GESIDA, Madrid, Spain.ORCID 0000-0001-8429-8358
Elena MorenoDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, CIBERINFEC, Spain.
Clara Crespillo-AndújarDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, CIBERINFEC, Spain.ORCID 0000-0002-1226-8616
Rosa Feltes-OchoaDepartment of Dermatology, Hospital Universitario La Paz, CIBERINFEC, Madrid, Spain.ORCID 0000-0002-0429-3221
Irene Carrillo-AcostaFundación SEIMC-GESIDA, Madrid, Spain.
Roser Navarro-SolerDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, CIBERINFEC, Spain.ORCID 0009-0001-7044-2707
Herminia EstebanDepartment of Dermatology, Hospital Universitario La Paz, CIBERINFEC, Madrid, Spain.
Miguel GórgolasDivision of Infectious Diseases. Hospital Universitario Fundación Jiménez Díaz, Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid, Spain.
Santiago MorenoDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, CIBERINFEC, Spain.ORCID 0000-0002-2843-1094
Jose A Perez-MolinaDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, CIBERINFEC, Spain.
Sergio Serrano-VillarDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, CIBERINFEC, Spain.ORCID 0000-0002-5447-3554

Funding

European UnionInstituto de Salud Carlos III FI22/00111Instituto de Salud Carlos III ICI20/00058Instituto de Salud Carlos III PI21/00041Instituto de Salud Carlos III PI24/00078Merck Sharp & Dohme
6 · The paper itself

Abstract

backgroundMen who have sex with men (MSM) with HIV are at increased risk for anal cancer, largely attributable to persistent HPV infection. However, data on the nonavalent HPV vaccine (9vHPV) in MSM with HIV older than 26 remain sparse.

methodsThis phase IV trial evaluated the immunogenicity, safety, and impact of age and CD4/CD8 ratio on 9vHPV vaccine responses in MSM with HIV up to 35 years. Inclusion criteria were age 16-35, undetectable viral load, and CD4 + counts >200 cells/mm³. Participants received 9vHPV vaccine doses at weeks 0, 8, and 24, and were followed to week 96. Serum samples for immunogenicity, anal HPV DNA testing, and adverse event reports were collected at baseline, week 28, and week 96. Additionally, we investigated potential predictors of vaccine immunogenicity, including age group and CD4/CD8 ratio.

resultsAmong 158 enrolled participants, 138 completed the per-protocol analysis. Seroconversion exceeded 85% for all nine HPV vaccine genotypes at week 96. New infections with vaccine-included genotypes occurred in 24% of participants, predominantly involving HPV-16. The overall clearance rate for any high-risk HPV genotype included in the vaccine was 74% at week 96. Neither older age (≥26 years), lower CD4/CD8 ratio, nadir CD4 or CD4 counts affected immunogenicity. No severe adverse events related to vaccination were recorded.

conclusionsThe 9vHPV vaccine demonstrated robust immunogenicity and encouraging viral clearance rates in MSM with HIV up to 35 years. These findings support extending vaccination beyond 26 years in this high-risk group, emphasizing the additional coverage provided by the 9vHPV formulation. CLINICAL

trial registrationEudraCT number 2018-000215-24.

Indexed as

9-valent HPV vaccineHIV infectionHuman papillomavirusImmunogenicityPhase IV clinical trial

Identifiers

PMID40794702
PMCPMC13017429

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Registered trials

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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.