Evidence map›Paper›PMID 41607770›Full record

SynthesisFrontiers in immunology2025

Comprehensive evaluation of prophylactic HPV vaccines: a systematic review and meta-analysis of efficacy, safety, and immunogenicity in males and females.

Zhiliang Wang, Hui Zhang, Yuhang Zhu, Yuanli Jiang, Danhe Yang, Xiaofeng Zou, Yi Fang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Zhiliang Wang *Department of Obstetrics and Gynecology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Hui Zhang *Clinical Trial Institution, Peking University People's Hospital, Beijing, China.
Yuhang ZhuEarly Clinical Research Ward, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yuanli JiangEarly Clinical Research Ward, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Danhe YangDepartment of Obstetrics and Gynecology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Xiaofeng ZouDepartment of Obstetrics and Gynecology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yi FangClinical Trial Institution, Peking University People's Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Human papillomavirus (HPV) vaccination is a cornerstone of global strategies to prevent HPV-associated malignancies; however, uncertainties persist regarding its long-term efficacy, immunogenicity, and safety across populations, vaccine formulations, and dosing schedules. We conducted a comprehensive systematic review and meta-analysis to evaluate the clinical and immunological effectiveness of prophylactic HPV vaccines. Methods: This study followed PRISMA guidelines and was registered in PROSPERO (CRD420251050526). Randomized controlled trials (RCTs) were identified through comprehensive searches of six major databases. Risk of bias was assessed using the RoB 2 tool. Meta-analyses were performed using random- or fixed-effects models as appropriate. Subgroup and meta-regression analyses explored the effects of age, sex, vaccine type, dosing regimen, and HIV status. Certainty of evidence was appraised using the GRADE framework. Results: A total of 145 RCTs were included. HPV vaccination significantly reduced cervical intraepithelial neoplasia grade 1 (RR = 0.15, 95% CI: 0.09-0.24), grade 2 (0.20, 0.13-0.30), and grade 3 (0.48, 0.23-0.98). Persistent HPV16/18 infections were reduced by 84% (0.16, 0.12-0.21), and incident infections by 75% (0.25, 0.19-0.34). Immunogenicity analyses demonstrated robust antibody responses, with fold increases of 3.09 for HPV16, 3.10 for HPV18, 3.48 for HPV6, and 3.37 for HPV11. Tissue-resident CD4 Conclusion: Prophylactic HPV vaccination provides strong protection against HPV infections and precancerous lesions and induces robust humoral immunity with a favorable safety profile. The nonavalent vaccine, particularly when administered in a three-dose (0/1/6) regimen, offers the most comprehensive protection. These findings support the expansion of gender-neutral vaccination programs to maximize population-level cancer prevention. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420251050526.

Indexed as

Immunogenicity, VaccinePapillomavirus InfectionsPapillomavirus VaccinesUterine Cervical NeoplasmsFemaleHumansMaleRandomized Controlled Trials as TopicVaccinationVaccine EfficacyPapillomavirus Vaccinescervical intraepithelial neoplasiaHPV vaccineshuman papillomavirusimmunogenicitymeta-analysisvaccine safety

Identifiers

PMID41607770
PMCPMC12835409

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.