Immunologic responses following administration of a vaccine targeting human papillomavirus Types 6, 11, 16, and 18

被引:342
作者
Villa, Luisa L.
Ault, Kevin A.
Giuliano, Anna R.
Costa, Ronaldo L. R.
Petta, Carlos A.
Andrade, Rosires P.
Brown, Darron R.
Ferenczy, Alex
Harper, Diane M.
Koutsky, Laura A.
Kurman, Robert J.
Lehtinen, Matti
Malm, Christian
Olsson, Sven-Eric
Ronnett, Brigitte M.
Skjeldestad, Finn Egil
Steinwall, Margareta
Stoler, Mark H.
Wheeler, Cosette M.
Taddeo, Frank J.
Yu, Jimmy
Lupinacci, Lisa
Railkar, Radha
Marchese, Rocio
Esser, Mark T.
Bryan, Janine
Jansen, Kathrin U.
Sings, Heather L.
Tamms, Gretchen M.
Saah, Alfred J.
Barr, Eliav
机构
[1] Ludwig Inst Canc Res, Dept Virol, BR-01509010 Sao Paulo, SP, Brazil
[2] Univ Iowa, Dept Obstet Gynecol & Epidemiol, Iowa City, IA USA
[3] Univ Arizona, Ctr Canc, Tucson, AZ USA
[4] Inst Brasileiro Controle Canc, Dept Gynecol, Sao Paulo, Brazil
[5] Hosp Canc, Sao Paulo, Brazil
[6] Univ Estadual Campinas, Dept Obstet & Gynecol, Campinas, Brazil
[7] CERHFAC, Ctr Human Reprod Studies & Clin Trials, Curitiba, Parana, Brazil
[8] Indiana Univ, Sch Med, Dept Med, Indianapolis, IN 46204 USA
[9] McGill Univ, Dept Pathol, Montreal, PQ, Canada
[10] SMBD Jewish Gen Hoso, Montreal, PQ, Canada
[11] Dartmouth Med Sch, Norris Cotton Canc Ctr, Dept Obstet & Gynecol, Hanover, NH USA
[12] Dartmouth Med Sch, Norris Cotton Canc Ctr, Dept Community & Family Med, Hanover, NH USA
[13] Univ Washington, Sch Publ Hlth, Dept Epidemiol, Seattle, WA 98195 USA
[14] Johns Hopkins Univ, Sch Med, Dept Pathol, Baltimore, MD 21205 USA
[15] Natl Publ Hlth Inst, Dept Infect Dis Epidemiol, Helsinki, Finland
[16] Danderyd Hosp, Karolinska Inst, Stockholm, Sweden
[17] SINTEF Hlth Res, Dept Epidemiol, Trondheim, Norway
[18] Univ Hosp, Lund, Sweden
[19] Univ Virginia, Sch Med, Dept Pathol, Charlottesville, VA 22908 USA
[20] Univ New Mexico, Dept Mol Genet & Microbiol, Albuquerque, NM 87131 USA
[21] Univ New Mexico, Dept Obstet & Gynecol, Albuquerque, NM 87131 USA
[22] Merck Res Labs, Dept Vaccine, West Point, PA USA
[23] Merck Res Labs, Dept Biol Res, West Point, PA USA
[24] Merck Res Labs, Dept Biostat, West Point, PA USA
[25] Merck Res Labs, Dept Med Commun, West Point, PA USA
[26] Merck Res Labs, Dept Biol Clin Res, West Point, PA USA
关键词
human papillomavirus; vaccine; immunogenicity;
D O I
10.1016/j.vaccine.2006.04.068
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Human papillomavirus (HPV) infection causes cervical cancer and genital warts. Young women (1106) were randomized to receive one of three formulations of a quadrivalent HPV (Types 6/11/16/18) L1 virus-like particle (VLP) vaccine or one of two placebo formulations. The goal was to assess vaccine safety and immunogenicity in baseline HPV 6/11/16 or 18-naive and previously infected subjects. All three formulations were highly immunogenic. At Month 2 (postdose 1), among women with vaccine-type antibodies at baseline, vaccine-induced anti-HPV responses were similar to 12- to 26-fold higher than those observed in baseline-naive women, suggesting an anamnestic response. Following an initial, similar sized decline, anti-HPV responses plateaued and remained stable through end-of-study (3.0 years). No vaccine-related serious adverse experiences were reported. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:5571 / 5583
页数:13
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