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评价四价 HPV 疫苗在中国女性和男性中针对 HPV 免疫应答的持久性:长达 3.5 年的随访。

Evaluation on the persistence of anti-HPV immune responses to the quadrivalent HPV vaccine in Chinese females and males: Up to 3.5 years of follow-up.

机构信息

Guangxi Center for Disease Control and Prevention, #18 Jin Zhou Road, Nanning 530028, Guangxi, PR China.

Wuzhou Center for Disease Control and Prevention, #3 Chun Hu Road, Wuzhou 543002, Guangxi, PR China.

出版信息

Vaccine. 2018 Mar 7;36(11):1368-1374. doi: 10.1016/j.vaccine.2018.02.006. Epub 2018 Feb 7.

Abstract

BACKGROUND

This was an extension study of a randomized, double-blind, placebo-controlled immunogenicity and safety study of the quadrivalent human papillomavirus (qHPV) (HPV 6, 11, 16, and 18) vaccine conducted in Chinese female subjects aged 9-45 years and male subjects aged 9-15 years. To investigate the persistence of anti-HPV 6, -11, -16, and -18 responses among Chinese subjects, subjects enrolled in the base study were followed up at around month 42 (approximately 3.5 years after vaccination).

METHODS

Among 600 subjects enrolled in the base study, a total of 468 subjects consented for participation in the extension study. Anti-HPV 6, -11, -16, and -18 antibodies were detected by the competitive Luminex immunoassay (cLIA) and total IgG Luminex immunoassay (IgG LIA).

RESULTS

Among the female subjects who received the qHPV vaccine, the proportions of subjects remained seropositive were high with both the cLIA and IgG LIA for HPV type 6, 11, and 16 through approximately 42 months following the first dose vaccination. For HPV 18, the seropositivity rate remained high as 82.0% with the IgG LIA, while it decreased to 53.6% with the cLIA, which was similar to the findings observed in other studies. The seropositivity rates remained high at month 42 for all qHPV types with both the cLIA and IgG LIA among the male subjects.

CONCLUSIONS

Administration of a 3-dose regimen of qHPV vaccine induces durable anti-HPV 6, anti-HPV 11, anti-HPV 16, and anti-HPV 18 responses among Chinese subjects for at least 3.5 years after vaccination. ClinicalTrials.gov registry:NCT01427777.

摘要

背景

这是一项四价人乳头瘤病毒(HPV)(HPV6、11、16 和 18)疫苗的随机、双盲、安慰剂对照免疫原性和安全性研究的扩展研究,该研究纳入了中国 9-45 岁女性和 9-15 岁男性受试者。为了研究中国受试者中 HPV6、-11、-16 和 -18 型抗体的持久性,在基础研究中入组的受试者在大约第 42 个月(接种后约 3.5 年)进行随访。

方法

在基础研究中入组的 600 名受试者中,共有 468 名受试者同意参加扩展研究。采用竞争性 Luminex 免疫测定法(cLIA)和总 IgG Luminex 免疫测定法(IgG LIA)检测抗 HPV6、-11、-16 和 -18 抗体。

结果

在接种 qHPV 疫苗的女性受试者中,通过第 1 剂接种后大约 42 个月,cLIA 和 IgG LIA 检测 HPV 类型 6、11 和 16 的血清阳性率均保持较高水平。对于 HPV 18,IgG LIA 的血清阳性率仍保持较高水平(82.0%),而 cLIA 的血清阳性率则降至 53.6%,这与其他研究的结果相似。在男性受试者中,cLIA 和 IgG LIA 检测所有 qHPV 类型的血清阳性率在第 42 个月时均保持较高水平。

结论

接种 3 剂 qHPV 疫苗可诱导中国受试者产生持久的抗 HPV6、抗 HPV11、抗 HPV16 和抗 HPV18 应答,至少在接种后 3.5 年内保持。临床试验注册:NCT01427777。

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