A meta-analysis of antibody positive rate after nine-valent HPV vaccination
ZHANG Chengfeng1 DONG Yonghai1▲ LIU Yun2 YANG Cheng1
1. Emergency Transmission Center, Jiangxi Provincial Center for Disease Control and Prevention, Jiangxi Province,Nanchang 330029, China;
2. Department of Imaging, Jiangxi Provincial People′s Hospital, Jiangxi Province, Nanchang 330006, China
Abstract:Objective To investigate the rate of antibody positive conversion after 9-valent human papillomavirus(HPV) vaccination by meta-analysis. Methods Randomized controlled trials (RCT) were searched in PubMed, Embase,CNKI, Wanfang and VIP databases for the positive rate of antibody after vaccination with 9-valent HPV vaccine and with quadrivalent HPV vaccine until November 2021. Meta-analysis was performed using Stata 12.0 software. Results A total of 6 RCTs were included. The results showed that there was no statistically significant difference in anti-HPV-6/11/16/18 positive rate between 9-valent HPV vaccine and quadrivalent HPV vaccine after inoculation (P>0.05). The positive rates of anti-HPV-31/33/45/52/58 with nine-valent HPV vaccine were higher than those of quadrivalent HPV vaccine, and the differences were statistically significant (anti-HPV-31: RR=2.10, 95%CI=1.86-2.36; anti-HPV-33:RR-7.99, 95%CI=7.01-9.11; anti-HPV-45: RR=11.03, 95%CI=9.21-13.20; anti-HPV-52: RR=32.17, 95%CI=26.51-39.05; anti-HPV-58: RR=4.96, 95%CI=3.91-6.28). Conclusion Compared with quadrivalent HPV vaccine, nine-valent HPV vaccine has good immunogenicity.
Salvadori MI.Human papillomavirus vaccine for children and adolescents[J].Paediatr Child Health,2018,23(4):262-265.
[5]
Wnukowski-Mtonga P,Jayasinghe S,Chiu C,et al.Scientific evidence supporting recommendations on the use of the 9-valent HPV vaccine in a 2-dose vaccine schedule in Australia[J].Commun Dis Intell (2018),2020:44.
[6]
Olsson SE,Restrepo JA,Reina JC,et al.Long -term immunogenicity,effectiveness,and safety of nine-valent human papillomavirus vaccine in girls and boys 9 to 15 years of age:Interim analysis after 8 years of follow-up[J].Papillomavirus Res,2020,10:100 203.
[7]
Du J,ahrlund-Richter A,Nasman A,et al.Human papilloma virus (HPV) prevalence upon HPV vaccination in Swedish youth:a review based on our findings 2008-2018,and perspectives on cancer prevention[J].Arch Gynecol Obstet,2021,303(2):329-335.
[8]
Garland SM,Pitisuttithum P,Ngan H,et al.Efficacy,Immunogenicity,and Safety of a 9-Valent Human Papillomavirus Vaccine:Subgroup Analysis of Participants From Asian Countries[J].J Infect Dis,2018,218(1):95-108.
[9]
Ruiz-Sternberg áM,Moreira EJ,Restrepo JA,et al.Efficacy,immunogenicity,and safety of a 9-valent human papillomavirus vaccine in Latin American girls,boys,and young women[J].Papillomavirus Res,2018,5:63-74.
[10]
Van Damme P,Meijer C,Kieninger D,et al.A phase Ⅲclinical study to compare the immunogenicity and safety of the 9-valent and quadrivalent HPV vaccines in men[J].Vaccine,2016,34(35):4205-4212.
[11]
Joura EA,Giuliano AR,Iversen OE,et al.A 9-valent HPV vaccine against infection and intraepithelial neoplasia in women[J].N Engl J Med,2015,372(8):711-723.
[12]
Garland SM,Cheung TH,Mcneill S,et al.Safety and immunogenicity of a 9-valent HPV vaccine in females 12-26 years of age who previously received the quadrivalent HPV vaccine[J].Vaccine,2015,33(48):6855-6864.
[13]
Vesikari T,Brodszki N,van Damme P,et al.A Randomized,Double-Blind,Phase ⅢStudy of the Immunogenicity and Safety of a 9-Valent Human Papillomavirus L1 Virus-Like Particle Vaccine (V503) Versus Gardasil? in 9-15-Year-Old Girls[J].Pediatr Infect Dis J,2015,34(9):992-998.
Yang DY,Bracken K.Update on the new 9-valent vaccine for human papillomavirus prevention [J].Can Fam Physician,2016,62(5):399-402.
[18]
Signorelli C,Odone A,Ciorba V,et al.Human papillomavirus 9-valent vaccine for cancer prevention:a systematic review of the available evidence[J].Epidemiol Infect,2017,145(10):1962-1982.
[19]
Costa A,Cobucci R,Da SJ,et al.Safety of Human Papillomavirus 9-Valent Vaccine:A meta-Analysis of Randomized Trials[J].J Immunol Res,2017,2017:3 736 201.
Huh WK,Joura EA,Giuliano AR,et al.Final efficacy,immunogenicity,and safety analyses of a nine-valent human papillomavirus vaccine in women aged 16-26 years:a randomised,double-blind trial[J].Lancet,2017,390(10 108):2143-2159.
[22]
Guevara A,Cabello R,Woelber L,et al.Antibody persistence and evidence of immune memory at 5years following administration of the 9-valent HPV vaccine[J].Vaccine,2017,35(37):5050-5057.