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HPV SEROSTATUS PRE- AND POST-VACCINATION IN A RANDOMIZED PHASE II PREPAREDNESS TRIAL AMONG YOUNG WESTERN CAPE, SOUTH AFRICAN WOMEN: THE EVRI TRIAL.
Sudenga, Staci L; Torres, B Nelson; Botha, Matthys H; Zeier, Michele; Abrahamsen, Martha E; Glashoff, Richard H; Engelbrecht, Susan; Schim Van der Loeff, Maarten F; Van der Laan, Louvina E; Kipping, Siegfried; Taylor, Douglas; Giuliano, Anna R.
Afiliación
  • Sudenga SL; Center for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL, USA.
  • Torres BN; Center for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL, USA.
  • Botha MH; Department of Obstetrics and Gynaecology and Unit for Gynaecological Oncology, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.
  • Zeier M; Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa.
  • Abrahamsen ME; Center for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL, USA.
  • Glashoff RH; Division of Medical Virology, Stellenbosch University and NHLS Tygerberg, Cape Town, South Africa.
  • Engelbrecht S; Division of Medical Virology, Stellenbosch University and NHLS Tygerberg, Cape Town, South Africa.
  • Schim Van der Loeff MF; Department of Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, the Netherlands.
  • Van der Laan LE; Department of Obstetrics and Gynaecology and Unit for Gynaecological Oncology, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.
  • Kipping S; Department of Obstetrics and Gynaecology and Unit for Gynaecological Oncology, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.
  • Taylor D; FHI 360, Durham, NC, USA.
  • Giuliano AR; Center for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL, USA.
Papillomavirus Res ; 3: 50-56, 2017 Jun.
Article en En | MEDLINE | ID: mdl-28480334
BACKGROUND: HPV antibodies are a marker of past exposure to the virus. Our objective was to assess HPV serostatus pre- and post-vaccination among HIV-negative women. METHODS: Women aged 16-24 years old were randomized in a placebo controlled trial utilizing the 4-valent HPV (4vHPV) vaccine (NCT01489527, clinicaltrials.gov). Participants (n=389) received the 4vHPV vaccine or placebo following a three dose schedule. Sera were collected at Day 1 and Month 7 for assessment of HPV 6, 11, 16, and 18 neutralizing antibody levels using a multiplex competitive Luminex immunoassay (Merck) based on detecting the L1 capsid antigen for each HPV type. RESULTS: Seroprevalence was 73% for HPV6, 47% for HPV11, 33% for HPV16, and 44% for HPV18. Seroprevalence for any HPV type did not significantly differ by age or lifetime number of partners. The majority of participants (64%) had two or more 4vHPV antibodies present at enrollment and 12% had antibodies to all four. Among women in the vaccine arm, those that were seropositive for HPV16 at enrollment had higher titers at month 7 compared to women that were seronegative for HPV16 at enrollment; this trend holds for the other HPV types as well. Seroconversion among baseline seronegative participants in the placebo group ranged from 5% for HPV16 to 23% for HPV6. CONCLUSION: HPV seroprevalence was high in this population, emphasizing the need to vaccinate prior to sexual debut.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Papillomavirus Res Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Papillomavirus Res Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos