PMID- 29767739 OWN - NLM STAT- MEDLINE DCOM- 20190912 LR - 20190912 IS - 1537-6613 (Electronic) IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 218 IP - 1 DP - 2018 Jun 5 TI - Efficacy, Immunogenicity, and Safety of a 9-Valent Human Papillomavirus Vaccine: Subgroup Analysis of Participants From Asian Countries. PG - 95-108 LID - 10.1093/infdis/jiy133 [doi] AB - BACKGROUND: A 9-valent human papillomavirus-6/11/16/18/31/33/45/52/58 (9vHPV) vaccine extends coverage to 5 next most common oncogenic types (31/33/45/52/58) in cervical cancer versus quadrivalent HPV (qHPV) vaccine. We describe efficacy, immunogenicity, and safety in Asian participants (India, Hong Kong, South Korea, Japan, Taiwan, and Thailand) from 2 international studies: a randomized, double-blinded, qHPV vaccine-controlled efficacy study (young women aged 16-26 years; NCT00543543; Study 001); and an immunogenicity study (girls and boys aged 9-15 years; NCT00943722; Study 002). METHODS: Participants (N = 2519) were vaccinated at day 1 and months 2 and 6. Gynecological samples (Study 001 only) and serum were collected for HPV DNA and antibody assessments, respectively. Injection-site and systemic adverse events (AEs) were monitored. Data were analyzed by country and vaccination group. RESULTS: 9vHPV vaccine prevented HPV-31/33/45/52/58-related persistent infection with 90.4%-100% efficacy across included countries. At month 7, >/=97.9% of participants seroconverted for each HPV type. Injection-site AEs occurred in 77.7%-83.1% and 81.9%-87.5% of qHPV and 9vHPV vaccine recipients in Study 001, respectively, and 62.4%-85.7% of girls/boys in Study 002; most were mild to moderate. CONCLUSIONS: The 9vHPV vaccine is efficacious, immunogenic, and well tolerated in Asian participants. Data support 9vHPV vaccination programs in Asia. CLINICAL TRIALS REGISTRATION: NCT00543543; NCT00943722. FAU - Garland, S M AU - Garland SM AD - Western Pacific Regional HPV Labnet Reference Laboratory, Department of Infectious Disease and Microbiology, Royal Women's Hospital, Murdoch Children's Research Institute, Royal Children's Hospital and Department of Obstetrics and Gynaecology, University of Melbourne, Parkville, Victoria, Australia. FAU - Pitisuttithum, P AU - Pitisuttithum P AD - Vaccine Trial Centre, Mahidol University, Salaya, Thailand. FAU - Ngan, H Y S AU - Ngan HYS AD - Department of Obstetrics and Gynaecology, the University of Hong Kong, China. FAU - Cho, C-H AU - Cho CH AD - Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Daegu, South Korea. FAU - Lee, C-Y AU - Lee CY AD - Department of Gynecology, Chang Gung Memorial Hospital, Chiayi Branch, Taipei. FAU - Chen, C-A AU - Chen CA AD - Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei. FAU - Yang, Y C AU - Yang YC AD - MacKay Memorial Hospital, Taipei. FAU - Chu, T-Y AU - Chu TY AD - Tzu Chi Medical Center, Hualien. FAU - Twu, N-F AU - Twu NF AD - Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan. FAU - Samakoses, R AU - Samakoses R AD - Department of Pediatrics, Phramongkutklao Hospital, Bangkok, Thailand. FAU - Takeuchi, Y AU - Takeuchi Y AD - Fukui General Hospital, Japan. FAU - Cheung, T H AU - Cheung TH AD - Department of Obstetric and Gynaecology, Chinese University of Hong Kong, China. FAU - Kim, S C AU - Kim SC AD - Division of Gynecologic Oncology, Ewha Womans University Mokdong Hospital, School of Medicine Ewha Womans University, Seoul, South Korea. FAU - Huang, L-M AU - Huang LM AD - Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan. FAU - Kim, B-G AU - Kim BG AD - Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. FAU - Kim, Y-T AU - Kim YT AD - Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asian Medical Center, Seoul, South Korea. FAU - Kim, K-H AU - Kim KH AD - Department of Pediatrics and Center for Vaccine Evaluation and Study, Ewha Womans University College of Medicine, Seoul, South Korea. FAU - Song, Y-S AU - Song YS AD - Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, South Korea. FAU - Lalwani, S AU - Lalwani S AD - Bharati Vidyapeeth Deemed University Medical College and Hospital, Pune, India. FAU - Kang, J-H AU - Kang JH AD - Department of Pediatrics, Seoul St. Mary's Hospital, College of Medicine, the Catholic University of Korea, South Korea. FAU - Sakamoto, M AU - Sakamoto M AD - Department of Gynaecology, Sasaki Foundation Kyoundo Hospital and Department of Obstetrics and Gynaecology, School of Medicine, the Jikei University, Tokyo, Japan. FAU - Ryu, H-S AU - Ryu HS AD - Department of Obstetrics and Gynecology, School of Medicine, Ajou University, Suwon, South Korea. FAU - Bhatla, N AU - Bhatla N AD - Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India. FAU - Yoshikawa, H AU - Yoshikawa H AD - Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan. FAU - Ellison, M C AU - Ellison MC AD - Merck & Co., Inc., Kenilworth, New Jersey. FAU - Han, S R AU - Han SR AD - MSD K.K., Tokyo, Japan. FAU - Moeller, E AU - Moeller E AD - Merck & Co., Inc., Kenilworth, New Jersey. FAU - Murata, S AU - Murata S AD - MSD K.K., Tokyo, Japan. FAU - Ritter, M AU - Ritter M AD - Merck & Co., Inc., Kenilworth, New Jersey. FAU - Sawata, M AU - Sawata M AD - MSD K.K., Tokyo, Japan. FAU - Shields, C AU - Shields C AD - Merck & Co., Inc., Kenilworth, New Jersey. FAU - Walia, A AU - Walia A AD - Merck & Co., Inc., Kenilworth, New Jersey. FAU - Perez, G AU - Perez G AD - Merck & Co., Inc., Kenilworth, New Jersey. FAU - Luxembourg, A AU - Luxembourg A AD - Merck & Co., Inc., Kenilworth, New Jersey. LA - eng SI - ClinicalTrials.gov/NCT00543543 SI - ClinicalTrials.gov/NCT00943722 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Antibodies, Viral) RN - 0 (Papillomavirus Vaccines) SB - IM MH - Adolescent MH - Adult MH - Antibodies, Viral/blood MH - Asia/epidemiology MH - Child MH - Double-Blind Method MH - Drug-Related Side Effects and Adverse Reactions/epidemiology/pathology MH - Female MH - Genitalia, Female/virology MH - Humans MH - Male MH - Papillomaviridae/*classification/genetics/*isolation & purification MH - Papillomavirus Infections/epidemiology/*prevention & control/*virology MH - Papillomavirus Vaccines/administration & dosage/*adverse effects/*immunology MH - Treatment Outcome MH - Young Adult PMC - PMC5989602 EDAT- 2018/05/17 06:00 MHDA- 2019/09/13 06:00 PMCR- 2018/05/15 CRDT- 2018/05/17 06:00 PHST- 2017/11/15 00:00 [received] PHST- 2018/03/16 00:00 [accepted] PHST- 2018/05/17 06:00 [pubmed] PHST- 2019/09/13 06:00 [medline] PHST- 2018/05/17 06:00 [entrez] PHST- 2018/05/15 00:00 [pmc-release] AID - 4996119 [pii] AID - jiy133 [pii] AID - 10.1093/infdis/jiy133 [doi] PST - ppublish SO - J Infect Dis. 2018 Jun 5;218(1):95-108. doi: 10.1093/infdis/jiy133.