Table 1. Recognized limitations of current licensed HPV Vaccines- Cervarix® (GSK) and Gardasil® (Merck & Co.).
Limitation | Impact | Solution and Alternatives |
---|---|---|
Cost of manufacturing, trials and IP leads to high vaccine price | Developing countries that do not have the economic means to afford the vaccine continue to bear the burden of cervical cancer | Investigate manufacturing generic L1 VLP vaccines in cheaper production systems like plants or bacteria, and reduce number of doses or combining with childhood vaccines |
Type restriction | Vaccine does not protect against all HPV types causing cervical cancer, thus screening must continue for HPV-vaccinated women. | More HPV VLP types to create a highly multivalent HPV vaccine Alternative vaccine targeting broadly protective antigen L2 |
No therapeutic value | No effect on individuals with pre-existing HPV infection | Alternative vaccine constructs displaying E6 and E7 |