TABLE 3.
Efficacy against CIN1+, CIN2+, and CIN3+ associated with HPV-16 and/or -18, stratified by agea
Age stratum | Endpoint | HPV typeb | Group | TVC-naive |
TVC |
||||||
---|---|---|---|---|---|---|---|---|---|---|---|
n | No. of cases | Rate | Efficacy (96.1% CI) | n | No. of cases | Rate | Efficacy (96.1% CI) | ||||
All | CIN1+ | HPV-16/18 | Vaccine | 5,449 | 3 | 0.02 | 96.5 (89.0, 99.4) | 8,667 | 107 | 0.43 | 55.5 (43.2, 65.3) |
Control | 5,436 | 85 | 0.54 | 8,682 | 240 | 0.97 | |||||
HPV-16 | Vaccine | 5,449 | 2 | 0.01 | 97.3 (89.3, 99.7) | 8,667 | 90 | 0.36 | 54.5 (40.6, 65.4) | ||
Control | 5,436 | 73 | 0.46 | 8,682 | 198 | 0.80 | |||||
HPV-18 | Vaccine | 5,449 | 1 | 0.01 | 94.5 (62.8, 99.9) | 8,667 | 18 | 0.07 | 70.4 (48.0, 84.1) | ||
Control | 5,436 | 18 | 0.11 | 8,682 | 61 | 0.24 | |||||
CIN2+ | HPV-16/18 | Vaccine | 5,449 | 1c | 0.01 | 98.4 (90.4, 100) | 8,667 | 82 | 0.33 | 52.8 (37.5, 64.7) | |
Control | 5,436 | 63 | 0.40 | 8,682 | 174 | 0.70 | |||||
HPV-16 | Vaccine | 5,449 | 1c | 0.01 | 98.2 (89.1, 100) | 8,667 | 75 | 0.30 | 50.6 (33.5, 63.6) | ||
Control | 5,436 | 56 | 0.36 | 8,682 | 152 | 0.61 | |||||
HPV-18 | Vaccine | 5,449 | 0 | 0.00 | 100 (61.3, 100) | 8,667 | 8 | 0.03 | 75.7 (44.4, 90.8) | ||
Control | 5,436 | 12 | 0.08 | 8,682 | 33 | 0.13 | |||||
CIN3+ | HPV-16/18 | Vaccine | 5,449 | 0 | 0.00 | 100 (64.7, 100) | 8,667 | 43 | 0.17 | 33.6 (−1.1, 56.9) | |
Control | 5,436 | 13 | 0.08 | 8,682 | 65 | 0.26 | |||||
HPV-16 | Vaccine | 5,449 | 0 | 0.00 | 100 (57.1, 100) | 8,667 | 41 | 0.16 | 31.4 (−5.9, 56.0) | ||
Control | 5,436 | 11 | 0.07 | 8,682 | 60 | 0.24 | |||||
HPV-18 | Vaccine | 5,449 | 0 | 0.00 | 100 (−170.8, 100) | 8,667 | 2 | 0.01 | 77.7 (−14.7, 98.0) | ||
Control | 5,436 | 3 | 0.02 | 8,682 | 9 | 0.04 | |||||
15–17 yr | CIN1+ | HPV-16/18 | Vaccine | 1,996 | 1 | 0.02 | 97.6 (85.0, 100) | 2,880 | 28 | 0.32 | 73.6 (58.8, 83.7) |
Control | 2,022 | 42 | 0.68 | 2,891 | 106 | 1.22 | |||||
HPV-16 | Vaccine | 1,996 | 1 | 0.02 | 97.0 (81.2, 99.9) | 2,880 | 25 | 0.29 | 71.2 (53.7, 82.8) | ||
Control | 2,022 | 34 | 0.55 | 2,891 | 87 | 1.00 | |||||
HPV-18 | Vaccine | 1,996 | 0 | 0.00 | 100 (64.1, 100) | 2,880 | 4 | 0.05 | 87.5 (63.1, 97.0) | ||
Control | 2,022 | 13 | 0.21 | 2,891 | 32 | 0.36 | |||||
CIN2+ | HPV-16/18 | Vaccine | 1,996 | 1c | 0.02 | 96.6 (78.5, 99.9) | 2,880 | 19 | 0.22 | 72.8 (53.2, 85.0) | |
Control | 2,022 | 30 | 0.49 | 2,891 | 70 | 0.80 | |||||
HPV-16 | Vaccine | 1,996 | 1c | 0.02 | 95.8 (72.5, 99.9) | 2,880 | 18 | 0.21 | 69.9 (47.0, 83.8) | ||
Control | 2,022 | 24 | 0.39 | 2,891 | 60 | 0.69 | |||||
HPV-18 | Vaccine | 1,996 | 0 | 0.00 | 100 (51.0, 100) | 2,880 | 2 | 0.02 | 87.4 (43.5, 98.8) | ||
Control | 2,022 | 10 | 0.16 | 2,891 | 16 | 0.18 | |||||
CIN3+ | HPV-16/18 | Vaccine | 1,996 | 0 | 0.00 | 100 (23.2, 100) | 2,880 | 6 | 0.07 | 74.9 (34.3, 92.1) | |
Control | 2,022 | 7 | 0.11 | 2,891 | 24 | 0.27 | |||||
HPV-16 | Vaccine | 1,996 | 0 | 0.00 | 100 (5.7, 100) | 2,880 | 6 | 0.07 | 72.6 (27.3, 91.4) | ||
Control | 2,022 | 6 | 0.10 | 2,891 | 22 | 0.25 | |||||
HPV-18 | Vaccine | 1,996 | 0 | 0.00 | 100 (−527.0, 100) | 2,880 | 0 | 0.00 | 100 (−68.8, 100) | ||
Control | 2,022 | 2 | 0.03 | 2,891 | 4 | 0.05 | |||||
18–20 yr | CIN1+ | HPV-16/18 | Vaccine | 1,090 | 0 | 0.00 | 100 (83.0, 100) | 1,862 | 30 | 0.58 | 55.7 (29.6, 72.8) |
Control | 1,139 | 26 | 0.81 | 1,902 | 69 | 1.31 | |||||
HPV-16 | Vaccine | 1,090 | 0 | 0.00 | 100 (81.5, 100) | 1,862 | 23 | 0.44 | 60.3 (33.1, 77.2) | ||
Control | 1,139 | 24 | 0.75 | 1,902 | 59 | 1.12 | |||||
HPV-18 | Vaccine | 1,090 | 0 | 0.00 | 100 (−183.7, 100) | 1,862 | 7 | 0.13 | 52.3 (−29.8, 84.5) | ||
Control | 1,139 | 3 | 0.09 | 1,902 | 15 | 0.28 | |||||
CIN2+ | HPV-16/18 | Vaccine | 1,090 | 0 | 0.00 | 100 (78.5, 100) | 1,862 | 21 | 0.40 | 61.9 (34.4, 78.7) | |
Control | 1,139 | 21 | 0.66 | 1,902 | 56 | 1.06 | |||||
HPV-16 | Vaccine | 1,090 | 0 | 0.00 | 100 (77.3, 100) | 1,862 | 18 | 0.35 | 63.3 (34.3, 80.5) | ||
Control | 1,139 | 20 | 0.63 | 1,902 | 50 | 0.94 | |||||
HPV-18 | Vaccine | 1,090 | 0 | 0.00 | 100 (−544.0, 100) | 1,862 | 3 | 0.06 | 69.4 (−26.1, 95.1) | ||
Control | 1,139 | 2 | 0.06 | 1,902 | 10 | 0.19 | |||||
CIN3+ | HPV-16/18 | Vaccine | 1,090 | 0 | 0.00 | 100 (−75.1, 100) | 1,862 | 10 | 0.19 | 51.4 (−11.9, 80.5) | |
Control | 1,139 | 4 | 0.12 | 1,902 | 21 | 0.40 | |||||
HPV-16 | Vaccine | 1,090 | 0 | 0.00 | 100 (−183.7, 100) | 1,862 | 9 | 0.17 | 51.7 (−16.6, 81.7) | ||
Control | 1,139 | 3 | 0.09 | 1,902 | 19 | 0.36 | |||||
HPV-18 | Vaccine | 1,090 | 0 | 0.00 | 100 (−5,157.1, 100) | 1,862 | 1 | 0.02 | 65.9 (−372.9, 99.5) | ||
Control | 1,139 | 1 | 0.03 | 1,902 | 3 | 0.06 | |||||
21–25 yr | CIN1+ | HPV-16/18 | Vaccine | 2,356 | 2 | 0.03 | 88.8 (50.0, 98.9) | 3,916 | 49 | 0.45 | 25.3 (−12.0, 50.6) |
Control | 2,271 | 17 | 0.27 | 3,880 | 65 | 0.60 | |||||
HPV-16 | Vaccine | 2,356 | 1 | 0.02 | 93.6 (55.9, 99.9) | 3,916 | 42 | 0.39 | 19.9 (−25.3, 49.1) | ||
Control | 2,271 | 15 | 0.24 | 3,880 | 52 | 0.48 | |||||
HPV-18 | Vaccine | 2,356 | 1 | 0.02 | 52.1 (−959.2, 99.4) | 3,916 | 7 | 0.06 | 50.5 (−37.2, 84.0) | ||
Control | 2,271 | 2 | 0.03 | 3,880 | 14 | 0.13 | |||||
CIN2+ | HPV-16/18 | Vaccine | 2,356 | 0 | 0.00 | 100 (62.9, 100) | 3,916 | 42 | 0.39 | 13.2 (−37.1, 45.3) | |
Control | 2,271 | 12 | 0.19 | 3,880 | 48 | 0.44 | |||||
HPV-16 | Vaccine | 2,356 | 0 | 0.00 | 100 (62.9, 100) | 3,916 | 39 | 0.36 | 7.9 (−49.4, 43.3) | ||
Control | 2,271 | 12 | 0.19 | 3,880 | 42 | 0.39 | |||||
HPV-18 | Vaccine | 2,356 | 0 | 0.00 | 3,916 | 3 | 0.03 | 57.5 (−98.7, 93.6) | |||
Control | 2,271 | 0 | 0.00 | 3,880 | 7 | 0.06 | |||||
CIN3+ | HPV-16/18 | Vaccine | 2,536 | 0 | 0.00 | 100 (−490.4, 100) | 3,916 | 27 | 0.25 | −34.1 (−160.6, 29.7) | |
Control | 2,271 | 2 | 0.12 | 3,880 | 20 | 0.18 | |||||
HPV-16 | Vaccine | 2,536 | 0 | 0.00 | 100 (−490.4, 100) | 3,916 | 26 | 0.24 | −35.9 (−168.6, 29.8) | ||
Control | 2,271 | 2 | 0.12 | 3,880 | 19 | 0.17 | |||||
HPV-18 | Vaccine | 2,536 | 0 | 0.00 | 3,916 | 1 | 0.01 | 50.4 (−996.4, 99.4) | |||
Control | 2,271 | 0 | 0.00 | 3,880 | 2 | 0.02 |
n, number of evaluable women in each group; no. of cases, number of evaluable women reporting at least one event; rate, number of cases divided by sum of follow-up period (per 100 person-years), where follow-up period started on the day after the first vaccine dose; TVC, total vaccinated cohort; TVC-naive, total vaccinated cohort of women who at baseline had no DNA detected for 14 high-risk HPV types, were seronegative for HPV-16 and HPV-18, and had normal cytology results.
Women were infected with one or both HPV types (thus, the number of women with an HPV-16-associated lesion and the number with an HPV-18-associated lesion might not equal number with an HPV-16/18-associated lesion).
This young woman acquired the HPV-16 responsible for development of the lesion prior to completion of the full three-dose series (HPV-16 DNA was detected at months 6, 12, and 18; the CIN2 lesion was detected at month 21, and HPV-16 DNA was the only type in the lesion).