TABLE 3.
Impact of HPV-16/18 vaccination on infections prevalent at vaccination
HPV Types | Cohort | Outcome | Arm | No. infections | No. events | No. person-years | Rate per 1000 | % vaccine efficacy | 95% CI |
---|---|---|---|---|---|---|---|---|---|
HPV-16/18 | Infected women without precancer | Clearance | HPV | 268 | 243 | 492 | 489 | −5.4% | [−19, 10] |
Ctrl | 313 | 298 | 569 | 517 | |||||
CIN1+ | HPV | 244 | 32 | 1200 | 28.0 | −15.5% | [−86, 28] | ||
Ctrl | 295 | 35 | 1427 | 24.2 | |||||
CIN2+ | HPV | 258 | 25 | 1301 | 20.2 | 0.3% | [−69, 41] | ||
Ctrl | 308 | 31 | 1504 | 20.3 | |||||
Infected women without cytologic abnormalities | Clearance | HPV | 173 | 160 | 326 | 481 | −3.3% | [−19, 16] | |
Ctrl | 216 | 208 | 403 | 497 | |||||
LSIL+ | HPV | 171 | 62 | 642 | 77.2 | −3.5% | [−85, 42] | ||
Ctrl | 216 | 71 | 861 | 74.6 | |||||
HSIL+a | HPV | 161 | 23 | 744 | 30.9 | −48.6% | [−172, 19] | ||
Ctrl | 200 | 20 | 961 | 20.8 | |||||
CIN1+ | HPV | 171 | 23 | 835 | 28.5 | 5.5% | [−60, 44] | ||
Ctrl | 214 | 32 | 1035 | 30.2 | |||||
CIN2+ | HPV | 171 | 17 | 849 | 20.7 | 22.6% | [−40, 57] | ||
Ctrl | 215 | 29 | 1050 | 26.8 | |||||
HPV-31/33/45 | Infected women without precancer | Clearance | HPV | 214 | 206 | 323 | 617 | 4.0% | [−13, 24] |
Ctrl | 222 | 211 | 348 | 594 | |||||
CIN1+ | HPV | 201 | 17 | 938 | 18.3 | 14.0% | [−62, 54] | ||
Ctrl | 210 | 22 | 1020 | 21.3 | |||||
CIN2+ | HPV | 208 | 14 | 986 | 14.4 | 17.4% | [−65, 59] | ||
Ctrl | 218 | 19 | 1070 | 17.4 | |||||
Infected women without cytological abnormalities | Clearance | HPV | 144 | 138 | 219 | 617 | 9.3% | [−12, 35] | |
Ctrl | 159 | 151 | 261 | 564 | |||||
LSIL+ | HPV | 144 | 32 | 578 | 52.4 | −4.2% | [−79, 39] | ||
Ctrl | 158 | 41 | 662 | 50.3 | |||||
HSIL+ | HPV | 144 | 13 | 653 | 20.1 | 4.2% | [−101, 54] | ||
Ctrl | 158 | 17 | 749 | 21 | |||||
CIN1+ | HPV | 144 | 14 | 656 | 21.5 | 17.6% | [−63, 58] | ||
Ctrl | 157 | 20 | 753 | 26.1 | |||||
CIN2+ | HPV | 144 | 12 | 663 | 18.2 | 15.7% | [−76, 60] | ||
Ctrl | 157 | 17 | 763 | 21.6 | |||||
Oncogenic HPV | Infected women without precancer | Clearance | HPV | 1198 | 1149 | 1761 | 599 | 4.8% | [−3.7, 14] |
Ctrl | 1236 | 1184 | 1881 | 571 | |||||
CIN1+ | HPV | 1110 | 83 | 5487 | 14.0 | −0.9% | [−42, 28] | ||
Ctrl | 1149 | 89 | 5646 | 13.9 | |||||
CIN2+ | HPV | 1160 | 62 | 5817 | 9.6 | 3.1% | [−45, 35] | ||
Ctrl | 1208 | 68 | 6004 | 9.9 | |||||
Infected women without cytologic abnormalities | Clearance | HPV | 788 | 758 | 1195 | 575 | 1.0% | [−8.8, 12] | |
Ctrl | 854 | 822 | 1311 | 569 | |||||
LSIL+ | HPV | 779 | 191 | 3242 | 45.2 | −10.7% | [−45, 16] | ||
Ctrl | 847 | 197 | 3615 | 40.8 | |||||
HSIL+ | HPV | 779 | 64 | 3750 | 14.3 | −19.2% | [−84, 23] | ||
Ctrl | 847 | 62 | 4128 | 12 | |||||
CIN1+ | HPV | 779 | 62 | 3814 | 15.5 | 6.7% | [−35, 35] | ||
Ctrl | 842 | 76 | 4130 | 16.6 | |||||
CIN2+ | HPV | 779 | 46 | 3862 | 10.8 | 15.0% | [−31, 45] | ||
Ctrl | 845 | 59 | 4188 | 12.8 |
CI, confidence interval; CIN1, cervical intraepithelial neoplasia type 1; CIN2, cervical intraepithelial neoplasia type 2; HPV, human papillomavirus; HSIL, high-grade squamous intraepithelial lesion; LSIL, low-grade squamous intraepithelial lesion.
Excludes 5 individuals from the HPV arm and 8 individuals from the control arm with both HPV16 and HPV18 infections to allow for model conversion.