Post-marketing study design to evaluate the effectiveness of the 9-valent and 4-valent HPV vaccines on serious HPV-related cervical disease in China

The 4-valent (4 v) and 9-valent (9 v) human papillomavirus (HPV) vaccines are approved in China for females aged 9–45 years. However, the real-world impact of 4vHPV or 9vHPV vaccination for the prevention of high-grade cervical disease in Chinese women is lacking. Two post-marketing surveillance stu...

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Main Authors: Yu Yang, Liang Zhang, Susanne Hartwig, Peng Jiang, Houyu Zhao, Ruogu Meng, Zhike Liu, Zuoxiang Liu, Keqin Ding, Xuedan You, Carol Koro, Guozhang Xu, Siyan Zhan
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2418168
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author Yu Yang
Liang Zhang
Susanne Hartwig
Peng Jiang
Houyu Zhao
Ruogu Meng
Zhike Liu
Zuoxiang Liu
Keqin Ding
Xuedan You
Carol Koro
Guozhang Xu
Siyan Zhan
author_facet Yu Yang
Liang Zhang
Susanne Hartwig
Peng Jiang
Houyu Zhao
Ruogu Meng
Zhike Liu
Zuoxiang Liu
Keqin Ding
Xuedan You
Carol Koro
Guozhang Xu
Siyan Zhan
author_sort Yu Yang
collection DOAJ
description The 4-valent (4 v) and 9-valent (9 v) human papillomavirus (HPV) vaccines are approved in China for females aged 9–45 years. However, the real-world impact of 4vHPV or 9vHPV vaccination for the prevention of high-grade cervical disease in Chinese women is lacking. Two post-marketing surveillance studies will be conducted to measure the occurrence of high-grade cervical lesions in Chinese women who had received ≥1 dose of the 4vHPV (aged 20–45 years) or 9vHPV (aged 16–26 years) vaccine in Ningbo, China. Vaccination data will be extracted from the Ningbo Regional Health Information Platform (NRHIP) from the date of the first 4vHPV (January 9, 2018) or the first 9vHPV (January 25, 2019) vaccination to March 31, 2021. The primary 4vHPV and 9vHPV vaccinated cohorts will include women vaccinated per protocol. The 4vHPV/9vHPV vaccinated test-negative (cervical HPV negative; ThinPrep cytology test negative) and corresponding matched unvaccinated HPV test-negative sub-cohorts will also be assessed. Outcomes will be the occurrence of new-onset cervical intraepithelial neoplasia grade 2/3, adenocarcinoma in situ, and invasive cervical cancer. This study aims to demonstrate that such a methodological approach is feasible and can be used to assess the impact of HPV vaccination in other regions across China.
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spelling doaj-art-d7cccfcf4f344d8db5b9d9bc82fa8d222025-08-20T03:08:32ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2418168Post-marketing study design to evaluate the effectiveness of the 9-valent and 4-valent HPV vaccines on serious HPV-related cervical disease in ChinaYu Yang0Liang Zhang1Susanne Hartwig2Peng Jiang3Houyu Zhao4Ruogu Meng5Zhike Liu6Zuoxiang Liu7Keqin Ding8Xuedan You9Carol Koro10Guozhang Xu11Siyan Zhan12National Institute of Health Data Science, Peking University, Beijing, ChinaNingbo Municipal Center for Disease Control and Prevention, Ningbo, Zhejiang, ChinaBiostatistics and Research Decision Sciences (BARDS) Epidemiology, MSD, Lyon, FranceBiostatistics and Research Decision Sciences (BARDS) Epidemiology, MSD R&D (China) Co, Ltd., Beijing, ChinaSchool of Public Health, Peking University, Beijing, ChinaNational Institute of Health Data Science, Peking University, Beijing, ChinaSchool of Public Health, Peking University, Beijing, ChinaSchool of Public Health, Peking University, Beijing, ChinaNingbo Municipal Center for Disease Control and Prevention, Ningbo, Zhejiang, ChinaOutcome Research, Center for Observational and Real-world Evidence (CORE), Merck & Co. Inc., Upper Gwynedd, PA, USAMerck & Co., Inc., Rahway, NJ, USASchool of Public Health, Ningbo University, Ningbo, Zhejiang, ChinaNational Institute of Health Data Science, Peking University, Beijing, ChinaThe 4-valent (4 v) and 9-valent (9 v) human papillomavirus (HPV) vaccines are approved in China for females aged 9–45 years. However, the real-world impact of 4vHPV or 9vHPV vaccination for the prevention of high-grade cervical disease in Chinese women is lacking. Two post-marketing surveillance studies will be conducted to measure the occurrence of high-grade cervical lesions in Chinese women who had received ≥1 dose of the 4vHPV (aged 20–45 years) or 9vHPV (aged 16–26 years) vaccine in Ningbo, China. Vaccination data will be extracted from the Ningbo Regional Health Information Platform (NRHIP) from the date of the first 4vHPV (January 9, 2018) or the first 9vHPV (January 25, 2019) vaccination to March 31, 2021. The primary 4vHPV and 9vHPV vaccinated cohorts will include women vaccinated per protocol. The 4vHPV/9vHPV vaccinated test-negative (cervical HPV negative; ThinPrep cytology test negative) and corresponding matched unvaccinated HPV test-negative sub-cohorts will also be assessed. Outcomes will be the occurrence of new-onset cervical intraepithelial neoplasia grade 2/3, adenocarcinoma in situ, and invasive cervical cancer. This study aims to demonstrate that such a methodological approach is feasible and can be used to assess the impact of HPV vaccination in other regions across China.https://www.tandfonline.com/doi/10.1080/21645515.2024.2418168Human papillomavirusvaccinecervical cancercervical intraepithelial neoplasiaNingboChina
spellingShingle Yu Yang
Liang Zhang
Susanne Hartwig
Peng Jiang
Houyu Zhao
Ruogu Meng
Zhike Liu
Zuoxiang Liu
Keqin Ding
Xuedan You
Carol Koro
Guozhang Xu
Siyan Zhan
Post-marketing study design to evaluate the effectiveness of the 9-valent and 4-valent HPV vaccines on serious HPV-related cervical disease in China
Human Vaccines & Immunotherapeutics
Human papillomavirus
vaccine
cervical cancer
cervical intraepithelial neoplasia
Ningbo
China
title Post-marketing study design to evaluate the effectiveness of the 9-valent and 4-valent HPV vaccines on serious HPV-related cervical disease in China
title_full Post-marketing study design to evaluate the effectiveness of the 9-valent and 4-valent HPV vaccines on serious HPV-related cervical disease in China
title_fullStr Post-marketing study design to evaluate the effectiveness of the 9-valent and 4-valent HPV vaccines on serious HPV-related cervical disease in China
title_full_unstemmed Post-marketing study design to evaluate the effectiveness of the 9-valent and 4-valent HPV vaccines on serious HPV-related cervical disease in China
title_short Post-marketing study design to evaluate the effectiveness of the 9-valent and 4-valent HPV vaccines on serious HPV-related cervical disease in China
title_sort post marketing study design to evaluate the effectiveness of the 9 valent and 4 valent hpv vaccines on serious hpv related cervical disease in china
topic Human papillomavirus
vaccine
cervical cancer
cervical intraepithelial neoplasia
Ningbo
China
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2418168
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