Monitoring the safety of the adjuvanted human papillomavirus vaccine, HPV-16/18-AS04: Protocol for a cohort study using electronic health records in Yinzhou, China

This protocol was developed to conduct population-wide surveillance of the bivalent HPV-16/18-AS04-adjuvanted human papillomavirus (HPV) vaccine in terms of uptake and safety outcomes including potential immune-mediated diseases (pIMDs) and pregnancy-related outcomes in China. The study will use ele...

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Main Authors: Junting Yang, Sarah Welby, Zhike Liu, Siwei Deng, Guangxu Liu, Ruogu Meng, Yu Yang, Yixin Sun, Yunkun He, Ning Jiang, Zhenhua Wu, Keruo Liu, Dominique Rosillon, Catherine Cohet, 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/10.1080/21645515.2024.2378535
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author Junting Yang
Sarah Welby
Zhike Liu
Siwei Deng
Guangxu Liu
Ruogu Meng
Yu Yang
Yixin Sun
Yunkun He
Ning Jiang
Zhenhua Wu
Keruo Liu
Dominique Rosillon
Catherine Cohet
Siyan Zhan
author_facet Junting Yang
Sarah Welby
Zhike Liu
Siwei Deng
Guangxu Liu
Ruogu Meng
Yu Yang
Yixin Sun
Yunkun He
Ning Jiang
Zhenhua Wu
Keruo Liu
Dominique Rosillon
Catherine Cohet
Siyan Zhan
author_sort Junting Yang
collection DOAJ
description This protocol was developed to conduct population-wide surveillance of the bivalent HPV-16/18-AS04-adjuvanted human papillomavirus (HPV) vaccine in terms of uptake and safety outcomes including potential immune-mediated diseases (pIMDs) and pregnancy-related outcomes in China. The study will use electronic health records from 2010 to 2020 from the Yinzhou Regional Health Information Platform and include a population-based cohort of female permanent residents aged 9–45 years. Baseline and follow-up periods will be defined according to the 2017 introduction of HPV-16/18-AS04 in China. Patients with pIMDs and pregnancy-related outcomes will be identified using primary diagnostic codes from outpatient and inpatient electronic health records. A time trend analysis will be performed to describe the incidence of pIMDs and pregnancy-related outcomes during baseline and follow-up periods by age and overall, per calendar year. Depending on the number of safety outcomes and the size of the study population, incidence in vaccinated and unvaccinated cohorts will be compared using a Poisson regression model for pIMDs and a logistic regression model for pregnancy-related outcomes, adjusting for age and calendar year. Methods and findings from this study will provide valuable experience for designing future real-world studies and complement observations made during clinical trials and post-marketing studies.Study registration: http://www.chinadrugtrials.org.cn/index.html: CTR20210523.
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spelling doaj-art-e0ecfa3e9b9e4e9f9c8ea9e240f6dd5c2025-08-20T02:12:24ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2378535Monitoring the safety of the adjuvanted human papillomavirus vaccine, HPV-16/18-AS04: Protocol for a cohort study using electronic health records in Yinzhou, ChinaJunting Yang0Sarah Welby1Zhike Liu2Siwei Deng3Guangxu Liu4Ruogu Meng5Yu Yang6Yixin Sun7Yunkun He8Ning Jiang9Zhenhua Wu10Keruo Liu11Dominique Rosillon12Catherine Cohet13Siyan Zhan14Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaGSK, Wavre, BelgiumDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaNational Institute of Health Data Science, Peking University, Beijing, ChinaNational Institute of Health Data Science, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaGSK, Shanghai, ChinaGSK, Shanghai, ChinaGSK, Shanghai, ChinaGSK, Shanghai, ChinaGSK, Wavre, BelgiumGSK, Wavre, BelgiumDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaThis protocol was developed to conduct population-wide surveillance of the bivalent HPV-16/18-AS04-adjuvanted human papillomavirus (HPV) vaccine in terms of uptake and safety outcomes including potential immune-mediated diseases (pIMDs) and pregnancy-related outcomes in China. The study will use electronic health records from 2010 to 2020 from the Yinzhou Regional Health Information Platform and include a population-based cohort of female permanent residents aged 9–45 years. Baseline and follow-up periods will be defined according to the 2017 introduction of HPV-16/18-AS04 in China. Patients with pIMDs and pregnancy-related outcomes will be identified using primary diagnostic codes from outpatient and inpatient electronic health records. A time trend analysis will be performed to describe the incidence of pIMDs and pregnancy-related outcomes during baseline and follow-up periods by age and overall, per calendar year. Depending on the number of safety outcomes and the size of the study population, incidence in vaccinated and unvaccinated cohorts will be compared using a Poisson regression model for pIMDs and a logistic regression model for pregnancy-related outcomes, adjusting for age and calendar year. Methods and findings from this study will provide valuable experience for designing future real-world studies and complement observations made during clinical trials and post-marketing studies.Study registration: http://www.chinadrugtrials.org.cn/index.html: CTR20210523.https://www.tandfonline.com/doi/10.1080/21645515.2024.2378535HPV-16/18-AS04human papillomavirus vaccinesafetypotential immune-mediated diseasespregnancy outcomes
spellingShingle Junting Yang
Sarah Welby
Zhike Liu
Siwei Deng
Guangxu Liu
Ruogu Meng
Yu Yang
Yixin Sun
Yunkun He
Ning Jiang
Zhenhua Wu
Keruo Liu
Dominique Rosillon
Catherine Cohet
Siyan Zhan
Monitoring the safety of the adjuvanted human papillomavirus vaccine, HPV-16/18-AS04: Protocol for a cohort study using electronic health records in Yinzhou, China
Human Vaccines & Immunotherapeutics
HPV-16/18-AS04
human papillomavirus vaccine
safety
potential immune-mediated diseases
pregnancy outcomes
title Monitoring the safety of the adjuvanted human papillomavirus vaccine, HPV-16/18-AS04: Protocol for a cohort study using electronic health records in Yinzhou, China
title_full Monitoring the safety of the adjuvanted human papillomavirus vaccine, HPV-16/18-AS04: Protocol for a cohort study using electronic health records in Yinzhou, China
title_fullStr Monitoring the safety of the adjuvanted human papillomavirus vaccine, HPV-16/18-AS04: Protocol for a cohort study using electronic health records in Yinzhou, China
title_full_unstemmed Monitoring the safety of the adjuvanted human papillomavirus vaccine, HPV-16/18-AS04: Protocol for a cohort study using electronic health records in Yinzhou, China
title_short Monitoring the safety of the adjuvanted human papillomavirus vaccine, HPV-16/18-AS04: Protocol for a cohort study using electronic health records in Yinzhou, China
title_sort monitoring the safety of the adjuvanted human papillomavirus vaccine hpv 16 18 as04 protocol for a cohort study using electronic health records in yinzhou china
topic HPV-16/18-AS04
human papillomavirus vaccine
safety
potential immune-mediated diseases
pregnancy outcomes
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2378535
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