Pooled analysis of large and long-term safety data from the human papillomavirus-16/18-AS04-adjuvanted vaccine clinical trial programme

• Published in: Pharmacoepidemiology and drug safety Vol. 23; no. 5; pp. 466 - 479
• Main Authors: Angelo, Maria-Genalin, David, Marie-Pierre, Zima, Julia, Baril, Laurence, Dubin, Gary, Arellano, Felix, Struyf, Frank
• Format: Journal Article
• Language: English
• Published: Chichester Blackwell Publishing Ltd 01.05.2014; Wiley; Wiley Subscription Services, Inc
• Subjects: Adjuvants, Immunologic - administration & dosage; Adolescent; Adult; adverse drug reactions; Aged; AS04; autoimmune disease; Biological and medical sciences; Child; Clinical trial. Drug monitoring; Female; General pharmacology; Human papillomavirus; human papillomavirus vaccine; Humans; Infectious diseases; Medical sciences; Middle Aged; Original Reports; Papillomavirus Infections - prevention & control; Papillomavirus Vaccines - administration & dosage; Papillomavirus Vaccines - adverse effects; pharmacoepidemiology; Pharmacology. Drug treatments; Pregnancy; Risk; safety; Time Factors; Viral diseases; Young Adult; Toxicity; Vaccination; Autoimmune disease; Papovaviridae; Epidemiology; Human papillomavirus 18; Papillomavirus; Human papillomavirus 16; Human papillomavirus; safety; Clinical trial; Female; Human; Drug; Immunopathology; Treatment efficiency; AS04; Vaccine; Pharmacovigilance; Long term; pharmacoepidemiology; Infection; Virus; Pregnancy; adverse drug reactions; Viral disease; human papillomavirus vaccine; pregnancy; autoimmune disease
• ISSN: 1053-8569; 1099-1557; 1099-1557
• DOI: 10.1002/pds.3554

ABSTRACT Purpose The purpose of this study is to further evaluate the safety of the human papillomavirus (HPV)‐16/18‐AS04‐adjuvanted vaccine (HPV‐16/18‐vaccine Cervarix®, GlaxoSmithKline, Belgium) through a pooled analysis of data from 42 completed/ongoing clinical studies. Methods Unsolicited adverse events (AEs) were reported for 30 days after each dose. Medically significant conditions, serious AEs (SAEs), potential immune‐mediated diseases (pIMDs) and pregnancy outcomes were captured until study completion. Events leading to subject withdrawal were reviewed. Relative risks compared incidences of spontaneous abortion and pIMDs in controlled studies. Results Thirty one thousand one hundred seventy‐three adolescent girls/women received HPV‐16/18‐vaccine alone (HPV group), 2166 received HPV‐16/18‐vaccine coadministered with another vaccine and 24 241 were controls. Mean follow‐up was 39 months (range 0–113.3). Incidences of unsolicited AEs reported within 30 days after any dose were similar between HPV and Control groups (30.8%/29.7%). During the entire study period, reports of medically significant conditions (25.0%/28.3%) and SAEs (7.9%/9.3%) were also similarly distributed between groups. Deaths were rare: HPV (alone/coadministered) n = 25, controls n = 20 (n = 18 in blinded groups). pIMDs within 1 year were reported by 0.2% of HPV‐16/18 vaccinees and controls. For each pIMD event category, no increased relative risks were reported for HPV‐16/18 vaccinees versus controls. Coadministration did not change the overall safety profile. Pregnancy outcomes and withdrawal rates were similar between groups. Conclusions Analysis of safety data arising from 57 580 subjects and 96 704 HPV‐16/18‐vaccine doses shows that the incidences and distribution of AEs were similar among HPV‐16/18‐vaccine recipients and controls. No new safety signals were identified. The data confirm previous findings that HPV‐16/18‐vaccine has an acceptable benefit‐risk profile in adolescent girls and adult women. © 2014 GlaxoSmithKline. Pharmacoepidemiology and Drug Safety published by John Wiley & Sons, Ltd.