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Coadministration of a 9-Valent Human Papillomavirus Vaccine With Meningococcal and Tdap Vaccines

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dc.contributor.author Schilling, Andrea
dc.contributor.author Macias Parra, Mercedes
dc.contributor.author Gutierrez, Maricruz
dc.contributor.author Restrepo, Jaime
dc.contributor.author Ucros, Santiago
dc.contributor.author Herrera, Teobaldo
dc.contributor.author Engel, Eli
dc.contributor.author Huicho, Luis
dc.contributor.author Shew, Marcia
dc.contributor.author Maansson, Roger
dc.contributor.author Caldwell, Nicole
dc.contributor.author Luxembourg, Alain
dc.contributor.author Sobanjo ter Meulen, Ajoke
dc.date.accessioned 2017-05-03T20:00:02Z
dc.date.available 2017-05-03T20:00:02Z
dc.date.issued 2001
dc.identifier.citation Pediatrics September 2015, VOLUME 136 / ISSUE 3
dc.identifier.uri http://hdl.handle.net/11447/1187
dc.identifier.uri http://dx.doi.org/10.1542/peds.2014-4199
dc.description.abstract BACKGROUND: This study in 11- to 15-year-old boys and girls compared the immunogenicity and abstract safety of GARDASIL 9 (9-valent human papillomavirus [9vHPV] vaccine) administered either concomitantly or nonconcomitantly with 2 vaccines routinely administered in this age group (Menactra [MCV4; Neisseria meningitidis serotypes A/C/Y/W-135] or Adacel [Tdap; diphtheria/tetanus/acellular pertussis]). METHODS: Participants received 9vHPV vaccine at day 1 and months 2 and 6; the concomitant group (n = 621) received MCV4/Tdap concomitantly with 9vHPV vaccine at day 1; the nonconcomitant group (n = 620) received MCV4/Tdap at month 1. Antibodies to HPV-, MCV4-, and Tdap-relevant antigens were determined. Injection-site and systemic adverse events (AEs) were monitored for 15 days after any vaccination; serious AEs were monitored throughout the study. RESULTS: The geometric mean titers for all HPV types in 9vHPV vaccine 4 weeks after dose 3, proportion of subjects with a fourfold rise or greater in titers for 4 N meningitidis serotypes 4 weeks after injection with MCV4, proportion of subjects with antibody titers to diphtheria and tetanus $0.1 IU/mL, and geometric mean titers for pertussis antigens 4 weeks after injection with Tdap were all noninferior in the concomitant group compared with the nonconcomitant group. Injection-site swelling occurred more frequently in the concomitant group. There were no vaccine-related serious AEs. CONCLUSIONS: Concomitant administration of 9vHPV vaccine with MCV4/Tdap was generally well tolerated and did not interfere with the antibody response to any of these vaccines. This strategy would minimize the number of visits required to deliver each vaccine individually.
dc.format.extent 12
dc.language.iso en_US
dc.publisher Elsevier
dc.subject Infectious Disease
dc.subject Sexually Transmitted Infections
dc.subject Vaccine/Immunization
dc.title Coadministration of a 9-Valent Human Papillomavirus Vaccine With Meningococcal and Tdap Vaccines
dc.type Artículo


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