Title
Progression of HPV infection to detectable cervical lesions or clearance in adult women: Analysis of the control arm of the VIVIANE study
Date Issued
15 May 2016
Access level
open access
Resource Type
journal article
Author(s)
Rachel Skinner S.
Wheeler C.M.
Romanowski B.
Castellsagué X.
Lazcano-Ponce E.
Rowena Del Rosario-Raymundo M.
Minkina G.
Pereira Da Silva D.
McNeil S.
Prilepskaya V.
Gogotadze I.
Money D.
Garland S.M.
Romanenko V.
Harper D.M.
Levin M.J.
Chatterjee A.
Geeraerts B.
Struyf F.
Dubin G.
Bozonnat M.C.
Rosillon D.
Baril L.
Division de Investigacion Oncosalud-AUNA
Publisher(s)
John Wiley & Sons, Inc
Wiley-Blackwell
Abstract
The control arm of the phase III VIVIANE (Human PapillomaVIrus: Vaccine Immunogenicity ANd Efficacy; NCT00294047) study in women >25 years was studied to assess risk of progression from cervical HPV infection to detectable cervical intraepithelial neoplasia (CIN). The risk of detecting CIN associated with the same HPV type as the reference infection was analysed using Kaplan-Meier and multivariable Cox models. Infections were categorised depending upon persistence as 6-month persistent infection (6MPI) or infection of any duration. The 4-year interim analysis included 2,838 women, of whom 1,073 (37.8%) experienced 2,615 infections of any duration and 708 (24.9%) experienced 1,130 6MPIs. Infection with oncogenic HPV types significantly increased the risk of detecting CIN grade 2 or greater (CIN2+) versus non-oncogenic types. For 6MPI, the highest risk was associated with HPV-33 (hazard ratio [HR]: 31.9 [8.3-122.2, p < 0.0001]). The next highest risk was with HPV-16 (21.1 [6.3-70.0], p < 0.0001). Similar findings were seen for infections of any duration. Significant risk was also observed for HPV-18, HPV-31, and HPV-45. Concomitant HPV infection or CIN grade 1 or greater associated with a different oncogenic HPV type increased risk. Most women (79.3%) with an HPV infection at baseline cleared detectable infections of any duration, and 69.9% cleared a 6MPI. The risk of progression of HPV infection to CIN2+ in women >25 years in this study was similar to that in women 15-25 years in PATRICIA.
Start page
2428
End page
2438
Volume
138
Issue
10
Language
English
OCDE Knowledge area
Obstetricia, Ginecología Oncología
Scopus EID
2-s2.0-84960192786
PubMed ID
Source
International Journal of Cancer
ISSN of the container
00207136
Sources of information: Directorio de Producción Científica Scopus