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Gardasil
Clinical Pharmacology
Gardasil
Bridging the Efficacy of GARDASIL from Young Adult Women to Adolescent Girls
A clinical study compared anti-HPV 6, anti-HPV 11, anti-HPV 16, and anti-HPV 18 GMTs in 10- to 15-year-old girls with responses in 16- to 23-year-old adolescent and young adult women. Among subjects who received GARDASIL, 99.1 to 100% became anti-HPV 6, anti-HPV 11, anti-HPV 16, and anti-HPV 18 seropositive by 1 month Postdose 3.
Table 5 compares the 1 month Postdose 3 anti-HPV 6, anti-HPV 11, anti-HPV 16, and anti-HPV 18 GMTs in 9- to 15-year-old girls with those in 16- to 26-year-old adolescent and young adult women.
Table 5
Immunogenicity Bridging Between 9- to 15-year-old Female Adolescents and 16- to 26-year-old Adult Women
| Assay (cLIA) | 9- to 15-year-old Female Adolescents (Protocols 016 and 018) N = 1121 | 16- to 26-year-old Adult Women (Protocols 013 and 015) N = 4229 | ||||
| n | GMT | (95% CI) | n | GMT | 95% CI | |
| Anti-HPV 6 | 927 | 931.3 | (876.9, 989.2) | 2827 | 542.4 | (526.6, 558.7) |
| Anti-HPV 11 | 927 | 1305.7 | (1226.2, 1390.4) | 2827 | 766.1 | (740.5, 792.6) |
| Anti-HPV 16 | 929 | 4944.9 | (4583.5, 5334.8) | 2707 | 2313.8 | (2206.2, 2426.7) |
| Anti-HPV 18 | 932 | 1046.0 | (971.2, 1126.5) | 3040 | 460.7 | (443.8, 478.3) |
| Note: GMT = Geometric mean titer in mMU/mL (mMU = milli-Merck units). | ||||||
Anti-HPV responses 1 month Postdose 3 among 9- to 15-year-old girls were non-inferior to anti-HPV responses in 16- to 26-year-old adolescent and young adult women in the combined database of immunogenicity studies for GARDASIL.
On the basis of this immunogenicity bridging, the efficacy of GARDASIL in 9- to 15-year-old girls is inferred.
Studies with Other Vaccines
The safety and immunogenicity of co-administration of GARDASIL with hepatitis B vaccine (recombinant) (same visit, injections at separate sites) were evaluated in a randomized study of 1871 women aged 16 to 24 years at enrollment. Immune response to both hepatitis B vaccine (recombinant) and GARDASIL was non-inferior whether they were administered at the same visit or at a different visit.
Generic Name: Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine
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