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Questions about duration of protective immunity abound during vaccine development, but the need for boosters often cannot be determined until sufficient time has elapsed in the vaccinated group. In an extended follow-up study sponsored by the manufacturer of the bivalent human papillomavirus (HPV) vaccine (Cervarix), investigators assessed outcomes in 776 participants for as long as 6.4 years.
The vaccine retained 95% efficacy against new HPV-16/18 infections and 100% efficacy against persistent HPV-16/18 infections as well as against cervical intraepithelial neoplasia (CIN) 1+ or 2+ associated with HPV-16/18. Notably, the vaccine also showed 60% efficacy against HPV-31 and 78% efficacy against HPV-45 (HPV types that were not included in the…