Cervarix
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Cervarix is an investigational vaccine against certain sexually transmitted human papillomavirus (HPV) types. The vaccine candidate, which, if approved in the United States, will be marketed by GlaxoSmithKline, is designed to prevent infection from HPV types 16 and 18, which cause about 70% of HPV-related cervical cancer cases. Additionally, "substantial" protection against virus strains 45 and 31 were shown in clinical trials. Cervarix is also formulated with AS04, a proprietary adjuvant that has been found to boost the immune system response for a longer period of time. [1]
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[edit] Biotechnology
Cervarix is created using the L1 protein of the viral capsid. Recombinant activity in a baculovirus vector produces L1 protein spheres, which are very immunogenic. The viral proteins spur neutralizing antibodies. The vaccine contains no live virus and no DNA, so it cannot infect the patient.
[edit] Indications
Cervarix is a preventative HPV vaccine, not therapeutic. This means that a woman who is already infected with HPV will not benefit from this treatment. Therefore, it will likely be recommended that Cervarix is received by girls prior to becoming sexually active. And, like its cousin Gardasil, a successful series of Cervarix shots will still not block infection from other HPV strains that can cause cancer, so it is not a substitute for routine Pap smears.
[edit] Administration
Phase II trials demonstrated 100% effectiveness of the vaccine against types 16 and 18 HPV, including among 1100 women from North America and Brazil.[2] Phase III trials included over 660 women from Germany and Poland.
Longevity of the vaccination has proven so far to be at least 4.5 years. In the clinical trials, women were given three doses over a six-month span -- at 0 month, 1 month, and 6 months. The technology used in this vaccine was licensed from the University of Rochester.[3]
[edit] Social issues
Because of the various family and moral issues associated with teen girls who are not yet sexually active, adoption of this vaccine into the practices of pediatricians will likely face some challenges. Some parents may interpret a vaccine against a sexually transmitted disease as some kind of "license" for promiscuity. The group Focus on the Family expressed concerns about this.[4]
[edit] References
- ^ unknown (2005). Cervarix(TM). Emory University. Retrieved on 2006-08-28.
- ^ Kresge, Kristen Jill (January, 2006). Cervical cancer vaccines. International AIDS Vaccine Initiative. Retrieved on 2006-08-28.
- ^ Swingle, Chris (August 24, 2006). Parents face moral issues. The Ithaca Journal. Retrieved on 2006-08-28.
- ^ Coyne, Brendan (November 2, 2005). Cervical Cancer Vaccine Raises 'Promiscuity' Controversy. The New Standard. Retrieved on 2006-08-28.
[edit] External links
- A Cancer Vaccine is Born
- GlaxoSmithKline official site
- [ http://www.gsk.com/investors/presentations/2006/vaccines_06042006.pdf Cervarix] GSK presentation
- How a Vaccine Search Ended in Triumph -- The New York Times
- Medline News and reference links
- [ http://www.cdc.gov/std/hpv CDC] HPV fact sheets
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