Experimental Vaccine Targets Genital Cancer
Study Shows Vaccine Is Effective in Women Who Are Already Infected With HPV
WebMD News Archive
Nov. 4, 2009 -- An experimental human papilloma virus (HPV) vaccine shows
early promise for preventing genital cancer in high-risk women who are already
infected with the virus.
Infected women with precancerous lesions caused by HPV showed regression of
the lesions after being given the experimental vaccine in a study reported
today by researchers from the Netherlands in the New England Journal of
The study included just 20 women. Researchers tell WebMD they are working to
improve the vaccine before moving on to larger trials.
But the findings suggest it may be possible to prevent genital cancers by
vaccinating HPV-infected women at high risk for developing the disease. "We
were able to successfully treat women with these HPV-caused lesions," study
researcher Gemma G. Kenter, MD, PhD, says. "And we were able to show lesion
regression over a two-year period."
The two commercially available HPV vaccines, Gardasil and Cervarix, are
designed to prevent initial infection with specific strains of the sexually
transmitted HPV virus that cause most cervical cancers.
Because of this, they are most effective when given before the onset of
sexual activity. The CDC recommends that the vaccine be given to girls between
the ages of 11 and 12 and that it not be given to women older than 26.
Like the commercially available vaccines, the experimental vaccine targets
the HPV 16 virus, which is a leading cause of cervical cancer and other genital
Women at High Risk for Cancer
The women in the study all had the precancerous genital lesions, known as
vulvar intraepithelial neoplasia (VIN), which put them at high risk for
developing cancer of the vulva. The lesions were also advanced enough to
The women were vaccinated up to four times with the experimental
Three months after treatment, 12 of the 20 women had clinical responses and
reported relief of symptoms such as persistent itching. Five of the women had
complete regression of their lesions and evidence of HPV-16 infection was no
longer detectable in four of them.
Two years after treatment, about half the women no longer had the lesions
and had no symptoms.