PT  - JOURNAL ARTICLE
AU  - Heijstek, Marloes W
AU  - Scherpenisse, Mirte
AU  - Groot, Noortje
AU  - Tacke, Carline
AU  - Schepp, Rutger M
AU  - Buisman, Anne-Marie
AU  - Berbers, Guy A M
AU  - van der Klis, Fiona R M
AU  - Wulffraat, Nico M
TI  - Immunogenicity and safety of the bivalent HPV vaccine in female patients with juvenile idiopathic arthritis: a prospective controlled observational cohort study
AID  - 10.1136/annrheumdis-2013-203429
DP  - 2014 Aug 01
TA  - Annals of the Rheumatic Diseases
PG  - 1500--1507
VI  - 73
IP  - 8
4099  - http://ard.bmj.com/content/73/8/1500.short
4100  - http://ard.bmj.com/content/73/8/1500.full
SO  - Ann Rheum Dis2014 Aug 01; 73
AB  - Objectives To compare the immunogenicity and safety of the bivalent human papillomavirus (HPV)16/18 vaccine between female patients with juvenile idiopathic arthritis (JIA) and healthy female adolescents. Methods 68 patients and 55 healthy girls aged 12–18 years were included in a prospective controlled observational cohort and were vaccinated at 0, 1 and 6 months. Primary outcomes were immunogenicity expressed as seropositivity rate after three vaccine doses at 7 and 12 months and HPV-specific geometric mean antibody concentrations. Secondary outcomes were HPV16/18-specific memory B cell responses in a subset of participants and safety, defined as adverse events and the effect of vaccination on JIA disease activity. Results All participants were seropositive for HPV16 and HPV18 at 7 months. One patient turned seronegative at 12 months for HPV16/18. No significant differences were found between patients and controls in HPV-specific antibody concentrations; however, antibody concentrations were consistently lower in patients. No effect of methotrexate on HPV16 antibodies (p=0.79) or HPV18 antibodies (p=0.37) was detected. All patients on anti-TNFα treatment were seropositive after vaccination. The kinetics of HPV16/18 memory B cell responses was comparable between patients and controls, but the magnitude of B cell responses at 7 and 12 months appeared lower in patients. No relevant differences in adverse events were found. HPV vaccination did not aggravate JIA disease. Conclusions The bivalent HPV16/18 vaccine is immunogenic and well tolerated in JIA patients. However, HPV-specific antibodies and B cell responses tended to be lower in patients compared with healthy controls. Clinical trial listing NCT00815282