HPV vaccination impact on a cervical cancer screening program: methods of the FASTER-Tlalpan Study in Mexico

Objective. To outline the design of a clinical trial to evalu- ate the impact of HPV vaccination as part of a hrHPV-based primary screening program to extend screening intervals. Materials and methods. A total of 18,000 women aged 25-45 years, attending the regular cervical cancer-screening program...

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Main Authors: Jorge Salmerón (Author), Leticia Torres-Ibarra (Author), Xavier Bosch (Author), Jack Cuzick (Author), Attila Lörincz (Author), Cosette M Wheeler (Author), Philip E Castle (Author), Claudia Robles (Author), Eduardo Lazcano-Ponce (Author)
Format: Book
Published: Instituto Nacional de Salud Pública, 2016-03-01T00:00:00Z.
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Summary:Objective. To outline the design of a clinical trial to evalu- ate the impact of HPV vaccination as part of a hrHPV-based primary screening program to extend screening intervals. Materials and methods. A total of 18,000 women aged 25-45 years, attending the regular cervical cancer-screening program in primary health care services in Tlalpan, Mexico City, will be invited to the study. Eligible participants will be assigned to one of three comparison groups: 1) HPV16/18 vaccine and hrHPV-based screening; 2) HPV6/11/16/18 vaccine and hrHPV-based screening; 3) Control group who will receive only hrHPV-based screening. Strict surveillance of hrHPV persistent infection and occurrence of precancerous lesions will be conducted to estimate safety profiles at different screening intervals; participants will undergo diagnosis confirmation and treatment as necessary. Conclusion. The FASTER-Tlalpan Study will provide insights into new approaches of cervical cancer prevention programs. It will offer valuable information on potential benefits of combining HPV vaccination and hrHPV-based screening to safety extend screening intervals.   DOI: http://dx.doi.org/10.21149/spm.v58i2.7790
Item Description:0036-3634
1606-7916