Effects of varying antigens and adjuvant systems on the immunogenicity and safety of investigational tetravalent human oncogenic papillomavirus vaccines: Results from two randomized trials
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We evaluated the immunogenicity and safety of 2 tetravalent HPV vaccines.

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Immune responses were compared to the licensed bivalent HPV-16/18 L1 VLP vaccine.

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HPV-16 and -18 antibody titers were lower when additional HPV L1 VLPs were added.

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Immune interference was not always overcome by changing the VLP dose or adjuvant.

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All vaccine formulations had an acceptable reactogenicity and safety profile.

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