May 23 (Reuters) - Vaccination of boys and men against
the human papillomavirus (HPV) reduces their risk of head and
neck cancers and other malignancies, a new analysis shows,
adding to the vaccine's proven benefit in protecting women from
cervical cancer.
The study of more than 3.4 million people is one of the
first long-term analyses of the vaccine's real-world effect on
preventing HPV-related cancers of the head and neck, anal areas,
penis, vulva, vagina and cervix, researchers said.
Previous studies of the vaccine have focused mainly on
cervical cancer. In one large 2020 study from Sweden, for
example, cervical cancer rates were 47 per 100,000 in vaccinated
women and 94 per 100,000 in unvaccinated women.
The new study, scheduled for presentation at the upcoming
American Society of Clinical Oncology meeting in Chicago,
included more than 1.7 million volunteers who were vaccinated
against HPV since 2010, at some point between ages 9 and 39, and
roughly equal numbers of similar unvaccinated volunteers. About
44% were male.
Vaccinated males had lower rates of any HPV-related cancer
and of head and neck cancers (3.4 and 2.8 cases, respectively
per 100,000 vaccinated patients, compared with 7.5 and 6.3,
respectively, per 100,000 unvaccinated patients), the study
found.
Smoking was formerly the main driver of many head and neck
cancers - such as cancers of the mouth and throat - but today
the main cause is HPV infections, ASCO President Dr. Lynn
Schuchter said on Thursday at a press briefing. Schucter was not
involved in the study.
The new study "extends what we know" and shows that
preventing infection with the vaccine helps prevent these
additional HPV-related cancers, she added.
Vaccinated females had a lower risk of any HPV-related
cancers in the study and, as expected, a lower risk of cervical
cancer, compared with unvaccinated females.
Vaccination did not significantly reduce their risks for
head and neck cancers and vulvar or vaginal cancer.
Merck's ( MRK ) HPV vaccine was approved in 2006 for girls and women
ages 9 to 26 and in 2009 for boys and men in that age group. The
most recent version, Gardasil 9, has been approved in the U.S.
since 2018 for use in children and adults ages 9 through 45.
A separate study to be presented at the ASCO meeting found
that between 2011 and March 2020, U.S. uptake of the HPV vaccine
rose from 23.3% to 43.0% of the eligible population, improving
from 7.8% to 36.4% in males and from 37.7% to 49.4% among
females.