Abstract
Objective
To evaluate the efficacy of MMR vaccine in the treatment of juvenile-onset recurrent respiratory papillomatosis as adjuvant therapy by experimental research.
Methods
Thirty-one children with RRP were enrolled and assigned randomly to intervention group or control group. Fifteen subjects in intervention group were treated with local application MMR vaccine on the lesion after surgery; sixteen subjects in the control group were treated with surgical excision alone. The quantity of virus of positive specimens was measured by fluorescence quantitative polymerase chain reaction.
Results
After treatment with MMR vaccine, viral load of intervention group was (9.56 ± 11.03) × 108 copies/ml, that of control group was (22.01 ± 17.78) × 108 copies/ml, and there was significant difference between the two groups (P = 0.040).
Conclusions
Local application MMR vaccine as adjuvant therapy can reduce HPV viral load significantly. It is suggested that the MMR vaccine may inhibit replication of HPV DNA, but the curative effect needs further confirmation.
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This study was approved by the Ethics Committee of EYE & ENT Hospital of Fudan University. Before entering the clinical trial, parents of these JORRP patients signed informed consent (see appendix for details at the end of the article) and volunteered to join the research. Therefore, the data and materials related to this study are available. There is no funding for this study, and there is no conflict of interest between researchers and between each researcher and institution. All the authors have no competing interests to declare. The study was registered in the Chinese Clinical Trial Registry. Details are as follows: Registration number: ChiCTR-TRC-11001370. Date of Registration: May 27, 2011 (Retrospective registration).
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Wang, Y., Dai, PD. & Zhang, TY. Experimental research on the therapeutic effect of MMR vaccine to juvenile-onset recurrent respiratory papillomatosis. Eur Arch Otorhinolaryngol 276, 801–803 (2019). https://doi.org/10.1007/s00405-019-05351-6
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DOI: https://doi.org/10.1007/s00405-019-05351-6