6A NEWS THE UNIVERSITY HARLY KANSAN WEDNESDAY OCTOBER 28, 2009 HEALTH KU adds Gardasil to list of vaccines available to men BY BETH BEAVERS bbeavers@kansan.com Kaylyn Wright didn't really have a choice. Her mom, Annette, made the appointments for Wright, Roeland Park sophomore, and her sister to be vaccinated against the sexually transmitted disease Human Papillomavirus. GETTING THE GO AHEAD That was in 2006, just after the Food and Drug Administration approved Gardasil for use in women ages 9 to 26 to protect against HPV. Merck & Co., Inc., the manufacturer of Gardasil, has issued approximately 25 million dosages of the vaccine in the United States since 2006. Though the vaccine uses the same chemical formula for both men and women, it had only been approved for use in females. According to the Centers for Disease Control, the genital HPV infection is the most common sexually transmitted disease. About 20 million Americans have HPV, and another 6.2 million will become infected this year. While men can't be tested for HPV, they are still affected by the virus through genital warts and can be transmitters of the infection. "The FDA wanted more expansive clinical trials," Kresge said. "They wanted to make sure that the data was comprehensive and strong." To protect men against the virus, the FDA approved Gardasil earlier this month for use in men. Now Annette Wright has the choice to get her 16-year-old son, Brandon, immunized as well. Ali Kresge, global communications representative at Merck, said the company held trials for both sexes from the beginning but couldn't receive approval at the same time. Lorrie McNeill, an FDA Follow Beth Beavers at twitter.com/bethbeavers. representative, said the multistep process for a drug to receive FDA approval started early in its development. Once the manufacturer can prove the drug works, it must submit a Biologic License Application to the FDA. If the application is for a drug that is intended to prevent a serious disease, it is marked "priority" and the FDA is required to review it within six months. All other drugs have a 10-month review period. McNeill said because Gardasil was intended to prevent cervical cancer, the original application and the supplemental application for use in men were marked "priority." Advisory Committee re com men d e d Gardasil's approval for use in men. In September, the FDA's Vaccines and Related Biological Products "Our decisions are based on science and data," McNeill said. "If a drug is proven safe and effective, we'll approve it." Mai Hester, marketing coordinator at Watkins Health Center, said they planned to order additional dosages to accommodate males who wanted to be vaccinated. THE VACCINE Dr. Carolyn Johnson from Watkins Memorial Health Center said there were more than 40 types of HPV, but the vaccine only protected against the four most common types, which caused genital warts and vulva, vaginal and cervical cancers. She said the types that caused genital warts made up about 90 percent of the cases. @KANSAN.COM Visit Kansan.com for more statistics on HPV and a breakdown of vaccine cost. Kresge said the vaccine for both women and men was given in three dosages. The first one is given on a date chosen by the patient. Two months later the second dose is given. The final dose is given six months after the original date. Hester said for uninsured students, each shot costs $148.50 plus a $12.50 injection fee at Watkins. For the entire vaccine, the cost is around $483. Hester said insurance coverage varied based on the individual. "If the drug is proven safe and effective, we'll approve it." overall safety of the vaccine were the same regardless of gender. She said the most common side effect was soreness at the injection site. Headaches were also common among some "We are seeing more and more that insurances are covering it," Hester said. Kresge said the side effects and LORRIE MCNEILL FDA Representative Kaylyn said she did not notice any side effects when she received the vaccine and her family's insurance covered the entire cost of the vaccine. She said if it hadn't, she probably would not have gotten the vaccine because of the high cost. The FDA had reports of fainting related to Gardasil injections, which is common with any vaccine given to adolescents. patients. Fever, nausea, and dizziness can also occur. Annette said Brandon would receive the vaccine if his doctors recommended it. Edited by Betsy Cutcliff Better yet, why don't you get a Responsibilibuddy? Designated driver does not mean least drunk. Responsibilibuddy 1: a person chosen to abstain from alcohol at a designated time so as to help their friends who are drinking, including: a: transporting them safely to and from home b: not letting them leave drinks unattended c: monitoring the effects of their alcohol consumption d: encouraging them to not leave with strangers e: calling for help if needed When at a party or bar . . . So you want to be a Responsibiluddy? Take the test: A. Don't accept an already opened can or glass. B. Don't leave your drink unattended. C. Don't let your friends do A or B. D. All of the above. If you said D you are on your way to being a real Responsibilibuddy. Already opened or unattended drinks can easily be spiked with "date-rape" or other drugs. You won't know what hit you. Discuss this fact with your friends and [ Play It Safe ] when you celebrate on Halloween.