Latest for Recurrent Respiratory Papillomatosis
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More about Recurrent Respiratory Papillomatosis
The growths are removed with surgery, using a laser or a microdebrider, but the virus stays in the surrounding tissue and the papillomas grow back. Some patients need surgery every few weeks, and some have had dozens or even hundreds of procedures over their lifetime. In severe cases a tracheostomy keeps the airway open. Doctors have added drugs such as cidofovir and, for severe or lung disease, the cancer drug bevacizumab, with mixed results.
Keep reading about Recurrent Respiratory Papillomatosis
In August 2025 the FDA approved Papzimeos (zopapogene imadenovec), an immunotherapy that trains the immune system to attack HPV 6 and 11 infected cells, as the first treatment for adults with RRP. In its pivotal trial, 51% of adults needed no surgery for 12 months after treatment.
On October 30, 2026 the FDA granted accelerated approval to a second option for adults, INOVIO's Voceryq (INO-3107), a DNA medicine injected into muscle. Its trial enrolled 32 adults. Of 26 who had at least 3 surgeries in the 12 months before the trial, 7 (27%) needed no surgery in the first year after treatment.
What are the symptoms of Recurrent Respiratory Papillomatosis?
These are common symptoms of Recurrent Respiratory Papillomatosis, and how strong they are varies from person to person.
- Hoarseness or a changing voice, the most common symptom
- Noisy breathing, especially when breathing in
- Shortness of breath or trouble breathing as growths narrow the airway
- Chronic cough
- Trouble swallowing
- In children, symptoms that are often mistaken for asthma or chronic bronchitis
Who gets Recurrent Respiratory Papillomatosis?
RRP has 2 forms. Juvenile-onset RRP usually appears in early childhood; in a CDC study of 576 US children born 2004 to 2013, the median age at diagnosis was 3.4 years, and the virus is thought to pass from mother to baby during birth. Adult-onset RRP usually starts in adulthood and is thought to spread through sexual contact. Symptoms tend to be more severe in children.
The childhood form is becoming rarer as HPV vaccination spreads. In the US, the number of new cases per 100,000 births fell from 2.0 among children born in 2004 to 2005 to 0.5 among those born in 2012 to 2013, and Australia recorded a similar drop after starting school-based HPV vaccination.
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Which medicines are FDA-approved for Recurrent Respiratory Papillomatosis?
There are currently 2 FDA-approved medications for Recurrent Respiratory Papillomatosis.
Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.
How to get help paying for Recurrent Respiratory Papillomatosis treatment
Charity funds and drugmaker programs for Recurrent Respiratory Papillomatosis, checked at the source.
Side effects people have reported to the FDA
Side effects people have reported to the FDA
Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.
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Diagnosis and genetic testing
How Recurrent Respiratory Papillomatosis is diagnosed
Caused by infection with HPV types 6 and 11, not by an inherited gene change.
Trusted Recurrent Respiratory Papillomatosis resources
Reputable organizations and medical references for learning more about Recurrent Respiratory Papillomatosis, including disease registries, foundation resources, and clinical guidelines.
- NIDCD - Recurrent Respiratory Papillomatosis
- FDA - FDA Approves First Immunotherapy for Recurrent Respiratory Papillomatosis
- Meites et al., Clinical Infectious Diseases 2021 - Significant Declines in Juvenile-onset Recurrent Respiratory Papillomatosis Following HPV Vaccine Introduction in the United States
- Recurrent Respiratory Papillomatosis Foundation