Diane Harper

Last updated
Diane M. Harper
Alma materMassachusetts Institute of Technology (BS 1980; MS 1982); University of Kansas School of Medicine (MD 1986; MPH 1995)
Known forInvestigations in HPV vaccine trials; contributions to screening and policy; self-sampling to replace the speculum exam for cervical cancer screening
Awards
EuroGin Distinguished Service Award for Cancer Prevention (2006)

Prix Monte-Carlo Femme de l’Année (2013)

Society of Teachers of Family Medicine Excellence in Education Award (2013)

Contents

Curtis G. Hames Lifetime Award for Research (2015)

Notre Dame de Sion Outstanding Alumna (2015)

Association of American Physicians (elected 2023)

Scientific career
FieldsWomen's health care; cervical cancer prevention continuum; virology; vaccine development; cancer prevention
InstitutionsDartmouth Medical School (1996–2009); University of Missouri–Kansas City (2009–2013); University of Louisville (2013–2017); University of Michigan (2018–present)

Diane M. Harper is an American physician-scientist and tenured professor of Family Medicine, Obstetrics and Gynecology, Bioengineering, and Women's and Gender Studies at the University of Michigan, recognized for full-spectrum translational research in human papillomavirus (HPV), cervical cancer prevention continuum, and evidence-based, cost-effective, and medical decision-making science. She served as a global lead study designer and site investigator in pivotal prophylactic HPV vaccine trials. Her work progressed to advance research about therapeutic or pharmaceutical HPV vaccines, self-sampling for screening, and vaginal microbiome interventions. Her academic appointments include Dartmouth Medical School (clerkship director, residency director, LCME team, Director of the Gynecologic Cancer Prevention Clinics), the University of Missouri–Kansas City (research director, and LCME team), the University of Louisville (as department chair, and LCME team), and the University of Michigan (LCME team and senior associate director of Michigan Institute for Clinical and Healthcare Research). She has served as a US Preventive Services Task Force member and as physician director for Community Outreach, Engagement and Health Disparities at the Rogel Cancer Center. [1] [2] [3] [4] [5] [6] [7] [8] [9] [10]

Early life and education

Harper graduated Valedictorian from Notre Dame de Sion High School, a French Institute, in Kansas City, Mo. She earned a B.S. in Chemical Engineering from MIT in 1980 and an M.S. in 1982, then completed the M.D. (1986) and M.P.H. in Biostatistics & Epidemiology (1995) at the University of Kansas School of Medicine. She received MIT's Betsy Schumacker Woman Athlete of the Year award (1979) for US national team/Olympic qualifying crew as an undergraduate. [2] [11] [12] [13]

Career

Dartmouth Medical School (1996–2009); University of Missouri–Kansas City (2009–2013); University of Louisville, chair of Family & Geriatric Medicine (2013–2017); University of Michigan (2018–present). She was appointed to the US Preventive Services Task Force in 2016 and joined U-M's Institute for Healthcare Policy & Innovation and the Rogel Cancer Center in 2018. [2] [4] [5] [6] [7] [8] [9]

Research and contributions

Prophylactic HPV vaccines

Harper served as a member of the HPV vaccine epidemiologic study design team for both Cervarix (bivalent L1 virus‑like particle HPV vaccine (types 16/18)) and Gardasil4 (quadrivalent L1 viurs like particle HPV vaccine (types 6/11/16/18)). She led all randomized clinical trials in the upper Northeast United States for both vaccines trialed in young and mid-adult women. Her Lancet 2004 trial was the first to demonstrate efficacy against persistent HPV-16/18 infection; a 2006 Lancet follow‑up reported sustained efficacy through 4.5 years. [14] [15] Her work in the 2007 New England Journal of Medicine article and the Bulletin of the World Health Organization highlighted the quadrivalent results [16] [17] . The 2007 Lancet article presented its efficacay against vulvar and vaginal HPV-associated lesions [18] .

Therapeutic HPV vaccination

Beyond prophylaxis, Harper co-authored a randomized, controlled phase II trial of the therapeutic HPV vaccine tipapkinogen sovacivec for CIN2/3, with 2.5‑year follow‑up showing efficacy and safety. [19] She continues active clinical trials with new compounds.

Cervical screening and self‑sampling

Recent US studies led/senior-authored by Harper and colleagues showed that self-collected vaginal samples are equivalent to clinician‑collected, speculum‑based samples for HPV detection and genotyping, supporting primary HPV screening using self‑sampling devices. Findings appeared in Preventive Medicine Reports (2025) and Cancer Epidemiology, Biomarkers & Prevention (2025); concurrent news coverage emphasized that self-swabs can match speculum exams for oncogenic HPV detection. [20] [21] [22] [23] These are FDA-approved and USPSTF-recommended for cervical cancer screening. Since 2025, there has been widespread adoption of self-sampling in many primary care offices. Her work shows that family medicine and general internal medicine provide over 70% of all cervical cancer screenings in the US [JABFM in press].

Health equity: disability and access

A 2025 JAMA Network Open study with Harper as senior author documented that women with physical disabilities face significant barriers with speculum‑based screening, and that at‑home self‑sampling improves comfort and may reduce disparities. [24] [25]

Vaginal microbiome interventions

Harper co-authored a randomized, placebo‑controlled trial in NPJ Biofilms and Microbiomes (2025) testing a multi‑strain Lactobacillus crispatus–based synbiotic to modulate the vaginal microbiome. [26]

Reviews and guideline work

Her Gynecologic Oncology review (2017) summarized the first decade of HPV vaccines. It was a reference article for the ACOG Board Recertification Process. [3] [7] [27] Her policy‑facing interviews and institutional profiles reflect contributions to screening guidelines and global health initiatives. Standard recommendations from CDC/ACIP and WHO position papers provide the international context in which her work operates. [28] [29] [30]

Public communications and views on HPV vaccination

Harper has advocated for vaccination within a balanced, patient‑centered framing, emphasizing continued screening. Media pieces and interviews (The Guardian, Medscape, NPR, MD News, and the Katie Couric Show) have covered her nuanced positions on benefits, duration of protection, and the ongoing need for screening even after vaccination. [31] [32] [33] [34] Context around her appearance at an NVIC‑hosted event and in the film The Greater Good has been documented in external analyses and media. [33] [35] [36]

Awards and honors

New Hampshire Family Physician of the Year (2006) [37]

EuroGin Distinguished Service Award for Cancer Prevention (2006)

Prix Monte‑Carlo Femme de l’Année (2013) [5] [32] [33]

Society of Teachers of Family Medicine Excellence in Education Award (2013) [34]

Curtis G. Hames Lifetime Award for Research (2015)

Notre Dame de Sion Outstanding Alumna (2015) [13]

Association of American Physicians (elected 2023; noted as first Family Medicine physician‑researcher on U-M profile) [7] [38]

Selected publications

Harper DM, Franco EL, Wheeler CM, et al. Efficacy of a bivalent L1 VLP HPV‑16/18 vaccine in young women. Lancet. 2004;364(9447):1757–1765. [14]

Harper DM, Franco EL, Wheeler CM, et al. Sustained efficacy up to 4.5 years of a bivalent L1 HPV‑16/18 vaccine. Lancet. 2006;367(9518):1247–1255. [15]

Harper DM, Nieminen P, Donders G, et al. Tipapkinogen sovacivec therapeutic HPV vaccine for CIN2/3: randomized controlled phase II. Gynecol Oncol. 2019;153(3):521–529. [19]

Young AP, Olorunfemi M, Morrison L, … Harper DM. Impact of collection technique on HPV detection & genotyping. Prev Med Rep. 2025;50:102971. [20]

Harper DM, Young AP, O'Dwyer MC, … Walline HM. HPV genotyping agreement for two self‑collection devices. Cancer Epidemiol Biomarkers Prev. 2025;34(7):1103–1110. [21]

Ravel J, Simmons S, Jaswa EG, … Harper DM. L. crispatus synbiotic trial in vaginal microbiome. NPJ Biofilms Microbiomes. 2025;11(1):158. [26]

Harper DM, DeMars LR. HPV vaccines: review of the first decade. Gynecol Oncol. 2017;146(1):196–204. [27]

References

  1. Medved DL. The fabrication and characterization of polyester and vinyl ester sheet molding compounds. MIT DSpace (1980). http://hdl.handle.net/1721.1/33257.
  2. 1 2 3 Durgin J. Dream Work: Diane Harper, M.D., MPH Dartmouth Medicine (2006). http://dartmed.dartmouth.edu/fall06/html/faculty_focus.php.
  3. 1 2 IHPI. Diane Harper: HPV, cervical cancer screening, and balancing benefits and harms. University of Michigan (2018). https://ihpi.umich.edu/news/diane-harper-hpv-cervical-cancer-screening-and-balancing-benefits-and-harms.
  4. 1 2 USPSTF. Appointment of Four New US Preventive Services Task Force Members (Feb 2016). https://www.uspreventiveservicestaskforce.org/Announcements/News/Item/appointment-of-four-new-us-preventive-services-task-force-members.
  5. 1 2 3 Prix Monte‑Carlo Femme de l’Année (2013). https://www.prixmontecarlofda.com/2013_3758264.html (archived).
  6. 1 2 Royal Correspondent. Monte‑Carlo Prix Femme de l’Année coverage (May 8, 2013). https://royalcorrespondent.com/2013/05/08/tshs-prince-albert-ii-and-princess-charlene-of-monaco-attend-the-2013-prix-femme-de-lannee/.
  7. 1 2 3 4 Michigan Medicine. Diane M. Harper | Faculty profile. https://medschool.umich.edu/profile/4960/diane-m-harper.
  8. 1 2 Rogel Cancer Center (U‑M). HPV specialist Diane Harper to lead community outreach efforts (2018). https://www.rogelcancercenter.org/news/archive/hpv-specialist-diane-harper-lead-community-outreach-efforts-cancer-center.
  9. 1 2 Michigan Medicine Health Lab. Two simple steps to prevent cervical cancer (2018). https://www.michiganmedicine.org/health-lab/two-simple-steps-prevent-cervical-cancer.
  10. IHPI. Harper elected to the Association of American Physicians (2023). https://ihpi.umich.edu/news/harper-elected-association-american-physicians.
  11. MIT profile (IHPI/UM). Diane M. Harper profile page. https://ihpi.umich.edu/our-experts/harperdi (archived).
  12. MIT Athletics. Student‑Athlete Excellence Banquet (Past winners list – Betsy Schumacker Award, 1979: Diane L. Medved). https://mitathletics.com/sports/2023/2/13/student-athlete-excellence-banquet.aspx.
  13. 1 2 Notre Dame de Sion — Outstanding Alumnae (confirms 2015 honoree). https://www.ndsion.edu/alum-outstanding-alumnae.
  14. 1 2 Harper DM, Franco EL, Wheeler CM, et al. Efficacy of a bivalent L1 VLP vaccine against HPV‑16/18: RCT. Lancet. 2004;364(9447):1757‑1765. doi:10.1016/S0140‑6736(04)17398‑4. PMID:15541448.
  15. 1 2 Harper DM, Franco EL, Wheeler CM, et al. Sustained efficacy up to 4.5 years: follow‑up RCT. Lancet. 2006;367(9518):1247‑1255. doi:10.1016/S0140‑6736(06)68439‑0. PMID:16631880.
  16. Garland SM, Hernandez-Avila M, Wheeler CM, Perez G, Harper DM, et al. (10 May 2007). "Quadrivalent vaccine against human papillomavirus to prevent anogenital diseases". The New England Journal of Medicine. 356 (19): 1928–1943. doi:10.1056/NEJMoa061760. PMID 17494926.
  17. Cutts FT, Franceschi S, Goldie S, Castellsagué X, Harper DM, et al. (September 2007). "Human papillomavirus and HPV vaccines: a review". Bulletin of the World Health Organization. 85 (9): 719–726. doi:10.2471/blt.06.038414. PMID 18026629. PMCID PMC2636411.
  18. Joura EA, Leodolter S, Hernandez-Avila M, Wheeler CM, Harper DM, et al. (19 May 2007). "Efficacy of a quadrivalent prophylactic human papillomavirus (types 6, 11, 16, and 18) L1 virus-like-particle vaccine against high-grade vulval and vaginal lesions: a combined analysis of three randomised clinical trials". The Lancet. 369 (9574): 1693–1702. doi:10.1016/S0140-6736(07)60777-6. PMID 17512854.
  19. 1 2 Harper DM, Nieminen P, Donders G, et al. Tipapkinogen sovacivec therapeutic HPV vaccine in CIN2/3: Phase II RCT. Gynecol Oncol. 2019;153(3):521‑529. doi:10.1016/j.ygyno.2019.03.250. PMID:30955915.
  20. 1 2 Young AP, Olorunfemi M, Morrison L, … Harper DM. Cervical cancer screening: impact of collection technique on HPV detection and genotyping. Prev Med Rep. 2025;50:102971. doi:10.1016/j.pmedr.2025.102971. PMID:39906308.
  21. 1 2 Harper DM, Young AP, O'Dwyer MC, … Walline HM. Comparison of HPV genotyping by research vs clinical assay for two self‑collection devices. Cancer Epidemiol Biomarkers Prev. 2025;34(7):1103‑1110. doi:10.1158/1055‑9965.EPI‑25‑0116. PMID:40279251.
  22. Reuters Health. Swabs as good as speculum exam for detecting cancer‑causing HPV (Feb 21, 2025). https://www.reuters.com/business/healthcare-pharmaceuticals/health-rounds-swabs-good-unpleasant-speculum-exam-detecting-cancer-causing-hpv-2025-02-21/.
  23. Michigan Medicine Health Lab Podcast. Self‑sampling for HPV screening as effective as speculum exams (Feb 14, 2025). https://www.michiganmedicine.org/health-lab-podcast/self-sampling-hpv-screening-found-be-effective-speculum-exams.
  24. Vinson AH, Norrid C, Haro EK, … Harper DM. Cervical Cancer Screening in Women With Physical Disabilities. JAMA Netw Open. 2025;8(1):e2457290. doi:10.1001/jamanetworkopen.2024.57290. PMID:39878976; PMCID:PMC11780472.
  25. JAMA Network Open (full text). https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2829699.
  26. 1 2 Ravel J, Simmons S, Jaswa EG, … Harper DM. L. crispatus synbiotic and vaginal microbiome: randomized placebo‑controlled trial. NPJ Biofilms Microbiomes. 2025;11(1):158. doi:10.1038/s41522‑025‑00788‑6.
  27. 1 2 Harper DM, DeMars LR. HPV vaccines – a review of the first decade. Gynecol Oncol. 2017;146(1):196‑204. doi:10.1016/j.ygyno.2017.04.004.
  28. CDC. HPV Vaccination Recommendations (ACIP). https://www.cdc.gov/vaccines/vpd/hpv/hcp/recommendations.html.
  29. WHO. Human papillomavirus vaccines: WHO position paper, December 2022. WER 97(50):645‑672. https://www.who.int/publications/i/item/who-wer9750-645-672.
  30. WHO. Global strategy to accelerate the elimination of cervical cancer (2020). https://www.who.int/publications-detail-redirect/9789240014107.
  31. Ben Goldacre. Cancer jab fantasy closes down a debate. The Guardian (Oct 9, 2009). https://www.theguardian.com/science/2009/oct/10/ben-goldacre-cervical-cancer-jab.
  32. 1 2 Royal Monaco (Italian). FEMME DELL’ANNEE – Speciale Cannes ’13 (2013). https://issuu.com/royalmonaco/docs/rmspecialecannesn__8-2.
  33. 1 2 3 SAVIC (Burnett RJ). The South African HPV vaccination programme: facts and fallacies (April 2014). https://savic.ac.za/new/wp-content/uploads/2019/11/1478173793.pdf.
  34. 1 2 Society of Teachers of Family Medicine. Awards (2013, archived). https://www.stfm.org/about/awards_2013winners.cfm (archived).
  35. Anderson J. The Greater Good (film review). Variety. Oct 16, 2011. https://variety.com/2011/film/reviews/the-greater-good-1117946359/.
  36. Specter M. Denialism: How Irrational Thinking Hinders Scientific Progress... (2009) p.7. Penguin Press.
  37. Geisel/DMS Roundup — September 2006 (Family Physician of the Year). https://geiselmed.dartmouth.edu/news/publications/roundup/roundup_sep2006.shtml.
  38. Rogel Cancer Center. Family Medicine's Diane Harper elected to the Association of American Physicians (Apr 27, 2023). https://www.rogelcancercenter.org/news/archive/family-medicine%E2%80%99s-diane-harper-elected-association-american-physicians.

University of Michigan faculty profile

Institute for Healthcare Policy & Innovation (IHPI) – interview/profile, 2018

University of Michigan Rogel Cancer Center news release, 2018

Diane M. Harper publications indexed by Google Scholar

Scientific publications