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Experience of GSK's H1N1 adjuvanted vaccine, Pandemrix?, and preliminary paediatric results

Commonground

Senior Moderator
Monday, 26 October 2009

GlaxoSmithKline (GSK) announced that more than 150,000 people have received GSK's pandemic H1N1 vaccine, Pandemrix?, as part of Government initiated vaccination programmes across Europe which commenced last week. Additionally, over 2,000 people have received Pandemrix in clinical trials which are ongoing. To date, data have demonstrated that the H1N1 adjuvanted vaccine has a similar tolerability profile to GSK's previously EMEA approved H5N1 adjuvanted vaccine. The immune response elicited by Pandemrix has previously been reported in a limited number of adults demonstrating over 98% of the subjects exceeded the immunogenicity criteria as defined by international licensing authorities for a pandemic influenza vaccine. The adjuvant system in GSK's influenza vaccine has already been tested in more than 41,000 people in GSK's influenza programmes including the H5N1, the H1N1 and candidate adjuvanted seasonal flu vaccines.

Preliminary paediatric results
Also announced today are preliminary results from the first paediatric clinical trial assessing use of Pandemrix. The trial in children aged 6 to 36 months, which is ongoing, shows that after a first dose of adjuvanted vaccine, a strong response was demonstrated which exceeds the immunogenicity criteria as defined by international licensing authorities for a pandemic influenza vaccine. As planned, the vaccine in this trial contains a half dose of H1N1 antigen (1.9 ?g) and a half dose of adjuvant, as compared to the adult vaccine.



"These results in young children provide clinically relevant information as they show the ability of the vaccine to induce a very high immune response suggestive of early protection after one dose, in a population where it is known to be difficult to raise such an immune response." said J?an Stephenne, President GlaxoSmithKline Biologicals. "GSK is sharing these preliminary data with public health officials and organisations who will consider these results as they continue their efforts to develop the most effective strategies for providing protection against the H1N1 virus. GSK also expects to have data in the elderly shortly."



This paediatric trial, which is taking place in Spain, involves 200 children aged 6 to 36 months, and has been designed to evaluate the tolerability and immunogenicity of Pandemrix.



A planned interim analysis was performed on the first 51 children recruited in this trial. These first results with Pandemrix in a paediatric population show that a high immune response was elicited 21 days after one single administration of vaccine. In 100% of the children receiving the adjuvanted vaccine a response above the regulatory threshold of 1:40 seroprotection was elicited, which is considered indicative of protection in adults. The level of immune response according to the above mentioned threshold was identical between children in different age groups when the data were stratified (6 - 11 months, 12 - 23 months and 24 - 35 months). The tolerability of the vaccine in this trial has been shown to be similar to that in the H5N1 clinical trial programme. Once the trial is completed, regulatory authorities will review the data set and may then consider changes to the label which currently indicates a two dose schedule for the paediatric population.



These results differ from the recently publicised data1 on an unadjuvanted H1N1 pandemic vaccine which, when used in children, demonstrated that 50% of children aged 6 to 35 months met the seroprotection benchmark set by regulatory agencies. In general, seasonal influenza vaccines, which are unadjuvanted, elicit a lower immune response and reduced efficacy in young children compared to adults. Further results on the H1N1 clinical trials will follow as the data become available.



Supplies have been provided to governments, with more than 10 million doses already having been shipped. Shipments are continuing and GSK anticipates increasing the amount being shipped to governments in the coming weeks as additional manufacturing regulatory approvals are received.



Further information on GSK's development of a vaccine to protect against pandemic (H1N1) 2009, including explanation of the vaccine development process and background information on adjuvants is available on: http://www.gsk.com/media/pandemic-flu.htm
GlaxoSmithKline - one of the world's leading research-based pharmaceutical and healthcare companies - is committed to improving the quality of human life by enabling people to do more, feel better and live longer. For further information please visit www.gsk.com.

http://www.pharmanews.eu/gsk/361-ex...-pandemrix-and-preliminary-paediatric-results
 
Re: Experience of GSK's H1N1 adjuvanted vaccine, Pandemrix?, and preliminary paediatric results

no mentioning of the side-effects ????


GSK ?


Sweden alone had administered 500000 doses upto 22.Oct.

http://www.flutrackers.com/forum/showthread.php?t=129433


"GSK is sharing these preliminary data with public health officials and organisations who will consider these results as they continue their efforts to develop the most effective strategies for providing protection against the H1N1 virus..... ;)
 
Re: Experience of GSK's H1N1 adjuvanted vaccine, Pandemrix?, and preliminary paediatric results

Pandemic 2009 Influenza Update: Pandemrix? data in an elderly population

Posted by Loulith Galenzoga | 28 October 2009, 10:20 am


GlaxoSmithKline (GSK) today announced that this week, approximately half a million people will have received its pandemic H1N1 vaccine, Pandemrix?, as part of Government initiated vaccination programmes across Europe, which commenced earlier this month. GSK also announced new results from a clinical trial assessing the use of Pandemrix in adults aged 18 to 85 years of age. The trial, which is ongoing, shows that after the first dose of adjuvanted vaccine, a strong immune response was demonstrated, inclusive of the over 60 age group. The immune response elicited by Pandemrix in all age groups exceeded the immunogenicity criteria as defined by international licensing authorities for a pandemic influenza vaccine. The adjuvanted vaccine in this trial contains the dose of H1N1 antigen (3.75 ?g) which is the EMEA approved final formulation.

?These results complete GSK?s first line results across key age groups. As previously shown in young children and adults under 60 years of age, these new data demonstrate the ability of the vaccine to induce a high immune response considered indicative of protection after one dose across a wide range of ages, including the elderly.? said J?an Stephenne, President of GSK Biologicals. ?These data are very important for those in government who need to continually assess new data in light of the current global public health challenge.?
The trial, which is taking place in Belgium, involves 240 adults aged 18 to 85 years, and was designed to evaluate the tolerability and immunogenicity of Pandemrix. Half of the subjects enrolled in the trial (120 subjects) were under 60 and the other half were over 60 years of age. A planned analysis was performed 21 days after the first dose, immediately prior to administration of the second dose.

These results show that 88.0% of the subjects between 61-70 years of age, and 86.7% of those over 70 years of age, demonstrated a response that was above the regulatory threshold of 1:40 seroprotection, which is considered indicative of protection. Results in the age group 18 ? 60 years of age were similar to previously reported studies in that age group, with 97.5% of subjects reaching the 1:40 seroprotection level in this trial.
The tolerability of the vaccine in this study was shown to be similar to that observed in the previously EMEA approved H5N1 adjuvanted vaccine.

Local reactions such as pain, redness, and swelling at the site of injection were observed, but no severe reactions were reported to date. General reactions such as low grade fever, headache, and muscle ache were also observed, and were in line, or slightly more often than observed with GSK?s current unadjuvanted seasonal influenza vaccines. Regulatory authorities will review these data and then may consider changes to the label, which currently indicates a two dose schedule for all age groups. ? Pharmiweb.com

http://zikkir.com/health/18343
 
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