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Glaxo withdraws its Lyme
disease vaccine
Treatment is still safe,
but demand too low
Tuesday, February 26, 2002
BY ED
SILVERMAN
Star-Ledger Staff
The Lyme disease vaccine,
dogged by safety questions since it became available three years ago, was
discontinued yesterday by its manufacturer.
GlaxoSmithKline Plc cited
insufficient demand for its decision to yank Lymerix, which was initially
hailed by doctors and public- health officials as a breakthrough in combating a
notorious bacteria that claims up to 16,000 victims each year.
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Instead, Lymerix was blamed
for causing the kind of arthritic symptoms it was supposed to prevent. In its
first two years on the market, the vaccine prompted 905 adverse-event reports,
such as swelled joints and aching muscles. Dozens of lawsuits are pending.
A Glaxo spokeswoman said
the controversy didn't play a role in the company's decision. Neither, she
said, was the move made in response to pressure from regulators, which a Food
and Drug Administration spokeswoman confirmed.
"Safety wasn't a
factor in our decision," said Ramona Dubois, a spokeswoman for Glaxo,
which inherited Lymerix last year after buying the vaccine's original
manufacturer, SmithKline Beecham.
"Despite our best
efforts, demand hasn't reached a sustainable level. The market just wasn't
there," she said.
Glaxo also is withdrawing
an application with regulators to market a pediatric version, she said. The
company has halted all research into Lyme disease.
At the time the FDA
approved Lymerix in late 1998, SmithKline touted the vaccine as a driver of
growth. But 1999 sales were a disappointing $40 million and the ensuing
negative publicity caused sales to plummet, although more recent figures aren't
available.
The controversy also
engulfed the FDA, which was criticized for approving the product, given that a
protein used to make the vaccine may produce an untreatable form of severe
arthritis in people with a commonly held gene.
The decision was a victory
for consumer advocates, who have been lobbying the FDA to force Glaxo to
withdraw Lymerix.
"It should have never
been approved in the first place," said Karen Forschner of the Lyme
Disease Foundation, a nonprofit that recently obtained clinical-trial data that
she said raised questions about the extent to which side effects were recorded
properly.
"It was based on bad
science. It's a crummy vaccine that's probably caused significant injury to
people, but information wasn't shared with the FDA or the public," she
said. "This decision will probably save thousands of people from having
similar problems."
Barbara Fisher, who sits on
the FDA advisory panel that last year heard testimony from people claiming
injury from Lymerix, agreed that Glaxo's decision to discontinue the vaccine
was overdue.
"The evidence has been
compelling for some time," said Fisher, who also heads the nonprofit
National Vaccine Information Center. "The science says that certain people
are vulnerable to this product."
The Glaxo spokeswoman said
doctors can contact the drug maker for instructions on returning unused doses.
She noted, however, that doctors aren't being told not to vaccinate patients.
Stephen Sheller, an
attorney who represents about 350 people claiming harm from Lymerix, said the
lawsuits will proceed.
Ed
Silverman can be reached at esilverman@starledger.com or (973) 392-1542.
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Copyright 2002 The Star-Ledger. Used
by NJ.com with permission.
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