http://biz.yahoo.com/rf/010307/n07469208_4.html
Wednesday March 7, 6:22 pm Eastern Time
U.S. panel doubts GlaxoSmithKline vaccine efficacy
(UPDATE: recasts; adds new information paragraphs 10-11,
13; edits)
BETHESDA, Md., March 7 (Reuters) - Drug giant
GlaxoSmithKline Plc (quote
from Yahoo! UK & Ireland: GSK.L) did not prove that a
children’s vaccine to
prevent five diseases was as effective as immunizing
against the illnesses
separately, a U.S. advisory panel narrowly voted on
Wednesday.
By a 6-5 vote, with one abstention, the panel said company
studies failed
to show the vaccine could provide sufficient protection
against all the diseases it was designed to prevent—diphtheria, tetanus,
pertussis, hepatitis B and polio.
London-based GlaxoSmithKline, the world’s largest drug maker
by sales, was
hoping to secure the panel’s support for U.S. marketing of
the vaccine,
which would be the first in the United States to target
five
life-threatening diseases with one series of shots given
at two, four and
six months of age.
The product would reduce injections for the five diseases
from nine to
three, lessening pain for children and making immunization
schedules more
convenient for parents and doctors, the maker said. The
company hopes to
sell the vaccine under the name Infanrix DTPa-HepB-IPV.
The Food and Drug Administration (FDA) advisory committee
did not vote on
whether the vaccine was safe because there were “outstanding
manufacturing
issues that need to be addressed,” panel chairman Robert
Daum said.
The FDA has final say on whether to approve the product
for U.S. marketing,
but the agency usually follows its panels’ advice.
Studies of more than 7,000 infants who received more than
20,000 doses of
Infanrix DTPa-HepB-IPV showed the vaccine spurred an
immune response at least as strong as that seen with individual vaccines,
GlaxoSmithKline officials said.
But many panel members said the most relevant study was
too small to
clearly show that the combination vaccine worked as well
as individual shots.
“As a pediatrician, I too appreciate the need for this
vaccine, (but) I
don’t think the data we have been presented is adequate to
support efficacy
at this time,” said Dr. Walter Faggett, a panel member.
Many panelists also expressed concern that 41 percent of
infants given the
combination vaccine developed fevers, compared with 29.6
percent of
children who got separate shots. The company said most
fevers disappeared
within a few days and did not lead to serious health
problems.
But panel members “want more information about what the
consequences are
for those increased rates of fevers,” Daum said.
GlaxoSmithKline spokeswoman Carmel Hogan said the company “remained
confident in the safety and (effectiveness)” of the
vaccine and would
“work closely with the FDA to bring the vaccine to market
as quickly as
possible.”
Hogan said she could not provide details of the
manufacturing issues Daum
mentioned.
GlaxoSmithKline already sells a vaccine called Infanrix to prevent diphtheria, pertussis and tetanus.
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