Committee’s Recommendation Allows for Individual Clinical Decision
Pfizer Inc. (NYSE:PFE) announced today that the U.S. Centers for Disease
Control and Prevention’s (CDC) Advisory Committee on Immunization
Practices (ACIP) voted to recommend that decisions to vaccinate
adolescents and young adults 16 through 23 years of age against
serogroup B meningococcal disease should be made at the individual level
with healthcare providers. Specifically, the ACIP voted that a serogroup
B meningococcal (MenB) vaccine series may be administered to adolescents
and young adults 16 through 23 years of age to provide short term
protection against most strains of serogroup B meningococcal disease.
The preferred age for MenB vaccination is 16 through 18 years of age.
Pfizer’s TRUMENBA® (Meningococcal Group B Vaccine) is
FDA-approved for active immunization to prevent invasive disease caused
by Neisseria meningitidis serogroup B in individuals 10 through
25 years of age.
“Healthcare providers should understand the importance of today’s ACIP
recommendation to help protect adolescents and young adults,” said Dr.
Laura York, Global Medical Lead for Meningococcal Vaccines, Pfizer
Vaccines. “This recommendation is an important step forward that
provides guidance that serogroup B meningococcal disease vaccination may
be administered between the ages of 16 through 23, with preferred timing
for vaccination between ages 16 through 18.”
The ACIP recommendation will be forwarded to the director of the CDC and
the U.S. Department of Health and Human Services for review and
approval. Once approved, the recommendations are published in the Morbidity
and Mortality Weekly Report (MMWR). The Affordable Care Act (ACA)
and Vaccines for Children (VFC) program ensure coverage for all vaccines
administered in accordance with ACIP recommendations. Healthcare
providers should contact their individual plan to determine specific
coverage and reimbursement requirements.
“Serogroup B meningococcal disease is an uncommon but serious illness
that attacks without warning and may become life-threatening within 24
hours,” said Susan Silbermann, President, Pfizer Vaccines. “Parents and
healthcare providers should take action now and consider vaccination
particularly for those aged 16 through 23. No one in this age group
should lack access to potentially life-saving vaccines.”
This recommendation expands the CDC’s ACIP February 2015 recommendation
for serogroup B meningococcal vaccination.
U.S. Indication for TRUMENBA® (Meningococcal
Group B Vaccine)
TRUMENBA® (Meningococcal Group B Vaccine) is indicated for
active immunization to prevent invasive disease caused by Neisseria
meningitidis serogroup B in individuals 10 through 25 years of age.
Approval of TRUMENBA is based on the demonstration of immune response,
as measured by serum bactericidal activity against four serogroup B
strains representative of prevalent strains in the United States. The
effectiveness of TRUMENBA against diverse serogroup B strains has not
been confirmed.
Important Safety Information
TRUMENBA® should not be given to anyone with a history of a
severe allergic reaction after a previous dose of TRUMENBA.
Individuals with weakened immune systems may have a reduced immune
response.
The most common adverse reactions were pain at the injection site,
fatigue, headache, muscle pain, and chills.
Data are not available on the safety and effectiveness of using TRUMENBA
and other meningococcal group B vaccines interchangeably to complete the
vaccination series.
Tell your healthcare provider if you are pregnant, or plan to become
pregnant.
Ask your healthcare provider about the risks and benefits of TRUMENBA.
Only a healthcare provider can decide if TRUMENBA is right for you or
your child.
You are encouraged to report negative side effects of vaccines to the
U.S. Food and Drug Administration (FDA) and the Centers for Disease
Control and Prevention (CDC). Visit www.vaers.hhs.gov
or call 1-800-822-7967.
For the full prescribing information for TRUMENBA, please visit www.trumenba.com.
About TRUMENBA® (Meningococcal Group B
Vaccine)
TRUMENBA® is a sterile suspension composed of two recombinant
lipidated factor H binding protein (fHBP) variants from N.
meningitidis serogroup B, one from fHBP subfamily A and one from
subfamily B (A05 and B01, respectively). fHBP is one of many proteins
found on the surface of meningococci and contributes to the ability of
the bacterium to avoid host defenses. fHBPs can be categorized into two
immunologically distinct subfamilies, A and B. The susceptibility of
serogroup B meningococci to complement-mediated, antibody-dependent
killing following vaccination with TRUMENBA is dependent on both the
antigenic similarity of the bacterial and vaccine fHBPs, as well as the
amount of fHBP expressed on the surface of the invading meningococci.1
As with any vaccine, TRUMENBA may not prevent disease in all vaccinated
individuals. The frequency of meningococcal disease caused by serogroup
B varies geographically, and could influence the ability to evaluate
effectiveness of the vaccine in any given country. Based on the low
incidence of meningococcal disease, placebo-controlled clinical trials
for TRUMENBA were considered unfeasible due to the size of the study
that would be required and were not performed. Licensure of TRUMENBA was
based on demonstration of immune responses measured using a serum
bactericidal assay with human complement (hSBA).
In 2014, TRUMENBA was reviewed and received accelerated approval under
the FDA's Breakthrough Therapy designation and Priority Review programs.
About Serogroup B Meningococcal Disease
The majority of invasive meningococcal disease cases worldwide can be
attributed to five Neisseria meningitidis serogroups (A, B, C, W
and Y).2 Serogroup B meningococcal disease affects all age
groups in the U.S., but incidence is highest among infants younger than
one year, adolescents and young adults.3 In 2013,
approximately 500 cases of meningococcal disease occurred in the United
States, more than 30 percent of which were caused by serogroup B.4
Serogroup B meningococcal disease may result in life-altering,
significant long-term and permanent medical disabilities.5,6,7 Despite
the availability of antibiotic treatment, 12.5 percent of patients with
serogroup B meningococcal disease die and many of those who survive are
afflicted with long-term disabilities, such as brain damage, hearing
loss, learning disabilities or limb amputations.8,9
Pfizer Inc.: Working together for a healthier world®
At Pfizer, we apply science and our global resources to bring therapies
to people that extend and significantly improve their lives. We strive
to set the standard for quality, safety and value in the discovery,
development and manufacture of health care products. Our global
portfolio includes medicines and vaccines as well as many of the world's
best-known consumer health care products. Every day, Pfizer colleagues
work across developed and emerging markets to advance wellness,
prevention, treatments and cures that challenge the most feared diseases
of our time. Consistent with our responsibility as one of the world's
premier innovative biopharmaceutical companies, we collaborate with
health care providers, governments and local communities to support and
expand access to reliable, affordable health care around the world. For
more than 150 years, Pfizer has worked to make a difference for all who
rely on us. To learn more, please visit us at www.pfizer.com.
DISCLOSURE NOTICE: The information contained in this release
is as of June 24, 2015. Pfizer assumes no obligation to update
forward-looking statements contained in this release as the result of
new information or future events or developments.
This release contains forward-looking information about TRUMENBA®
(Meningococcal Group B Vaccine), including its potential benefits, that
involves substantial risks and uncertainties that could cause actual
results to differ materially from those expressed or implied by such
statements. Risks and uncertainties include, among other things,
uncertainties regarding the commercial impact of the ACIP’s
recommendation regarding TRUMENBA; uncertainties regarding the
commercial success of TRUMENBA; uncertainties regarding whether and when
the CDC will make any Category A recommendations regarding serogroup B
meningococcal vaccination; the uncertainties inherent in research and
development, including the ability to meet anticipated clinical trial
completion dates and regulatory submission dates, as well as the
possibility of unfavorable clinical trial results; whether and when any
biologics license applications may be filed in any jurisdictions other
than the United States for TRUMENBA; whether and when any such other
applications may be approved by regulatory authorities, which will
depend on the assessment by such regulatory authorities of the
benefit-risk profile suggested by the totality of the efficacy and
safety information submitted; decisions by regulatory authorities
regarding labeling and other matters that could affect the availability
or commercial potential of TRUMENBA; and competitive developments.
A further description of risks and uncertainties can be found in
Pfizer’s Annual Report on Form 10-K for the fiscal year ended December
31, 2014 and in its subsequent reports on Form 10-Q, including in the
sections thereof captioned “Risk Factors” and “Forward-Looking
Information and Factors That May Affect Future Results,” as well as in
its subsequent reports on Form 8-K, all of which are filed with the SEC
and available at www.sec.gov
and www.pfizer.com.
1 TRUMENBA® (Meningococcal Group B Vaccine)
Prescribing Information. Philadelphia, PA: Pfizer, Inc. 2015.
2 Pinto VB, Burden R, Wagner A, Moran EE, Lee C. The
Development of an Experimental Multiple Serogroups Vaccine for Neisseria
meningitidis. PLoS ONE. 2013; 8(11): 1-10.
3 Cohn A, MacNeil JR, Harrison LH, et al. Changes in Neisseria
meningitidis disease epidemiology in the United States, 1998-2007:
implications for prevention of meningococcal disease. Clin Infect Dis.
2010; 50: 184-191.
4 Centers for Disease Control and Prevention. Active
Bacterial Core Surveillance (ABCs) Report: emerging infections program
network, Neisseria meningitidis, 2013. http://www.cdc.gov/abcs/reports-findings/survreports/mening13.pdf.
Accessed June 5, 2015.
5 Borg J, Christie D, Coen PG, Pooy R, Viner RM. Outcomes of
Meningococcal Disease in Adolescence: prospective, matched-cohort study.
Pediatrics. 2009; 123: e502-e509.
6 Sabatini C, Bosis S, Semino M, Senatore L, Principi N,
Esposito S. Clinical Presentation of Meningococcal Disease in Childhood. J
Prev Med Hyg. 2012; 53: 116-119.
7 Brigham KS, Sandora TJ. Neisseria meningitidis:
epidemiology, treatment and prevention in adolescents. Curr Opin
Pediatr. 2009; 21: 437-443.
8 MacNeil J. Epidemiology of Serogroup B Meningococcal
Disease, United States. Presented at the Advisory Committee on
Immunization Practices, Centers for Disease Control and Prevention.
October 30, 2014. Centers for Disease Control and Prevention website: http://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2014-10/mening-02-MacNeil.pdf.
Accessed June 5, 2015.
9 Centers for Disease Control and Prevention. Preteens, Teens
Need Meningococcal Vaccine. http://www.cdc.gov/features/meningococcal/.
Last updated April 30, 2015. Accessed June 5, 2015.
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