Data presented for the first time at IDWeek 2015™ in San Diego
Pfizer Inc. (NYSE:PFE) announced today that researchers presented for
the first time data from a randomized, controlled Phase 2 study of its
meningococcal serogroup B vaccine, TRUMENBA®, coadministered
with routine meningococcal (groups A, C, Y and W) (MCV4) and tetanus,
diphtheria and pertussis (Tdap) vaccines in adolescents. The data, which
were released today in an oral presentation at IDWeek 2015TM in
San Diego, are based on a study conducted in more than 2,600 healthy
individuals 10 through 12 years of age that evaluated the safety,
tolerability and immunogenicity of TRUMENBA when coadministered with
MCV4 and Tdap. Data demonstrated that immune responses following
TRUMENBA, MCV4 and Tdap vaccines given concomitantly were noninferior to
immune responses to MCV4 and Tdap alone or TRUMENBA alone.
“These Phase 2 data, which are part of a substantial global clinical
development program for TRUMENBA, demonstrated that two important
routine adolescent vaccines can be coadministrated with TRUMENBA,” said
Kathrin Jansen, Ph.D., senior vice president of Vaccine Research and
Development at Pfizer Inc. “In particular, the convenience associated
with coadministration of these recommended vaccines – including allowing
for vaccination against five of the most common meningococcal serogroups
– is an important factor in helping to protect as many adolescents and
young adults as possible from vaccine-preventable diseases.”
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.
Individuals participating in the study were assigned to one of three
groups. Group 1 received TRUMENBA coadministered with MCV4 and Tdap
vaccines; Group 2 received MCV4 and Tdap vaccines only; and Group 3
received TRUMENBA only. TRUMENBA immunogenicity was assessed by serum
bactericidal assay using human complement (hSBA) with 2 meningococcal
serogroup B (MenB) test strains expressing vaccine-heterologous factor H
binding protein (fHBP) variants. The immunogenicity of MCV4 and Tdap
antigens was assessed utilizing multiplexed Luminex assays and/or serum
bactericidal assay using rabbit complement (rSBA).
Immune responses following TRUMENBA, MCV4 and Tdap vaccines given
concomitantly were noninferior to immune responses to MCV4 and Tdap
alone or TRUMENBA alone. Participants in the concomitant control group
had hSBA responses to the 2 MenB test strains of 62.3 to 68 percent and
87.5 to 90 percent after 2 and 3 TRUMENBA doses, respectively. The
administration of TRUMENBA alone induced similar responses.
Coadministration of TRUMENBA, MCV4 and Tdap did not significantly
increase local reactions or systemic events compared to TRUMENBA alone.
About the Phase 2 Study Design
Vaccine safety, tolerability and immunogenicity were evaluated in this
Phase 2, randomized, controlled, observer-blinded study of TRUMENBA®
in the United States. The study included more than 2,600 healthy
individuals 10 through 12 years of age. Group 1 received TRUMENBA
coadministered with MCV4 and Tdap vaccines; Group 2 received MCV4 and
Tdap vaccines only; and Group 3 received TRUMENBA only. Co-primary
objectives included:
-
Demonstration that the immune response induced by MCV4 and Tdap
vaccines given with TRUMENBA was noninferior to the immune response
induced by MCV4 and Tdap vaccines alone when measured one month after
the first vaccination; and
-
Demonstration that the immune response induced by TRUMENBA given with
MCV4 and Tdap vaccines was noninferior to the immune response induced
by TRUMENBA alone, when measured one month after the third vaccination
with TRUMENBA.
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 Meningococcal serogroup B 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
meningococcal serogroup B 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 October 9, 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 recommendation of
the U.S. Centers for Disease Control and Prevention’s (CDC) Advisory
Committee on Immunization Practices regarding TRUMENBA; uncertainties
regarding the commercial success of TRUMENBA; 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
immunogenicity 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 September 14, 2015.
5 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.
6 Brigham KS, Sandora TJ. Neisseria meningitidis:
epidemiology, treatment and prevention in adolescents. Curr Opin
Pediatr. 2009; 21: 437-443.
7 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.
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 September 14, 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 September 14, 2015.
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