Chikungunya Vaccine Suspended Due to Safety Concerns

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CBER has suspended Valneva Austria’s BLA for Ixchiq (chikungunya vaccine, live) due to serious safety concerns related to the vaccine, which appears to be causing chikungunya-like illness in vaccine recipients. The vaccine was granted accelerated approval in 2023 for the preventing disease caused by the chikungunya virus (CHIKV) in individuals 18 years of age and older who are at increased risk of exposure to CHIKV.

An FDA notice says there has been one death from encephalitis directly attributable to the vaccine and over 20 reported serious adverse events that were consistent with chikungunya-like illness. “Reported serious adverse events have included 21 hospitalizations and 3 deaths,” it says. “Furthermore, the clinical benefit of the vaccine has not yet been verified in confirmatory clinical studies. CBER’s benefit-risk analysis broadly shows the vaccine does not have benefits outweighing risks, under most plausible scenarios.”

In May, FDA issued a safety communication that recommended a pause in the vaccine’s use in individuals 60 years of age and older while an investigation of postmarketing reports of serious adverse events was undertaken, including neurologic and cardiac events, in individuals who have received the vaccine.

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