FDA Denies ICAN Pertussis Labeling Petition
FDA has denied a 10/28/2020 petition submitted by the Informed Consent Action Network (ICAN) asking that the agency require all manufacturers of acellular pertussis-containing vaccines to amend their labeling and package inserts to state that the vaccines do not prevent infection and transmission of pertussis. “Your petition does not persuade us that a revision to the labeling is needed,” the agency denial letter says. “Your proposed labeling revision is not required by statute or regulation and we are not convinced by your arguments that the change is necessary for the safe and effective use of the vaccines.”
The letter says it is important to note that FDA vaccine licensure standards do not require a demonstration of the prevention of infection or transmission. “A vaccine can meet the licensure standard if the vaccine’s benefits of protecting against disease outweigh the vaccine’s risks for the licensed use,” it says. “There is no requirement that the vaccine also prevent infection with the pathogen that can cause the disease or transmission of the pathogen to others.”
The pertussis vaccines that have been licensed by FDA are for preventing pertussis disease, the letter says, and not for preventing infection by B. pertussis.
FDA says ICAN supports its petition with assertions about what vaccinated individuals may believe about the protection afforded by vaccination. “However,” the letter says, “assertions regarding what some vaccinated individuals may believe is not evidence that there is any widespread misconception about the protection provided by vaccines.”