GSK’s Arexvy RSV Vaccine for High-Risk Adults Ages 18–49

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FDA has expanded the approved use of GSK’s Arexvy, a respiratory syncytial virus (RSV) vaccine that now includes the in adults aged 18 to 49 who are at increased risk of severe disease. The vaccine was previously authorized for preventing RSV-related lower respiratory tract disease (LRTD) in adults aged 60 and older, as well as adults aged 50 to 59 with risk factors for severe illness. The new approval broadens access to younger adults with underlying medical conditions that elevate their risk of complications from RSV infection.

According to GSK, an estimated 21 million adults in the U.S. under age 50 have at least one condition that increases their risk of severe RSV disease.

FDA’s decision was supported by data from a Phase 3b clinical trial that evaluated immune responses in adults aged 18–49 with stable chronic illnesses that increase the risk of RSV-related complications. The study enrolled more than 1,400 participants across 52 sites in six countries, the company says.

Researchers found the vaccine generated an immune response in the younger high-risk group that was non-inferior to that observed in adults aged 60 and older, a population in which vaccine efficacy had already been demonstrated in earlier Phase 3 trials.

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