Merck Wins Expanded Indication for Pneumococcal Vaccine

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Merck says FDA has approved an expanded indication for its pneumococcal conjugate vaccine, Capvaxive, allowing its use in children and adolescents aged 2 to 17 years who have completed a primary pneumococcal vaccination series and are at increased risk for pneumococcal disease due to chronic medical conditions.

The action makes Capvaxive the only pneumococcal conjugate vaccine specifically studied and indicated in the U.S. for this high-risk pediatric population, according to the company. The vaccine is intended to provide additional protection against pneumococcal serotypes not included in currently approved pediatric pneumococcal vaccine series.

The expanded indication is supported by data from the Phase 3 STRIDE-13 trial, which demonstrated immune responses supporting the vaccine's use as a supplemental dose following completion of a primary pneumococcal vaccination series.

Pneumococcal disease can cause serious infections including pneumonia, meningitis and bloodstream infections, with children who have chronic heart, lung, kidney and other medical conditions facing elevated risk.

Capvaxive is described as a single-dose 21-valent pneumococcal conjugate vaccine. It was originally developed for adults and includes coverage against 21 pneumococcal serotypes, including eight not found in other approved pneumococcal conjugate vaccines. The vaccine is already approved in adults for the prevention of invasive pneumococcal disease and pneumococcal pneumonia.

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