Panel Backs GSK Vaccine for RSV in Older Adults
FDA’s Vaccines and Related Biological Products Advisory Committee 3/1 voted 10 to 2 and 12 to 0, respectively, that safety data and effectiveness data were adequate to support approval of GSK’s vaccine Arexvy (RSVPreF3-AS01E) for preventing lower respiratory tract disease caused by respiratory syncytial virus (RSV) in adults aged 60 years and older.
In a briefing document released in advance of the meeting, FDA reviewers said vaccine efficacy against first occurrence of RSV-associated lower respiratory tract disease was 82.6%. On the safety side, the document said there was at least one potential immune mediated disease (pIMD) reported in 0.4% and 0.3% of vaccine and placebo recipients in the four Phase 3 studies. “Among vaccine recipients, one pIMD (Guillain-Barre syndrome that occurred nine days after RSVPreF3-AS01 E vaccination) was considered by the study investigator and FDA to be related to vaccination,” it said. “Six pIMDs (Bell’s palsy [n=2], pancytopenia, Graves’ disease [hyperthyroidism], gout, and psoriasis) were considered as possibly related to RSVPreF3-AS01E vaccination by the study investigators and by FDA.”
Many panel members urged FDA to thoroughly review expected data from GSK in April before approving the vaccine just to be sure there are no surprises. The user fee review action data is 5/3.