HBVaxPro

Active Substance: hepatitis B, recombinant surface antigen
Common Name: hepatitis-B vaccine (rDNA)
ATC Code: J07BC01
Marketing Authorisation Holder: Sanofi Pasteur MSD, SNC
Active Substance: hepatitis B, recombinant surface antigen
Status: Authorised
Authorisation Date: 2001-04-27
Therapeutic Area: Hepatitis B Immunization
Pharmacotherapeutic Group: Vaccines

Therapeutic Indication

5 micrograms

HBVaxPro is indicated for active immunisation against hepatitis-B-virus infection caused by all known subtypes in individuals from birth through 15 years of age considered at risk of exposure to hepatitis-B virus.

The specific at-risk categories to be immunised are to be determined on the basis of the official recommendations.

It can be expected that hepatitis D will also be prevented by immunisation with HBVaxPro as hepatitis D (caused by the delta agent) does not occur in the absence of hepatitis-B infection.

10 micrograms

HBVaxPro is indicated for active immunisation against hepatitis-B-virus infection caused by all known subtypes in individuals 16 years of age or more considered at risk of exposure to hepatitis-B virus.

The specific at-risk categories to be immunised are to be determined on the basis of the official recommendations.

It can be expected that hepatitis D will also be prevented by immunisation with HBVaxPro as hepatitis D (caused by the delta agent) does not occur in the absence of hepatitis-B infection.

40 micrograms

HBVaxPro is indicated for the active immunisation against hepatitis-B-virus infection caused by all known subtypes in predialysis and dialysis adult patients.

It can be expected that hepatitis D will also be prevented by immunisation with HBVaxPro as hepatitis D (caused by the delta agent) does not occur in the absence of hepatitis B infection.

What is HBVaxPro?

HBVaxPro is a vaccine, which is available as a suspension for injection in vials and prefilled syringes. It contains parts of the hepatitis-B virus as the active substance. HBVaxPro is available in two strengths (10 and 40 micrograms/ml).

What is HBVaxPro used for?

HBVaxPro is used to vaccinate against hepatitis B in people who are at risk of exposure to the hepatitis-B virus, as determined on the basis of official recommendations.

The medicine can only be obtained with a prescription.

How is HBVaxPro used?

A course of vaccination should include at least three injections of HBVaxPro. The recommended dose for children from birth up to the age of 15 years is 0.5 ml of the lower strength (10 micrograms/ml) at each injection. For adults and adolescents aged 16 years of age and older, 1 ml of the lower strength is given at each injection. The higher strength (40 micrograms/ml) is used in patients who are undergoing or are about to undergo dialysis (a blood clearance technique).

HBVaxPro is usually given as an injection into the muscle of the thigh in babies and infants, and of the shoulder in children, adolescents and adults.

The timing of injections depends on the patient’s age, strength of the immune system, response to vaccination and likelihood of exposure to the hepatitis-B virus. For full details, see the summary of product characteristics (also part of the EPAR).

How does HBVaxPro work?

HBVaxPro is a vaccine. Vaccines work by ‘teaching’ the immune system (the body’s natural defences) how to defend itself against a disease. HBVaxPro contains small amounts of ‘surface antigens’ (proteins from the surface) of the hepatitis-B virus. When a person is given the vaccine, the immune system recognises the surface antigens as ‘foreign’ and makes antibodies against them. The immune system will then be able to produce antibodies more quickly when the person is naturally exposed to the viruses. This helps to protect against infection with the hepatitis-B virus.

The surface antigens in HBVaxPro are produced by a method known as ‘recombinant DNA technology’: they are made by a yeast that has received a gene (DNA), which makes it able to produce the proteins. The surface antigens are also ‘adsorbed’. This means that they are fixed onto aluminium compounds to help stimulate a better response.

HBVaxPro was specifically developed from a vaccine that was already in use in the European Union (EU), in order to produce a vaccine that does not contain the preservative thiomersal.

How has HBVaxPro been studied?

Because the active substance used in HBVaxPro was already authorised for use in the EU, there have been no formal studies with HBVaxPro. The company provided information comparing other vaccines with and without thiomersal, including studies of a vaccine that contains the same active substance as HBVaxPro.

What benefit has HBVaxPro shown during the studies?

The results of the studies presented showed that the thiomersal-free vaccines produced protective levels of antibodies against hepatitis-B virus to a similar extent to the vaccines that contained thiomersal at the end of the vaccination course. This included the vaccines that contain the same active substance as HBVaxPro.

What is the risk associated with HBVaxPro?

The most common side effects with HBVaxPro (seen in between 1 and 10 patients in 100) are reactions at the injection site, including temporary soreness, erythema (redness) and induration (hardening). For the full list of all side effects reported with HBVaxPro, see the package leaflet.

HBVaxPro should not be given to people who may be hypersensitive (allergic) to the active substance or any of the other ingredients including substances present at very low (trace) levels, such as formaldehyde and potassium thiocyanate, used in the manufacture of the vaccine. Vaccination should be postponed for people with a severe illness with fever.

Why has HBVaxPro been approved? ?

The CHMP concluded that the removal of thiomersal from vaccines did not reduce their effectiveness in protecting against hepatitis-B-virus infection, but reduced their risks. Therefore, the Committee decided that HBVaxPro’s benefits are greater than its risks and recommended that it be given marketing authorisation.

Other information about HBVaxPro

The European Commission granted a marketing authorisation valid throughout the European Union for HBVaxPro to Sanofi Pasteur MSD SNC on 27 April 2001. The marketing authorisation is valid for an unlimited period.

For more information about treatment with HBVaxPro, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Source: European Medicines Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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