NEWS 01/19/1996
P96-1 Lenore Gelb
FOR IMMEDIATE RELEASE (301) 443-3285
January 19, 1996
FDA LICENSES FIRST PRODUCT TO PREVENT SERIOUS RSV DISEASE
The Food and Drug Administration today announced licensing
of the first product to protect high-risk infants against the
worst effects of respiratory syncytial virus (RSV) disease, the
most common cause of lower respiratory infections in children.
This FDA approval allows the marketing of Respiratory
Syncytial Virus Immune Globulin Intravenous (Human) (RSVIGIV) for
use in high-risk infants under two years old with lung problems
due to chronic bronchopulmonary dysplasia (BPD) or prematurity.
RSVIGIV is manufactured by Massachusetts Public Health Biologic
Laboratories of Boston, and distributed by MedImmune Inc. of
Gaithersburg, Md., under the trade name RespiGam.
RespiGam has been found safe and effective in reducing the
number and length of hospitalizations due to RSV as well as the
severity of the disease in high risk infants.
"While this new drug does not prevent infections by
respiratory syncytial virus, it is the first product that reduces
serious RSV disease in high-risk children," said David A.
Kessler, M.D., Commissioner of Food and Drugs. "In particular,
during the flu season, repeated doses of the drug will benefit a
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Page 2, P96-1, RSV Disease
significant number of prematurely born children in their first
year of life, and children with chronic lung diseases up to age
two."
In the United States, more than 90,000 children are
hospitalized and 4,500 die each year from the disease.
RespiGam is made from plasma taken from large numbers of
normal, healthy individuals and is designed to contain a high
concentration of protective antibodies against RSV. These
antibodies do not
prevent RSV infections but help protect children against the most
serious consequences of RSV.
RSVIGIV is given intravenously in five monthly doses, with
the first dose given in November before the start of the RSV
season. RSV outbreaks occur in the U.S. during the late fall,
winter and early spring.
Data supporting the licensing of RespiGam was obtained in
several clinical trials including a pivotal trial known as the
PREVENT trial. This randomized, placebo-controlled double-blind
study included 510 patients with BPD less than two years old or
children under six months old with a history of premature birth
(less than 35 weeks gestation).
RespiGam reduced the number of hospitalizations by 41
percent and time in the hospital by 53 percent in the PREVENT
trial. In addition, children required fewer days of supplemental
oxygen during their hospital stays.
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On Dec. 15, 1995, FDA's Blood Products Advisory Committee
reviewed the licensing application for RespiGam and recommended
that the agency approve the product for marketing.
As with any human immune globulin product, rare allergic
reactions to RSVIGIV are possible. In addition, infants with
pulmonary disease may retain fluids and a small percentage of
infants in the trials needed new or extra diuretics after
receiving RSVIGIV.
Because the product is made from human plasma, a small risk
exists for the transmission of blood-borne viruses. However, the
risk is low because plasma donors are screened carefully and the
product is treated with a solvent-detergent viral inactivation
procedure which inactivates most significant blood-borne viruses,
including the one that causes AIDS.
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