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Vaccines, Blood & Biologics


Public Health Service
Food and Drug Administration


 September 11, 2007
 Rakesh Pandey, Ph.D., DVRPA/OVRR
 Galina M. Vodeiko, Ph.D., DVP/OVRR
 Jerry Weir Ph.D., DVP/OVRR
 CMC Review - BLA (STN 125254) Afluria, Influenza Virus Vaccine
 CSL Limited
45 Poplar Road,
Parkville 3052,
Victoria, Australia


AfluriaR, an intramuscularly administered vaccine, is a trivalent split virus produced from influenza virus infected embryonated hens' eggs. Each of the three virus strains is produced and purified separately. The viruses are concentrated by Tandenital Flow Filtration (TFF) and Zonal Ultracentrifugation (ZC), inactivated by Beta-Propiolactone (BPL) followed by detergent disruption with Sodium Taurodeoxycholate (TDOC), and Sterile filtration, purified by -----
--------------------------------------------------------------------------------------------------. Afluria is standardized according to USPHS requirements for each successive influenza season and is formulated to contain 15 mcg of hemagglutinin (HA) for each of the three strains recommended for a given Northern Hemisphere influenza immunization campaign. AfluriaR is a sterile, suspension of inactivated and split influenza virus types A and B in phosphate-buffered saline solution without preservatives, or containing 0.01% thimerosal (25 mcg of mercury per dose) as a preservative, and trace residual amounts of egg proteins, and sodium taurodeoxycholate(----- ppm per dose). Antibiotics are used in the beginning of manufacturing, but not present in AfluriaR. AfluriaR is supplied in two presentations: a thimerosal-free 0.5 mL single-dose prefilled syringe and a thimerosal-containing 5 mL multi-dose vial.

There are no major CMC issues related to AfluriaR produced using current manufacturing process. However, some of the studies, such as the stabilities of monovalent bulk and final product, are currently ongoing. The continuation of these studies will be the post marketing commitments. BLA (STN 125254/0), AfluriaR, Influenza Virus Vaccine, is recommended for approval.


CSL Limited of Australia submitted the BLA for AfluriaR to CBER on March 30, 2007 seeking licensure in the US. AfluriaR is a trivalent split virus vaccine administered intramuscularly and produced from influenza virus infected embyonated eggs. AfluriaR vaccine is not currently licensed in US, but is licensed in Australia, New Zealand, Europe, South Africa, South East Asia and South America, total in more than 20 countries.

AfluriaR is proposed for active immunization of adults 18 years old and older against influenza disease due to the influenza A and B viruses contained in the vaccine. AfluriaR provides active immunity against three influenza virus strains anticipated to circulate in the Northern Hemisphere during the upcoming winter season. Although multiple immune mechanisms, including cellular immunity, may contribute to vaccine-induced protection against influenza, the humoral component of the immune response, in particular antibodies against viral HA and neuraminidase (NA) antigens, is best understood. Vaccine-induced antibodies to both proteins may be protective, but hemagglutination-inhibiting (HAI) antibodies to HA appear to play the dominant role. Specific levels of vaccine-induced HAI antibodies that protect against influenza disease have not been established in randomized, controlled trials. Human challenge studies have suggested that HAI antibody titers of ≥1:40 are associated with reductions in influenza illness. The effectiveness of inactivated influenza vaccines is also influenced by the age and immunocompetence of the vaccinee and the degree of similarity between the virus strains used to prepare the vaccine and those circulating in the population.

We have reviewed CMC section of the submission and have focused on Module 3- Drug Substance (section 3.2.S, vol.1,2); Drug Product (Thimerosal-Free), which includes Drug Product (Thimerosal-Free) (section 3.2.P, volumes 3-5), Drug Product (Thimerosal-Containing)(section 3.2.P, volumes 6,7); Adventitious Agents Safety Evaluation (section 3.2.A.2, vol. 20) and Executed Batch Records (section 3.2R.1, vol.21-24); Method Validation Package (section 3.2.R.2, vol.25-29), and Comparability Protocols/Reports (section 3.2.R.3, vol.29). This review also covers the BLA amendments provided by CSL including consistency lots for the trivalent final bulk and final filled vaccine for 2007-2008 and the sponsor's responses to our CMC comments.

STN 125254/0 Response to FDA 06 July 2007 request for additional information, received 08/01/2007.
STN 125254/0.4, received 07/10/2007
STN 125254/0.6, received 08/06/2007
STN 125254/0.8, received 08/07/2007


3.2.S ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------


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