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Published in: Advances in Therapy 12/2019

Open Access 01-12-2019 | Influenza Vaccination | Original Research

Enhanced Safety Surveillance of GSK’s Quadrivalent Seasonal Influenza Vaccine in Belgium, Germany, and Spain for the 2018/19 Season: Interim Analysis

Authors: Gael Dos Santos, Vishvesh Shende, Silvia Damaso, Anne Yeakey

Published in: Advances in Therapy | Issue 12/2019

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Abstract

Introduction

Influenza is an important cause of morbidity and mortality in Europe. Prevention by annual vaccination is most effective but with yearly vaccine reformulation to match circulating virus strains, vaccine safety must be continuously monitored. The European Medicines Agency published guidance on safety monitoring of influenza vaccines.

Methods

An enhanced safety surveillance study of GSK’s inactivated quadrivalent influenza vaccine (IIV4) was conducted in Belgium, Germany, and Spain in influenza season 2018/19. The objective was to collect adverse event (AE) reports from subjects within 7 days of vaccination. A customized AE reporting card (AERC) with predefined AEs of interest was used to rapidly detect and evaluate potential new safety concerns. Interim results are presented here.

Results

Between week 40 and 52, 1060 vaccinated subjects were enrolled (31.0% Belgium, 26.2% Germany, and 42.7% Spain) covering all ages for which IIV4 is indicated (32.0% aged 6 months–17 years, 33.8% 18–65 years, and 34.2% over 65 years). Pediatric subjects  less than 9 years old (n = 139) received two doses. Following dose 1 and dose 2, 98.2% and 100%, respectively, returned the completed AERC recording any AEs. Following dose 1 and dose 2, 454 and 34 subjects, respectively, reported at least one AE (most frequently expected general and injection site symptoms and respiratory symptoms).

Conclusion

All reported AEs were expected as per summary product characteristics (smPC). No safety signals that impact public health or alter the benefit–risk profile of GSK’s IIV4 were identified. Subjects from all vaccinated age groups were enrolled and the use of AERCs allowed rapid monitoring and analysis of reported AEs.

Trial Registration

ClinicalTrials.gov identifier, NCT03688620.

Funding

GlaxoSmithKline Biologicals SA.
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Literature
1.
go back to reference Cassini A, Colzani E, Pini A, et al. Impact of infectious diseases on population health using incidence-based disability-adjusted life years (DALYs): results from the Burden of Communicable Diseases in Europe study, European Union and European Economic Area countries, 2009 to 2013. Euro Surveill. 2018;23(16). Cassini A, Colzani E, Pini A, et al. Impact of infectious diseases on population health using incidence-based disability-adjusted life years (DALYs): results from the Burden of Communicable Diseases in Europe study, European Union and European Economic Area countries, 2009 to 2013. Euro Surveill. 2018;23(16).
6.
go back to reference De Lusignan S, Correa A, Dos Santos G, et al. Brand specific, near real time, enhanced safety surveillance of influenza vaccines in general practice winter 2015/16: feasibility study. JMIR Public Health Surveill. 2019;10:12016.CrossRef De Lusignan S, Correa A, Dos Santos G, et al. Brand specific, near real time, enhanced safety surveillance of influenza vaccines in general practice winter 2015/16: feasibility study. JMIR Public Health Surveill. 2019;10:12016.CrossRef
7.
go back to reference de Lusignan S, Ferreira F, Damaso S, et al. Enhanced passive surveillance of influenza vaccination in England, 2016–2017: an observational study using an adverse events reporting card. Human Vaccines Immunother. 2019;15(5):1048–59.CrossRef de Lusignan S, Ferreira F, Damaso S, et al. Enhanced passive surveillance of influenza vaccination in England, 2016–2017: an observational study using an adverse events reporting card. Human Vaccines Immunother. 2019;15(5):1048–59.CrossRef
8.
go back to reference de Lusignan S, Dos Santos G, Byford R, et al. Enhanced safety surveillance of seasonal quadrivalent influenza vaccines in english primary care: interim analysis. Adv Ther. 2018;35(8):1199–214.CrossRefPubMedPubMedCentral de Lusignan S, Dos Santos G, Byford R, et al. Enhanced safety surveillance of seasonal quadrivalent influenza vaccines in english primary care: interim analysis. Adv Ther. 2018;35(8):1199–214.CrossRefPubMedPubMedCentral
10.
go back to reference Dos Santos G, Yeakey A, Shende V, et al. Passive enhanced safety surveillance of GSK’s quadrivalent seasonal influenza vaccine in Belgium, Germany and Spain, an observational study: protocol for the 2018/2019 influenza season. BMJ Open. 2019;9(8):e028043.CrossRefPubMedPubMedCentral Dos Santos G, Yeakey A, Shende V, et al. Passive enhanced safety surveillance of GSK’s quadrivalent seasonal influenza vaccine in Belgium, Germany and Spain, an observational study: protocol for the 2018/2019 influenza season. BMJ Open. 2019;9(8):e028043.CrossRefPubMedPubMedCentral
13.
go back to reference Korn EL, Graubard BI. Confidence intervals for proportions with small expected number of positive counts estimated from survey data. Survey Methodol. 1998;24(2):193–201. Korn EL, Graubard BI. Confidence intervals for proportions with small expected number of positive counts estimated from survey data. Survey Methodol. 1998;24(2):193–201.
15.
go back to reference Spila Alegiani S, Alfonsi V, Appelgren EC, et al. Active surveillance for safety monitoring of seasonal influenza vaccines in Italy, 2015/2016 season. BMC Public Health. 2018;18(1):1401.CrossRefPubMedPubMedCentral Spila Alegiani S, Alfonsi V, Appelgren EC, et al. Active surveillance for safety monitoring of seasonal influenza vaccines in Italy, 2015/2016 season. BMC Public Health. 2018;18(1):1401.CrossRefPubMedPubMedCentral
16.
go back to reference van Balveren-Slingerland L, Kant A, Harmark L. Web-based intensive monitoring of adverse events following influenza vaccination in general practice. Vaccine. 2015;33(19):2283–8.CrossRefPubMed van Balveren-Slingerland L, Kant A, Harmark L. Web-based intensive monitoring of adverse events following influenza vaccination in general practice. Vaccine. 2015;33(19):2283–8.CrossRefPubMed
17.
go back to reference Dos Santos G. Challenges in implementing yearly enhanced safety surveillance of influenza vaccination in Europe: lessons learned and future perspectives. Human Vaccines Immunother. 2019;22:1–13. Dos Santos G. Challenges in implementing yearly enhanced safety surveillance of influenza vaccination in Europe: lessons learned and future perspectives. Human Vaccines Immunother. 2019;22:1–13.
Metadata
Title
Enhanced Safety Surveillance of GSK’s Quadrivalent Seasonal Influenza Vaccine in Belgium, Germany, and Spain for the 2018/19 Season: Interim Analysis
Authors
Gael Dos Santos
Vishvesh Shende
Silvia Damaso
Anne Yeakey
Publication date
01-12-2019
Publisher
Springer Healthcare
Published in
Advances in Therapy / Issue 12/2019
Print ISSN: 0741-238X
Electronic ISSN: 1865-8652
DOI
https://doi.org/10.1007/s12325-019-01105-2

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