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Biotech / Medical : North American Vaccine
NVX 1.410-6.6%Nov 3 3:59 PM EST

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To: andy harrison who wrote (47)11/1/1996 9:10:00 AM
From: andy harrison   of 82
 
Let me respond point by point to Sturza's latest attack on NVX,Letter
F.253-10/31/96. First of all the Advisory Panel recommended approval
of NVX for shots 1-4 in a program of all accellular vaccinations. This
is the same recommendation that Connaught received. No one can get
5th. shot approval for an all accellular regimen, for the simple
reason that the children in Sweden are not old enough to have
received the 5th. shot and no data exits. The Panel also gave NVX
a recommendation to use the vaccine for the 5th. booster shot after
4 whole cell shots. The only question on using the vaccine was for
the 4th. booster shot after 3 whole cell shots, as only 42 children
had received the shot.The data to support the use of this shot will be
available to the FDA by the end of November, in plenty of time for
early FDA approval. There was no recommendation for the new 2000
child test.
There is absolutely no reason to believe that the FDA and CDC will
change the USA immunization schedule of 2,4,6, 12-18 months and 6
years. Why would they recommend Connaught for 1-4 shot approval and
SKB for 1-3 and no on shot 4 if they intended to change the
schedule???
Both Connaught and SKB tested on the European schedule and had the
same questions about bridging data, and they were resolved in the
same manner as with NVX. The efficacy of the vaccine ranged from
a minimum of 71% to 86% depending on the test protocal and the
definition of Pertussis. NVX used the stricker WHO defintition
of Pertussis. Connaught and SKB use the product FHA in their vaccines
and could not use the stricker definition. In addition, NVX had
a nurse visit each child in its vaccination program to discover
Pertussis, while Connaught and SKB used self reporting by the
children's family. All cases of severe side effects were shown
by NVX to be non-vaccine related and the panel accepted this as
factually correct.
If you want an independent review of these points, you should
read BIOWORLD Today from 10.31.96 and a highlight from 10.30.96.
Or the article in the Washington Post from 10.30.96.

Mark Harrison
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