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Biotech / Medical : Biotech Valuation
CRSP 53.47+0.3%Nov 28 9:30 AM EST

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To: Biomaven who wrote (3550)4/23/2001 10:29:48 PM
From: Jibacoa  Read Replies (1) of 52153
 
Re: Staph.Aureus.

As reported recently in Internal Medicine News( April 15,2001),at the recent meeting of the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices in Atlanta,GA. Dr. Gary Horwith, NABI's vice president of clinical and medical affairs commented on NABI's StaphVAX.

He said that there are about 9 to 11 million at high risk for S.a. infection in the USA.

The vaccine is a bivalent conjugate that contains S.a. capsular types 5 & 8, which comprise more than 80% of the disease causing strains.

The vaccine was given to 892 patients with end-stage renal disease who were on hemodialysis. There was a control group of 906 similar patients that received placebo injections.

At 6 months there were 17 cases of bacteremia due to S.a. in the placebo group vs. 7 in the StaphVAX group.At ten months the numbers were 26 vs.11 showing a 57% reduction in the vaccinated group.

The vaccine efficacy got lower by the end of 1 year. which suggests that boosters should be needed every 8 to 9 months.

There were no serious vaccine related side effects, only mild to moderate local reactions which usually subsided in 36 to 48 hrs.

The vaccine could potentially be used in other high risk patients, including those scheduled for placement of orthopedic devices, pacemakers, indwelling catheters, drainage shunts, etc. Also one or two weeks prior to CABGs or other prolonged surgical procedures.

The vaccine induces antibodies that target multiple sites on the bacterial outer coating and that allows the bacteria to be pagocytized by neutrophils. The targeting of multiple sites makes the development of vaccine resistance less likely because the bacteria would have to undergo multiple genetic mutations.

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Bernard
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