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Novartis Influenza A(H1N1) 2009 vaccine US interim data show lower doses of antigen may suffice to generate a protective immune response against A(H1N1)


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Copyright © Hugin AS 2009. All rights reserved.
2009-11-17 07:18:02 -


London, November , 17, 2009
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announcement. 
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  * Interim clinical data from approximately 4,000 individuals
    suggest that half a dose of the currently US-approved Novartis
    unadjuvanted Influenza A(H1N1) 2009 vaccine met immunogenicity
    criteria in adults and the elderly

  * Data also show that Novartis MF59® adjuvant was well tolerated
    and could potentially quadruple the Novartis A(H1N1) 2009
    influenza vaccine supply

  * MF59® adjuvant has an established safety profile supported by
    clinical data from more than 33,000 study participants and 12
    years of real life safety data with more than 45 million doses of
    influenza vaccine administered since 1997 in Europe

Basel, November 17, 2009 - Novartis announced today new interim data
from ongoing clinical trials demonstrating that a single 7.5µg dose
of the company's influenza A(H1N1) 2009 unadjuvanted vaccine, half of
the currently-approved US dose, fulfilled immune response criteria
associated with protection in adults and the elderly (>=65 years of
age).

The data also showed a single 3.75µg dose of MF59-adjuvanted  A(H1N1)
2009 vaccine  met  serologic protection  criteria  against  influenza
A(H1N1) in  children ages  3 to  8, adults  ages 18  to 64,  and  the
elderly. All A(H1N1) 2009 influenza study vaccines were  manufactured
using  the  Novartis  established  seasonal  Fluvirin®  manufacturing
platform. Novartis has discussed these new data with the US Food  and
Drug Administration (FDA)  and is  performing additional  statistical
analysis suggested  by  the  agency. It  is  still  under  evaluation
whether the antigen content per dose can be reduced in the US.

Current US  guidelines  for  A(H1N1)  2009  vaccine  use  state  that
adolescents, adults and the elderly are required to receive one  15µg
dose to  achieve  adequate  protective antibody  levels  against  the
A(H1N1) virus, and children 9 years of age and under are required  to
receive two 15µg doses four weeks apart.

"These promising data suggest that many more people could potentially
be vaccinated  with  our  current vaccines  supply,  protecting  more
people earlier against the current pandemic," said Andrin Oswald, CEO
of Novartis Vaccines  and Diagnostics.  "The data  also confirms  the
antigen sparing  potential of  our proprietary  adjuvant, MF59®.  The
vaccines output  of  our  Liverpool, U.K.,  based  flu  manufacturing
facility, fully  dedicated  to the  US  since the  emergence  of  the
pandemic, could be quadrupled if vaccines are adjuvanted."

These interim  data  were  generated from  pivotal  clinical  studies
designed to evaluate the immunogenicity, safety and reactogenicity of
both MF59-adjuvanted and unadjuvanted, inactivated novel swine origin
A(H1N1) 2009 monovalent subunit influenza  virus vaccine in 4,080  US
subjects. In the pediatric  trial, the findings are  based on 80%  of
first dose data from  1,360 subjects ages  3 to 8 at  day 22. In  the
adult trial, the findings are based on 95% of first dose data at  day
1 and day 8 and approximately 40%  of first dose data at day 22  from
1,360 adult subjects and 1,360 elderly subjects. Second dose data and
data in ages 6-36 months of age are expected in December 2009.

About MF59
Novartis proprietary MF59 adjuvant has an established safety profile,
supported by more than 12 years of clinical safety data and more than
45 million doses of commercial use  in Europe. The adjuvant has  been
studied  in  clinical  trials  involving  more  than  33,000  people,
including children, and has been licensed for use in people 65  years
of age and over in the  seasonal influenza vaccine Fluad® since  1997
in the European Union. Novartis  also produces two A(H1N1)  vaccines,
Focetria® and Celtura®, which contain MF59 and are available  outside
the US.  Currently, there  are  no approved  vaccines in  the  United
States that contain MF59.

Novartis has been contracted by the US Department of Health and Human
Services (HHS) to  produce 90  million doses of  MF59 by  the end  of
November.[1]

About A(H1N1) 2009 Vaccine
Novartis influenza  A(H1N1)  2009  monovalent  vaccine,  manufactured
using the established seasonal  Fluvirin platform, is an  inactivated
influenza virus egg-derived vaccine indicated for active immunization
of persons 4 years of age and older against influenza disease  caused
by pandemic A(H1N1) 2009 virus. The  vaccine was approved by the  FDA
on September 15, 2009 as an unadjuvanted 15µg dose.

Disclaimer
The foregoing release contains forward-looking statements that can be
identified by terminology such as "may," "suggest," "could,"
"potentially," "promising," "potential," "expected," or similar
expressions, or by express or implied discussions regarding regarding
potential additional marketing approvals for Novartis' A(H1N1)
vaccines and adjuvants, potential new indications or labeling for
Novartis' A(H1N1) vaccines and adjuvants, potential future deliveries
of influenza vaccines and adjuvants, or regarding potential future
revenues from Novartis' A(H1N1) vaccines and adjuvants. You should
not place undue reliance on these statements.  Such forward-looking
statements reflect the current views of management regarding future
events, and involve known and unknown risks, uncertainties and other
factors that may cause actual results with Novartis' A(H1N1) vaccines
and adjuvants to be materially different from any future results,
performance or achievements expressed or implied by such statements.
Novartis' A(H1N1) vaccines will achieve any additional marketing
approvals.  Nor can there be any guarantee that Novartis' A(H1N1)
vaccines and adjuvants will be approved for any additional
indications or labeling in any market. Nor can there be any guarantee
that Novartis will successfully meet its delivery obligations for its
A(H1N1) vaccines and adjuvants.  Neither can there be any guarantee
that Novartis' A(H1N1) vaccines and adjuvants will achieve any
particular levels of revenue in the future. In particular,
management's expectations regarding Novartis' A(H1N1) vaccines and
adjuvants could be affected by, among other things, unexpected
regulatory actions or delays or government regulation generally;
unexpected manufacturing difficulties or delays, including continued
unexpected difficulties with seed virus yields, and unexpected
difficulties with our flu cell culture manufacturing facility and
processes; unexpected clinical trial results, including unexpected
new clinical data and unexpected additional analysis of existing
clinical data; the company's ability to obtain or maintain patent or
other proprietary intellectual property protection; competition in
general; government, industry and general public pricing pressures;
the impact that the foregoing factors could have on the values
attributed to the Novartis Group's assets and liabilities as recorded
in the Group's consolidated balance sheet, and other risks and
factors referred to in Novartis AG's current Form 20-F on file with
the US Securities and Exchange Commission. Should one or more of
these risks or uncertainties materialize, or should underlying
assumptions prove incorrect, actual results may vary materially from
those anticipated, believed, estimated or expected. Novartis is
providing the information in this press release as of this date and
does not undertake any obligation to update any forward-looking
statements contained in this press release as a result of new
information, future events or otherwise.

About Novartis
Novartis provides  healthcare  solutions that  address  the  evolving
needs of  patients  and  societies.  Focused  solely  on  healthcare,
Novartis offers a  diversified portfolio  to best  meet these  needs:
innovative medicines, cost-saving generic pharmaceuticals, preventive
vaccines, diagnostic tools and consumer health products. Novartis  is
the only company with  leading positions in each  of these areas.  In
2008, the Group's  continuing operations  achieved net  sales of  USD
41.5 billion and net income of USD 8.2 billion. Approximately USD 7.2
billion  was  invested  in  R&D  activities  throughout  the   Group.
Headquartered in Basel, Switzerland, Novartis Group companies  employ
approximately 99,000 full-time-equivalent  associates and operate  in
more than  140  countries around  the  world. For  more  information,
please visit www.novartis.com.

References
[1] This project has been funded in whole or in part with Federal
funds from the Office of the Assistant Secretary for Preparedness and
Response, Biomedical Advanced Research and Development Authority,
under Contract No. HHS100200800072I.

                                # # #

Novartis Media Relations


Central media line : +41 61 324 2200
Eric Althoff
Novartis Global Media Relations
+41 61 324 7999 (direct)
+41 79 593 4202 (mobile)
eric.althoff@novartis.com

e-mail: media.relations@novartis.com

Novartis Investor Relations


Central phone:         +41 61 324
                       7944
Ruth Metzler-Arnold    +41 61 324   North America:
                       9980
Pierre-Michel Bringer  +41 61 324   Richard Jarvis     +1 212 830
                       1065                            2433
John Gilardi           +41 61 324   Jill Pozarek       +1 212 830
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Thomas Hungerbuehler   +41 61 324   Edwin Valeriano    +1 212 830
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Isabella Zinck         +41 61 324
                       7188

e-mail:                             e-mail:
investor.relations@novartis.com     investor.relations@novartis.com

hugin.info/134323/R/1355458/329016.pdf


 
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Novartis International AG
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