Health Canada Accepts Nirsevimab Regulatory Submission for Infant RSV
- Nirsevimab is the first investigational long-acting antibody designed for all infants to help protect against respiratory syncytial virus (RSV) throughout their first RSV season with a single dose
- Health Canada has accepted the file for review with a regulatory decision expected in Q4 of 2023
- Nirsevimab has already been approved by the European Commission and the UK as the first and only broadly protective option against RSV for newborns and infants
TORONTO, ON — /CNW/ — Health Canada has accepted a New Drug Submission (NDS) for nirsevimab, the first investigational single-dose long-acting antibody designed for all infants to help protect against medically attended lower respiratory tract infections (LRTI) throughout their first respiratory syncytial virus (RSV) season. Nirsevimab is being developed by Sanofi and AstraZeneca.
According to the National Advisory Committee on Immunization (NACI), “RSV infects almost all infants by 2 years of age.”1 Nirsevimab is an immunization designed for all infants to provide direct prophylactic RSV protection.
General Manager, Vaccines, Sanofi Canada
“The recent spikes in bronchiolitis and hospitalizations caused by RSV infection in Canada demonstrate the urgent need for a preventative option that can help protect all infants. We are pleased to receive this regulatory filing acceptance and remain confident in nirsevimab’s potential, if approved, to change the current RSV prevention paradigm as a single-dose option that can offer sustained protection to all Canadian infants throughout the season.”
The NDS is based on results from the Phase 3 MELODY trial, Phase 2/3 MEDLEY trial, and Phase 2b trial which studied the safety and efficacy of a single dose of nirsevimab against LRTI due to RSV for the RSV season.
Nirsevimab was recently approved by the Medicines and Healthcare products Regulatory Agency in the United Kingdom and by the European Commission, following a positive opinion from the European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP).
Nirsevimab is an investigational product that is not currently authorized for sale in Canada.
RSV is a common, contagious virus that causes seasonal epidemics of lower respiratory tract infections (LRTI). In Canada RSV is the leading cause of respiratory hospitalizations and on average causes 14 times more hospitalizations than influenza in infants under the age of 2.2 Globally, in 2019, there were 33 million RSV-associated acute lower respiratory infection episodes, 3.6 million RSV-associated acute lower respiratory infection hospital admissions, 26,300 RSV-associated acute lower respiratory infection in-hospital deaths, and 101,400 RSV-attributable overall deaths in children aged 0–60 months.3,6 In recent months, there has been a resurgence of RSV following the easing of COVID-19 public health measures.7,8 Most hospitalizations for RSV occur in otherwise healthy infants born at term.9,10 Medically attended LRTIs are associated with increased costs to the healthcare system.11
Nirsevimab is an investigational long-acting antibody designed to help protect all infants for the RSV season with a single dose. Due to its extended half-life technology, nirsevimab is being developed as a single dose for all infants experiencing their first RSV season and infants with specific conditions, such as congenital heart disease or chronic lung disease, entering their first and second RSV season.12-14
Nirsevimab is an immunization designed to provide direct prophylactic RSV protection to all infants via an antibody to help prevent LRTI caused by RSV. Monoclonal antibodies do not require the activation of the immune system to help offer rapid and direct protection against disease.15
In March 2017, Sanofi and AstraZeneca announced an agreement to develop and commercialize nirsevimab. Under the terms of the agreement, AstraZeneca leads all development and manufacturing activities and Sanofi will lead commercialization activities and record revenues.
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- Bont L, Checchia PA, Fauroux B, et al. Defining the Epidemiology and Burden of Severe Respiratory Syncytial Virus Infection among Infants and Children in Western Countries. Infectious Diseases and Therapy. 2016 Aug 1;5(3):271-98. doi: 10.1007/s40121-016-0123-0 and Shi T, McAllister DA, O’Brien KL, et al. Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in young children in 2015: a systematic review and modelling study. The Lancet. 2017 Sep 2;390(10098):946-58. doi: 10.1016/S0140-6736(17)30938-8.
- Oxford Vaccines Group. What is RSV? https://vk.ovg.ox.ac.uk/vk/rsv. Accessed January 2022.
- Schanzer DL, et al. Burden of influenza, respiratory syncytial virus, and other respiratory viruses and the completeness of respiratory viral identification among respiratory inpatients, Canada, 2003–2014. Influenza and other respiratory viruses. 2018 Jan;12(1):113-21.
- Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in children younger than 5 years in 2019: a systematic analysis – Prof You Li, PhD, Xin Wang, PhD, Dianna M Blau, PhD, Mauricio T Caballero, MD, Daniel R Feikin, MD, Christopher J Gill, MD et al. Published: May 19, 2022 DOI:https://doi.org/10.1016/S0140-6736(22)00478-0
- R K. Respiratory Syncytial Virus Vaccines. Plotkin SA, Orenstein WA, Offitt PA, Edwards KM, eds Plotkin’s Vaccines 7th ed Philadelphia. 2018;7th ed. Philadelphia:943-9.
- Leader S, Kohlhase K. Respiratory syncytial virus-coded pediatric hospitalizations, 1997 to 1999. The Pediatric infectious disease journal. 2002;21(7):629-32.
- Ujiie M, Tsuzuki S, Nakamoto T, et al. Resurgence of Respiratory Syncytial Virus Infections during COVID-19 Pandemic, Tokyo, Japan. Emerging Infectious Diseases. 2021;27(11):2969-2970. doi:10.3201/eid2711.211565.
- CDC Health Alert Network. Increased Interseasonal Respiratory Syncytial Virus (RSV) Activity in Parts of the Southern United States. Centers for Disease Control and Prevention. June 10 2021. https://emergency.cdc.gov/han/2021/han00443.asp Accessed: February 2022
- Rha B et al. Respiratory Syncytial Virus–Associated Hospitalizations Among Young Children: 2015–2016. Pediatrics. 2020;146(1):e20193611.
- Arriola CS, Kim L, Langley G, Anderson EJ, Openo K, Martin AM, et al. Estimated Burden of Community-Onset Respiratory Syncytial Virus-Associated Hospitalizations Among Children Aged <2 Years in the United States, 2014-15. Journal of the Pediatric Infectious Diseases Society. 2020;9(5):587-95.
- Leistner R, et al. “Attributable Costs of Ventilator-Associated Lower Respiratory Tract Infection (LRTI) Acquired on Intensive Care Units: a Retrospectively Matched Cohort Study.” Antimicrobial Resistance and Infection Control, vol. 2, no. 1, 4 Apr. 2013, p. 13., doi:10.1186/2047-2994-2-13
- Clinicaltrials.gov. A Study to Evaluate the Safety and Efficacy of MEDI8897 for the Prevention of Medically Attended RSV LRTI in Healthy Late Preterm and Term Infants (MELODY). https://clinicaltrials.gov/ct2/show/NCT03979313. Accessed February 2022.
- Clinicaltrials.gov. A Study to Evaluate the Safety of MEDI8897 for the Prevention of Medically Attended Respiratory Syncytial Virus (RSV) Lower Respiratory Track Infection (LRTI) in High-risk Children. https://clinicaltrials.gov/ct2/show/NCT03959488. Accessed February 2022.
- Zhu Q, et al. A highly potent extended half-life antibody as a potential RSV vaccine surrogate for all infants. Sci Transl Med. 2017;9:pii: eaaj1928
- Centers for Disease Control and Prevention. Vaccines & Immunizations. August 18, 2017. https://www.cdc.gov/vaccines/vac-gen/immunity-types.htm. Accessed February 2022.
SOURCE Sanofi Canada