Dtpa-Hepb-Ipv-Hib Vaccine
Recommended VaccinesUnrestrictedFirst-line line
Primary vaccination series against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and invasive infections caused by Haemophilus influenzae type b in infants at 2, 4 and 6 months of age.
1
Submissions
2015–15
On the record
—
ICER range
Cost-min
Cost basis
Access path
- Mar 2015Recommended
vs Infanrix Hexa
- PBS listing · Unrestricted
RecommendedDeferredNot recommended
From the public summary
PBAC outcome
7.1 The PBAC recommended the listing of Hexaxim on the National Immunisation Program (NIP) for the primary vaccination series against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and invasive infections caused by Haemophilus influenzae type b at 2, 4 and 6 months of age, on a cost-minimisation basis that 3 x 0.5mL doses of Hexaxim is equi-effective 3 x to 0.5mL doses of Infanrix Hexa, when an 18-month DTPa-containing booster is available on …PSD · Mar 2015
7.2 The PBAC noted the pre-submission and post-submission advice from the Australian Technical Advisory Group on Immunisation (ATAGI).PSD · Mar 2015
Economic analysis
6.18 The submission presented a cost-minimisation analysis comparing Hexaxim with Infanrix Hexa when used as a three-dose primary vaccination series in infants. The equi-effective doses were based on the recommended dosing regimens outlined in the relevant product information documents which are the same as the doses used in the included clinical trials: 6PSD · Mar 2015
6.19 The requested cost minimised price of Hexaxim is exactly equal to the assumed NIP list price of Infanrix Hexa ($''''''''''''', based on the last known historical price).PSD · Mar 2015
Clinical claim
6.15 The submission described Hexaxim as non-inferior in terms of comparative efficacy and safety compared to Infanrix Hexa.PSD · Mar 2015
6.16 In the pre-submission advice, the Australian Technical Advisory Group on Immunisation (ATAGI) advised that there is currently insufficient information to determine whether there are relevant clinical differences between this vaccine and the comparator (particularly in regards to pertussis which has no accepted thresholds for antibody response that can be used as a surrogate for protection).PSD · Mar 2015
Financial management – risk sharing
6.25 The submission did not propose a risk sharing arrangement.PSD · Mar 2015
Cost-effectiveness
Cost-minimisation analysis; no ICER calculated by design. Estimated to be cost-neutral to the NIP.
The PBAC recommended the listing of Hexaxim on the National Immunisation Program (NIP) for the primary vaccination series against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and invasive infections caused by Haemophilus influenzae type b at 2, 4 and 6 months of age, on a cost-minimisation basis that 3 x 0.5mL doses of Hexaxim is equi-effective 3 x to 0.5mL doses of Infanrix Hexa, when an 18-month DTPa-containing booster is available on the NIP. PBAC · 2015
Cost-effectiveness accepted
Decision context
PopulationHealthy infants receiving primary vaccination series at 2, 4 and 6 months of age.
Submission history
| Decided | Outcome | Comparator | ICER | Evidence |
|---|---|---|---|---|
| Mar 2015 | Recommended | Infanrix Hexa | — | RCT · Surrogate |
Similar precedents
Diphtheria, Tetanus, Pertussis, Hepatitis B, Poliomyelitis And Haemophilus Influenzae Type B Conjugate Vaccine89%Pertussis Vaccine-Acellular, Combined With Diphtheria And Tetanus Toxoids (Dtap)71%Diphtheria + Tetanus + Acellular Pertussis Vaccine71%Hepatitis B Surface Antigen Recombinant Vaccine68%Diphtheria And Tetanus Toxoids Combined With Pertussis Vaccine-Acellular64%Human Rotavirus Vaccine64%Pertussis Vaccine Acellular With Diphtheria And Tetanus Toxoids, Adsorbed63%Diphtheria, Tetanus, Acellular Pertussis Vaccine (Dtpa)63%