Inactivated Quadrivalent Influenza Vaccine (Split Virion)
Extension of existing NIP listing to include vaccination of healthy children aged 6 months to <5 years for the prevention of seasonal influenza disease caused by influenza virus types A and B.
Decisions on record
- Meeting Nov 2019 Recommended Prevention of seasonal influenza
- Meeting Nov 2018 Recommended Prevention of seasonal influenza
Access path
- Nov 2018Recommended
vs Fluarix Tetra and FluQuadri (quadrivalent influenza virus…
- Nov 2019Recommended
Comparator changed: Fluarix Tetra and FluQuadri (quadrivalent influenza virus vaccines…
- Jul 2020Recommended · restricted
Comparator changed: FluQuadri Junior (for at-risk children aged 6-35 months); Vaxigrip…
- PBS listing · Restricted
From the public summary
6.1 The PBAC recommended an extension to the listing of inactivated quadrivalent influenza vaccine (QIV), Fluarix Tetra, on Schedule 1 (Designated vaccines and circumstances in which vaccines may be provided) of the National Health (Immunisation Program – Designated Vaccines) Determination 2014 (No.1) (the Determination), for the prevention of seasonal influenza, to include healthy children aged 6 months to <5 years who are currently eligible for …PSD · Jul 2020
6.2 The PBAC considered that Vaxigrip Tetra and FluQuadri were appropriate comparators given that these two QIVs are currently listed on the NIP for all children aged 6 months to <5 years and the PBAC has previously accepted that FluQuadri is non-inferior to Vaxigrip Tetra in terms of comparative effectiveness and safety at its November 2019 meeting.PSD · Jul 2020
5.24 The minor submission presented a cost-minimisation analysis of Fluarix Tetra compared with Vaxigrip Tetra. The equi-effective doses were estimated as a single 0.5 mL dose of Fluarix Tetra and a single 0.5 mL dose of Vaxigrip Tetra for children aged 6 months to < 5 years. 10PSD · Jul 2020
5.25 Given that the submission assumed no difference in costs of administration, monitoring or management of adverse events, the cost-minimisation analysis was based on equi-effective doses at parity to the nationally negotiated price ($'''''''').PSD · Jul 2020
5.22 The submission claimed that Fluarix Tetra is non-inferior to Vaxigrip Tetra in terms of effectiveness and safety in the prevention of seasonal influenza disease caused by the influenza virus type A and B contained in the vaccine.PSD · Jul 2020
5.23 Although based on an indirect comparison, the non-inferiority claim between Fluarix Tetra and other QIVs (Vaxigrip Tetra, FluQuadri) listed on the NIP in the target population was supported by ATAGI (ATAGI March 2020 pre-submission advice).PSD · Jul 2020
5.2 The PBAC noted and welcomed the input from one organisation via the Consumer Comments facility on the PBS website. Lung Foundation Australia was supportive of the requested extension to the existing listing of Fluarix Tetra, and noted that an additional QIV available for NIP-funded vaccination in healthy children aged 6 months to <5 years would provide a range of benefits by ensuring continued access to required vaccines at the right times.PSD · Jul 2020
Cost-effectiveness
Cost-minimisation submission; no ICER calculated by design.
Decision context
PopulationHealthy children aged 6 months to <5 years eligible for free vaccination under the National Immunisation Program.
Submission history
| Decided | Outcome | Comparator | ICER | Evidence |
|---|---|---|---|---|
| Jul 2020 | Recommended · restricted | Vaxigrip Tetra (primary); FluQuadri (alternative) | — | RCT |
| Nov 2019 | Recommended | FluQuadri Junior (for at-risk children aged 6-35 months); Vaxigrip Tetra (for healthy children aged 6 months to <5 years | — | RCT · Surrogate |
| Nov 2018 | Recommended | Fluarix Tetra and FluQuadri (quadrivalent influenza virus vaccines currently listed on the NIP) | — | RCT · Surrogate |
Consumer voice
Lung Foundation Australia supported the extension of Fluarix Tetra listing for children aged 6 months to <5 years, emphasizing that the additional QIV vaccine would reduce healthcare costs, disease risk, and the burden on parents caring for ill children while strengthening community respiratory health.
an additional QIV available for NIP-funded vaccination in healthy children aged 6 months to <5 years would provide a range of benefits by ensuring continued access to required vaccines at the right times Consumer comments · PSD
Similar precedents
Regulatory · TGA
Label narrower than PBS population — PBAC restricts to healthy children aged 6 months to <5 years; TGA label includes all children from 6 months without health status restriction.