Inactivated Trivalent Influenza Vaccine (Surface Antigen), Adjuvanted
Recommended VaccinesUnrestrictedNot applicable line 💬 consumer voice
Active immunisation against influenza in adults aged ≥65 years of age for prevention of seasonal influenza.
1
Submissions
2018–18
On the record
—
ICER range
Cost-min
Cost basis
Access path
- Mar 2018Recommended
vs quadrivalent inactivated influenza vaccines (QIV) — Afluria…
- PBS listing · Unrestricted
RecommendedDeferredNot recommended
From the public summary
PBAC outcome
7.1 The PBAC recommended that inactivated trivalent influenza vaccine (surface antigen), adjuvanted (aTIV) vaccine be a designated vaccine for the purposes of the National Health Act 1953 for active immunisation against influenza in adults aged ≥65 years of age.PSD · Mar 2018
7.2 The PBAC considered the aTIV vaccine would be acceptably cost-effective if subsidised on a cost-minimisation basis with the currently NIP listed quadrivalent inactivated vaccines (QIV) for those aged ≥65.PSD · Mar 2018
Economic analysis
Influenza vaccine July 2009 NIP listing for Recommended CMA to current NIP (Intanza) patients aged 65 funded vaccines for and older via this age group eg intradermal route Vaxigrip Trivalent influenza July 2014 Extend NIP Recommended Compared to vaccine schedule to Fluarix trivalent include vaccination for Indigenous children aged 6 months to 5 years of age Quadrivalent influenza March 2015 People 3 to 9 Recommended (did not CMA to Fluarix vaccine …PSD · Mar 2018
3.5 The submission was prepared in response to liaison with the company from the Chief Medical Officer following the outcomes of the 2017 influenza season in Australia.PSD · Mar 2018
Clinical claim
6.20 The submission presented a clinical claim of non-inferiority to QIV for comparative effectiveness in immunogenicity measures and effectiveness, noting a superiority of effectiveness compared to non-adjuvanted TIV (Submission, P154). The submission presented a claim of non-inferior comparative safety overall, noting inferiority for injection site reactions within the first three days (Submission, P154). 6PSD · Mar 2018
6.21 ATAGI considered that aTIV was suitable for listing based on non-inferiority overall against currently used standard dose QIVs (Pre-Submission PBAC Advice, P1).PSD · Mar 2018
Cost-effectiveness
Cost-minimisation analysis (CMA); no ICER calculated by design. Proposed price equal to nationally negotiated price of QIV comparator.
The PBAC considered the aTIV vaccine would be acceptably cost-effective if subsidised on a cost-minimisation basis with the currently NIP listed quadrivalent inactivated vaccines (QIV) for those aged ≥65. PBAC · 2018
Cost-effectiveness accepted
Decision context
PopulationAdults aged ≥65 years of age eligible for free influenza vaccines through the NIP for prevention of seasonal influenza.
Submission history
| Decided | Outcome | Comparator | ICER | Evidence |
|---|---|---|---|---|
| Mar 2018 | Recommended | quadrivalent inactivated influenza vaccines (QIV) — Afluria Quad, FluQuadri, Fluarix Tetra | — | RCT · Immunogenicity |
Consumer voice
No consumer comments were received for this item.
The PBAC noted that no consumer comments were received for this item. Consumer comments · PSD
Similar precedents
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Regulatory · TGA
Label narrower than PBS population — PBAC removes the TGA's specified risk group (chronic diseases) and restricts to all adults ≥65 years uniformly.