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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

1 submission · public record
  1. Mar 2018
    Recommended

    vs quadrivalent inactivated influenza vaccines (QIV) — Afluria…

  2. PBS listing · Unrestricted
RecommendedDeferredNot recommended

From the public summary

Verbatim · PSD text · may span indications
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

1 entries
DecidedOutcomeComparatorICEREvidence
Mar 2018 Recommended quadrivalent inactivated influenza vaccines (QIV) — Afluria Quad, FluQuadri, Fluarix Tetra RCT · Immunogenicity

Consumer voice

Mar 2018

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

By decision profile

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.