Safety and tolerance of palivizumab administration in a large Northern Hemisphere trial. Northern Hemisphere Expanded

J R Groothuis1

  • 1Abbott International, Abbott Park, IL, USA.

Insights

Palivizumab is safe for preterm infants during respiratory syncytial virus season. This expanded access study found low adverse events, reaffirming its tolerability for preventing RSV infections.

Area of Science:

  • Pediatrics
  • Immunology
  • Infectious Diseases

Background:

  • Respiratory Syncytial Virus (RSV) is a major cause of lower respiratory tract infections in infants.
  • Bronchopulmonary dysplasia (BPD) is a chronic lung disease that increases infants' risk of severe RSV outcomes.
  • Palivizumab is a monoclonal antibody used for RSV prophylaxis in high-risk infants.

Purpose of the Study:

  • To collect additional safety data on palivizumab in a real-world setting.
  • To evaluate the incidence of adverse events in preterm infants receiving palivizumab.
  • To reaffirm the safety and tolerability profile of palivizumab.

Main Methods:

  • An Expanded Access Study design was utilized.
  • 565 preterm infants, with or without BPD, received palivizumab.
  • Prophylaxis was administered every 30 days throughout the RSV season.

Main Results:

  • The overall incidence of adverse events was low, reported in 6.9% of subjects.
  • Serious adverse events were infrequent, including hospitalizations.
  • One case of RSV bronchiolitis not requiring hospitalization was reported.

Conclusions:

  • Palivizumab demonstrated a favorable safety profile in this large cohort of preterm infants.
  • The study reaffirms the safety and tolerability of palivizumab for RSV prophylaxis.
  • Palivizumab can be safely administered to high-risk infants during the RSV season.

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