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Re: MMR 11 Vaccine

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Who's letting their child go first as the guinea pig?! I would hate

to have my child be the first to get a new vaccine!

> roQuad®, Merck's Investigational Combination Vaccine, Resulted in

> Antibody Responses Similar to Those with M-M-R II® and Varivax® in

> New Study

>

>

>

>

> Also in the Study, ProQuad was Generally Well Tolerated as a

Second

> Dose in Children Four to Six Years Old Previously Vaccinated

against

> Measles, Mumps, Rubella and Chickenpox

>

>

> WHITEHOUSE STATION, N.J., May 13, 2004 - In a new study, a single

> shot of Merck's investigational combination vaccine ProQuad®

> (Measles, Mumps, Rubella and Varicella [Oka/Merck] Virus Vaccine

> Live) as a second dose in young children previously vaccinated

> against measles, mumps, rubella and varicella (chickenpox)

resulted

> in antibody responses similar (non inferior) to those seen in

> children given a second dose of M-M-R II® (Measles, Mumps, and

> Rubella Virus Vaccine Live) and in children given concomitant

second

> doses of M-M-R II and Varivax® (Varicella Virus Vaccine Live

> [Oka/Merck]).

>

>

>

>

>

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I'll hazard a guess: all the experimental-herd kids were healthy when

injected, thereby sparing vaccine-zealots from having to contemplate

subgrous with increased susceptibility (which in a specific child can be

acquired and/or genetic).

Donna wrote:

>roQuad®, Merck's Investigational Combination Vaccine, Resulted in

>Antibody Responses Similar to Those with M-M-R II® and Varivax® in

>New Study

>

>

>

>

>Also in the Study, ProQuad was Generally Well Tolerated as a Second

>Dose in Children Four to Six Years Old Previously Vaccinated against

>Measles, Mumps, Rubella and Chickenpox

>

>

>WHITEHOUSE STATION, N.J., May 13, 2004 - In a new study, a single

>shot of Merck's investigational combination vaccine ProQuad®

>(Measles, Mumps, Rubella and Varicella [Oka/Merck] Virus Vaccine

>Live) as a second dose in young children previously vaccinated

>against measles, mumps, rubella and varicella (chickenpox) resulted

>in antibody responses similar (non inferior) to those seen in

>children given a second dose of M-M-R II® (Measles, Mumps, and

>Rubella Virus Vaccine Live) and in children given concomitant second

>doses of M-M-R II and Varivax® (Varicella Virus Vaccine Live

>[Oka/Merck]).

>

>

>

>

>

>Antibody responses and tolerability data from this study, the first

>to explore whether ProQuad can be administered instead of a second

>dose of M-M-R II or a second dose of M-M-R II and Varivax in

>children four to six years old, are being presented today at the

>National Immunization Conference in Nashville.

>

> " The study was designed to investigate whether one shot of the

>investigational combination vaccine as a second dose could help

>children achieve similar antibody responses to these viruses

>compared to the responses seen with a second dose of M-M-R II and

>seen with concomitant second doses of M-M-R II and Varivax given at

>separate vaccination sites, " said Reisinger, M.D., M.P.H., a

>pediatrician and medical director of Primary Physicians Research in

>Pittsburgh, who presented the data at a poster session. " The

>results were very encouraging; the antibody responses with ProQuad

>in four to six year olds were similar to the comparator vaccines and

>the investigational vaccine was generally well tolerated. "

>

>The current U.S. vaccination recommendation is for M-M-R II to be

>administered at 12 to 15 months of age and at four to six years of

>age and for Varivax to be administered at 12 to 18 months of age.

>

>Study methods

>In the double-blind, multicenter study, 799 healthy children four to

>six years of age who previously received M-M-R II and Varivax at 12

>months of age or older were randomized to one of three vaccination

>groups: ProQuad and placebo (n=399); M-M-R II and placebo (n=205);

>and M-M-R II and Varivax concomitantly (n=195) at separate injection

>sites. Antibody responses (immunogenicity) were assessed by

>measurement of geometric mean titers (GMTs) prior to vaccination and

>at six weeks following vaccination.

>

>Blood samples were collected from the participants prior to

>vaccination and approximately six weeks following vaccination.

>Serology testing was performed to measure levels of anti-measles,

>mumps, rubella and varicella antibodies (GMTs). Investigators

>compared levels of antibodies from the three study groups to

>determine similarity (non inferiority). Titers for participants

>receiving ProQuad and placebo were compared to titers for those

>receiving M-M-R II and placebo and receiving M-M-R II and Varivax,

>respectively. Antibody titers pre- and post-vaccination were

>measured by ELISA. Non inferiority hypothesis testing of GMTs (less

>than two-fold difference) between groups was performed at the one-

>sided 0.05 level (ANOVA).

>

>Increases in antibody responses with ProQuad similar (non inferior)

>to comparators

>In the study, participants who received ProQuad with placebo as a

>second dose achieved antibody levels to measles, mumps and rubella

>that were similar (non inferior) to levels seen in the groups

>receiving M-M-R II and placebo and M-M-R II and Varivax

>concomitantly when measured at six weeks after vaccination.

>Antibody levels to those three viruses were also similar between the

>group given M-M-R II and placebo and the group given M-M-R II and

>Varivax. Those who received ProQuad with placebo also achieved

>antibody levels to varicella that were similar (non inferior) to

>levels achieved in the group receiving M-M-R II and Varivax at six

>weeks after vaccination. Specific results are in Table 1 (PDF),

>attached.

>

>ProQuad was well tolerated in study

>Adverse events were monitored using Pediatric Vaccination Report

>Cards for a 42-day period following vaccination. Parents or

>caregivers filled out the report cards, which evaluated daily

>temperatures, Systemic Adverse Experiences (e.g.: measles-like,

>rubella-like, and varicella-like rashes, mumps-like symptoms,

>measles, mumps, rubella, varicella and/or zoster) and local

>vaccination site reactions (pain, swelling, redness and/or rash).

>

>In the study, ProQuad was generally well tolerated; the safety

>profile of ProQuad with placebo was generally comparable to the

>safety profiles observed in the comparator groups. Specific results

>are in Table 2 (PDF), attached.

>

>No serious vaccine-related adverse experiences occurred in any of

>the three treatment groups.

>The percent of subjects with one or more overall, systemic and

>injection-site adverse experiences as well as the number of subjects

>with one or more instances of elevated temperature (temperatures >

>102° F oral) was generally comparable between the group given

>ProQuad and placebo and the M-M-R II and placebo group, and between

>the group given ProQuad and placebo and the group given M-M-R II and

>Varivax.

>Although prompted for on the Vaccination Report Card, no rubella-

>like rashes or mumps-like symptoms were reported in any treatment

>group. The incidence rates of measles-like and varicella-like

>rashes were very low (<1 percent of subjects) across all three

>treatment groups. No differences in these adverse experiences were

>noted.

>Important information about M-M-R II and Varivax

>M-M-R II is indicated for simultaneous vaccination against measles,

>mumps and rubella in individuals 12 months of age or older. The

>Advisory Committee on Immunization Practices (ACIP) recommends

>administration of the first dose of M-M-R II at 12 to 15 months of

>age and administration of the second dose of M-M-R II at four to six

>years of age. M-M-R II is contraindicated in individuals with a

>history of hypersensitivity to any component of the vaccine,

>including gelatin. M-M-R II is contraindicated in individuals with

>blood dyscrasias, leukemia, lymphomas of any type or other malignant

>neoplasms affecting the bone marrow or lymphatic systems. Due

>caution should be employed in administration of M-M-R II to persons

>with a history of cerebral injury, individual or family histories of

>convulsions, or any other condition in which stress due to fever

>should be avoided. For a list of adverse reactions, please read the

>attached prescribing information. As for any vaccine, vaccination

>with M-M-R II may not result in protection in 100 percent of

>vaccinees.

>

>Varivax is indicated for vaccination against varicella in

>individuals 12 months of age and older. Varivax is contraindicated

>in individuals with a history of hypersensitivity or an

>anaphylactoid reaction to any component of the vaccine, including

>gelatin or neomycin, or with any immunodeficient condition or

>receiving immunosuppressive therapy. The duration of protection

>from varicella infection after vaccination with Varivax is unknown.

>There are insufficient data to assess the rate of protection against

>the complications of varicella (e.g., encephalitis, hepatitis,

>pneumonia) in children. In children, adolescents and adults

>monitored for up to 42 days post vaccination, the adverse effects

>most frequently reported were as follows: fever, injection-site

>complaints; varicella-like rash (injection site) and varicella-like

>rash (generalized). For a list of adverse reactions, please read

>the attached prescribing information. Vaccination with Varivax may

>not result in protection of all healthy susceptible children,

>adolescents and adults.

>

>About the National Immunization Conference

>The National Immunization Conference is an annual conference

>sponsored by the U.S. Centers for Disease Control and Prevention and

>examines topics pertaining to immunization coverage for all age

>groups.

>

>About Merck

>Merck & Co., Inc. is a global research-driven pharmaceutical

>products company. Merck discovers, develops, manufactures and

>markets a broad range of innovative products to improve human and

>animal health, directly and through its joint ventures.

>

>Forward-Looking Statement

>This press release contains " forward-looking statements " as that

>term is defined in the Private Securities Litigation Reform Act of

>1995. These statements involve risks and uncertainties, which may

>cause results to differ materially from those set forth in the

>statements. The forward-looking statements include statements

>regarding product development. No forward-looking statement can be

>guaranteed, and actual results may differ materially from those

>projected. Merck undertakes no obligation to publicly update any

>forward-looking statement, whether as a result of new information,

>future events, or otherwise. Forward-looking statements in this

>press release should be evaluated together with the many

>uncertainties that affect Merck's business, particularly those

>mentioned in the cautionary statements in Item 1 of Merck's Form 10-

>K for the year ended Dec. 31, 2003, and in its periodic reports on

>Form 10-Q and Form 8-K (if any) which Merck incorporates by

>reference.

>

>

>ProQuad® is the Merck registered trademark for Measles, Mumps,

>Rubella and Varicella [Oka/Merck] Virus Vaccine Live.

>M-M-R II® is the Merck registered trademark for Measles, Mumps, and

>Rubella Virus Vaccine Live.

>Varivax® is the Merck registered trademark for Varicella Virus

>Vaccine Live [Oka/Merck].

>

>

>

>

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