Your browser doesn't support javascript.
loading
Post-marketing monitoring of intussusception after rotavirus vaccination in Japan.
Bauchau, Vincent; Van Holle, Lionel; Mahaux, Olivia; Holl, Katsiaryna; Sugiyama, Keiji; Buyse, Hubert.
Affiliation
  • Bauchau V; Safety Department, GSK Vaccines, Wavre, Belgium.
  • Van Holle L; Safety Department, GSK Vaccines, Wavre, Belgium.
  • Mahaux O; Safety Department, GSK Vaccines, Wavre, Belgium.
  • Holl K; Health Economics Department, GSK Vaccines, Wavre, Belgium.
  • Sugiyama K; Japan Vaccine Co., Ltd., Tokyo, Japan.
  • Buyse H; Safety Department, GSK Vaccines, Wavre, Belgium.
Pharmacoepidemiol Drug Saf ; 24(7): 765-70, 2015 Jul.
Article in En | MEDLINE | ID: mdl-26013569
PURPOSE: Rotarix(TM) was launched in November 2011 in Japan to prevent rotavirus gastroenteritis. Some studies suggest that Rotarix(TM) may have a temporal association with a risk of intussusception (IS). We assessed a possible association between IS and Rotarix(TM) vaccination in Japan. METHODS: All IS cases spontaneously reported post-vaccination (Brighton collaboration levels 1, 2, and 3) were extracted from the GlaxoSmithKline spontaneous report database on the 11th of January 2013. Expected numbers of IS cases were estimated using the number of vaccine doses distributed and the Japanese incidence rate of IS stratified by month of age. The observed versus expected analysis considered the IS cases for each risk period (7 and 30 days post-vaccination) and for each vaccine dose (two doses). RESULTS: Before January 2013, approximately 601 000 Rotarix(TM) doses were distributed in Japan. For a risk period of 7 days post-dose 1 and post-dose 2, 10 and five IS cases were observed, whereas 3.4 and 7.6 were expected, providing an observed-to-expected ratio of 2.96 (95% confidence interval [CI]: 1.42; 5.45) and 0.66 (95% CI: 0.21; 1.53), respectively. For a risk period of 30 days post-dose 1 and post-dose 2, 14 and eight cases were observed, whereas 14.5 and 32.7 were expected, providing an observed-to-expected ratio of 0.97 (95% CI: 0.53; 1.62) and 0.24 (95% CI: 0.11; 0.48), respectively. CONCLUSION: A statistically significant excess of IS cases was observed within 7 days post-dose 1, but not post-dose 2. These results are consistent with previous observations in large post-marketing safety studies in other world regions.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Product Surveillance, Postmarketing / Rotavirus Vaccines / Drug-Related Side Effects and Adverse Reactions / Intussusception Type of study: Etiology_studies / Incidence_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Country/Region as subject: Asia Language: En Journal: Pharmacoepidemiol Drug Saf Journal subject: EPIDEMIOLOGIA / TERAPIA POR MEDICAMENTOS Year: 2015 Document type: Article Affiliation country: Belgium Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Product Surveillance, Postmarketing / Rotavirus Vaccines / Drug-Related Side Effects and Adverse Reactions / Intussusception Type of study: Etiology_studies / Incidence_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Country/Region as subject: Asia Language: En Journal: Pharmacoepidemiol Drug Saf Journal subject: EPIDEMIOLOGIA / TERAPIA POR MEDICAMENTOS Year: 2015 Document type: Article Affiliation country: Belgium Country of publication: United kingdom