FDA Approves Pfizer’s Abrysvo for Wider RSV Protection: A Boost for Adult and Infant Immunity

In a significant move for respiratory health, the FDA has expanded the approval of Pfizer Inc.’s (PFE) Abrysvo (Respiratory Syncytial Virus Vaccine) to protect adults aged 18 through 59 who are at high risk for lower respiratory tract disease (LRTD) caused by RSV. This decision marks a key milestone, significantly broadening the reach of Abrysvo and offering broader protection against RSV for a larger segment of the population.

Previously, Abrysvo was approved for individuals 60 years and older, as well as pregnant individuals at 32 through 36 weeks of gestation to protect their infants from birth up to 6 months of age. Now, with the FDA’s expanded approval, Abrysvo offers the broadest RSV vaccine indication for adults, providing a crucial layer of defense against this common respiratory illness.

The FDA’s approval is grounded in the robust data generated from the pivotal Phase 3 MONeT study, which rigorously evaluated the safety, tolerability, and immunogenicity of Abrysvo in adults susceptible to RSV-associated disease due to specific chronic medical conditions. This study demonstrates the vaccine’s effectiveness in protecting those most at risk, solidifying its role as a vital tool in combating RSV infections.

This approval comes at a pivotal time for RSV vaccine development and distribution. While the U.S. Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP) has recommended routine use of RSV vaccines for all adults aged 75 and above, a decision on recommending them for adults aged 50-59 at increased risk for RSV-LRTD has been postponed pending further data analysis.

The recent expansion of Abrysvo’s approval underscores Pfizer’s commitment to innovative vaccine development, particularly in the face of a changing landscape for RSV vaccine sales. Following regulatory adjustments that narrowed the age groups eligible for RSV vaccination, sales of RSV vaccines from both GSK Plc (GSK) and Pfizer have experienced a decline. However, the FDA’s broadened approval for Abrysvo signifies a crucial step in securing new revenue streams for Pfizer and strengthening its position within the evolving RSV vaccine market.

As Pfizer and GSK navigate the dynamic landscape of RSV vaccine development, Abrysvo holds a strategic position in their efforts to build new revenue streams. This is particularly significant as they prepare to face generic competition for their top-selling medications. The expansion of Abrysvo’s indication and its potential to reach a larger population underscores its importance in securing a stable revenue base for Pfizer in the future.

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