FENDRIX Suspension for injection Ref.[28269] Active ingredients: Hepatitis B, purified antigen

Source: European Medicines Agency (EU)  Revision Year: 2022  Publisher: GlaxoSmithKline Biologicals s.a., Rue de lInstitut 89, B-1330 Rixensart, Belgium

4.1. Therapeutic indications

Fendrix is indicated in adolescents and adults from the age of 15 years onwards for active immunisation against hepatitis B virus infection (HBV) caused by all known subtypes for patients with renal insufficiency (including pre-haemodialysis and haemodialysis patients).

4.2. Posology and method of administration

Posology

Primary immunisation

The primary immunisation consists of 4 separate 0.5 ml doses administered at the following schedule: 1 month, 2 months and 6 months from the date of the first dose. Once initiated, the primary course of vaccination at 0, 1, 2 and 6 months should be completed with Fendrix, and not with other commercially available HBV vaccine.

Booster dose

As pre-haemodialysis and haemodialysis patients are particularly exposed to HBV and have a higher risk to become chronically infected, a precautionary attitude should be considered i.e. giving a booster dose in order to ensure a protective antibody level as defined by national recommendations and guidelines.

Fendrix can be used as a booster dose after a primary vaccination course with either Fendrix or any other commercial recombinant hepatitis B vaccine.

Special posology recommendation for known or presumed exposure to HBV

Data on concomitant administration of Fendrix with specific hepatitis B immunoglobulin (HBIg) have not been generated. However, in circumstances where exposure to HBV has recently occurred (e.g. stick with contaminated needle) and where simultaneous administration of Fendrix and a standard dose of HBIg is necessary, these should be given at separate injection sites.

Paediatric population

The safety and efficacy of Fendrix in children aged less than 15 years have not been established.

Method of administration

Fendrix should be injected intramuscularly in the deltoid region.

4.9. Overdose

Limited data on overdose are available.

6.3. Shelf life

3 years.

6.4. Special precautions for storage

Store in a refrigerator (2°C-8°C).

Do not freeze.

Store in the original package in order to protect from light.

6.5. Nature and contents of container

0.5 ml of suspension in pre-filled syringe (type I glass) with a plunger stopper (rubber butyl) with or without separate needle in a pack size of 1, or without needles in a pack size of 10.

Not all pack sizes may be marketed.

6.6. Special precautions for disposal and other handling

Upon storage, a fine white deposit with a clear colourless supernatant can be observed.

Before administration, the vaccine should be well shaken to obtain a slightly opaque, white suspension.

The vaccine should be visually inspected both before and after re-suspension for any foreign particulate matter and/or change in physical appearance. The vaccine must not be used if any change in the appearance of the vaccine has taken place.

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

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