IMVAMUNE Suspension for injection Ref.[50013] Active ingredients: Smallpox, live attenuated

Source: Health Products and Food Branch (CA)  Revision Year: 2022 

Indications and clinical use

IMVAMUNE is indicated for:

  • active immunization against smallpox, monkeypox and related orthopoxvirus infection and disease in adults 18 years of age and older determined to be at high risk for exposure.

The vaccine may be used for both primary vaccination and revaccination.

1.1 Pediatrics

Pediatrics (<18 years of age): IMVAMUNE has not been studied in subjects below 18 years of age (Section 7.1.3).

1.2 Geriatrics

Geriatrics (≥56 years of age): IMVAMUNE has been administered to 120 subjects 56 to 80 years of age. No overall differences in safety and immunogenicity were observed between these subjects and those <56 years of age (Section 7.1.4).

Dosage and administration

4.1 Dosing Considerations

IMVAMUNE should be administered by subcutaneous injection, preferably in the deltoid region of the non-dominant upper arm. The vaccine must not be administered intravascularly.

4.2 Recommended Dose and Dosage Adjustment

Primary Dose

The primary vaccination schedule in Vaccinia-naïve individuals consists of two doses of 0.5 mL four weeks apart administered by the subcutaneous route.

Booster Dose

Individuals previously vaccinated against smallpox with either a replicating smallpox vaccine or IMVAMUNE can be re-vaccinated with a single subcutaneous 0.5 mL dose of IMVAMUNE to boost their immune response.

Since no persistency data beyond two years after priming are available for IMVAMUNE experienced persons, the recommended booster schedule is to administer a single dose of IMVAMUNE every two years (see CLINICAL TRIALS, Study Results POX-MVA-023).

IMVAMUNE has not been studied for pediatric use (Section 7.1.3).

4.4 Administration

Each vial is for single use only and should not be used for more than one individual. The entire contents of the vial should be injected.

In the absence of compatibility studies this vaccine must not be mixed with other medicinal products.

4.5 Missed Dose

If the primary vaccination schedule in Vaccinia-naïve individuals is not completed full protection might not be achieved against smallpox, monkeypox, or other related orthopoxvirus. The second dose, if missed, should be given as soon as possible (see CLINICAL TRIALS, Study Results POX-MVA-005).

Overdosage

No case of overdose has been reported.

For management of a suspected drug overdose, contact your regional poison control centre.

Storage and stability

Store frozen at -20°C ± 5°C or -50°C ± 10°C or -80°C ± 10°C. Expiry date depends on storage temperature

Can be stored at 2°C – 8°C for up to 2 weeks.

After thawing, the vaccine should be used immediately or can be stored at 2°C – 8°C for up to 2 weeks prior to use.

Do not refreeze a vial once it has been thawed. Store in the original package in order to protect from light.

Do not use after the expiry date shown on the label, unless batch certification documentation allows for use based on an updated expiry date.

© All content on this website, including data entry, data processing, decision support tools, "RxReasoner" logo and graphics, is the intellectual property of RxReasoner and is protected by copyright laws. Unauthorized reproduction or distribution of any part of this content without explicit written permission from RxReasoner is strictly prohibited. Any third-party content used on this site is acknowledged and utilized under fair use principles.