01 Denvaxia Bergren 508

CDC ACIP — Vaccine Advisory Committee

Acip

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June 26 – ACIP Meeting
Dengvaxia®Next Steps
Nicholas Bergren PhD, MBA
Director, Scientific and Medical Affairs
1
Internal
22021  ACIP  Recommendation  for Dengvaxia®:
ACIP recommends  vaccination  with the Dengvaxia® vaccine  for children  aged 9–16 years  
having  evidence  of a previous  dengue  infection  and living  in areas  where  dengue  is endemic . 
Dengvaxia® is recommended  as a 3-dose vaccination  series,  administered  6 months  apart  (at 
month  0, 6, and 12)for the selected  pediatric  population . Evidence  of previous  dengue  
infection,  such as confirmation  with previous  laboratory -confirmed  infection  or a highly  
specific  serodiagnostic  test, will be required  among  eligible  children  before  vaccination .Dengvaxia® Indication, Schedule & Recommendation
USPI  Indication :
For the prevention  of dengue  disease  caused  by dengue  virus serotypes  1, 2, 3 and 4. 
Dengvaxia® is approved  for use in individuals  6 through  16 years  of age with laboratory -
confirmed  previous  dengue  infection  and living  in endemic  areas .
USPI  Dosage  and Administration :
Three  doses  (0.5 mL each)  6 months  apart  (at month  0, 6, and 12).
Internal
3Dengvaxia® has been available globally since 2015 and was recommended by ACIP in 2021:
▪Efforts have been made to facilitate implementation of the ‘Screen & Vaccinate’ approach as recommended by 
WHO in 2018, however demand for Dengvaxia®has been andcontinues to remain low globally and in Puerto Rico.
▪Despite an increased incidence of dengue in different parts of the world, Puerto Rico's Dengvaxia®Immunization 
Program is the only public program currently in place.
▪Dengvaxia®is indicated for people with prior dengue infection and requires a 1 -year vaccination schedule to 
complete the primary series.
▪Dengvaxia®is not intended for acute dengue outbreak control.Dengvaxia®Next Steps
Dengue Tetravalent Vaccine (Live, Attenuated)  [Dengvaxia®] is being discontinued due to low demand.
This decision is not due to any concerns regarding quality, safety or efficacy.
We have worked early with and continue to collaborate with the CDC to facilitate product utilization.
Dengvaxia® will continue to be distributed through public (e.g., VFC) and private markets globally (including 
Puerto Rico where it is currently recommended by the ACIP) through product expiry.
The last doses of Dengvaxia®will expire at the end of August 2026. Given the 3-dose, 1 -year series needed for 
full immunization, individuals should start the Dengvaxia® immunization series no later than August 31, 2025.
 
Thank you