ProteqFlu-Te

ProteqFlu-Te is a vaccine for use in horses. It contains parts of two equine influenza (flu) strains, which have been inserted into two canarypox vector viruses respectively, and a tetanus toxoid (chemically weakened toxins from the tetanus bacterium). ProteqFlu-Te is available as a suspension for injection.

ProteqFlu-Te is used to vaccinate horses from 4 months of age against equine influenza and tetanus. The vaccine reduces the clinical signs of equine influenza and the excretion (shedding) of the virus after infection. Equine influenza is a highly contagious disease that is very common in horses but rarely causes death. The vaccine also stimulates protection against tetanus to prevent mortality. Tetanus is an acute, often fatal disease caused by the neurotoxin of the bacterium Clostridium tetani. The disease, which usually originates from contaminated wounds, is characterised by overall rigidity (stiffness) and convulsive spasms of the muscles. The muscle stiffness usually starts from the jaw and neck, then affects the whole body. Horses are among the most susceptible species to tetanus.

The vaccine is given as an intramuscular injection (injection into a muscle). Horses should receive a primary vaccination, consisting of two injections at 5 - 6 months of age, given 4 - 6 weeks apart. This should be followed by revaccination 5 months later, and afterwards by yearly booster vaccinations. In case of increased risk of infection or insufficient intake of colostrum (first milk), an additional initial injection can be given at the age of 4 months, followed by the full vaccination programme (primary vaccination and following revaccinations).

ProteqFlu-Te is a vaccine which was produced with the use of recombinant technology. This means that a gene from two different equine influenza strains (A/equi-2/Ohio/03 and A/equi- 2/Newmarket/2/93) was inserted in two live canary pox vector viruses respectively which made them capable to produce parts of these influenza strains (specific proteins). The vaccine also contains a tetanus toxoid which is a tetanus toxin processed in order to decrease its toxic effect, but retain its antigenic power.

Vaccines work by ‘teaching’ the immune system (the body’s natural defences) how to defend itself against diseases. When ProteqFlu-Te is given to horses, the animals’ immune system recognises the specific proteins from the equine influenza strains and the tetanus toxoid as ‘foreign’ and makes antibodies against them. The immune system will then be able to make those protective antibodies more quickly when the animal is naturally exposed to the equine flu viruses and the tetanus bacterium. This will help to protect against equine influenza and tetanus. The vaccine also contains an ‘adjuvant’ to stimulate a better response.

The safety of ProteqFlu-Te was studied in several studies under laboratory and field conditions in a large number of horses, of all ages (from 1 month to 40 years) and physiological status (foals, non-pregnant and pregnant female adults and male adults). It was concluded that the product is safe at very high doses in the target species, also in pregnant mares, whatever the stage of pregnancy. It was also shown that, when used in the horse, the live viruses contained in the vaccine do not spread, nor disseminate, nor replicate on the place of inoculation and do not recombine with another virus. No environmental risk was identified through the use of this vaccine.

The effectiveness of ProteqFlu-Te was studied in several studies under laboratory and field conditions. In studies under laboratory conditions, horses were challenged (infected) with equine influenza virus. The clinical signs and the excretion of the influenza virus after the challenge were compared between vaccinated and control animals (non vaccinated animals or vaccinated with a competitive product). The production of protective levels of antibodies against the two influenza vaccine strains was measured in all studies. Regarding tetanus, no challenge (infection) experiment was performed for ethical reason. The measure of effectiveness was the production of protective levels of antibodies against tetanus toxoid after vaccination.

The studies showed that ProteqFlu-Te is an effective vaccine in horses from 4 months of age or older against equine influenza to reduce clinical signs and virus excretion after infection, and against tetanus to prevent mortality from 14 days after primary vaccination. The duration of protection was 5 months after primary vaccination and one year after the third vaccination.

Swelling may occur, (max. diameter 5 cm) which decreases within 4 days. Pain and local hyperthermia (increase in body temperature) can occur in rare cases. A slight increase in temperature (max.1.5 °C) may occur for one day, exceptionally for two days.

In exceptional circumstances, apathy and reduced appetite may be observed the day after vaccination. Also in exceptional circumstances, a hypersensitivity (allergic) reaction can occur, which may require appropriate symptomatic treatment.

In case of accidental self-injection, seek medical advice immediately and show the package leaflet or the label to the physician.

The withdrawal period of the product is zero days.

Zero days.

The Committee for Medicinal Products for Veterinary Use (CVMP) concluded that the benefits of ProteqFlu-Te exceed the risks for the active immunisation of horses of 4 months of age or older against equine influenza to reduce clinical signs and virus excretion after infection, and against tetanus to prevent mortality. The Committee recommended that ProteqFlu-Te be given a marketing authorisation. The benefit-risk balance may be found in module 6 of this EPAR.

The European Commission granted a marketing authorisation valid throughout the European Union, for ProteqFlu-Te to Merial S.A.S. on 6 March 2003. Information on the prescription status of this product may be found on the label/outer package.