Update to safety warnings in product information leaflet for Hiprabovis IBR Marker Live Vaccine

Notice type: Advisory

Date: 25/07/2022

Following an increase in the incidence of anaphylactic-type reactions in cattle after the use of the vaccine Hiprabovis  IBR Marker Live in Italy and Spain, the precautions for use of the product are being strengthened to alert veterinarians and product users.


Product name or type:
Hiprabovis IBR Marker Live lyophilisate and solvent for suspension for injection for cattle


Reference:
See above


Authorisation Number:
EU/2/10/114/001-003


Active Substance:
Live gene deleted bovine herpes virus type 1 (BoHV-1), strain CEDDEL


Product Classification:
Lyophilisate and solvent for suspension for injection



Authorisation Holder:

LABORATORIOS HIPRA, S.A

Avda. La Selva 135
17170 Amer (Girona)
Spain




Prescription Required:
Yes


Target Audience:
Veterinary practitioners, pharmacists


Problem Or Issue:

Since early 2022, an increase in the incidence of anaphylactic-type reactions in cattle has been observed after the use of the vaccine Hiprabovis  IBR Marker Live.

Within the period from 1 March 2022 to 31 May 2022, a total of 27 cases involving 175 animals that had an anaphylactic-type reaction, and 8 animals that have died, have been reported. In at least 5 of the animals that have died, the animals had anaphylactic-type reactions with a fatal outcome.

Most of the cases have been reported in specific geographic regions of Spain (19/27) and Italy (7/27). Within this period, more than 641,075 doses have been administered in 14 EU countries. This situation has not been observed in Ireland or in other EU countries where the vaccine is currently used.

A clear root cause has not been identified yet and investigations are ongoing. The product information is being updated on the frequency and severity of hypersensitivity / anaphylactic-type reactions.





Actions To Be Taken:

The HPRA advises veterinary practitioners to follow the updated conditions of the relevant marketing authorisations, as set out above) pending the availability of new stock with updated labelling and package leaflet reflecting the changes outlined above.

In case an anaphylactic-type reaction occurs, an appropriate symptomatic treatment should be administered.

As with all veterinary medicines, any adverse events occurring following use of veterinary medicinal products should be reported to the HPRA via the online reporting form or to the marketing authorisation holder of the relevant product(s), at the earliest opportunity.


Further Information:

The product information will be updated on the frequency of hypersensitivity reactions from ‘very rare’ to ‘rare’ and on their severity with the addition of anaphylaxis (sometimes fatal). As this is a centrally authorised veterinary medicinal product, further details will be made available on the EMA website; Hiprabovis IBR Marker Live | European Medicines Agency (europa.eu).




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