7 months ago
India Rejects Chinese Polio Strain in 6-in-1 Vaccine
India's drug regulator, CDSCO, has said no to testing a new 6-in-1 vaccine for babies.
This vaccine was made by Indian Immunologicals Ltd and included a polio strain from China.
The regulator is worried that this strain could accidentally escape and bring back polio, a disease India has been free of for 14 years.
They also said the vaccine maker didn't provide enough safety data from other countries where it was used.
The vaccine company says the Chinese strain is safe and used in other countries, but the regulator wants more proof.
Health experts agree that keeping polio away is very important, and they don't want to take any risks.
Right now, India uses a 5-in-1 vaccine and separate polio drops, and the regulator wants to keep it that way until they are sure the new vaccine is safe.
CDSCO rejected IIL's request for human trials of a 6-in-1 vaccine containing a Chinese polio strain.
The regulator cited safety and containment concerns, including the lack of post-marketing surveillance data.
Sinovac's polio strain lacks WHO's Poliovirus Containment Certification, raising biosafety worries.
India has been polio-free since 2014, and the regulator wants to prevent any risk of reintroduction.
IIL argues that the Chinese strain is safe and used in other countries, but the regulator seeks more evidence.
- Who
- Indian Immunologicals Ltd (IIL) and the Central Drugs Standard Control Organisation (CDSCO)
- What
- Rejection of human trials for a 6-in-1 vaccine containing a Chinese polio strain
- Where
- India
- When
- The decision was made after a meeting on 22 December 2023
- Why
- Concerns over potential safety and containment issues, and the risk of reintroducing polio
Key facts
- Vaccine Developer
- Indian Immunologicals Ltd (IIL)
- Polio Strain Origin
- China (Sinovac)
- Regulator
- Central Drugs Standard Control Organisation (CDSCO)
- Reason for Rejection
- Safety and containment concerns
- Polio-Free Status
- India since 2014
- Vaccine Type
- Hexavalent (6-in-1)
- Current Polio Vaccine
- Pentavalent (5-in-1) + oral polio drops
- WHO Certification
- Sinovac lacks WHO Poliovirus Containment Certification
Quotes
Dr. K. Anand Kumar
Managing director of Indian Immunologicals Ltd (IIL)
“Unlike the Salk IPV, which is derived from a wild virus, the Sabin version uses an attenuated form of the virus that is then inactivated, making it much safer from a containment perspective. Furthermore, these are not 'Chinese strains' in a proprietary sense. These strains are distributed and routed through the WHO and the Netherlands Institute. In fact, the Sabin IPV manufactured by Sinovac is already a WHO pre-qualified vaccine.”
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“Ultimately, bringing more players into this space is essential for cost-competitiveness. Our programme is designed to support both the private market with single-dose vials and the government’s Universal Immunization Programme with multi-dose formats, should they choose to transition to hexavalent protocols.”
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Dr. Naveen Thacker
Executive director of the International Paediatric Association (IPA)
“The proposal to use the Sabin strain, the same strain used in the oral polio vaccine (OPV), presents a unique challenge. If there is an accidental lab leak during trials and the virus revives, it would become hard to preserve India's polio-free status. Conducting such trials is simply not possible without robust, WHO-certified facilities to manage the storage and handling of the materials.”
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“What happened post-marketing? That data is only from Pakistan and China; that is not enough; so, we cannot risk that. India is not currently facing a shortage that would justify taking such a risk. We have enough supply of the traditional IPV now. That was an issue a few years back, but now supply is not an issue.”
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Panacea Biotec
Spokesperson for Panacea Biotec, which makes EasySix, a hexavalent vaccine
“The SEC outcome signals India’s regulator is aligning with WHO’s Global Action Plan, making poliovirus facility certification non-negotiable. Manufacturers must demonstrate robust alignment with containment frameworks, proactively engage with National Authorities for Containment, and share broad international safety data to satisfy evolving global expectations on vaccine quality and biosafety.”
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“Poliovirus Containment Certification is a non-negotiable strategic biosecurity imperative. Safeguarding India’s hard-won polio-free status requires absolute assurance that no poliovirus can escape manufacturing facilities. This certification, per WHO’s GAP-III, provides that assurance through stringent oversight, reinforcing confidence in our vaccine ecosystem.”
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Dr. Sanjeev Bagai
Senior consultant, paediatrics and chairman of Nephron Clinics in New Delhi
“Any additional strain of polio in the six-in-one vaccines must be compliant with all guidelines and regulations. The strain must have clinical real-world data validation of phased trials, which document the threshold of vaccine effectiveness. If the Chinese data is missing, then it’s best not to use that vaccine. The worst thing is to bring in a neurotropic unverifiable strain on Indian shores.”
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