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BAXTER RECEIVES EMEA POSITIVE OPINION FOR CELVAPAN H1N1<br />
PANDEMIC INFLUENZA VACCINE<br />
DEERFIELD, Ill., October 2, 2009 — <strong>Baxter</strong> International Inc. (NYSE: BAX)<br />
today announced that the Committee for Medicinal Products for Human Use (CHMP) of<br />
the European Medicines Agency (EMEA) granted its “positive opinion” for CELVAPAN<br />
H1N1 pandemic vaccine using <strong>Baxter</strong>’s Vero cell technology. This positive opinion<br />
confirms the acceptability of <strong>Baxter</strong>’s regulatory submission to obtain final marketing<br />
authorization and licensure of the product.<br />
Corporate News<br />
<strong>Baxter</strong> International Inc.<br />
One <strong>Baxter</strong> Parkway<br />
Deerfield, IL 60015<br />
CELVAPAN H1N1 is the first cell culture-based and non-adjuvanted vaccine to<br />
receive a positive opinion in the European Union. Initial quantities of vaccine have<br />
already been delivered to a number of countries, including the UK and Ireland, for use in<br />
their national vaccination programs, and are awaiting product release subject to final<br />
marketing authorization being granted by the European Commission.<br />
Presently, <strong>Baxter</strong> is confirming the safety and immunogenicity of CELVAPAN<br />
H1N1 in clinical trials. The company is conducting two randomized trials in 400 healthy<br />
adults age 18 and over and in 400 children and adolescents to supplement the licensure<br />
post-approval with appropriate clinical data. These trials are evaluating the safety and<br />
immunogenicity of the vaccine at dose levels of 7.5µg and 3.75µg. Once countries<br />
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BAXTER RECEIVES EMEA POSITIVE OPINION FOR CELVAPAN H1N1 PANDEMIC FLU VACCINE<br />
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initiate national vaccination programs using CELVAPAN H1N1, <strong>Baxter</strong> will also conduct<br />
a large-scale observational study with CELVAPAN in 9,000 people of different age<br />
groups, including children.<br />
Preliminary safety data in adults and the elderly indicate that the vaccine is well<br />
tolerated in these age groups. The observed systemic and local reactions are similar to<br />
those generally experienced after vaccination with licensed seasonal influenza<br />
vaccines. Immunogenicity data from the first vaccination in adults are due later this<br />
month. The current dosing schedule, as specified in the EMEA mock-up licensure for<br />
CELVAPAN using another virus strain, calls for two 7.5 µg doses of vaccine to be given<br />
21 days apart. <strong>Baxter</strong> expects the data from the trial of healthy adults to indicate<br />
whether a single dose may be possible for CELVAPAN H1N1. This study will also<br />
determine whether a lower dose, 3.75µg, is sufficient to induce the necessary immune<br />
response.<br />
"We are pleased that the regulatory submission and the preliminary clinical trial<br />
data uphold the extensive work done by <strong>Baxter</strong> and the support received from key<br />
Ministries of Health in developing a pandemic vaccine,” said Hartmut J. Ehrlich, M.D.,<br />
vice president of global research and development for <strong>Baxter</strong> BioScience. “We are<br />
looking forward to analyzing the immunogenicity data for our cell culture-derived, non-<br />
adjuvanted vaccine to assess the potential of a one dose regimen.”<br />
ABOUT BAXTER’S PANDEMIC VACCINE DEVELOPMENT<br />
Earlier this year, the EMEA granted mock-up licensure for CELVAPAN using a<br />
different strain with pandemic potential, which was tested in five completed clinical trials<br />
worldwide in more than 1,300 people. In addition, more than 3,500 people have been<br />
vaccinated using the same strain during an ongoing Phase III study. Mock-up licensure<br />
is a regulatory pathway for pandemic vaccines that was created by the EMEA in 2004.<br />
This pathway allows for the development, evaluation and licensure of a company’s
BAXTER RECEIVES EMEA POSITIVE OPINION FOR CELVAPAN H1N1 PANDEMIC FLU VACCINE<br />
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pandemic candidate vaccine using an available influenza strain that has the potential to<br />
cause a pandemic. Once a pandemic is declared and the influenza virus strain causing<br />
the pandemic is identified, the mock-up licensure allows for fast track approval of a<br />
pandemic vaccine containing the actual pandemic strain.<br />
<strong>Baxter</strong> received the H1N1 strain for testing and evaluation from the U.S. Centers<br />
for Disease Control and Prevention (a WHO Collaborating Center) in early May. The<br />
company then undertook pre-production testing and evaluation of the virus strain to<br />
assess its growth characteristics in the company’s proprietary Vero cell culture<br />
technology.<br />
<strong>Baxter</strong> initiated commercial production in early June, and made its first<br />
commercial product within 12 weeks of receipt of the virus. The company produces<br />
bulk CELVAPAN H1N1 vaccine at its large-scale commercial facility in Bohumil, Czech<br />
Republic, and then sends the vaccine to Vienna, Austria for the final formulation, fill and<br />
finish before distribution. <strong>Baxter</strong> completed production of the first batches of<br />
CELVAPAN H1N1 vaccine in late July and initiated its first delivery within two weeks.<br />
The company continues to deliver vaccine on an ongoing basis to national public health<br />
authorities.<br />
<strong>Baxter</strong> initiated its license application for CELVAPAN H1N1 in July based on the<br />
EMEA published guidelines for pandemic vaccine marketing authorization. The<br />
company conducted rigorous testing of the H1N1 based vaccine and submitted<br />
additional data for vaccine development, product quality and manufacturing processes<br />
specific to that strain. Other non-E.U. countries may choose to evaluate the company’s<br />
EMEA submission and licensure as the basis for their national health authority’s<br />
authorization for use of the vaccine.<br />
More information on CELVAPAN H1N1 clinical trials is available at<br />
http://www.clinicaltrials.gov/ct2/results?term=baxter+h1n1
BAXTER RECEIVES EMEA POSITIVE OPINION FOR CELVAPAN H1N1 PANDEMIC FLU VACCINE<br />
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ABOUT BAXTER INTERNATIONAL INC.<br />
<strong>Baxter</strong> International Inc., through its subsidiaries, develops, manufactures and<br />
markets products that save and sustain the lives of people with hemophilia, immune<br />
disorders, infectious diseases, kidney disease, trauma, and other chronic and acute<br />
medical conditions. As a global, diversified healthcare company, <strong>Baxter</strong> applies a<br />
unique combination of expertise in medical devices, pharmaceuticals and biotechnology<br />
to create products that advance patient care worldwide.<br />
This release includes forward-looking statements concerning the company’s vaccines<br />
products, including with respect to potential timelines. The statements are based on<br />
assumptions about many important factors, including the following, which could cause<br />
actual results to differ materially from those in the forward-looking statements: continued<br />
success in advancing a new technology through full-scale production, including with<br />
respect to steps required for finishing, release, shipment, and customer acceptance;<br />
remaining regulatory approvals; governments’ continuing decisions with respect to<br />
orders; and other risks identified in the company’s most recent filing on Form 10-K and<br />
other Securities and Exchange Commission filings, all of which are available on the<br />
company's website. The company does not undertake to update its forward-looking<br />
statements.<br />
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