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Crucell corporate brochure (PDF)

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44<br />

<strong>Crucell</strong>’s commitment to the world – Taking responsibility<br />

Quinvaxem® in Uniject: simply better<br />

<strong>Crucell</strong> has embarked on a development project that will make<br />

Quinvaxem® pentavalent vaccine available in Uniject, an innovative<br />

vaccine injection system. The nonprofit organization PATH developed<br />

Uniject over 20 years ago with the aim of simplifying vaccine delivery,<br />

which the World Health Organization (WHO) sees as a key strategy<br />

for helping developing countries to improve their national<br />

immunization programs and reach populations in remote areas.<br />

The Uniject device is essentially a small plastic bubble attached to a<br />

fine, short needle and fitted with an auto-disable mechanism so that<br />

it can be used only once. The bubble will be filled with a single dose of<br />

Quinvaxem® at <strong>Crucell</strong>’s new manufacturing facility in Korea, where<br />

a state-of-the-art filling and inspection line will be created for this<br />

purpose. From there, the factory-filled devices will be shipped to the<br />

growing number of countries that are choosing <strong>Crucell</strong>’s five-in-one<br />

vaccine to protect their children against diphtheria, tetanus, pertussis,<br />

hepatitis B and Haemophilus influenzae type B (Hib), a leading cause<br />

of severe pneumonia and meningitis.<br />

Because the Uniject device needs no assembly or preparation in<br />

the field, it is ideal for countries with limited healthcare resources<br />

and a poor infrastructure. It is much faster and easier to use than the<br />

standard needle and syringe system, delivering the correct vaccine<br />

dose with a simple squeeze of the bubble. Medical staff can therefore<br />

administer more vaccines during an immunization session, with less<br />

risk of error, and even non-traditional healthcare workers can safely<br />

administer the vaccine after a short training. The auto-disable feature<br />

is important for preventing the spread of HIV and other infectious<br />

diseases. Uniject also reduces the vaccine wastage associated with<br />

multi-dose vials. Finally, its light weight and compact size facilitate<br />

transport to hard-to-reach areas. These benefits are proven, as Uniject<br />

has already been used to deliver hepatitis B and tetanus vaccines to<br />

over 73 million women and children in developing countries. Beckton-<br />

Dickinson (BD), with whom <strong>Crucell</strong> collaborates on the Uniject<br />

project, continues to further develop and improve the device.<br />

www.crucell.com<br />

Prototype Uniject device<br />

<strong>Crucell</strong>’s commitment to the Uniject project reflects the breadth<br />

of our efforts to bring innovation to global health. We know that<br />

improving access to lifesaving vaccines depends on programmatic<br />

innovations as well as new vaccines.<br />

<strong>Crucell</strong> developed Quinvaxem®to meet the specific immunization<br />

needs of the world’s poorest countries, where delivering the WHOrecommended<br />

package of vaccines to all children under five is a<br />

major challenge. When it was introduced in 2006, the only other<br />

available pentavalent vaccine came in two vials and had to be<br />

reconstituted in the field. The Quinvaxem® fully liquid formulation<br />

simplified vaccine delivery because it is ready for use as soon as<br />

the vial is opened. Putting Quinvaxem® into Uniject will make<br />

delivery simpler again, further improving vaccine coverage and<br />

cost-effectiveness. The introduction of one of the key EPI 1 vaccines<br />

in BD Uniject also brings environmental advantages: no need for<br />

separate transport of syringes and vials, ease of disposal and reduction<br />

of toxic substance emissions during burning of waste. This development<br />

is the next logical step in an ongoing process of innovation.<br />

“PATH is thrilled that <strong>Crucell</strong> is making this significant commitment,”<br />

Steve Brooke from PATH told key opinion leaders at the International<br />

Pediatric Association (IPA) Congress in South Africa last August.<br />

<strong>Crucell</strong> announced its Uniject plans at the conference and invited<br />

feedback from potential users. This followed a meeting of the WHO<br />

group focusing on new and underutilized vaccines implementation<br />

(NUVI) in June, where stakeholders were surveyed on the benefits<br />

and constraints for pentavalent vaccine in Uniject. The WHO<br />

consultation at Technet, which explores technological innovations,<br />

provided another opportunity for dialogue and debate in December.<br />

Participation in such meetings helps us to understand and meet<br />

local needs, for example regarding packaging.<br />

1 EPI stands for Expanded Program on Immunization, the WHO strategy<br />

for making vaccines available to all children worldwide.

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