Equilis StrepE

live deletion-mutant Streptococcus equi strain TW928

  • Email
  • Help

About

This is a summary of the European public assessment report (EPAR). Its purpose is to explain how the assessment done by the Committee for Medicinal Products for Veterinary Use (CVMP) on the basis of the documentation provided, led to the recommendations on the conditions of use.

This summary cannot replace a face-to-face discussion with your veterinarian. If you need more information about your animal’s medical condition or treatment, contact your veterinarian. If you want more information on the basis of the CVMP recommendations, read the scientific discussion (also part of the EPAR).

What is Equilis StrepE?

Equilis StrepE is a vaccine that contains the active substance live deletion-mutant Streptococcus equi bacteria. No adjuvant or preservative is included. Equilis StrepE is available as a lyophilisate (freeze-dried pellet), which is made up into a suspension for injection. The vaccine is provided together with the solvent, applicator and a syringe with needle. This is the first vaccine to be licensed for horses in the European Union against strangles.

What is Equilis StrepE used for?

Equilis StrepE is used to vaccinate horses against the respiratory disease caused by the bacteria Streptococcus equi. The highly contagious and common disease caused by this bacterium is commonly called ‘strangles’. In strangles, the lymph nodes in the head can become large enough to block the airway, causing the horse to have difficulty breathing. This is a highly contagious disease and a common bacterial infection in horses. Equilis StrepE reduces the clinical signs of disease and the occurrence of lymph node abscesses (collections of pus).

How does Equilis StrepE work?

Equilis StrepE is a vaccine. Vaccines work by ‘teaching’ the immune system (the body’s natural defences) how to defend itself against diseases. Equilis StrepE contains small amounts of a type of bacterium called S. equi. When a horse is given the vaccine, the immune system recognises the bacteria as ‘foreign’ and makes antibodies against them. In the future, the immune system will be able to produce antibodies more quickly when it is again exposed to the bacteria. The bacterium strain included in Equilis StrepE has had some genes removed, so that it grows less well inside the horse’s body and is less likely to cause disease. This makes it suitable for use in a vaccine.

How has Equilis StrepE been studied?

The vaccine is given as a 0.2-ml injection into the inside of the upper lip. The effectiveness of Equilis StrepE has been studied in safety studies and one main field study. The horses had not had any disease including strangles in the past and had never been vaccinated. The results of the safety trials demonstrate that Equilis StrepE is safe for horses from four months of age onwards, as the local and systemic reactions observed after single, repeated dose and overdose treatment were considered acceptable. Horses from four months of age should receive a second injection after four weeks. All horses should be revaccinated every three months to maintain immunity. 

Equilis StrepE is only for use in healthy horses that are at risk of S. equi infection due to contact with horses from areas where the bacterium is known to be present. 

What benefit has Equilis StrepE shown during the studies?

The studies demonstrated that Equilis StrepE is effective in the active immunisation of horses from four months of age against S. equi to reduce clinical signs and occurrence of lymph-node abscesses. Fewer of the horses receiving Equilis StrepE had symptoms of strangles. They also had fewer abscesses and fewer lymph nodes affected.

What is the risk associated with Equilis StrepE?

Only healthy horses that are at risk of infection should be vaccinated. After injection, swelling will develop at the injection site within four hours and the injection site may become warm or painful. The reaction is greatest at two to three days after injection, but the area affected should not be larger than 3 x 8 cm. The swelling should disappear within three weeks and should have no effect on the horse’s appetite, nor cause it any discomfort. In very rare cases, an abscess and discharge may develop at the injection site, and the lymph nodes in the head may enlarge, which may be painful for a short while. An increase in body temperature of up to 2°C may occur on the day of vaccination. In rare cases, loss of appetite, fever and shivering may be observed. In very rare cases, depression may develop.

What are the precautions for the person who gives the medicine or comes into contact with the animal?

In case of accidental self-injection, which can cause inflammation with severe pain and swelling, seek medical advice immediately and show the package leaflet or the label to the doctor, even if only a small amount has been injected.

What is the time to allow before the animal can be slaughtered and the meat used for human consumption (withdrawal period)?

The withdrawal period is zero days.

Why has Equilis StrepE been approved?

The Committee for Medicinal Products for Veterinary Use (CVMP) concluded that the benefits of Equilis StrepE exceed the risks for immunisation of horses against S. equi to reduce clinical signs and occurrence of lymph-node abscesses, and recommended that Equilis StrepE be given a marketing authorisation. The benefit-risk balance may be found in module 6 of this EPAR.

Other information about Equilis StrepE

The European Commission granted a marketing authorisation valid throughout the European Union for Equilis StrepE to Intervet International B.V. on 7 May 2004. Information on the prescription status of this product may be found on the label / outer package.

Name Language First published Last updated
Equilis StrepE : EPAR - Summary for the public BG = bălgarski 08/10/2007  
Equilis StrepE : EPAR - Summary for the public ES = español 08/10/2007  
Equilis StrepE : EPAR - Summary for the public CS = čeština 08/10/2007  
Equilis StrepE : EPAR - Summary for the public DA = dansk 08/10/2007  
Equilis StrepE : EPAR - Summary for the public DE = Deutsch 08/10/2007  
Equilis StrepE : EPAR - Summary for the public ET = eesti keel 08/10/2007  
Equilis StrepE : EPAR - Summary for the public EL = elliniká 08/10/2007  
Equilis StrepE : EPAR - Summary for the public EN = English 08/10/2007  
Equilis StrepE : EPAR - Summary for the public FR = français 08/10/2007  
Equilis StrepE : EPAR - Summary for the public IT = italiano 08/10/2007  
Equilis StrepE : EPAR - Summary for the public LV = latviešu valoda 08/10/2007  
Equilis StrepE : EPAR - Summary for the public LT = lietuvių kalba 08/10/2007  
Equilis StrepE : EPAR - Summary for the public HU = magyar 08/10/2007  
Equilis StrepE : EPAR - Summary for the public MT = Malti 08/10/2007  
Equilis StrepE : EPAR - Summary for the public NL = Nederlands 08/10/2007  
Equilis StrepE : EPAR - Summary for the public PL = polski 08/10/2007  
Equilis StrepE : EPAR - Summary for the public PT = português 08/10/2007  
Equilis StrepE : EPAR - Summary for the public RO = română 08/10/2007  
Equilis StrepE : EPAR - Summary for the public SK = slovenčina 08/10/2007  
Equilis StrepE : EPAR - Summary for the public SL = slovenščina 08/10/2007  
Equilis StrepE : EPAR - Summary for the public FI = suomi 08/10/2007  
Equilis StrepE : EPAR - Summary for the public SV = svenska 08/10/2007  

This EPAR was last updated on 05/08/2013 .

Authorisation details

Product details

Product details for Equilis StrepE
NameEquilis StrepE
Agency product numberEMEA/V/C/000078
Active substance

live deletion-mutant Streptococcus equi strain TW928

International non-proprietary name (INN) or common name

live vaccine against Streptococcus equi

Species Horses
Anatomical therapeutic chemical veterinary (ATCvet) codeQI05AE

Publication details

Publication details for Equilis StrepE
Marketing-authorisation holder

Intervet International BV

Revision7
Date of issue of marketing authorisation valid throughout the European Union07/05/2004

Contact address:

Intervet International B.V.
Wim de Körverstraat 35
5831 AN Boxmeer
The Netherlands

Product information

Product information

30/07/2013  Equilis StrepE -EMEA/V/C/000078 -IB/0008

Name Language First published Last updated
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013
Equilis StrepE : EPAR - Product Information SV = svenska 15/06/2009 05/08/2013

Contents

  • Annex I - Summary of product characteristics
  • Annex IIA - Manufacturing-authorisation holder responsible for batch release
  • Annex IIB - Conditions of the marketing authorisation
  • Annex IIIA - Labelling
  • Annex IIIB - Package leaflet

Please note that the size of the above document can exceed 50 pages.

You are therefore advised to be selective about which sections or pages you wish to print.


Name Language First published Last updated
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  
Equilis StrepE : EPAR - All Authorised presentations SV = svenska 08/10/2007  

Pharmacotherapeutic group

Immunologicals for equidae

Therapeutic indication

For immunisation of horses against Streptococcus equi to reduce clinical signs and occurrence of lymph-node abscesses.

Onset of immunity: The onset of immunity is established as two weeks after basic vaccination.

Duration of immunity: The duration of immunity is up to three months.

The vaccine is intended for use in horses for which a risk of Streptococcus equi infection has been clearly identified, due to contact with horses from areas where this pathogen is known to be present, e.g. stables with horses that travel to shows or competitions in such areas, or stables that obtain or have livery horses from such areas.

Assessment History

Changes since initial authorisation of medicine

Name Language First published Last updated
Equilis StrepE : EPAR - Procedural steps taken and scientific information after authorisation SV = svenska 15/06/2009 05/08/2013

Initial marketing-authorisation documents

Name Language First published Last updated
Equilis StrepE : EPAR - Procedural steps taken before authorisation SV = svenska 08/10/2007  
Equilis StrepE : EPAR - Scientific Discussion SV = svenska 08/10/2007