Vaccine News

Vaccine news brought to you by Precision Vaccinations.

May 9, 2024 • 4:30 pm CDT
by Sunè Theron

The World Health Organization (WHO) today announced three human cases, including one death, of Middle East respiratory syndrome coronavirus (MERS-CoV) by the Ministry of Health of the Kingdom of Saudi Arabia (KSA).

According to the WHO's Disease Outbreak News on May 8, 2024, all three cases were middle-aged males with underlying health conditions.

The three cases are epidemiologically linked to exposures in a Riyadh healthcare facility, although investigations are ongoing to verify this and understand the transmission route.

In 2024, a total of four cases and two deaths have been reported from the KSA.

MERS is a viral respiratory infection caused by the MERS-CoV. Humans are infected with MERS-CoV from direct or indirect contact with dromedary camels, the virus's natural host and zoonotic source.

So far, non-sustained human-to-human transmission has occurred among close contacts and in healthcare settings. However, the WHO reports limited human-to-human transmission outside of healthcare settings.

Since 2012, when the first MERS-CoV case was reported in KSA, 2,613 MERS-CoV cases and 941 deaths (36%) have been reported from 27 countries in all six WHO regions.

Fortunately, no MERS-CoV cases have been reported from countries outside the Middle East since 2019.

The notification of the new cases does not change WHO's overall risk assessment, which remains moderate at both the global and regional levels.

As of May 9, 2024, no approved MERS vaccines are available.

However, in late 2023, Barinthus Biotherapeutics plc, the Coalition for Epidemic Preparedness Innovations, and the University of Oxford collaborated on fast-tracking the development of the VTP-500 vaccine candidate.

This $34.8 million project intends to take this MERS vaccine through Phase II clinical trials.

May 9, 2024 • 1:46 pm CDT
by Lynn Greyling

The U.S. Centers for Disease Control and Prevention (CDC) today confirmed that imported malaria in three U.S. southern border jurisdictions increased in 2023, particularly among new arrivals with recent complex transit through at least one country with endemic malaria. 

The median travel duration was 29 days, and 73% reported traversing land borders.

On May 9, 2024, the CDC's Notes from the Field revealed that during 2023, 68 imported malaria cases were identified in Pima, Arizona (18), San Diego, California (27), and El Paso, Texas (23).

According to this Morbidity and Mortality Weekly Report, his data compares with 28 cases in 2022 (three in Pima, 12 in San Diego, and 13 in El Paso).

Overall, 63 (91%) patients with malaria in 2023 were hospitalized; no deaths were reported. Severe malaria was more common among other newly arrived migrants (37%) than among U.S. residents (7%).

These new arrivals were non–U.S.-born persons who had arrived in the United States within the preceding six months.

This CDC report is in addition to May 8, 2024, when the CDC reported ten Plasmodium vivax malaria cases in Los Angeles, California.

Seperately the states of Florida and Texas have reported imported malaria cases in 2024, 2023, and 2022. 

Infected people who meet the criteria for uncomplicated malaria are generally treated with either hydroxychloroquine, chloroquine, or atovaquone/proguanil, followed by anti-relapse treatment with primaquine.

While malaria is now a vaccine-preventable disease, the two approved vaccines (Mosquirix™, R21/Matrix-M™)   are not currently offered in the U.S.

May 9, 2024 • 10:53 am CDT
Medline plus 2024

Dynavax Technologies Corporation today announced that HEPLISAV-B® vaccine net product revenue grew 10% year-over-year to approximately $48 million in the first quarter of 2024.

HEPLISAV-B is the first and only adult hepatitis B vaccine approved in the U.S., the European Union, and Great Britain to enable series completion with only two doses in one month.

In 2024, HEPLISAV-B's total estimated market share in the U.S. increased to approximately 41%, and its estimated market share in the retail pharmacy segment increased to approximately 55%.

"The U.S. adult hepatitis B vaccine opportunity remains significant with over 130 million patients eligible, one of the largest addressable patient populations in the U.S., and the vast majority remaining unvaccinated," said Ryan Spencer, Chief Executive Officer of Dynavax in a press release on May 8, 2024.

Hepatitis B is a viral infection that affects the liver and can cause acute or chronic disease.

Driven by the U.S. CDC's Advisory Committee of Immunization Practices' universal recommendation for adult hepatitis B vaccination, the hepatitis B vaccine market continues to expand in the U.S. Dynavax believes the U.S. market has the potential to grow to over $800 million by 2027, with HEPLISAV-B well-positioned to achieve a majority market share.

A supplemental Biologic License Application for HEPLISAV-B vaccination of adults on hemodialysis is currently under review by the U.S. FDA, with a Prescription Drug User Fee Act action date planned for May 13, 2024.

May 8, 2024 • 2:57 pm CDT
ECDC Pertussis case trends May 8, 2024

According to a new report from the European Centre for Disease Prevention and Control (ECDC), more than 25,000 cases of pertussis and 19 related deaths were reported in 2023, and more than 32,000 between January and March 2024.

The ECDC data announced on May 8, 2024, indicates a nearly 10-fold increase in pertussis (whooping cough) cases compared with 2022.

Historically, infants have had the highest incidence of pertussis reported in European countries. However, in 2023–24, an increase among infants has been observed, along with large increases in 10–14 and 15– 19-year-olds.

According to information from open sources, an increase in pertussis cases has also been reported in many countries in 2024, including Australia, Brazil, Canada, Israel, the United States, and the United Kingdom.

The primary objective of national pertussis immunization programs should be to curb morbidity and mortality in newborn infants. 

To this end, and given the ongoing pertussis outbreaks, the ECDC encourages all public health authorities to focus on achieving and sustaining high vaccination coverage through timely and full completion of pertussis primary immunization series and subsequent boosters recommended nationally.

The World Health Organization and numerous agencies have approved various pertussis vaccines.

May 8, 2024 • 9:22 am CDT
from Pixabay

A recent study aimed to compare the positive benefits between two U.S. FDA-approved influenza antiviral medications.

Published in the journal Influenza and Other Respiratory Viruses on May 6, 2024, this study concluded that Xofluza (baloxavir marboxil, BMX) appears to be more effective than Tamiflu (oseltamivir, OTV) in lowering the secondary attack rate.

The Poisson regression modeling showed that in those cases treated with BXM and OTV, the benefits were 10.8% and 18.5%, respectively; the adjusted relative reduction was 41.8% (95% confidence interval: 1.0%–65.7%, p = 0.0456) greater with BXM than OTV. 

These researchers wrote that one reason for this result may have been the difference in administration: a single dose of BXM versus twice daily for five days for OTV. Thus, BXM is expected to have higher compliance than OTV in children.

In summary, this post hoc analysis found that the secondary influenza illness attack rate was lower in household contacts exposed to BXM-treated than OTV-treated index cases.

May 8, 2024 • 7:56 am CDT
by Leigh P.

According to Reuters reporting, AstraZeneca is voluntarily withdrawing its COVID-19 vaccine Vaxzevria as global demand has declined in 2024.

The University of Oxford, Serum Institute of India Pvt. Ltd., and AstraZeneca co-produced Vaxzevria COVID-19 (AZD1222). The European Medicines Agency initially authorized Vaxzevria in February 2021.

The London-based company indicated that the decision to pull Vaxzevria from the global market was due to the "surplus of available updated vaccines" adapted to newer and emerging variants of COVID-19, Reuters reported on May 6, 2024.

"We are incVaxzevria's role Vaxzevria played in ending the global pandemic. According to independent estimates, over 6.5 million lives were saved in the first year of use alone, and over three billion doses were supplied globally," AstraZeneca told The Telegraph in a statement.

Over the past month, other COVID-19 vaccine producers have reported significant decreases in consumer demand.

In the U.S., the Food and Drug Administration recently announced it intends to issue its recommendations for 2024-2025 COVID-19 vaccines in mid-June 2024.

May 7, 2024 • 2:09 pm CDT
by Gerd Altmann

ImmunityBio, Inc. announced today that the drug substance had been completed and successfully qualified for “fill finish” (filling vials and finishing packaging), sufficient for 170,000 doses of 400mcg ANKTIVA®.

ANKTIVA (nogapendekin alfa inbakicept-pmln) is the first U.S. FDA-approved immunotherapy for non-muscle invasive bladder cancer that activates natural killer cells, T cells and memory T cells for a long-duration response.

Coupled with the recent announcement of a partnership with the Serum Institute of India for enhanced BCG vaccine availability, this provides the Company with a significant initial supply of ANKTIVA for commercial and clinical trial use in advance of the full operation of the Company’s drug substance and fill-finish manufacturing plants in California and New York.

In 2024, Anktiva will be priced at $35,800 per dose. The cost of the BCG vaccine is additional.

Since the Company’s merger with NantKwest in 2021, ImmunityBio has made significant capital investments in personnel, plants, and equipment to ensure the global capacity of the ANKTIVA drug product for both the commercial launch and clinical trials in bladder cancer and other tumor types in its pipeline.

Both drug substance and drug product facilities are nearing completion to ensure sufficient capacity and multiple GMP manufacturing sites for ANKTIVA in its approved indication and for clinical trials and future indications.

“Our belief in the importance of this molecule and its potential to evolve immunotherapy to the next level guided our strategic plan to invest for the future with anticipation of ANKTIVA’s approval,” said Rich Adcock, CEO & President ImmunityBio, in a press release on May 7, 2024.

“I’m grateful for our employees and our investors who have supported and believed in our commitment to invest for our long-term vision and future.”

The Company is applying its science and platforms to treating cancers, including developing potential cancer vaccines, immunotherapies, and cell therapies that we believe will sharply reduce or eliminate the need for standard high-dose chemotherapy.

TCompany says these platforms and their associated product candidates are designed to be more effective, accessible, and easily administered than current standards of care in oncology and infectious diseases.

May 7, 2024 • 1:07 pm CDT
US FDA May 2024

The U.S. Food and Drug Administration (FDA) today announced on X a change of date for its May 16, 2024, Vaccines and Related Biological Products Advisory Committee (VRBPAC) meeting.

The VRBPAC is now scheduled to meet on June 5, 2024, to recommend the inclusion of the SARS-CoV-2 coronavirus strain(s) in the 2024-2025 COVID-19 vaccines.

@FDACBER stated the VRBPAC will have more up-to-date information when discussing and making recommendations.

This advisory committee provides independent expert advice to the FDA on broad scientific topics or certain products to help the agency make sound decisions based on the available science. 

As of 2024, about 50 COVID-19 vaccines have been approved globally since the pandemic began in late 2019. SKYCovione™ became the 12th, and CORBEVAX®  the 13th COVID-19 vaccine granted authorization by the WHO.

May 7, 2024 • 6:31 am CDT
ECDC chikungunya case map April 2024

Valneva SE today reported its financial results for the first quarter ending March 31, 2024, and provided corporate updates.

On May 7, 2024, the Company announced IXCHIQ®, the world's first and only licensed chikungunya vaccine, recorded initial sales of €0.2 million in the first quarter in the U.S.

In a press release, Peter Bühler, Valneva's Chief Financial Officer, commented, "The first quarter performance has been in line with our expectations. We are aiming to further capitalize on the travel industry recovery during the rest of the year (2024), including ramping up sales for IXCHIQ® to support our commercial sales growth while executing on our key R&D milestones."

IXCHIQ® is also under regulatory review in Canada, Brazil, and Europe, where it was granted accelerated assessment by the European Medicine Agency's Committee for Medicinal Products for Human Use. Decisions on these submissions are expected in 2024.

The U.S. Centers for Disease Control and Prevention (CDC) recently adopted the U.S. Advisory Committee on Immunization Practices recommendations, which include the chikungunya vaccine for persons aged ≥18 traveling to a country or territory with a chikungunya outbreak

In addition, the CDC says the chikungunya vaccine may be considered for those traveling to a country or territory without an outbreak but with evidence of chikungunya virus transmission among humans within the last five years. 

Persons aged >65 years, particularly those with underlying medical conditions, are likely to have at least moderate exposure* to mosquitoes OR Persons staying for a cumulative period of 6 months or more. Moderate exposure could include travelers with at least two weeks (cumulative) of exposure to mosquitoes in indoor or outdoor settings.

Chikungunya is a viral disease transmitted to humans through the bites of mosquitoes infected with the chikungunya virus.

As of May 2024, the World Health Organization says chikungunya was identified in nearly 115 countries, primarily in the Region of the Americas.

According to the European Centre for Disease Prevention and Control, approximately 70,000 chikungunya cases and 15 deaths have been reported worldwide in 2024.

May 6, 2024 • 2:29 pm CDT
NYC Dept Public Health mpox case trends April 2024

New York City's Deputy Commissioner, Division of Disease Control, Celia Quinn, MD, MPH, issued a statement confirming that mpox continues circulating in the city.

As of May 3, 2024, Health Advisory #12 reported the overall number of mpox cases is low compared to the 2022 outbreak. For most of 2023, the NYC averaged about 2 to 20 monthly cases.

Since October, there has been an average of 36 monthly cases, with a peak count of 51 in January 2024.

Of the 256 cases from October 2023 through April 15, 2024:

  • 73% (188) were not vaccinated or had received only one dose,
  • 94% were among men,
  • 3.9% (10) of the infected people were hospitalized,
  • Most were Black or Hispanic and between the ages of 25-44.

NYC confirmed the commercialization of the U.S. FDA-approved JYNNEOS® Mpox Smallpox vaccine is underway. As of May 2024, healthcare providers can order JYNNEOS through their distribution partners to make it available for at-risk individuals at local pharmacies.

Mpox is a contagious disease caused by the monkeypox virus. The U.S. Centers for Disease Control and Prevention and NYC continue to report only Clade II mpox cases in 2024.

Last week, the U.S. Government Accountability Office noted in a May 2, 2024 report that the Strategic National Stockpile (SNS) wasn't clear on how and from whom to request mpox supplies, including causing confusion and delays in mpox vaccine deliveries. 

About 30% of U.S. jurisdictions during the mpox outbreak said the process for requesting SNS inventory did not follow written guidelines. 

May 6, 2024 • 12:15 pm CDT
from Pixabay

BioNTech SE today reported financial results for the first three months of 2024, and provided an update on its corporate progress.

Total revenues reported were €187.6 million for the three months in 2024, compared to €1,277 million for the comparative period in 2023.

The Germany-based company stated the year-over-year change was mainly due to lower commercial revenues from the sales of BioNTech’s COVID-19 vaccine worldwide, resulting from endemic-level demand for COVID-19 vaccines.

“In the past weeks, we have reported positive preliminary data for our individualized and off-the-shelf mRNA-based candidates, which further underline the potential of our iNeST and FixVac platforms. We look forward to providing more updates this year across our oncology portfolio, including our bispecific antibody and ADC programs,” said Prof. Ugur Sahin, M.D., CEO and Co-Founder of BioNTech, in a press release on May 6, 2024.

“In the remainder of the year, we plan to develop and commercialize a variant-adapted COVID-19 vaccine and accelerate our clinical development activities towards realizing the full potential of our oncology pipeline with a view to becoming a commercial company with marketed medicines for cancer and infectious diseases.”

BioNTech and Pfizer developed, manufactured, and delivered their Omicron XBB.1.5-adapted monovalent Comirnaty COVID-19 vaccine, which has received multiple regulatory approvals, including full approvals, authorizations for emergency or temporary use, or marketing authorizations, in more than 40 countries and regions.

BioNTech says it is now focused on preparing for variant strain vaccine adaptation to be ready for commercial launch ahead of the upcoming 2024/2025 vaccination season, pending approvals.

May 6, 2024 • 10:48 am CDT
ECDC measles outbreaks 2024

As outbreaks of vaccine-preventable diseases continue to occur in European countries, vaccinations and booster doses are recommended. Everyone should check with their healthcare providers to ensure they are up-to-date with recommended vaccines, says the European Centre for Disease Prevention and Control (ECDC).

Recently, the ECDC reported that between March 2023 and the end of February 2024, at least 5,770 measles cases, including at least five deaths, had been reported in the EU/EEA.

The European Union is a political and economic union of 27 European countries, while the European Economic Area is made up of 30 countries, including the EU, Iceland, Liechtenstein, and Norway.

As of 2024, the ECDC says 70% of measles outbreaks have occurred in those under ten, and 78% were contracted outside their countries or due to imported cases.

To inform international travelers, the U.S. Centers for Disease Control and Prevention recently listed the top ten international measles outbreaks led by Kazakhstan  (27,280), Azerbaijan, Iraq, and India.

In the U.S., the spike in measles cases this year was primarily reported in Chicago, Illinois. 

May 5, 2024 • 10:10 am CDT
by Jimmy Ho

It has been about three decades since the U.S. Food and Drug Administration approved the first monoclonal antibody. Since then, antibody engineering has dramatically evolved. 

The recent pandemic was the first time monoclonal antibody-based therapies were produced in significant quantities to combat a new infectious disease. Globally, clinics administered hundreds of thousands of antibody injections over the first two years of the pandemic.

Antibody therapy worked... until it didn't.

The U.S. CDC says the infectious virus's rapid evolution outpaced the benefits derived from antibodies.

According to Michael Dumiak's article published by IAVI on April 25, 2024, this experience and other issues have researchers assessing the future of antibody therapies for treating or preventing infectious diseases, including some of the most complicated pathogens, such as HIV and antibiotic-resistant bacteria.

A potential application is blocking mother-to-child transmission of HIV during birth and through the breastfeeding period.

"We are in the position that if you want more antibodies for infectious disease, you need to be very cautious," says Rino Rappuoli, scientific director of the Biotecnopolo di Siena Foundation in Italy.

The unedited, complete IAVI article is posted at this link.

Note: As of May 5, 2024, the U.S. FDA has not approved an HIV vaccine candidate.

May 5, 2024 • 8:05 am CDT
US CDC Oropouche fever case map April 2024

In 2024, there has been an increase in the detection of Oropouche fever outbreaks in areas of the Region of the Americas.

The U.S. Centers for Disease Control and Prevention (CDC) recently confirmed Oropouche fever outbreaks in parts of Brazil, Bolivia, and Peru.

For example, between 2023 and early 2024, 1,066 human cases of the Oropouche virus were registered in the Brazilian state of Amazonas.

To alert international travelers to this health risk, the CDC issued a Level 1, Practice Usual Precautions, Travel Health Advisory, saying Oropouche fever is spread through the bites of infected midges (flies) and Culicoides paraensis mosquitoes.

The illness is often mistaken for dengue.

The Pan American Health Organization (PAHO) says travelers to these areas should seek medical care if they develop high fever, headache, muscle aches, stiff joints, nausea, vomiting, chills, or sensitivity to light during or after travel. 

Most people recover without long-term effects. 

Symptoms typically start 4–8 days after being bitten and last 3–6 days.

Oropouche fever has no cure or specific therapy, so treatment is symptomatic. Oral analgesics and anti-inflammatory agents can help with headaches and body pains.

As of May 2024, no licensed vaccines or specific antiviral treatments for Oropouche fever exist. However, recent clinical studies have used peptide vaccines to develop epitope-based vaccines, which could lead to potential use in the future.

May 4, 2024 • 6:19 pm CDT
US. CDC 2024

New research presented at the Pediatric Academic Societies confirms rotavirus vaccines do not cause significant outbreaks of the disease in neonatal intensive care units (NICUs).

These researchers concluded that vaccine-strain rotavirus transmission in the NICU was rare and without clinical consequences.

The study found that 99.3% of non-vaccinated patients exposed to vaccinated patients did not test positive for the disease. Non-vaccinated patients who contracted rotavirus had no symptoms after 14 days.

Announced on May 3, 2024, these findings are significant because many NICUs avoid vaccinating against rotavirus due to a theoretical risk of transmission, yet some infants are too old to receive the vaccine once discharged from the NICU.

According to researchers, preterm infants are at higher risk of the highly contagious but preventable virus, yet few receive the vaccine in hospital settings.

This concern is because the rotavirus vaccine contains a weakened form of the virus.

“Immunization with rotavirus vaccine has been standard practice in the Children’s Hospital of Philadelphia NICU since 2007, and the safety of this practice was supported by retrospective clinical data published in Pediatrics in 2014 – however, this remains an uncommon practice in NICUs across the United States,” said Kathleen Gibbs, MD, the study’s lead neonatologist from Children’s Hospital of Philadelphia, in a press release.

“Our yearlong, prospective study, done in collaboration with the U.S. Centers for Disease Control and Prevention, suggests that the benefits of vaccinating NICU patients against rotavirus outweigh the risks. Inpatient vaccination allows protection of a vulnerable population against a common, preventable cause of severe diarrheal illness.”