Vaccine News

Vaccine news brought to you by Precision Vaccinations.

Sep 4, 2024 • 2:18 pm CDT
WHO Cholera map

The World Health Organization (WHO) announced today it considers the current global risk from cholera as very high since cholera cases increased by 13% and deaths (~4,000) by 71% last year compared to 2022.

Across all continents as of mid-August 2024, 342,800 cholera cases and 2,400 related deaths have already been reported to WHO.

Unfortunately, as of September 4, 2024, there is insufficient oral cholera vaccine (OCV) supply to meet the global demand.

Since October 2022, the International Coordinating Group, which manages emergency vaccine supplies, has suspended the standard two-dose vaccination regimen in cholera outbreak response campaigns, adopting a single-dose approach instead to reach and protect more people given limited supplies.

Despite the low stockpile of OCV, a record 35 million doses were shipped last year, with the one-dose strategy in effect.

The WHO has prequalified Dukoral®, Shanchol™, Euvichol®, and the Euvichol-S OCVs to address the supply shortfall.

In the United States, OCVs are available at travel clinics and pharmacies.

 

Sep 4, 2024 • 1:28 pm CDT
Theralase Technologies Inc.

Without a herpes preventive vaccine available in 2024, post-infection treatments offer patients their best option.

Over the past few years, an antiviral drug named Acyclovir has been used to slow the spreading and lessen the symptoms of the Herpes Simplex Virus 1 (HSV-1) virus.

However, Acyclovir will not cure herpes.

To address this need, Theralase® Technologies Inc. today announced that its lead drug formulation, Ruvidar™, could be more effective in destroying HSV-1 than Acyclovir.

Another important pre-clinical observation is that Acyclovir could not prevent HSV-1 replication if added one day after infection. However, Ruvidar prevented HSV-1 replication by ten million-fold when added one day after infection.

In other words, from a clinical perspective, if a patient has pre-existing HSV-1, then Acyclovir could not prevent the virus' replication; however, Ruvidar TM would be highly effective, the company wrote on September 3, 2024.

Roger DuMoulin-White, B.E.Sc., P.Eng., Pro.Dir., President and Chief Executive Officer of Theralase, stated in a press release, “This latest research continues to strengthen what we already know; Ruvidar is a very potent drug in the destruction of cancer, viruses, and bacteria on its own and is further enhanced by light, radiation, sound or drug activation."

"Based on this latest research, Theralase® plans to commence seeking a partner/licensing opportunity in the development of Ruvidar™ for both a topical and oral treatment for the prevention and treatment of herpes simplex.“

In previous research, Ruvidar was found effective at inactivating both enveloped and non-enveloped viruses.

Sep 4, 2024 • 9:07 am CDT
by Alexander Naumann

Vaxcyte, Inc. today announced that it has commenced an underwritten public offering of $1.0 billion of its common stock and pre-funded warrants.

As of August 3, 2024, Vaxcyte intends to grant the funding underwriters a 30-day option to purchase up to an additional $150 million of shares of its common stock offered in the public offering (including shares underlying the pre-funded warrants).

Vaxcyrte confirmed this offering is subject to market and other conditions, and there can be no assurance as to whether or when the offering may be completed or as to the actual size or terms of the offering.

The Company is developing broad-spectrum conjugate and novel protein vaccines to prevent or treat bacterial infectious diseases.

VAX-31 is a Phase 3-ready 31-valent, carrier-sparing pneumococcal conjugate vaccine (PCV) candidate being developed for the prevention of invasive pneumococcal disease (IPD) in adults and infants and is the broadest-spectrum PCV candidate in the clinic today.

VAX-24, the Company’s 24-valent PCV candidate, is designed to cover more serotypes than any infant PCV on-market and is currently being evaluated in a Phase 2 infant study.

Both VAX-31 and VAX-24 are designed to improve upon the standard-of-care PCVs by covering the serotypes in circulation that are responsible for a significant portion of IPD and are associated with high case-fatality rates, antibiotic resistance, and meningitis while maintaining coverage of previously circulating strains that are currently contained through continued vaccination practice.

Sep 3, 2024 • 10:38 am CDT
by Gerd Altmann

Vaxcyte, Inc. today announced positive topline results from the Phase 1/2 study evaluating the safety, tolerability, and immunogenicity of VAX-31, the Company’s 31-valent pneumococcal conjugate vaccine (PCV) candidate designed to prevent invasive pneumococcal disease (IPD).

In this Phase 1/2 study, VAX-31 was observed to be well tolerated and demonstrated a safety profile at all doses studied through the full six-month evaluation period similar to Prevnar 20® (PCV20).

The VAX-31 vaccine candidate showed robust opsonophagocytic activity (OPA) immune responses for all 31 serotypes at all doses studied.

At the middle and high doses, VAX-31 met or exceeded the OPA response non-inferiority criteria for all 20 serotypes common with PCV20.

At the VAX-31 high dose, average OPA immune responses were greater for 18 of 20 serotypes compared to PCV20 (geometric mean ratio (GMR) greater than 1.0), with seven of these serotypes achieving statistically higher immune responses compared to PCV20.

At the middle dose, 13 of 20 serotypes had a GMR greater than 1.0, and five serotypes achieved statistically higher immune responses compared to PCV20. For all 11 incremental serotypes unique to VAX-31 and not in PCV20, all three doses met the superiority criteria.

Based on the strength of the results from this study, the Company has selected VAX-31 to advance to an adult Phase 3 program. The Company plans to select the VAX-31 dose before initiating the adult Phase 3 program.

Grant Pickering, Chief Executive Officer and Co-Founder of Vaxcyte commented in a press release on September 3, 2024, “Based on the strength and clarity of these data, we have selected VAX-31 for the adult indication and plan to initiate the pivotal, non-inferiority Phase 3 study by mid-2025 and announce topline data in 2026."

"We intend to initiate the remaining VAX-31 Phase 3 studies in 2025 and 2026 and submit a Biologics License Application subject to the results of these studies.”

Pneumococcal disease is an infection caused by Streptococcus pneumoniae bacteria, leading to thousands of hospitalizations yearly in the U.S.

Sep 3, 2024 • 3:36 am CDT
US CDC Lyme disease map

Valneva SE and Pfizer Inc. today announced positive immunogenicity and safety data from their VLA15-221 Phase 2 study following a second booster vaccination of their Lyme disease vaccine candidate, VLA15, given one year after receiving the first booster dose.

VLA15 is an investigational multivalent protein subunit vaccine that uses an established mechanism of action for a Lyme disease vaccine. It targets the outer surface protein A of Borrelia burgdorferi, the bacteria that causes Lyme disease.

There are currently no approved human vaccines for Lyme disease, and VLA15 is the candidate that has advanced the furthest along the clinical development timeline, with two Phase 3 trials in progress.

Juan Carlos Jaramillo, M.D., Chief Medical Officer of Valneva, commented in a September 3, 2024, press release, "We are encouraged by these data, which support the potential benefit of booster doses across all examined age groups."

"As Lyme disease continues to spread, it represents a significant unmet medical need, affecting numerous individuals throughout the Northern Hemisphere."

"Each new set of positive data brings us one step closer to potentially bringing this vaccine to adults and children living in areas where Lyme disease is endemic."

Subject to positive Phase 3 data, Pfizer aims to submit a Biologics License Application to the U.S. FDA and a Marketing Authorization Application to the European Medicines Agency in 2026.

The Centers for Disease Control and Prevention (CDC) estimated that approximately 476,000 people in the U.S. are diagnosed and treated for Lyme disease yearly. This disease was first identified in Lyme, Connecticut.

On August 14, 2024, the CDC reported (Volume 30, Number 9—September 2024) that the overall incidence of Lyme disease was about seven times higher than that reported through public health surveillance.

Unfortunately, the northeastern United States is the leading area for Lyme disease-carrying ticks.

For example, the Pennslyvania Department of Health Tickborne Disease Dashboard shows that while cases of Lyme disease peak in June through August, the threat exists year-round, primarily in the northwestern section of the state.

Sep 2, 2024 • 3:23 pm CDT
by Armin Forster

The U.S. Centers for Disease Control and Prevention (CDC) has repeatedly stated that the majority of measles cases confirmed in the United States are linked to unvaccinated international travelers.

This assumption was reaffirmed in late August 2024 when the CDC reported that out of the 236 measles cases this year, 87% were in patients who were either unvaccinated or whose vaccination status was unknown, and most had contact with international travelers.

Various health agencies have recently updated their data to help determine where these measles viruses may have originated.

The Europen CDC recently reported that 30 EU/EEA Member States had reported a total of 17,949 measles cases of measles and 13 related deaths over the past year.

For example, in July 2024, Romania (382), Belgium (92), Italy (91), and Germany (84) reported the highest measles patient counts. Throughout 2024, Germany has reported 435 measles cases.

Other recent measles hot spots have been India, with about 24,000 measles cases over the past year. 

As of August 2024, 12,481 measles cases had been confirmed in the Region of the Americas.

The overall measles vaccination average in the Americas is about 85% coverage for the first MMR vaccine dose, indicating millions of unprotected people in the Americas.

While MMR vaccination is not a requirement to visit the U.S., the CDC recommends that all international travelers speak with a travel vaccine provider about their options to protect themselves from this highly transmittable virus.

Sep 2, 2024 • 2:11 pm CDT
US CDC Sept. 2024

The European CDC Communicable Disease Threats Report, published on August 30, 2024, disclosed that France had reported three autochthonous (locally-acquired) chikungunya virus disease cases in the Department of La Réunion from the same neighborhood.

The last major chikungunya outbreak in La Réunion was from 2005 to 2006.

The ECDC says the risk of chikungunya infection for residents and travelers to La Réunion is currently low. This mosquito-transmitted disease activity has been reduced as it's winter in La Réunion.

However, further cases cannot be excluded, says the ECDC.

La Réunion is an island in the Indian Ocean east of Madagascar and Africa that welcomes over 350,000 visitors annually.

As of September 2, 2024, the U.S. CDC had not issued a Travel Healht Advisory regarding La Réunion's chikungunya outbreak.

From a disease prevention option, Valneva SE's IXCHIQ® single-dose, live-attenuated chikungunya vaccine has been approved by the U.S. FDA and throughout Europe. Travel vaccination services are offered throughout the United States at certain pharmacies and Passport Health USA.

Sep 2, 2024 • 9:28 am CDT
OVAX Inc. website September 2024

OVAX Inc. is now emerging from stealth mode with an initial $10 million seed funding backed by its team, concerned parents, and mission-aligned investors. According to Pitchbook reporting, no enterprise valuation was disclosed.

OVAX is developing Fentanyl Armour nasal spray vaccine technology designed to stop fentanyl overdoses. Illicit fentanyl kills approximately 200 Americans daily.

Fentanyl is a synthetic opioid that is often added to illegal drugs, says the U.S. CDC.

The company offers a defense system that immediately neutralizes fentanyl upon exposure and blocks the euphoric effects, enabling the healthcare industry to prevent overdoses leading to death.

 On June 24, 2024, the company's media statement confirmed, 'Our vaccines (candidates) are designed to be taken a few times per year with several options in development, including a convenient nasal spray designed to be administered in the comfort of one's home, eliminating the requirement for a needle injection.'

The company licensed intellectual property from the University of Houston, Texas, which completed pre-clinical evaluations.

According to Ovax executives' comments, they plan to launch human clinical trials of Fentanyl Armour in 2025.

'We recognize that achieving our mission will require significant capital investment and a dedicated team. Additionally, OVAX will work alongside key collaborators at non-profits, governments, and communities dedicated to solving the fentanyl crisis,' wrote the company.

As of September 2024, there are no approved vaccines targeting fentanyl overdosing.

Sep 2, 2024 • 7:37 am CDT
US CDC FLu View map August 2024

The U.S. Centers for Disease Control and Prevention (CDC) recently updated its annual vaccination recommendations for the 2024-25 flu season, noting two fundamental changes.

On August 29, 2024, the CDC stated (73(5);1–25) the primary updates include the following two topics: the composition of 2024–25 seasonal influenza vaccines with the return to trivalent vaccines and updated recommendations for vaccination of adult solid organ transplant recipients.

The CDC recommends that everyone six months and older, with rare exceptions, receive an annual flu shot beginning in the Fall of 2024—decisions about timing need to consider the unpredictability of the flu season.

As of September 2, 2024, various flu shots are available at most pharmacies in the United States. Last flu season, over 157 million influenza vaccines were distributed in the U.S.

Sep 1, 2024 • 3:06 pm CDT
from Pixabay

A new study from researchers at Wake Forest University School of Medicine sheds light on how the U.S. news media recently portrayed scientific evidence and the uncertainty surrounding unproven therapeutics.

The research team analyzed news reports on how scientific evidence, evidence details and limitations, safety, efficacy, and sources of authority were portrayed to the public.

“We found that 67% of news reports included scientific evidence, but only 24% mentioned scientific publications or journals,” said the study’s corresponding author in a press release on August 29, 2024.

 Zubin Master, Ph. D., associate professor of social sciences and health policy at Wake Forest University School of Medicine, commented, “This period of time (the recent pandemic) was when medical specialists and the general public were anxiously scrambling to learn as much as possible about prevention and treatments because there were yet no proven therapeutics or vaccines."

"This makes for an ideal case study to examine how the news media portrays scientific evidence.”

According to the American Press Institute, only 40% of the public read news articles beyond headlines or lead paragraphs.

“It’s crucial, especially with controversial science topics, that the evidence and uncertainty are featured more prominently,” Master said.

The study authors also noted that science can be strengthened by acknowledging limitations and by portraying science as a process that is constantly changing and being corrected as additional knowledge is gained.

These findings appear online in the Journal of Medical Internet Research Infodemiology.

Sep 1, 2024 • 8:26 am CDT
from Pixabay

With more than 150 countries and territories reporting rabies cases, accessing one of the four authorized vaccines is essential to reducing this viral disease, says the World Health Organization. 

Bavarian Nordic recently announced it is in agreement with the U.K.'s Medicines and Healthcare products Regulatory Agency (MHRA) regarding reports of rubber particles after reconstitution of the Rabipur rabies vaccine.

Bavarian Nordic has recently received an unexpected number of product quality complaints about visual particles in the vaccine solution.

Recommendations, issued on August 14, 2024, have been provided to minimize health risks. The analysis revealed that these particles consisted of rubber transferred from the rubber stopper of the vaccine vials during (coring) reconstitution.

The MHRA's letter to healthcare providers recommends that the reconstituted Rabipur vaccine be carefully inspected visually and not administered if visible particles are present. Suspected adverse drug reactions can be reported to the MHRA through the Yellow Card scheme

While most of the world traces rabies infections in people to bites from an infected dog, in the United States, rabid bats are the leading source of infection.

Sep 1, 2024 • 7:57 am CDT
GPEI plan August 2024

The recently announced Africa Regional Polio Eradication Action Plan 2024-2025 outlines a new strategy for responding to polio outbreaks.

Released on August 19, 2024, the pre-publication version introduces a different approach by addressing all instances of poliomyelitis (polio) transmission, including outbreaks of circulating variant poliovirus, as if they were cases of wild poliovirus (WPV).

This action plan advocates for a more proactive strategy instead of following the previous two-round campaign response. It suggests that countries affected by polio should conduct between three and five vaccination campaign rounds based on their specific risk and population immunity.

The plan's authors wrote, 'By pursuing a new course of action defined by these priorities, the WHO African Region will end outbreaks and build the resilience required to achieve and maintain a polio-free Africa.'

Furthermore, this plan offers hope for the countries currently reporting poliovirus detections. On August 28, 2024, the Global Polio Eradication Initiative reported the following summary:

Afghanistan: four WPV1 cases,

Pakistan: two WPV1 cases and 16 positive environmental samples,

Chad: two cVDPV2 cases and two positive environmental samples,

Côte d’Ivoire: two cVDPV2 positive environmental samples,

DR Congo: one cVDPV2 case,

Niger: one cVDPV2 positive environmental sample,

Nigeria: three cVDPV2 cases and one positive environmental sample,

Palestinian territory: one cVDPV2 case,

South Sudan: one cVDPV2 case.

To alert international travelers to their potential polio risk, the U.S. CDC reconfirmed in August 2024 that before any of 37 countries, ensure you are up to date on your polio vaccines.

The GPEI previously launched its Polio Eradication Strategy 2022–2026. The GPEI strategy called for a rigorous review of its plan in 2023.

As of late August 2024, the type 2 novel oral polio (nOPV2) vaccine, produced by PT Biofarma, has been administered over one billion times in various countries. This vaccine was designed to improve phenotypic stability and make the poliovirus strains less prone to reversion to virulence.

Aug 31, 2024 • 3:33 pm CDT
by Jens P. Raak

UNICEF today announced that it had issued an emergency tender for the procurement of mpox vaccines. The emergency tender is designed to secure immediate access to available mpox vaccines and expand production.

Depending on demand, manufacturers' production capacity, and funding, agreements for up to 12 million doses through 2025 can be made.

Based on recent announcements, there are four mpox vaccines available in 2024.

“Addressing the current mpox vaccine shortage and delivering vaccines to communities who need them now is of paramount importance. There is also a pressing need for a universal and transparent allocation mechanism to ensure equitable access to mpox vaccines,” said Director of UNICEF Supply Division Leila Pakkala in a press release on August 31, 2024.

UNICEF is the world’s largest single vaccine buyer, procuring more than 2 billion doses of vaccines annually for routine child immunization and outbreak response on behalf of nearly 100 countries.

Aug 31, 2024 • 4:31 am CDT
US FDA Aug. 30, 2024

The U.S. Food and Drug Administration today announced it granted emergency use authorization (EUA) for an updated version of the Novavax COVID-19 vaccine that more closely targets currently circulating SARS-CoV-2 virus variants to provide better protection against serious consequences of COVID-19, including hospitalization and death.

Novavax's updated COVID-19 vaccine targets the "parent strain" of KP.2 and KP.3, formulated to target the JN.1 variant.

The updated monovalent, protein-based vaccine is authorized for individuals 12 and older.

This FDA approval helps protect Americans and their families during the U.S.'s biggest surge in COVID-19 cases since January 2022.

The FDA has determined that the updated Novavax COVID-19 vaccine has met the statutory criteria for issuance of an EUA, including that the known and potential benefits of the vaccine outweigh its known and potential risks.

Peter Marks, M.D., Ph.D., director of the FDA’s Center for Biologics Evaluation and Research, commented in a press release on August 30, 2024, “Today’s authorization provides an additional COVID-19 vaccine option that meets the FDA’s standards for safety, effectiveness and manufacturing quality needed to support emergency use authorization.”

Following the Center for Biologics Evaluation and Research's release of vaccine batches, Novacax vaccines will be available in thousands of locations, including retail and independent pharmacies and regional grocers.

Aug 30, 2024 • 10:17 am CDT
by Gerd Altmann

Emergent BioSolutions Inc. today announced that the U.S. Food and Drug Administration (FDA) approved the supplemental Biologics License Application for the expansion of the indication for the single-dose ACAM2000® Smallpox vaccine to include the prevention of mpox disease in individuals determined to be at high risk for mpox infection.

ACAM2000® is administered percutaneously via a bifurcated needle dipped into the vaccine solution. The skin is pricked several times in the upper arm with a droplet of the vaccine.

ACAM2000 was first approved by the FDA in 2007.

Dr. Amesh A. Adalja, FIDSA FACP FACEP & health security and emerging infectious diseases expert, Johns Hopkins Center for Health Security, commented in a press release on August 29, 2024, “ACAM2000®, a direct descendant of the Jenner vaccine (humanity’s first) which was used to eradicate smallpox, and now with the broadened indication, will be an invaluable tool in this endeavor.”

The FDA's labeling for ACAM2000® contains a contraindication for individuals with severe immunodeficiency. Severe localized or systemic infection with vaccinia (progressive vaccinia) may occur in persons with weakened immune systems. Individuals with severe immunodeficiency who are not expected to benefit from the vaccine should not receive ACAM2000®.

The risk of experiencing severe vaccination complications must be weighed against the risk of experiencing a potentially severe or fatal smallpox or mpox infection.

Additionally, there are warnings and precautions for myocarditis, pericarditis, encephalitis, encephalomyelitis, encephalopathy, progressive vaccinia, generalized vaccinia, severe vaccinial skin infections, erythema multiforme major (including Stevens-Johnson Syndrome), eczema vaccinatum resulting in permanent sequelae or death, accidental eye infection (ocular vaccinia), which can cause ocular complications that may lead to blindness, and fetal death.

These side effects may occur following primary or revaccination with live vaccinia virus vaccines, including ACAM2000®. These risks are increased in certain individuals and may result in severe disability, permanent neurological sequelae, and/or death.

As of late August 2024, four mpox vaccines are in use globally.