Covid-19 roundup: Moderna CEO says another booster could be necessary this fall — report; J&J touts real-world data supporting a single dose of its vaccine

Stéphane Bancel (AP Images, Boston Herald)

While an Omi­cron-spe­cif­ic boost­er of Mod­er­na’s Covid-19 vac­cine prob­a­bly won’t be ready in the next cou­ple of months, ac­cord­ing to a Reuters re­port, CEO Stéphane Ban­cel says an­oth­er shot will like­ly be nec­es­sary for the fall.

‘I still be­lieve we’re go­ing to need boost­ers in the fall of ’22 and for­ward,’ Ban­cel said at a Gold­man Sachs-or­ga­nized event, per Reuters.

The news comes days af­ter Is­rael Prime Min­is­ter Naf­tali Ben­nett an­nounced that a study con­duct­ed in the coun­try sug­gests a fourth Covid-19 vac­cine dose spurs a five-fold in­crease in an­ti­bod­ies just a week af­ter be­ing ad­min­is­tered.

Ban­cel said in a re­cent let­ter to in­vestors that Mod­er­na con­tin­ues to eval­u­ate vari­ant-spe­cif­ic and mul­ti­va­lent vac­cines (com­bi­na­tions of vari­ant spe­cif­ic vac­cines) to stay ahead of fu­ture vari­ants, in­clud­ing Omi­cron.

‘In ad­di­tion, we are eval­u­at­ing mR­NA-1283 as a next gen­er­a­tion, re­frig­er­a­tor sta­ble vac­cine,’ he wrote.

Just be­fore the new year, Ban­cel re­vealed pre­lim­i­nary da­ta sug­gest­ing a boost­er dose of its orig­i­nal vac­cine, mR­NA-1273, was enough to kick up Omi­cron neu­tral­iz­ing an­ti­body lev­els dra­mat­i­cal­ly. The cur­rent­ly au­tho­rized 50 µg boost­er in­creased Omi­cron-spe­cif­ic an­ti­bod­ies around 37-fold com­pared to pre-boost lev­els, re­searchers re­port­ed, while a 100 µg dose in­creased neu­tral­iz­ing an­ti­body lev­els ap­prox­i­mate­ly 83-fold.

J&J touts re­al-world da­ta sup­port­ing a sin­gle dose of its vac­cine

The CDC rec­om­mend­ed weeks ago that Amer­i­cans re­ceive one of the mR­NA vac­cines over J&J’s sin­gle-dose vac­cine due to re­newed con­cerns about blood clots. But the phar­ma gi­ant isn’t back­ing down.

On Thurs­day, J&J un­veiled new re­al-world da­ta that sug­gest a sin­gle shot of its Covid-19 vac­cine of­fered pro­tec­tion against break­through in­fec­tions, hos­pi­tal­iza­tions, and ICU ad­mis­sions for up to six months.

It’s im­por­tant to note that da­ta from the J&J-spon­sored tri­al are pre­lim­i­nary, and have yet to be peer-re­viewed. And they were col­lect­ed be­fore the Omi­cron vari­ant was dis­cov­ered.

One month post-vac­ci­na­tion, J&J re­port­ed ef­fi­ca­cy rates of 81% for pre­vent­ing hos­pi­tal­iza­tion and 74% for pre­vent­ing break­through in­fec­tions. Over the course of six months, the phar­ma said there was no ev­i­dence of wan­ing pro­tec­tion against hos­pi­tal­iza­tions or Covid-re­lat­ed ICU ad­mis­sions. How­ev­er, there was some ‘mod­est wan­ing’ of pro­tec­tion against break­through in­fec­tions start­ing in month 4.

J&J not­ed that wan­ing pro­tec­tion against break­through cas­es be­gan in month 2 for both the Mod­er­na and Pfiz­er/BioN­Tech shots.

The study was con­duct­ed us­ing na­tion­al claims, lab and hos­pi­tal da­ta for 17 mil­lion ful­ly-vac­ci­nat­ed in­di­vid­u­als be­tween Jan. 1 and Sept. 7, 2021.

A few weeks ago, the CDC rec­om­mend­ed against tak­ing J&J’s shot if ei­ther the Pfiz­er/BioN­Tech or Mod­er­na shot is avail­able, over con­cerns about rare but some­times fa­tal blood clots. J&J’s vac­cine will still be avail­able to those who are un­able or un­will­ing to get an mR­NA vac­cine. ‘We con­tin­ue to un­der­take ex­ten­sive ef­forts to study the dura­bil­i­ty of pro­tec­tion of­fered by the John­son & John­son vac­cine amidst the ever-chang­ing COVID-19 pan­dem­ic,’ Math­ai Mam­men, Janssen’s ex­ec­u­tive VP of phar­ma­ceu­ti­cals, said in a state­ment.

The FDA and CDC put a hold on J&J’s vac­cine back in April to as­sess the risk of such blood clots but end­ed up lift­ing the pause less than two weeks lat­er af­ter de­cid­ing that the shot’s known and po­ten­tial ben­e­fits still out­weigh the risks.

But at an ACIP meet­ing, it was re­vealed that there are more cas­es of throm­bo­sis with throm­bo­cy­tope­nia syn­drome (TTS) in those who re­ceived the J&J vac­cine than pre­vi­ous­ly thought.

J&J put out a state­ment that it re­mains con­fi­dent in the vac­cine’s ben­e­fit-risk pro­file.

A district court in Texas will likely tie up the FDA’s FOIA office for months, as the court ruled late Thursday that the agency must release all documents related to its review of Pfizer-BioNTech’s Covid-19 vaccine.

The order from district judge Mark Pittman, handed down late Thursday, notes that while the Court recognizes the ‘unduly burdensome’ challenges that this FOIA request may present to the FDA, there also ‘may not be’ a more important issue at the FDA right now than the pandemic, the Pfizer vaccine, getting every American vaccinated, and making sure to the American public that the process was not rushed.

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Their Staying Power Lies in their Patient-Centricity

Decentralized clinical trials (DCTs) were traditionally utilized in an isolated fashion prior to the COVID-19 pandemic. To continue their research within the constraints of the pandemic, sponsors and clinical investigators pivoted to a decentralized model out of necessity. At the onset, regulatory agencies offered some guidance on the digital approaches that are acceptable to ensure DCT approaches are applied in a way that maintains patient safety, as well as data quality and integrity.

Exscientia CEO Andrew Hopkins and Sanofi CEO Paul Hudson

Drug R&D has for years had an abysmal track record of success, with the vast majority of drug candidates never making it to market. The promise of AI to shorten the discovery time for new drugs and up their chances of success has more big drugmakers buying in — and Sanofi is the latest.

Sanofi will pay $100 million upfront with a potential $5.2 billion in downstream milestones for access to up to 15 small molecule drugs from Exscientia, a red-hot UK deep learning company at the forefront of the so-called ‘AI-discovered’ drug R&D movement, the partners said Friday.

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Aligos Therapeutics took a beating Thursday after reporting it is stopping development on its lead program for chronic hepatitis B.

The biotech’s shares $ALGS closed down 57% and fell into penny stock territory Thursday, following a morning press release saying Aligos’ ALG-010133 program did not prove efficacious at the dose tested in a Phase I study. Additionally, the company concluded that higher doses were also unlikely to be effective, and ultimately decided to axe the candidate altogether.

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For anyone who’s been following how the US government has been allocating and shipping supplies of its Covid-19 treatments over the past year, the news has shifted so many times that it can be difficult to keep track of what’s still being shipped and where.

More change is coming this week too, as HHS has now decided to re-start shipments of both Eli Lilly (bamlanivimab plus etesevimab) and Regeneron (casirivimab plus imdevimab) monoclonal antibody products after a short pause because neither product works against the new variant Omicron. Lilly’s combo also was halted last June due to the presence of other variants.

After 18 years at the FDA and climbing the corporate ladder in biopharma, Vicki Goodman is now in the biotech C-suite for the first time. The new CMO and executive VP of product development for Exelixis started on Dec. 4, flying out to the biotech’s headquarters just outside sunny San Francisco before returning home and flying all the way back to Philly, where she is based.

Goodman got her passion for medicine as a young child — it didn’t surprise anyone that she majored in biochemistry before going through medical school and residency, finishing up in the early 2000s with an emphasis in internal medicine, medical oncology and hematology. But for her, there was an underlying desire to use science to help people and work on problems that impact people’s health.

Marc Dunoyer, Alexion CEO (AstraZeneca via YouTube)

AstraZeneca — or, more specifically, its rare disease subsidiary Alexion — is serious about getting into ATTR amyloidosis.

Just weeks after licensing a late-stage antisense candidate from Ionis, AstraZeneca has struck another deal to pick up a Phase Ib antibody hitting the same target, this time from Swiss biotech Neurimmune.

The upfront from Alexion comes in at $30 million, with the potential to add up to $730 million in milestones. Alexion is hoping the program would tackle transthyretin amyloid cardiomyopathy, or ATTR-CM, which is characterized by cardiac buildup of toxic amyloid fibrils.

Roger Perlmutter, Eikon CEO

Roger Perlmutter hasn’t wasted any time since announcing his supposed retirement from Merck in October 2020. After leaving his perch as one of the most successful R&D chiefs in Big Pharma, he’s now snatching a cool half-billion dollars to develop ‘a battery of innovative tools’ for drug discovery at the young startup Eikon Therapeutics.

Eikon closed on a $517.8 million Series B round on Thursday morning, bringing the Hayward, CA-based company’s total raise to more than $668 million.

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As the FDA is looking to reduce drug shortages further by collecting more data on the volume of drugs and APIs manufactured worldwide, companies like Pfizer, Thermo Fisher, Viatris and industry groups are pushing back on new guidance that seeks to establish how that data should be collected and submitted to the agency.

The technical conformance guide, released last October, spells out the requirements under Section 3112(e) of the CARES Act, which was signed into law in March 2020 and added a new section to the FD&C Act.
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