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Monday, November 30, 2020

French health body says nursing homes should get COVID-19 vaccine first

 France’s top health advisory body said on Monday it had recommended COVID-19 vaccinations should target retirement homes residents and their staff first when doses reach the country.

Haute Autorite de la Sante (HAS) suggested rolling out the campaign in stages and on a voluntary basis, like in many other countries.

President Emmanuel Macron said last week that vaccines could start to be administered as soon as the end of the year in France, if approved by regulators, after hopes were raised of a quick roll-out following promising results from trials of several candidates.

After those in nursing homes, amounting to around 840,000 people in France, a second phase would target those aged 65 and over, as well as some health workers, the HAS said.

Three other stages would follow, aimed at people with underlying conditions such as diabetes, other exposed professionals and then adults with no known other conditions.

“These recommendations will evolve other time as we get more data. We call for vaccination on a voluntary basis,” the head of HAS Dominique Le Guludec told reporters.

The French government is due to detail in the coming days how it will handle its vaccines campaign.

The European Union has so far secured deals with Sanofi and GlaxoSmithKline, Johnson & Johnson, AstraZeneca, CureVac, Pfizer and BioNTech as well as Moderna.

With 1.9 billion doses expected at this stage to reach the EU, France aims to secure about 295 million doses.

https://www.reuters.com/article/health-coronavirus-france-vaccine/french-health-body-says-nursing-homes-should-get-covid-19-vaccine-first-idUSKBN28A16O

Russia begins mass trials of second coronavirus vaccine

 Russia plans to begin mass trials of its second coronavirus vaccine, EpiVacCorona, on people aged over 18 on Monday, the RIA news agency cited the consumer health watchdog Rospotrebnadzor as saying.

EpiVacCorona, which is being developed by Siberia’s Vector Institute, was authorised this month to carry out trials on 150 volunteers over 60 and 3,000 volunteers over 18, the watchdog has said.

The trials will be conducted in Moscow and several other cities including Kazan and Kaliningrad, the TASS news agency cited it as saying.

Coronavirus cases have surged in Russia since September, but authorities have resisted imposing a touch lockdown and have said that targeted measures are enough to cope with the crisis.

Russia said earlier this month that its other Sputnik V vaccine was 92% effective at protecting people from COVID-19 according to interim results.

Authorities confirmed 26,338 new coronavirus cases on Monday, including 6,511 in Moscow and 3,691 in St Petersburg, taking the national total to 2,295,654 since the pandemic began.

They also reported 368 deaths in the last 24 hours, pushing the official death toll to 39,895.

https://www.reuters.com/article/us-health-coronavirus-russia-cases/russia-begins-mass-trials-of-second-coronavirus-vaccine-idUSKBN28A0P0

Singapore studies COVID-19 pregnancy puzzle after baby born with antibodies

 Doctors are studying the impact of COVID-19 on pregnant women and their unborn babies in Singapore, where an infant delivered by an infected mother earlier this month had antibodies against the virus but did not carry the disease.

The ongoing study among the city-state’s public hospitals adds to international efforts to better understand whether the infection or antibodies can be transferred during pregnancy, and if the latter offers an effective shield against the virus.

The World Health Organisation says while some pregnant women have an increased risk of developing severe COVID-19, it is not yet known whether an infected pregnant woman can pass the virus to her foetus or baby during pregnancy or delivery.

A Singaporean woman, infected with the coronavirus in March when she was pregnant, told local newspaper the Straits Times that doctors said her infant son had antibodies against the virus but was born without the infection.

“It is still unknown whether the presence of these antibodies in a newborn baby confers a degree of protection against COVID-19 infection, much less the duration of protection,” said Tan Hak Koon, chairman of the Obstetrics and Gynaecology division at KK Women’s and Children’s Hospital.

KK is one of the hospitals involved in the study of infected pregnant women in Singapore, details of which surfaced after the case of the baby born with antibodies was made public.

The National University Hospital, another hospital involved, said the study looks at the effects of COVID-19 on pregnant women, their foetus and outcomes after delivery.

Doctors in China reported the detection and decline over time of COVID-19 antibodies in babies born to women with the coronavirus disease, according to an article published in October in the journal Emerging Infectious Diseases.

While there is evidence that transmission during pregnancy is rare, a small study in Italy suggested that it is possible, according to research published in the Nature journal in October. bit.ly/2Vu22vH

Other studies have shown COVID-19 antibodies can be passed to a child via breastfeeding, while KK’s Tan said there was evidence they could pass during pregnancy through the placenta to the baby.

Paul Tambyah, one of city-state’s leading disease experts, said it was encouraging that antibodies were present in the Singapore baby months after the mother’s infection, adding to broader evidence that they offer some protection from the virus.

“Worldwide there have been millions of people infected, including probably thousands of pregnant women, with very few reports of infections in very young babies. This suggests that there might be some protection from maternal antibodies and breast feeding,” said Tambyah, President of the Asia Pacific Society of Clinical Microbiology and Infection.

https://www.reuters.com/article/us-health-coronavirus-singapore/singapore-studies-covid-19-pregnancy-puzzle-after-baby-born-with-antibodies-idUSKBN28A0HO

England's COVID-19 infections down 30% during national lockdown - survey

 COVID-19 infections have fallen by 30% during England’s month-long national lockdown and the virus is now in retreat, a large-scale study of more than 100,000 volunteers showed on Monday.

England began its second national lockdown on Nov. 5 to curb rapidly rising infections and protect its health system. The country is due to return to a regional approach to restrictions from Dec. 2.

Levels of infection fell 30%, with 96 people per 10,000 infected between Nov. 13 and Nov. 24, according to interim results of the study by Imperial College London and Ipsos MORI.

The last iteration of the research, carried out between Oct. 16 and Nov. 2, showed 130 infections per 10,000 people.

“The findings show cases were rising as the country entered lockdown, but this was followed by a decrease as national measures successfully lowered infection rates across the country,” a statement issued by the health department said.

Prime Minister Boris Johnson faced criticism over the decision to lock down from within his own party where some said it was an unnecessary infringement on civil liberties. The opposition Labour Party said he had been too slow to react.

The reproductive number of the virus was estimated at 0.88, reinforcing data released on Friday which showed infection numbers were shrinking by between 0% and 2% every day.

While the statement said the prevalence of the disease was still high, it showed a sharp decrease in several areas of northern England which are due to enter the toughest tier of restrictions next week.

That could fuel further unrest within Johnson’s Conservative Party, where many lawmakers are unhappy at a system which places more than a third of the population under far-reaching restrictions on daily life.

Those measures are due to be put to a vote on Tuesday, in which Johnson may face the political embarrassment of having to rely on opposition party votes to pass the new rules.

https://www.reuters.com/article/us-health-coronavirus-britain-study/englands-covid-19-infections-down-30-during-national-lockdown-survey-idUSKBN28A00H

Moderna up on COVID-19 vaccine data; plans to file for EUA today

 

  • Moderna (NASDAQ:MRNA) jumps 10% in premarket in reaction to primary efficacy analysis data from Phase 3 study of its COVID-19 vaccine candidate, mRNA-1273 demonstrating efficacy of 94.1%, while vaccine efficacy against severe COVID-19 was 100%.
  • Continuous review of safety data is ongoing and no new serious safety concerns have been identified.
  • Primary analysis was based on 196 cases, of which 185 cases of COVID-19 were observed in the placebo group versus 11 cases observed in the mRNA-1273 group. There was one COVID-19-related death in the study to date, which occurred in the placebo group.
  • Today, the company will file for US Emergency Use Authorization (EUA), as well as apply for a conditional marketing authorization with the European Medicines Agency.
  • In reaction to the news, Pfizer (NYSE:PFE) is up 2% while BioNTech (NASDAQ:BNTX) is +3%.
  • https://seekingalpha.com/news/3639868-modernaplus-10-on-covidminus-19-vaccine-data-plans-to-file-for-eua-today

Novavax slips after COVID-19 vaccine update

 

  • Novavax (NASDAQ:NVAX) provides an update on its COVID-19 vaccine program. NVX‑CoV2373 is a stable, prefusion protein antigen derived from the genetic sequence of the SARS-CoV-2 coronavirus spike (S) protein and adjuvanted with Matrix‑M.
  • Two of the three planned late-stage efficacy trials for NVX-CoV2373 are fully enrolled, and more than 20,000 participants have been dosed to-date.
  • Novavax completed enrollment of 15,000 participants in a Phase 3 U.K. trial. Interim data are expected in early Q1 2021.
  • These data are expected to serve as the basis for licensure application in the U.K., European Union and other countries.
  • The Phase 2b trial taking place in South Africa is now fully enrolled. A total of 4,422 volunteers are taking part.
  • This trial is expected to increase the body of efficacy data of NVX-CoV2373 in racially and geographically diverse populations as well as in older adults, with efficacy data expected to be available in Q1 2021.
  • Novavax expects its pivotal Phase 3 trial in the U.S. and Mexico to begin in the coming weeks.
  • Preliminary blinded data on NVX-CoV2373 in older adults has previously been positively reviewed by the FDA.
  • Additional clinical data from the Phase 2 trial conducted in the U.S. and Australia are expected to be unblinded in Q1 2021.
  • Novavax was awarded $1.6B in funding from the U.S. government to meet its Operation Warp Speed goals to expedite the delivery of millions of COVID-19 vaccine doses and scale-up manufacturing.
  • https://seekingalpha.com/news/3639860-novavax-slips-6-after-covidminus-19-vaccine-update

Sunday, November 29, 2020

Iowa State taps device maker Zeteo for early work on nasal spray COVID-19 vax

 With a slate of COVID-19 vaccine candidates poised to cross regulators’ desks in December, academic institutions and drugmakers are already eyeing second-generation shots to build on those advanced in the pandemic's first year. Iowa State University is spearheading one such effort, securing a trio of partners, plus a $2 million grant, to help drive early development work on its vaccine 2.0.

The Nanovaccine Institute at Iowa State University says it’s developing a next-generation nanovaccine against SARS-CoV-2, the virus that causes COVID-19, and it recently tapped drug delivery specialist Zeteo Biomedical to lend its device and technical support, the partners announced separately. 

Nanovaccines like Iowa State’s work by loading viral proteins into nanoparticles, about 300 billionths of a meter across, made from biodegradable polymers, the institute said in a release. Crucially, Iowa State’s candidate will be formulated as a single-dose nasal spray, deliverable by way of a solitary sniff. 

Austin, Texas-based medical device company Zeteo, for its part, is on the hook to provide nasal delivery device technology and unit dose packaging via its ZEOx2 delivery platform. Zeteo's nasal spray device, compact enough to fit inside a person’s purse or pocket, is able to dispense powders or auto-reconstitute a dry powder formulation to a liquid. It can also combine two separately packaged liquid formulations simultaneously at the time of dosing, according to Zeteo’s website.

That alternative to traditional glass vials and syringes could be a boon for the needle-averse and save on highly sought-after supplies; plus, it paves for the way for patients or caregivers to potentially self-administer the vaccine, easing the burden on healthcare workers and cutting the risk of viral spread in one fell swoop—if the candidate wins out in the clinic, that is.


Zeteo will also provide technical services to help evaluate Iowa State’s room-temp stable vaccine, the company said in a release. Alongside more convenient dosing, the Nanovaccine Institute aims to cut out the need for refrigeration of its candidate—potentially lending the vaccine a storage edge over competitors. 

As Pfizer and Moderna’s mRNA candidates approach the finish line, concern has mounted over the shots' frigid cold chain requirements and the supply and distribution hiccups that could ensue. Pfizer's vaccine, for instance, must be kept at minus 94 degrees Fahrenheit (minus 70 degrees Celsius) and will only last for around 24 hours at refrigerated temps between 35.6 F and 46.4 F.

Moderna's is set to fare slightly better, boasting stability for up to 30 days at refrigerated temperatures and up to 12 hours at room temp, though it still must be stored at minus 4 F—a temperature more familiar to distributors—for longer-term storage and shipping.

Should Iowa State's vaccine win out in the clinic and break into the mainstream, Zeteo’s delivery platform is commercially scalable to the fill-finish stage and could potentially deliver millions of doses of intranasal drugs or vaccines per day, the company said.

Alongside Zeteo, Iowa State has enlisted two other partners in the form of Ames, Iowa-based wireless sensor startup Skroot Laboratory and Southwest Research Institute, a manufacturing-support nonprofit out of San Antonio.

Meanwhile, the project will share equipment and expertise with vaccine developers with operations in Iowa, the Nanovaccine Institute said.

Back in late October, the university bagged $2 million in funding from the federal Coronavirus Aid, Relief and Economic Security (CARES) Act, delivered through the state of Iowa, for its vaccine work. The project has been fast-tracked, building on previous research and existing patents by Iowa State University and University of Iowa researchers associated with the Nanovaccine Institute. The project is expected to be “largely completed” by year-end, the institute said.

The work is still early-stage stuff, with more development time needed before the researchers can even move into animal testing, but the Nanovaccine Institute is confident its second-generation vaccine will fill an urgent, unmet need once a number of early shots hit the market.

“Our approach will result in the development and pre-clinical testing of a novel SARS-CoV-2 nannovaccine that will overcome current shortcomings and be ready for clinical trials with multiple partners,” the researchers wrote.


Iowa State isn't the only one looking into new-and-improved formulations of COVID-19 drugs and vaccines, either. Pfizer, well aware of the cold chain hurdles its shot must overcome, is already weighing a powder formulation, unburdened by ultra-cold storage requirements, that could roll out in 2021, Mikael Dolsten, M.D., Ph.D., chief scientific officer at the company, told Business Insider earlier this month.

Just last week, UÄŸur Åžahin, CEO of German mRNA specialist BioNTech, which developed Pfizer's shot, confirmed in a CNN interview that his company was working on a novel formulation of its candidate, shippable at room temperature, that could launch by the second half of next year. 

And in the U.K., Vaccitech—developer of ChAdOx1, the chimpanzee adenovirus vector behind AstraZeneca and the University of Oxford's shot—recently scored a grant of up to £2.3 million ($3.0 million) to advance its own next-gen candidate that it thinks could serve as a standalone product or improve on first-generation prophylactics. Vaccitech is currently wrapping up preclinical development and locking down clinical supply for a phase 1 trial pegged to start next year.

https://www.fiercepharma.com/drug-delivery/iowa-state-taps-device-maker-zeteo-for-early-work-nasal-spray-covid-19-vaccine