FDA advisers back Novavax COVID-19 shots as new US option

By Lauran Neergaard | Related Press

American adults who haven’t but gotten vaccinated towards COVID-19 might quickly get one other alternative, as advisers to the Meals and Drug Administration on Tuesday backed a extra conventional sort of shot.

Subsequent, the FDA should determine whether or not to authorize the vaccine made by latecomer Novavax, a protein vaccine that’s made with a extra standard know-how than at present’s U.S. choices.

Novavax pictures are already utilized in Australia, Canada, elements of Europe and dozens of different nations. However U.S. clearance is a key hurdle for the Maryland-based firm.

FDA’s vaccine chief Dr. Peter Marks mentioned one other alternative within the U.S. might entice no less than some vaccine holdouts — no matter their motive — to think about rolling up their sleeves.

“We do have an issue with vaccine uptake that could be very critical in the USA,” Marks mentioned. “Something we are able to do to get individuals extra snug to just accept these probably life-saving merchandise is one thing that we really feel we're compelled to do.”

If the FDA authorizes Novavax because the nation’s fourth vaccine, it’s not clear how broadly it might be used — no less than straight away. Solely about 27 million U.S. adults stay unvaccinated. Ultimately, Novavax hopes additionally to turn out to be a alternative for the tens of millions extra who haven’t but had a booster dose of at present’s vaccines. The pictures are used elsewhere as a booster, no matter which vaccine individuals acquired initially.

Tuesday’s query: Do the advantages of two main doses of the Novavax vaccine outweigh any dangers? The FDA advisory panel voted that they do, by a 21-0 vote with one abstention.

Massive research within the U.S., Mexico and Britain discovered two doses of the Novavax vaccine have been secure and about 90% efficient at stopping symptomatic COVID-19. One complication: These research have been carried out far earlier within the pandemic, effectively earlier than extra contagious coronavirus variants emerged — together with the omicron mutant and its family members.

Novavax chief medical officer Dr. Filip Dubovsky mentioned the corporate already has examined a booster dose — and it revved up virus-fighting antibodies that would deal with that mutant.

This sort of vaccine “we expect generates a broad immune response towards a broad array of variants,” he advised the FDA advisory panel.

And whereas the trials confirmed typically individuals skilled solely gentle reactions corresponding to injection-site ache or fatigue, the FDA did spotlight a doable concern: six circumstances of coronary heart irritation, referred to as myocarditis, discovered among the many 40,000 individuals who obtained the vaccine in research.

Vaccines are coming beneath shut scrutiny for the potential of that coronary heart irritation after the Pfizer and Moderna pictures have been linked to that uncommon danger.

Novavax argued there have been different potential causes for among the circumstances in its trials. COVID-19, in addition to different infections, can also trigger coronary heart irritation. The corporate mentioned greater than 744,000 vaccinations in different nations thus far assist the pictures’ security.

The Novavax vaccine is made from copies of the spike protein that coats the coronavirus, packaged into nanoparticles that to the immune system resemble a virus. Then an immune-boosting ingredient, or adjuvant, that’s constructed from the bark of a South American tree is added that acts as a crimson flag to make sure these particles look suspicious sufficient to spark a robust immune response.

Protein vaccines have been used for years to forestall hepatitis B, shingles and different illnesses.

That’s very totally different than the vaccines presently used within the U.S. Probably the most broadly used Pfizer and Moderna vaccines ship genetic directions for the physique to supply its personal copies of the spike protein. J&J makes use of a chilly virus to ship these directions.

Manufacturing issues held up Novavax’s vaccine however the firm mentioned these issues have been resolved. Novavax, a small biotech firm, created the vaccine in its analysis lab, however the Serum Institute of India, the world’s largest vaccine maker, produces most of its pictures together with these slated for the U.S.

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