Cancer Vaccine Breaking News

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Aug 21, 2023 • 4:44 pm CDT
by Grey B.

A recent study concluded the high proportion of children too young to be vaccinated among unvaccinated Invasive meningococcal disease (IMD) cases suggests that starting the vaccination earlier may prevent more of these cases. 

The JAMA Network published an Original Investigation on a screening cohort study and matched case-control study on August 18, 2023, which found high effectiveness of a 4-component recombinant protein–based (4CMenB) vaccination and more significant reduction in incidence rate ratios (IRR) for early-start vaccination schedules in preventing invasive serogroup B meningococcal disease.

This case-control study represents the most comprehensive multiregional evaluation of the effectiveness of 4CMenB vaccination in the pediatric population of Italy.

Vaccine effectiveness (VE) data obtained from a large group of serogroup B IMD cases with the simultaneous application of 2 independent computational methods (screening and case-control) are unique to the literature.

And VE was firmly greater than 90% in children old enough to receive the first vaccine dose.

Regional differences in the vaccination schedule allowed population-based comparison of outcomes and confirmed the greater efficacy associated with early-start strategies. At the same time, a lack of protection in the very early months of life was apparent even when starting immunization at age two months, prompting the identification of extended prevention strategies.

Current, population-based evidence about VE and reduction in IRRs associated with 4CMenB has been reported in studies conducted in the UK, Australia, Canada, Portugal, and Italy, with heterogeneous methods and across different healthcare settings and age groups. 

The estimates of VE for 4CMenB ranged from 59% to 100% in fully vaccinated cohorts.

Aug 21, 2023 • 10:16 am CDT
by Gerd Altmann

CARsgen Therapeutics Holdings Limited today announced a collaboration agreement with Moderna Inc. to investigate CARsgen's investigational Claudin18.2 CAR T-cell product candidate (CT041) in combination with Moderna's investigational Claudin18.2 mRNA cancer vaccine.

CT041 (satricabtagene autoleucel) is CARsgen's autologous CAR T-cell product being investigated for potentially treating gastric, pancreatic, and other specified digestive system cancers.

It is currently in multiple ongoing clinical studies in China and North America.

"CT041 is the most advanced solid tumor CAR-T in development (pivotal phase II) and continues to show promise in treating gastric and pancreatic cancers. In our quest to make cancer curable, we are continuously exploring multiple modalities to eradicate tumors. Attacking tumors with CAR T-cell therapy in combination with a cancer vaccine could potentially provide greater clinical benefit to patients." said Dr. Zonghai Li, Founder, Chairman of the Board, Chief Executive Officer, and Chief Scientific Officer of CARsgen Therapeutics Holdings Limited, in a press release on August 21, 2023.

Dr. Li added, "Moderna has clearly established itself as a scientific and commercial leader in mRNA-based vaccines and therapeutics, and we are pleased to partner with Moderna to explore a potential synergism between our innovative therapies."

Moderna is developing an investigational off-the-shelf mRNA cancer vaccine that encodes for the Claudin18.2 protein, a tumor-associated antigen.

The collaboration contemplates conducting preclinical studies and a phase I clinical trial to evaluate CT041 in combination with Moderna's Claudin18.2 mRNA cancer vaccine.

"We are pleased to partner with CARsgen to explore the potential synergy of CAR-T with an investigational mRNA cancer vaccine that encodes for the Claudin18.2 protein. Claudin18.2 is a promising therapeutic target to potentially treat multiple cancer types with high unmet medical need. We continue to deliver on the promise of mRNA science to create a new generation of transformative medicines in oncology," added Dr. Lin Guey, Chief Scientific Officer of External Research Ventures, Moderna.

CARsgen is a biopharmaceutical company with operations in China, and the U.S. focused on innovative CAR T-cell therapies for treating hematologic malignancies and solid tumors.

Aug 20, 2023 • 10:47 am CDT
PAHO Chikungunya outbreak map August 2023

A Perspective was recently published highlighting a seldom discussed and hard-to-spell mosquito-transmitted disease's impact on thousands of people's health in 2023.

Chikungunya is an arboviral disease caused by the chikungunya virus (CHIKV), afflicting tropical and sub-tropical countries in 2023. Chikungunya outbreaks are primarily found in Africa, Asia, Brazil, and the Indian subcontinent.

For example, about 324,000 chikungunya cases have been reported in the Americas in 2023. As the Republic of Paraguay's ongoing Chikungunya outbreak confirms, this disease can be devastating.

Furthermore, it has been identified as a priority pathogen by the Coalition for Epidemics Preparedness Innovations (CEPI) and an emerging infectious disease.

And its impact has been measured.

Recent studies suggest that disability-adjusted life years (DALYs) due to CHIKV infection are as high as 106,089 DALYs lost globally.

The good news in 2023 is that significant progress has been made in developing several CHIKV vaccine candidates to prevent the disease.

Recently, Vaneva SE's VLA1553 monovalent, single-dose, live-attenuated vaccine candidate was assigned by the U.S. FDA a Prescription Drug User Fee Act review goal date at the end of 2023.

This perspective article published by the journal Nature on August 18, 2023, summarizes CEPI's efforts and strategic considerations for developing a CHIKV vaccine.

Aug 20, 2023 • 10:05 am CDT
U.S. TSA August 2023

The Transportation Security Administration (TSA) recently announced that it was expanding TSA PreCheck® with Telos Corporation at ten airports in the U.S.

Telos began enrolling its first applicants during trial periods in Annapolis, Md., Chantilly, Va., Ashburn, Va., and Las Vegas. 

Since TSA first launched the TSA PreCheck application program for low-risk travelers in December 2013, active membership in the program has grown to more than 15 million passengers.

About 99% of TSA PreCheck® passengers wait less than 10 minutes at 200 airports.

“TSA PreCheck is a trusted traveler program that improves overall aviation security and provides time and convenience benefits to its members,” said TSA Administrator David Pekoske in a press release on August 15, 2023.

“This expansion of enrollment providers will increase the network of locations where applicants may go to complete their TSA PreCheck membership.”

Moving forward, TSA PreCheck members may renew their memberships online with Telos or IDEMIA (TSA PreCheck’s original enrollment provider), regardless of who they enrolled with initially.

As of August 20, 2023, TSA reported airport screening activity had regained volumes last seen in 2019.

 

Aug 19, 2023 • 10:49 am CDT
by Luis X

The U.S. Department of State issued an updated Level 1 travel advisory for the Argentine Republic on August 18, 2023.

The State Department says visitors should exercise standard precautions when visiting Argentina in 2023, as some areas have increased risk.

For example, the City of Rosario has been issued a Level 2: Exercise Increased Caution advisory.

The State Department says criminal elements are active in Rosario (Santa Fe province), increasing civil unrest.

Additionally, U.S. Embassy personnel are required to give advance notice before traveling to Rosario, which is located about 300 km northwest of Buenos Aires.

In 2022, Statista reported Argentine Patagonia received nearly 3.9 million overnight visitors, with January welcoming about 454 thousand people.

If you decide to travel to Argentina, enrolling in the free Smart Traveler Enrollment Program makes it easier to be located in an emergency.

From a health perspective, the U.S. CDC suggests various travel vaccinations, including for dengue outbreaks, when visiting Argentina in 2023.

Aug 19, 2023 • 10:15 am CDT
GAVI the Vaccine Alliance August 2023

Gavi today reported the Republic of Kenya is innovating to help every eligible child get four malaria vaccine doses in 2023.

As of August 18, 2023, about 96.5% of eligible children in Vihiga County in Kenya have received at least one RTS,S vaccine dose.

However, only 30% of eligible children in Vihiga are yet to complete the four-dose regimen that maximizes the WHO-approved malaria vaccine's effectiveness.

Part of the so-called "Lake-endemic region" in Kenya, a particularly mosquito-plagued set of districts abutting Lake Victoria, Vihiga has been offering malaria vaccinations since 2019.

The positive impact of malaria vaccination is already being measured.

More than a million Gavi-supported RTS,S (Mosquirix™) vaccine doses have been administered to some 400,000 children across the Lake-endemic counties, and Dr Abdourahmane Diallo, WHO Kenya Representative, confirms that those jabs, in concert with other malaria-control measures, have led to a demonstrable decline in case" .

The U.S. CDC Kenya"s Amy Herman-Roloff quantifies that decline at 50%.

The precise burden of malaria in sub-Saharan Africa has remained elusive, wrote researchers in an article published by the journal BMC Medicine.

Infection with Plasmodium falciparum is a frequent event for individuals living in stable transmission areas in Afric. Not all new infections cause illness in partdue tof acquired immunity, says the CDC.

In Africa, two malaria vaccines have been in use during 2023.

In addition to malaria, the CDC included Kenya in a recent polio outbreak travel advisory. When visiting polio outbreak areas, the CDC recommends travelers ensure they have been fully immunized. 

Aug 18, 2023 • 3:43 pm CDT
by Ingela Skullman

A cross-sectional study from the Mayo Clinic Study of Aging published on August 16, 2023, aimed to quantify the clinical trial eligibility criteria for lecanemab and aducanumab treatment for people with early Alzheimer's Disease (AD).

These AD therapies, which are not preventive vaccines, recently received U.S. FDA authorization.

The data indicates that few people are eligible for the anti-beta amyloid monoclonal antibody (mAbs) therapies.

Two hundred thirty-seven participants (mean age 80.9) with mild cognitive impairment or mild dementia and increased brain amyloid burden comprised the study sample.

The mAb aducanumab trial's exclusion criteria reduced the number of available participants, narrowing those eligible to 12 (5.1% of 237).

The common exclusions related to other chronic conditions and neuroimaging findings.

"At first glance, applying clinical trial criteria to real-world practice may seem overly conservative," noted Stephen Salloway, MD, of Brown University in Providence, Rhode Island, and co-authors, in a related editorial published on August 16, 2023.

The journal Neurology published this Research Article: Eligibility for Anti-Amyloid Treatment in a Population-Based Study of Cognitive Aging.

Aug 18, 2023 • 2:42 pm CDT
from Pixabay

The U.S. CDC published a Morbidity and Mortality Weekly Report (MMWR) today that concluded all adults at risk for mpox should receive Bavarian Nordic JYNNEOS® (MVA-BN) vaccine, irrespective of childhood smallpox vaccination status.

Immunologic studies have demonstrated some long-term immunologic memory from childhood smallpox vaccination that is cross-protective against mpox. Still, such immunity might have waned by May 2022, when the global outbreak began.

On August 18, 2023, the MMWR disclosed although persons aged >50 years likely received a childhood smallpox vaccination, they might have more comorbidities and a higher risk for severe mpox than those aged ≤50. 

This study found among 29,984 adults with mpox, those aged >50 years had higher prevalences of immunocompromising conditions and HIV and lower prevalence of symptoms than younger people.

Among 1,020 adults aged >50 with vaccination data, prevalences of pruritus, constitutional symptoms, and hospitalization were lower among those who received the JYNNEOS vaccine than those who had not.

This finding underscores the importance that persons at risk for mpox, particularly adults aged >50 years, receive the recommended JYNNEOS vaccination. JYNNEOS vaccination is recommended for all adults at risk for mpox irrespective of receipt of childhood smallpox vaccination, wrote these researchers.

The JYNNEOS vaccination services remain available in most health clinics and pharmacies in U.S. cities, London, and in various other locations.

It's unknown how long JYNNEOS protection last or if protection might decrease over time, says the CDC. 

On August 3, 2023, the U.S. government ordered an additional $120 million worth of JYNNEOS vaccines.

Aug 18, 2023 • 11:14 am CDT
US CDC flu season trends August 18, 2023

While the 2023-2024 flu season in the Northern Hemisphere is accelerating, influenza infections have already caused significant mortalities in the U.S.

The National Center for Health Statistics (NCHS) Mortality Surveillance data available on August 17, 2023, reported that 6.1% of the deaths during week #32 were due to pneumonia, influenza, and/or COVID-19.

Among the deaths reported during week #32, six listed influenza as an underlying or contributing cause of death on the death certificate.

Additionally, the U.S. Centers for Disease Control and Prevention (CDC) reported the total number of influenza pediatric deaths for this flu season has reached 168.

Furthermore, 1.3% of patient visits reported were due to respiratory illness, including fever, cough, or sore throat.

An analysis published by the Journal of Infectious Diseases on August 1, 2023, found the risk of flu-related intensive care admission was seven-time greater in unvaccinated people in certain countries.

The CDC recommends an annual flu shot for most people six months of age to reduce future deaths.

Updated flu shots are available, over 100 million so far, in health clinics and pharmacies in the U.S. Last flu season, about 173 million flu shots were distributed in the U.S.

The CDC encourages influenza vaccinations before and during the flu season.

Note: The CDC stated on August 18, 2023, the data presented are preliminary and may change as more data are received and processed.

Aug 18, 2023 • 9:25 am CDT
US CDC pharmacy program August 2023

According to reporting by Roll Call's Ariel Cohen, the U.S. administration announced in In March 2022 to keep providing free COVID-19 vaccines to every member of the public, it put the onus on insurers to negotiate the price of the vaccines.

On August 18, 2023, Cohen wrote, 'To prepare for insurers taking on price negotiation and to make sure the uninsured and underinsured still had access, the Biden administration announced in April of this year that it was setting up a partnership with pharmacies to deliver shots to the uninsured and underinsured at no up-front cost. 

The so-called "bridge access program" would be a $1.1 billion public-private partnership between the U.S. CDC and pharmacies. 

But months later, the government hasn't been able to finalize partnerships with any pharmacies.

During the COVID-19 pandemic, pharmacies administered a significant percentage of all vaccinations.

The Federal Retail Pharmacy Program for COVID-19 Vaccination is one part of the U.S. federal government's strategy to ensure access to COVID-19 vaccines for the American public.

As of July 21, 2023, more than 305 million doses of COVID-19 vaccine have been administered and reported by Federal Retail Pharmacy Program participants in the U.S. This includes 8 million doses administered onsite to long-term care facilities in the early days of the COVID-19 vaccination program.

The CDC said it planned to negotiate contracts with CVS, Walgreens, and eTrueNorth to provide pharmacy-based vaccination services to uninsured adults in low-access areas and areas of low vaccination coverage.

But the companies are still in contract negotiations with the government, and it's unclear when contract negotiations will be finalized.

"All of these are still in contract negotiation, so it's really difficult to see what the implementation of this program's going to look like in pharmacy," said Edward Salaguinto, a pharmaceutical constant to the California Department of Public Health.

The CDC is now targeting mid-October 2023 to get the pharmacy program up and running, according to multiple individuals working on the program — which could be about a month after the next generation of COVID-19 vaccines are expected to become available.

Aug 17, 2023 • 4:55 pm CDT
ECDC COVID-19 case map August 2023

The European Centre for Disease Prevention and Control (ECDC) today reported that after several months of meager infection rates, COVID-19 transmission has increased in some EU/EEA countries.

As of August 17, 2023, this increase has coincided with increasing detections of SARS-CoV-2 XBB.1.5-like lineages carrying the F456L mutation and other drivers can contribute to the increasing transmission rates.

These drivers include large gatherings during seasonal holidays and lower levels of immunological protection against infection after several months of very low disease incidence.

Fortunately, there is currently no sign of increased COVID-19 hospitalizations or pressures on healthcare systems. 

Additionally, the ECDC wrote adherence to national COVID-19 vaccination schedules is essential to protect people at high risk for severe disease and death.

As of August 11, 2023, among people aged 60 years and above, the cumulative uptake of a first booster was 84.9% (country range: 13.3–100.0%), and of a second booster was 35.6% (country range: 0.4–87.0%).

Countries should assess their readiness to identify target groups and conduct timely COVID-19 vaccination campaigns.

In addition, communication campaigns aimed at the public and healthcare professionals are deemed necessary to reach high-risk groups and inform them of the importance of staying up to date with vaccination. 

Aug 17, 2023 • 4:15 pm CDT
PAHO WHO Health Emergency map August 17, 2023

The Pan American Health Organization (PAHO) today announced thirty-five laboratory experts gathered this week in the Dominican Republic to discuss increasing the use of tools to detect and monitor mosquito-borne diseases in the Americas. 

The PAHO confirmed that from January until the end of July 2023, 27,000 Zika cases have been reported across the Americas.

The most significant Zika outbreaks were reported in Brazil, Bolivia, Belize, and Paraguay.

The U.S. CDC says because the mosquitoes that spread Zika are found throughout Puerto Rico, people living on the island are at risk for infection. In addition, the Puerto Rico Department of Health says Zika will continue to infect people in 2023. 

In 2022, there were about 40,000 Zika cases in the Americas.

"At least nine arboviruses with public health impact - such as dengue, zika, chikungunya, and yellow fever - are circulating in Latin America and the Caribbean, so strengthening and expanding laboratory detection and surveillance capacities are key to ensuring a timely response to outbreaks and epidemics," said Sylvain Aldighieri, Deputy Director of PAHO's Department of Health Emergencies, in a press release on August 16, 2023.

As of August 2023, the U.S. FDA has not approved a Zika vaccine.

Aug 17, 2023 • 1:37 pm CDT
U.S. CDC measles outbreak map August 2023

The U.S. Centers for Disease Control and Prevention (CDC) conducted a Clinician Outreach and Communication Activity (COCA) webinar on August 17, 2023, focused on eliminating measles in the U.S.

This webinar is essential since measles cases worldwide increased by about 80% during 2022. Globally, measles outbreaks have been reported in various countries this year. In the U.S., there have been 19 measles cases reported in 2023.

During this COCA Call, presenters reviewed the clinical presentation and diagnosis of measles infection, how to report suspected cases to public health agencies, and outlined vaccination recommendations in the U.S.

Measles is a vaccine-preventable disease, says the CDC. Measles vaccines (MMR) are available at health clinics and pharmacies in the U.S.

Earlier this year, the U.S. Food and Drug Administration recently approved the intramuscular route of administration for M-M-R®II and ProQuad® vaccines. In addition, the FDA  approved the Priorix vaccine to prevent MMR in individuals one year and older. 

Updated on August 21, 2023, with data regarding measles cases.

Aug 17, 2023 • 11:59 am CDT
UKHSA influenza map August 17, 2023

The U.K. Health Security Agency (UKHSA) today reported positive news regarding the 2023-2024 flu season in the United Kingdom.

As of August 17, 2023, the National Influenza reported for week #32 confirmed from most indicators that influenza activity remained low and stable over the past week.

In week #32 of 2023, influenza positivity rates remained low and stable at 0.5%.

Through primary care surveillance, the influenza-like-illness consultations indicator remained stable and was within the baseline activity level range.

Furthermore, no influenza-confirmed outbreaks were reported in England, and no influenza ICU admissions in week #32.

And emergency department attendance for influenza-like illness remained stable throughout the U.K.

For additional information regarding data, refer to Sources of surveillance data for influenza and other respiratory viruses.

When visiting influenza outbreak areas in 2023, the U.S. CDC says travelers should get vaccinated at least two weeks before departure because it takes times for vaccine immunity to develop after vaccination. Various flu shots are offered at clinics and pharmacies in the U.S.

Aug 16, 2023 • 3:52 pm CDT
by Kay Baggs

The Broward County Department of Health in Florida recently joined its southern neighbor, Miami-Dade, in issuing a Mosquito-borne Illness Alert.

The bite of an infected mosquito spreads dengue and is not usually present in the greater Ft. Lauderdale area. However, infected travelers have brought the virus back to Florida, primarily in the Miami-Dade Country area.

In 2023, there have been two locally acquired dengue cases in Broward County. Last year, there were two other locally acquired dengue cases.

In total, Florida's Department of Health has reported 215 dengue cases in 2023.

Globally, Dengue outbreaks have been confirmed by numerous countries this year, such as Costa Rica.

Dengue is a vaccine-preventable disease, with two vaccines approved in various countries.