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A joint team of Yale, University of Georgia, and Emory University scientists have received a $25 million government grant to develop an mRNA cancer vaccine. 

On September 7, 2023, Carlos Salcerio with Yale News reported the research combines the team's expertise in mRNA and dendritic cells.

These researchers seek to develop synthetic mRNA that will carry instructions for cancer-specific antigens to dendritic cells. 

By programming dendritic cells with synthetic mRNA, researchers can precisely instruct the immune system to target cancer-specific antigens without attacking healthy cells.

Healthy cells modified to include unrecognized proteins using mRNA might have otherwise been treated as a foreign entity. 

The researchers recognized that vaccine breakthroughs often involve considerable complexities and difficulties.

"We're not naive.... we know how difficult this stuff is..... we have to pick our winners to move forward into the clinic.... but I would say that certainly there should be winners."

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by David Mark
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Mpox vaccinations 2023
Mpox vaccine remains available in September 2023
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Three new outbreaks of cholera and/or Acute Watery Diarrhoea were recently reported from Uganda, Sudan, and the Republic of the Congo.

According to the World Health Organization (WHO) Edition #6, 28 countries have reported cholera cases since the beginning of 2023.  

The WHO African Region remains the most affected region, with 16 countries reporting cholera outbreaks since the beginning of the year.  

As of September 5, 2023, the overall capacity to respond to multiple and simultaneous outbreaks continues to be strained due to the global lack of resources, including shortages of oral cholera vaccines (OCV).

The WHO has pre-qualified three OCVs for use in 2023.

Based on the large number of outbreaks, their geographic expansion, and a lack of vaccines and other resources, WHO continues to assess the risk at the global level as very high.

In the U.S., there are very few cholera cases reported.

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US CDC cholera outbreak map 2023
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Since Ebola virus disease (EVD) impacts everyone in an outbreak area, another agency has approved a preventive vaccine for young children.

Merck today announced that the European Commission (EC) approved an expanded indication for the ERVEBO® vaccine for active immunization of individuals one year of age or older to protect against EVD caused by Zaire ebolavirus.

ERVENO was previously approved for use in the European Union for individuals 18 or older. 

The U.S. FDA recently issued similar approval for young children.

ERVEBO is approved in the European Union, United Kingdom, United States, Canada, Switzerland, and ten countries in Africa.

ERVEBO is a live recombinant viral vaccine with a vesicular stomatitis virus backbone that protects people from Zaire ebolavirus. This vaccine does not protect people from the Sudan ebolavirus or the Marburg virus.

Dr. Eliav Barr, senior vice president, head of global clinical development, and chief medical officer, Merck Research Laboratories, commented in a press release on September 7, 2023, “When outbreaks of Ebola virus disease occur, they can quickly become a public health crisis. We are proud to play a role, alongside the global public health community, in helping to prepare for potential outbreaks of Zaire ebolavirus.”

In January 2021, Merck confirmed an agreement with UNICEF to establish the world’s first global Ebola vaccine stockpile to support future Zaire ebolavirus (EBOV) outbreak preparedness and response efforts.

Over 500,000 doses of ERVEBO have been delivered to the stockpile, administered by the International Coordinating Group on Vaccine Provision.

The initial EBOV case was confirmed in 1976 in the African countries of South Sudan and the Democratic Republic of Congo. Recent data suggest EBOV outbreaks may originate from human-to-human transmission instead of spillover events.

The U.S. Centers for Disease Control and Prevention published a list of EBOV Cases and Outbreaks as of August 2023.

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While there are no approved human vaccines for Lyme disease, results from a new study show a booster dose can produce a strong immune response in children, adolescents, and adults.

France-based Valneva SE and Pfizer Inc. today announced positive pediatric and adolescent immunogenicity and safety data for their Lyme disease vaccine candidate, VLA15, when given as a booster.

The VLA15-221 Phase 2 clinical trial showed a strong anamnestic antibody response for all serotypes in pediatric (5 to 11 years of age) and adolescent participants (12 to 17 years of age), as well as in adults (18 to 65 years of age), one month after administration of a booster dose (month 19).

Depending on the primary vaccination schedule (month 0-2-6 or month 0-6), participants seroconverted after the booster dose, yielding seroconversion rates of 95.3% and 94.6% for all outer surface protein A (OspA) serotypes in all age groups, respectively.

Additionally, OspA antibody titers were significantly higher one month after the booster dose compared to one month after the primary schedule, with 3.3- to 3.7-fold increases (Geometric Mean Fold Rises) in adults, 2.0- to 2.7-fold increases in adolescents and 2.3- to 2.5-fold increases in children for all serotypes.

“Protection against Lyme disease is important for anyone who lives or spends time outdoors in areas where Lyme disease is endemic. This data from the VLA15-221 study is vital to improve our understanding of how vaccination may help to protect both adults and children from this potentially devastating disease,” commented Annaliesa Anderson, Ph.D., Senior Vice President and Head of Vaccine Research and Development at Pfizer, in a press release on September 7, 2023.

These results follow six-month antibody persistence data in children and adults reported for the VLA15-221 study in December 20222 and positive immunogenicity and safety data reported in April 20223.

Pfizer aims to submit a Biologics License Application to the U.S. Food and Drug Administration and a Marketing Authorisation Application to the European Medicines Agency in 2026, subject to positive Phase 3 data.

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Moderna, Inc. today announced that clinical trial data from its research assay confirm its updated COVID-19 vaccine, which is pending approval by the U.S. Food and Drug Administration, generates an 8.7-fold increase in neutralizing antibodies in humans against BA.2.86 (Pirola), a new variant under monitoring.

The U.S. Centers for Disease Control indicates that the highly mutated BA.2.86 variant may be more capable of causing infection in people who previously had COVID-19 or were vaccinated with previous vaccines.

"These results demonstrate that our updated COVID-19 vaccine generates a strong human immune response against the highly mutated BA.2.86 variant. Taken together with our previously communicated results showing a similarly effective response against EG.5 and FL.1.5.1 variants, these data confirm that our updated COVID-19 vaccine will continue to be an important tool for protection as we head into the fall vaccination season," said Stephen Hoge, M.D., President of Moderna, in a press release on September 6, 2023.

Public health authorities are vigilantly monitoring the BA.2.86 variant, a highly mutated strain of the SARS-CoV-2 betacoronavirus with over 30 mutations as compared to prior Omicron strains.

Moderna's clinical trial data around its updated COVID-19 vaccine's effectiveness against BA.2.86 have been shared with regulators and submitted for peer review publication.

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The Centers for Disease Control and Prevention (CDC) today announced it is preparing for co-circulating influenza virus, SARS-CoV-2, and respiratory syncytial virus (RSV) during the 2023-2024 season.

The CDC stated on September 5, 2023, that vaccines can provide life-saving protection against all three viral respiratory diseases.

Furthermore, the CDC recommends these vaccines for older adults, who are at a higher risk of severe illness from these diseases.

For example, the CDC recently published a Health Advisory about increased RSV activity in the Southeastern United States, including Georgia and Florida.

During a Clinician Outreach and Communication Activity (COCA) Call on September 19, 2023, CDC presenters will provide updates about the latest recommendations and clinical considerations for administering influenza, COVID-19, and RSV vaccines to seniors this year.

This COCA Webinar link is https://www.zoomgov.com/j/1606020154, ID: 160 602 0154, and Passcode: 493303.

According to the CDC, clinicians play a vital role in ensuring that older adults protect themselves by encouraging them to stay up to date on vaccinations.

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US CDC COCA Call Sept. 2023
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GSK and the YMCA today announced they are hosting GSK's Sideline RSV "Community Conversations" event series to raise awareness about respiratory syncytial virus (RSV) infection in older adults.

This is an essential event since the U.S. CDC issued a Health Advisory on September 5, 2023, regarding the 2023-2024 RSV season. 

The events will occur at four YMCA locations in Chicago, Los Angeles, New York City, and Phoenix, joined by GSK's campaign spokesperson Earvin "Magic" Johnson Jr., to help spark important conversations about RSV.

Kicking off in September 2023 and running through RSV Awareness Month in October, the private events will include perspectives from medical professionals and patients and convene public health leaders, media, and 60+ YMCA members.

"As a dedicated public health advocate, I'm excited to be able to visit older adults in their communities to talk about their risk for RSV infection," said Johnson in a press release.

"Like many of us, and being over 60 myself, I used to be unaware of RSV's effect on older adults."

"Now, I'm passionate about educating others and encouraging them to understand their risks and be proactive about their health."

For older adults, data suggest an increased risk for severe RSV infection that can lead to hospitalization.

RSV can exacerbate certain underlying medical conditions, such as chronic obstructive pulmonary disease, asthma, and chronic heart failure, and can lead to severe outcomes, such as pneumonia, hospitalization, and death.

As of September 6, 2023, two RSV vaccines were approved by the U.S. FDA.

To learn more, visit www.SidelineRSV.com. 

Earvin Johnson played for Michigan State in college in 1979, then for the Los Angeles Lakers, winning numerous championships.

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GSK September 2023
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Virginia 2023
Virginia and Florida report Meningococcal Disease deaths in 2023
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The Centers for Disease Control and Prevention (CDC) today announced a Health Alert Network Health Advisory CDCHAN-00498 to notify clinicians and caregivers about increased respiratory syncytial virus (RSV) activity in the Southeastern United States.

Historically, such regional increases have predicted the beginning of the RSV season in the U.S.

Across both prepandemic and pandemic years, RSV circulation began in Florida, said the CDC on September 5, 2023.

The Florida Department of Health segmented reports into five RSV regions, each with its own RSV season.

As of week #35, September 2, 2023, Florida's RSV activity had increased admission, positivity, and emergency room rates, but no current outbreaks. 

In anticipation of the onset of the 2023-2024 RSV season, the CDC encourages clinicians to prepare to implement new RSV prevention options.

A new monoclonal antibody product, Beyfortus™ (Nirsevimab-alip), protects infants and some young children at higher risk for severe RSV disease. Its availability in the U.S. is expected in October 2023.

Also, two new RSV vaccines are available to protect older adults from severe RSV disease: RSVPreF3 (Arexvy, GSK) or RSVpreF (Abrysvo, Pfizer), based on shared clinical decision-making between the healthcare provider and the patient.

Furthermore, the CDC recommends healthcare personnel, childcare providers, and staff at long-term care facilities should stay home and not go to work when they have a fever or symptoms of respiratory infection to reduce the spread of respiratory infections, including RSV.

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Florida Health Dept - RSV map, September 2, 2023
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