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Synagis (Palivizumab) RSV Monoclonal Antibody

Synagis® (Palivizumab) RSV Monoclonal Antibody Clinical Trials, Doseage, Efficacy, News, Side Effects

Synagis® (Palivizumab) is a respiratory syncytial virus (RSV) F protein inhibitor monoclonal antibody (mAb) indicated for the prevention of serious lower respiratory tract disease caused by RSV in pediatric patients. The mAb injection is given monthly throughout the RSV season. Synagis provides infants born prematurely (at or before 35 weeks and who are six months of age or less at th beginning of RSV season) the infection-fighting antibodies they lack, helping protect their vulnerable lungs from RSV from a passive immunization. Infants receive "ready-made" antibodies and do not have to produce them.

Synagis is not a vaccine but delivers passive immunity that protects children with certain lung or heart conditions at high risk for severe RSV disease. For example, children with BPD/CLDP or HS-CHD are more likely to be hospitalized with an RSV infection than those without these conditions. However, children can still get severe RSV disease despite receiving Synagis. The safety and efficacy of SYNAGIS in treating RSV disease S have not been established.

The American Academy of Pediatrics (AAP) strongly supported the consideration for using palivizumab in eligible patients during the interseasonal spread of RSV in late 2021. This AAP recommendation applied to regions experiencing high rates of RSV circulation in the spring and summer of 2021. Initiating palivizumab prophylaxis to eligible infants during a typical winter season is consistent with AAP policy

Synagis was approved for initial use in the U.S. by the FDA in 1998 and 2004 (BLA 103770/S-5059) and in Canada, Europe, the U.K., Israel, and India in 2023. On October 23, 2023, the U.S. CDC issued Health Alert Network Health Advisory (CDCHAN-00499) to provide options for clinicians to protect infants from RSV in the context of a limited supply of Beyfortus (nirsevimab) during the 2023-2024 RSV season in the U.S. On April 25, 2024, AstraZeneca reported a $27m decline in Synagis sales.

SYNAGIS® is a registered trademark of Arexis AB c/o Swedish Orphan Biovitrum AB. And SYNAGIS CONNECT® is a registered trademark of Arexis AB.

Synagis (Palivizumab) Cost Effectiveness

The Canadian health ministry published the results of a systematic review on February 1, 2023. It found that the cost-effectiveness results of PVZ as an RSV prophylaxis were heterogeneous across studies, ranging from dominant (i.e., less costly and more effective) to highly ineffective. 

Synagis (Palivizumab) Indication

Synagis is administered monthly throughout the RSV season. Unlike a vaccine,  Palivizumab is an antibody that becomes effective within hours of injection. Synagis 50 mg and 100 mg for injection are recommended for high-risk babies most likely to be affected by severe RSV, including:

Preemies - Babies born 35 weeks or less and six months or younger at the beginning of RSV season. A 2013 clinical study published in the New England Journal of Medicine showed that SYNAGIS significantly reduced RSV-related hospitalizations in late-preterm infants 33-35 wGA6.

Lung Issues - Infants with a chronic lung condition known as BPD/CLDP (bronchopulmonary dysplasia/chronic lung disease of prematurity) require medical treatment within six months and 24 months of age or younger at the beginning of RSV season.

Heart Issues - Infants with a heart condition known as HS-CHD (hemodynamically significant congenital heart disease) and 24 months of age or younger at the beginning of RSV season.

Children should not receive SYNAGIS if they have had a severe allergic reaction. Signs and symptoms of a severe allergic reaction could include an itchy rash, swelling of the face, difficulty swallowing, difficulty breathing, bluish skin color, muscle weakness or floppiness, and/or unresponsiveness. 

Synagis (Palivizumab) Dosage

Single-dose liquid solution vials: 50 mg per 0.5 mL and 100 mg per 1 mL. Per 15 mg per kg of body weight, administered intramuscularly before the RSV season, and the remaining doses administered monthly throughout the RSV season. Click Prescribing Information for SYNAGIS, including Patient Information.

Synagis (Palivizumab) Safety Information

SYNAGIS is contraindicated in children with a previous significant hypersensitivity reaction to SYNAGIS. Anaphylaxis and anaphylactic shock cases, including fatal cases, have been reported following initial exposure or re-exposure to SYNAGIS. 

Synagis (Palivizumab) News

September 30, 2023 - AstraZeneca India received approval from the Central Drugs Standard Control Organisation to import and sell Synagis (Palivizumab). Dr. Sanjeev Panchal, Country President and Managing Director, AstraZeneca India, said in a press release: "We are focused on bringing innovative therapies where we believe we can make the most meaningful difference to patients in India. Palivizumab is the only preventive therapy now approved in India that can help. 

December 2022 - Harvard Pilgrim reminded providers of its policy regarding Synagis (palivizumab) for the 2022-2023 season. Synagis requires prior authorization and should be reserved for infants with a history of pre-term birth and children with chronic lung or congenital heart disease. For members who qualify to receive five doses, the first dose is typically administered at the beginning of November and the last dose at the beginning of March to protect into April.

April 3, 2022 - Israel's Health Ministry authorized the expanded vaccination of premature babies against RSV.

February 10, 2022 - Swedish Orphan Biovitrum AB announced its results for the fourth quarter and the entire year of 2021.

December 17, 2021 - The American Academy of Pediatrics updated palivizumab prophylaxis guidance to prevent severe RSV infection hospitalization during the 2021-2022 RSV season.

November 13, 2018 - AstraZeneca agreed to sell Synagis (palivizumab) U.S. rights to Swedish Orphan Biovitrum AB (Sobi).

October 1999 - Palivizumab is a new anti-RSV monoclonal antibody product indicated to prevent serious lower respiratory tract disease caused by RSV in pediatric patients at high risk of developing RSV disease.

Synagis (Palivizumab) Clinical Trials

Synagis (palivizumab) has been involved in over 20 clinical trials.

An observational study, Prospective, Non-interventional Observation Study for the Use of Palivizumab in High-risk Children in Germany- SYNAGIS, was carried out to gather comprehensive real-world data on the use of palivizumab in children at high risk for serious RSV disease.

This registry was designed as a post-marketing observational study and conducted to collect data on palivizumab administration, risk factors for complicated RSV disease, hospitalization frequency, and drug adherence.

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Zika Outbreaks

Zika Outbreaks December 2025

Zika virus disease (ZIKV) was first recognized in Uganda in 1947, with the initial human infection confirmed in 1952. In 2016, the World Health Organization (WHO) declared the Zika virus epidemic a public health emergency of international concern. Since then, Zika outbreaks have been reported in tropical Africa, Southeast Asia, the Pacific Islands, in the Americas, and continue to occur in 92 countries and territories globally. The WHO published a Global Strategic Preparedness, Readiness, and Response Plan for Aedes-borne arboviruses on January 20, 2025. Studies predict that because of virus-carrying mosquitoes expanding into new geographic areas, about 1.3 billion people could be impacted by Zika by 2050.

As of 2025, the U.S. Centers for Disease Control and Prevention (CDC) Yellow Book states that international travelers with suspected Zika infection should be tested with real-time polymerase chain reaction or an NS1 antigen test. In 2025, public health and commercial lab testing services can detect Zika infections in people.

Zika in the United States

As of 2025, the Pan American Health Organization (PAHO) reported travel-related Zika cases in the United States. The Hawaiʻi Department of Health announced on May 27, 2025, that it is investigating two travel-related Zika cases, and Puerto Rico has been categorized as having a risk of Zika transmission for several years. As of December 31, 2024, the U.S. CDC reported 19 non-congenital Zika cases among U.S. residents (1 imported case in Texas). In 2023, the CDC reported five non-congenital cases among U.S. residents and 27 in U.S. territories. The  CDC says Zika-spreading mosquitoes are found throughout Puerto Rico, where the Department of Health says 16 cases were reported in 2024. 

Zika Outbreaks in The Americas

The PAHO has confirmed local transmission of the Zika virus in 52 countries and territories in the Americas since 2015. As of December 2025, over 25,800 Zika cases and four related fatalities were reported in the Americas this year. The PAHO reported 42,127 ZIka cases and two associated fatalities in the Americas in 2024, with the highest proportion of Zika cases reported in ArgentinaBrazil, Bolivia, Colombia, and Costa Rica. The PAHO reported over 37,659 Zika cases in the Americas in 2023. In 2021, the U.S. CDC removed its Level 2—Practice Enhanced Precautions notice regarding Argentina's Zika outbreak.

Zika in Europe

The European Centre for Disease Prevention and Control (ECDC) says the Zika virus is not endemic in mainland Europe. In August 2025, France reported four travel-related Zika cases. In November 2024, Italy reported 7 imported Zika cases this year. On September 11, 2024, France reported five imported cases of Zika in 3 departments colonized by Aedes albopictus. In 2022, the European CDC reported that 31,453 Zika patients were confirmed in 13 of 52 countries and territories. In addition, the WHO reported in 2019 that French authorities confirmed an autochthonous Zika virus case in Hyeres, Var department.

Zika United Kingdom

Zika virus disease cases also decreased to 4 cases in the first half of 2025. Zika cases increased to 16 in England, Wales, and Northern Ireland in 2024, up from 8 in 2023. Thailand (5 cases) and Singapore (2) were the most frequently reported travel countries. The UK Health Security Agency (UKHSA) issued a warning on March 21, 2024, concerning Zika outbreaks. Travel-related Zika cases in the UK peaked in 2016 with 725 cases.

Zika Virus Infection Impact

According to the WHO, there is scientific consensus that the Zika virus is transmitted to people by mosquitoes of the genus Aedes. Since 2013, 31 countries and territories have reported cases of congenital microcephaly and other central nervous system malformations associated with Zika virus infection. The WHO reports that Zika virus lineages, the African lineage and the Asian lineage, have recently spread in the Pacific and the Americas. Zika infections can cause microcephaly, Guillain-Barré syndrome (GBS), and other central nervous system malformations. Although the Zika outbreak in southern Brazil has slowed in recent years, live births with microcephaly continue to be reported.

The U.S. CDC published Research, Volume 30, Number 2—February 2024: a temporal phylogenetic analysis revealed limited within-host diversity among most ZIKV-persistent-infected associated samples. The researchers detected unusual viral diversity, uncovering the existence of divergent genomes within the same patient. During pregnancy, healthcare providers can monitor the fetus for signs of congenital Zika virus infection.

An Original Investigation published by JAMA Public Health on January 23, 2025, found that children younger than 5 years born with congenital Zika syndrome (CZS) had a 13.10-fold higher hazard of death compared with those without CZS. The cause-specific mortality hazard ratios were 30.28 for respiratory diseases, 28.26 for infectious and parasitic diseases, and 57.11 for nervous system diseases. Research published in Communications Biology and the Liverpool School of Tropical Medicine on January 20, 2025, reported that the Zika virus hijacks the skin of its human host to send chemical signals that lure more mosquitoes to infect and spread the disease further.

Congenital Zika Syndrome

A population-based study of mortality rates among children younger than 5 years old in Brazil, published in JAMA Network Open in January 2025, showed that children with congenital Zika syndrome (CZS) had a 13-fold higher risk of death compared with those without CZS.

The 2015–2016 ZIKV outbreak in the Region of the Americas revealed the ability of ZIKV from the Asian lineage to cause congenital disabilities, generically called CZS, which caused severe congenital disabilities of the brain and eyes, including severe microcephaly. A study published in Pediatrics in January 2025 concluded that children exposed to ZIKV in utero, even without CZS, demonstrate a greater risk for neurodevelopmental delay in early childhood, with the timing of maternal infection being a significant predictive risk factor. The International Journal of Infectious Diseases published a study in 2025 showing that children with CZS are more likely to experience frequent hospitalizations in early childhood. Scientists have reported that ZIKV RNA is detectable in the semen of infected men for months and is found in newborn children.

Zika Vaccines

As of 2025, no approved Zika vaccine exists; however, vaccine candidates are currently being tested in clinical trials.

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Zika outbreaks in 2025 are caused by mosquitoes transmitting virus to people that cause microcephaly in children.

mRNA-1608 Herpes Vaccine

mRNA-1608 Herpes Vaccine Clinical Trials, Dosage, Indication, News, Side Effects

Moderna Inc.'s herpes simplex virus (HSV) vaccine candidate, mRNA-1608, is a Messenger RNA (mRNA) vaccine targeting HSV-2 disease. On February 18, 2022, Moderna Inc. stated that it expects an HSV-2 vaccine could provide cross-protection against HSV-1. With mRNA-1608, Moderna aims to induce a strong antibody response that combines neutralizing and effector functionality with cell-mediated immunity. In clinical trials, a prophylactic genital herpes vaccine should prevent HSV-1 and HSV-2 genital lesions and infection of the dorsal root ganglia, the site of latency. Additionally, vaccine immunity should be durable for decades, possibly without the need for booster doses. While these efficacy goals have been elusive from previous herpes vaccine candidates, new efforts with nucleoside-modified mRNA-lipid nanoparticle vaccines show great promise. 

Moderna is developing mRNA-1608 to reduce the burden of HSV lesions, leveraging mRNA technology that offers potential advantages in efficacy, development speed, and production scalability and reliability. This may position our company as a leader in preparing for and responding to infectious disease threats that pose a significant risk to millions of people worldwide. To further characterize Moderna's IM vaccines, biodistribution studies were conducted to demonstrate the location of mRNA in the body after injection. Studies indicate that injected mRNA remains predominantly at the injection site and nearby draining lymph nodes. Furthermore, consistent with its transient nature, mRNA is undetectable in the body five days after injection, with minimal mRNA detectable after only three days.

A Phase 1 clinical study of mRNA-1608 in Healthy Adults Aged 18 to 55 with recurrent genital herpes caused by HSV-2 began recruiting participants on September 6, 2023. On March 27, 2024, Moderna confirmed the first-in-human, fully enrolled Phase 1/2 clinical trial (NCT06033261) of mRNA-1608, which includes three hundred participants with a history of recurrent genital herpes, randomly assigned in a 1:1:1:1 ratio to receive mRNA-1608 at one of the three dose levels or control (BEXSERO) administered as two doses at 0 and 2 months (Day 1 and Day 57). This study (mRNA-1608-P101) aims to generate safety and immunogenicity data and establish a proof of concept of the clinical benefit of the mRNA-1608 vaccine candidate. On May 2, 2024, Moderna announced that the Phase 1/2 study of mRNA-1608 was fully enrolled. The actual study Start Date was September 6, 2023; the Last update was  September 24, 2024; and the Estimated Primary Completion Date is April 11, 2025.

As of 2025, the U.S. Food and Drug Administration (FDA), the European Medicines Agency, and the U.K. have not approved a vaccine for the prevention of herpes. An analysis published in December 2024 found the global economic cost of herpes infections to be $35 billion annually. In 2025, people can order a herpes test commercially from laboratories. As of April 2025, clinical trials for herpes are accepting new participants.

Massachusetts-based Moderna, Inc. (NASDAQ: MRNA), a biotechnology company, is pioneering the development of messenger RNA therapeutics and vaccines. Moderna is developing vaccine candidates against latent viruses, including cytomegalovirus, Epstein-Barr virus, Human immunodeficiency virus, herpes simplex virus (HSV), and varicella-zoster virus (VZV).

mRNA-1608 Herpes Vaccine Indication

HSV has developed numerous defense mechanisms to evade innate and adaptive immunity systems. In the U.S., approximately 18.6 million adults ages 18 to 49 live with HSV-2, known as genital herpes. The U.S. CDC categorizes herpes simplex viruses into two types: HSV-1 primarily infects the mouth, face, and genital area, while HSV-2 primarily infects the genital region. Both herpes viruses establish lifelong latent infections within sensory neurons from which they can reactivate and re-infect the skin.

mRNA-1608 Herpes Vaccine Clinical Trial Sites in Texas

In Texas, these sites are conducting clinical trials:

Cedar Park, Texas, United States, 78613

Velocity Clinical Research, Austin

Fort Worth, Texas, United States, 76107

Helios CR, Inc., Fort Worth

Houston, Texas, United States, 77081

DM Clinical Research

San Antonio, Texas, United States, 78215

Sun Research Institute

Tomball, Texas, United States, 77064

DM Clinical Research

mRNA-1608 Herpes Vaccine Candidate News

December 11, 2024 - An estimated 846 million people aged between 15 and 49 are living with genital herpes infections.

May 4, 2022 - Moderna confirmed that preclinical studies are underway for the mRNA-1608 vaccine candidate.

April 2022 - The NIH published a study discussing the trivalent mRNA-lipid nanoparticle approach for a prophylactic genital herpes vaccine, as well as its ability to induce higher titers of neutralizing antibodies and more durable CD4+ T follicular helper cell and memory B cell responses than protein-adjuvanted vaccines.

March 2022: Moderna Inc. confirmed that preclinical studies are underway for VZV (mRNA-1468) and HSV (mRNA-1608) vaccine candidates. Both are members of the Herpesviridae family, which establishes life-long latent infections.

February 18, 2022 - Moderna, Inc. announced an expansion of its mRNA vaccine pipeline with three new development programs. "We are pleased to announce these new development programs, which reflect the continued productivity of our platform and the potential of our mRNA technology to impact the lives of hundreds of millions of people," said Stéphane Bancel, Chief Executive Officer of Moderna. 

December 22, 2021 - Translational Research published a Review article: An mRNA vaccine to prevent genital herpes. 

July 27, 2020 - PLOS published a study concluding that the HSV-2 trivalent mRNA vaccine is a promising candidate for clinical trials to prevent genital herpes caused by HSV-1 and HSV-2.

mRNA-1608 Herpes Vaccine Candidate Clinical Trials

As of 2025, Moderna publishes clinical trial updates at this web link. According to GlobalData, Phase II drugs for Genital Herpes have a 30% success rate in transitioning to Phase III, serving as a benchmark for progression. 

A Phase 1/2, Randomized, Observer-Blind, Controlled, Dose-Ranging Study of mRNA-1608, an HSV-2 Therapeutic Candidate Vaccine, in Healthy Adults 18 to 55 Years of Age With Recurrent HSV-2 —Last updated September 24, 2024, has a completion date of 2025-04-11. This study aims to generate safety and immunogenicity data and establish a proof-of-concept of the clinical benefit of the mRNA-1608 vaccine candidate.

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HIV Vaccines

HIV Vaccines Clinical Trials, Dosage, Indication, Side Effects

Human Immunodeficiency Virus (HIV) vaccine development accelerated in 2024, with candidates utilizing innovative technologies such as mRNANovotech's HIV Global, Clinical Trial Landscape report, revealed the biopharma industry has initiated over 1,000 HIV clinical trials worldwide since 2018. Developing HIV vaccines requires various clinical trials: phase 1, phase 2, phase 3, and phase 4; each development step is essential. The U.S. National Institutes of Health (NIH) published an article: Progress toward an HIV vaccine. The development of a preventive vaccine against HIV represents the best solution for controlling and eradicating the HIV pandemic, says the Vaccine Research Institute

As of August 2024, the U.S. Food and Drug Administration (FDA), BrazilJapan's National Institute of Infectious Diseases, the European Medicines Agency (EMA), and the United Kingdom had not approved an HIV prevention vaccine. On February 24, 2023, HIV.gov spoke with Dr. Dieffenbach, who noted that while there won't be an HIV vaccine in the near term, he encouraged anyone interested in learning about current HIV vaccine clinical trials to visit the HVTN website.

HIV Vaccine Candidates 2024

Following the discovery of HIV as a causative agent of AIDS, multiple HIV vaccine clinical trials have been conducted globally over the past 35 years. The use of nanotechnology in the design and improvement of HIV vaccines has recently advanced.

Moderna Inc. is advancing three Phase I clinical trials of HIV vaccines with partners (mRNA-1644/IAVI G002; mRNA-1644/IAVI G003; mRNA-1574/NIAID). mRNA-1574 is participating in the U.S. NIH's HVTN 302 study, there are three vaccine candidates: 1) BG505 MD39.3 mRNA, 2) BG505 MD39.3 gp151 mRNA, and 3) BG505 MD39.3 gp151 CD4KO mRNA.

ViiV Healthcare and GSK are advancing in the development of various HIV treatments (VH3810109, GSK3640254) that empower the suppression of the virus to undetectable levels.

eOD-GT8 60mer (mRNA-1644) - Developed by scientific teams at IAVI and Scripps Research and delivered via Moderna's mRNA platform. Recent findings from the Phase I clinical trial IAVI G001 showed that vaccination with the HIV immunogen eOD-GT8 60mer as a recombinant protein vaccine safely induced the targeted immune responses in 97% of recipients.

Vir Biotechnology, Inc. is developing VIR-1388, an investigational novel T-cell vaccine for the prevention of HIV based on the human cytomegalovirus vector (CMV) platform. A weakened version of CMV delivers the HIV vaccine material to the immune system without causing disease in the study participants.

HOOKIPA Pharma - Arenaviral therapeutic vaccines showed in a nonhuman, preclinical setting that 2-vector therapy induces a greater immune response than single-vector therapy and significantly reduces viral load.

AELIX Therapeutics S.L. - The therapeutic HIV vaccine, HIVACAT T-cell immunogen, is a novel HIV vaccine immunogen that leads to a prolonged period without Antiretroviral Treatment and supports the use of HTI vaccine for combination cure strategies for HIV—positive results from the phase 1 clinical study AELIX-002 published in the journal Nature Medicine.

CD40.HIVRI.Env is a vaccine candidate conducting a phase 1 clinical study and was developed by the Vaccine Research Institute (ANRS and Université Paris-Est Créteil, France) with a technology whose exclusive worldwide license is held by LinKinVax. On February 22, 2023, LinkinVax announced the observed counts of CD4+ T cells targeting specifically the HIV envelope protein produced after the vaccination remained stable until Week 48.

Uvax Bio, LLC announced in December 2023 that the U.S. NIH agreed to sponsor its HIV-1 vaccine candidate in a Phase 1 clinical trial to launch in the first quarter of 2024. The two vaccines being tested are based on Uvax Bio's proprietary 1c-SApNP® technology, displaying 20 uncleaved, prefusion-optimized (UFO) HIV envelope (Env) trimers in wild-type and glycan-trimmed forms (UVAX-1197 and UVAX-1107, respectively). The first participant was dosed in a Phase 1 clinical trial in Australia evaluating UVAX-1107 and UVAX-1197 on January 30, 2024. Uvax Bio's HIV-1 vaccines are combined with CpG 1018® adjuvant and aluminum hydroxide. In addition, research (April 2023) reported a single-component, self-assembling protein nanoparticle (1c-SApNP) could display 8 or 20 native-like Env trimers as vaccine candidates. 

Helocyte, Inc.'s Triplex is a universal (non-HLA-restricted) recombinant Modified Vaccinia Ankara viral vector vaccine engineered to induce a robust and durable virus-specific T cell response to three immuno-dominant proteins linked to CMV complications in the post-transplant setting. On October 16, 2023, the Company announced that it executed an exclusive option agreement with the City of Hope for patent rights to use Triplex, a cytomegalovirus vaccine, in combination with cytomegalovirus-specific, Anti-Human Immunodeficiency Virus Chimeric Antigen Receptor (CMV/HIV-CAR) T Cells for the treatment of adults living with HIV.

ReiThera Srl, the Ragon Institute of Mass General, MIT, Harvard, and IAVI are developing a novel HIV vaccine candidate that will be composed of ReiThera's Gorilla adenoviral vector (GRAd) vector, belonging to species C adenoviruses that are considered among the most potent vaccine carriers for the induction of CD8 T-cell responses to the encoded antigens and having a low seroprevalence in humans, and HIV T-cell epitope. IAVI is the sponsor and will execute a phase I clinical trial.

CytoDyn Inc. submitted a revised HIV clinical trial protocol to the FDA on February 1, 2024. The Company believes this submission removes the current clinical hold. On February 29, 2024, the FDA withdrew the clinical hold.

PrEPVacc HIV Prevention Study

On December 6, 2023, the PrEPVacc study team announced that they were discontinuing vaccinations following an independent data safety committee review that determined there was a minimal chance these HIV vaccines could stop HIV acquisition. However, the study's oral preexposure prophylaxis (PrEP) arms continue. The PrEPVacc clinical study combines the evaluation of experimental HIV vaccines and PrEP. As of March 2023, the study tested two different formulations of daily oral PrEP to see if a new F/TAF formulation (Descovy®) is effective. This clinical trial will provide data for F/TAF among cisgender women (87% of PrEPVacc trial participants). F/TAF is approved for use in the US and UK for selected people.

HVTN HIV Vaccine Candidate Clinical Trials

The HVTN datasets for phase 1a-2 trials can be found at this link.

HVTN 502 is a phase 2b trial evaluating the MRK Ad5 HIV-1 gag/pol/nef vaccine in 3,000 men and women at high risk of HIV in North America, the Caribbean, South America, and Australia. 

HVTN 505 is a phase 2b trial evaluating the DNA/rAd5 HIV-1 vaccine in 2,504 men or transgender women who have sex with men in the U.S.

HVTN 702 (Uhambo) is a phase 2b/3 trial evaluating the ALVAC-HIV + subtype C gp120/MF59 vaccine in 5,404 men and women at high risk of HIV in South Africa. 

HVTN 703/HPTN 081 and HVTN 704/HPTN 085 are two parallel phase 2b trials evaluating passive infusion of the broadly neutralizing antibody VRC01 in 2,699 at-risk cisgender men and transgender persons in the Americas and Europe and 1,924 at-risk women in sub-Saharan Africa.

HIV Monoclonal Antibody

Trogarzo® (ibalizumab) is a monoclonal antibody antiretroviral therapy associated with favorable virologic outcomes used in routine care in heavily treatment-experienced people with HIV in a study posted in May 2023. Trogarzo is a long-acting, CD4-directed, post-attachment HIV-1 inhibitor.

The peer-reviewed journal Nature published a study on June 1, 20,22 that concluded two HIV-specific broadly neutralizing monoclonal antibodies, 3BNC117 and 10-1074, completely suppressed HIV for about 40 weeks in patients who participated in a U.S. government-funded phase 1 clinical trial. The findings suggest that future antibody therapies may offer effective HIV treatment for extended periods without antiretroviral therapy.

Leronlimab, a CCR5 antagonist IgG4 monoclonal antibody, is designed to bind to C-C chemokine receptor type 5 (CCR5), a protein on the surface of specific immune system cells believed to play a role in numerous disease processes, including HIV.

A small phase I clinical trial led by Massachusetts General Hospital has tested an anti-HIV strategy involving an adeno-associated viral vector-based gene delivery system that instructs cells to pump out antibodies that block HIV. The treatment was safe and well-tolerated in the trial of eight adults with HIV. In addition, all participants produced measurable amounts of anti-HIV antibodies in their blood as of April 11, 2022.

ViiV Healthcare N6LS is a broadly neutralizing antibody that works by binding to a specific site (gp120) on the surface of HIV, preventing its entry into immune system cells (CD4+ T-cells). By blocking HHIV'sentry into human CD4+ cells, the virus cannot replicate, and the HIV transmission process may be prevented.

HIV Prevention

In August 2023, the U.S. Preventive Services Task Force recommended that clinicians prescribe preexposure prophylaxis using effective antiretroviral therapy to persons at increased risk of HIV acquisition to decrease the risk of acquiring HIV.

The U.S. FDA-approved Apretude (cabotegravir extended-release injectable suspension) for use in at-risk adults and adolescents weighing at least 35 kilograms for preexposure prevention to reduce the risk of sexually acquired HIV on December 20, 2021.

According to an editorial published in JAMA Internal Medicine, cabotegravir can be taken once every two months.

EDURANT® is a human immunodeficiency virus type 1 (HIV-1) specific, nonnucleoside reverse transcriptase inhibitor (NNRTI) indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in treatment-naïve patients 12 years of age and older and weighing at least 35 kg with HIV-1 RNA less than or equal to 100,000 copies/mL.

Gilead Sciences, Inc. announced on December 22, 2022, that Sunlenca® (lenacapavir), in combination with other antiretroviral, was Approved by the U.S. FDA for the treatment of HIV-1 infection in heavily treatment-experienced adults with multi-drug resistant HIV-1 infection. Sunlenca offers a twice-yearly treatment option for adults with HIV that their current treatment regimen does not adequately control. In May 2022, the NEJM published an ORIGINAL ARTICLE: Capsid Inhibition with Lenacapavir in Multidrug-Resistant HIV-1 Infection.

Gilead Sciences, Inc. announced on February 22, 2023, data evaluating lenacapavir in combination with broadly neutralizing antibodies (bNAbs) teropavimab and zinlirvimab as a potential long-acting treatment regimen with twice-yearly dosing. Results from the Phase 1b clinical trial demonstrated the investigational combination was generally well tolerated with high efficacy in select virologically suppressed participants living with HIV. The combination of lenacapavir with teropavimab and zinlirvimab will advance to a Phase 2 study in 2023 in virologically suppressed people with HIV.

Gilead Sciences, Inc.'s open-label phase 1 clinical study evaluated the efficacy and safety profile of Biktarvy® (bictegravir 50 mg/emtricitabine 200 mg/tenofovir alafenamide 25 mg tablets, B/F/TAF) in 33 virologically suppressed pregnant women with HIV. On December 12, 2023, the study's conclusion stated pharmacokinetic and safety data, combined with maintenance of robust virologic suppression, suggest that once-daily B/F/TAF without dose adjustment is appropriate during pregnancy.

The UB-421 SC formulation Semzuvolimab is in Phase 2 clinical trial development for HIV treatment, Last Update was Posted on February 23, 2023, with an Estimated Study Completion Date of December 31, 2025. The study protocol is entitled: Single arm Open-Label Phase 2 Trial of anti-CD4 Antibody UB-421 in Combination with Optimized Background Antiretroviral Therapy in Patients with Multi-Drug Resistant HIV-1 InfectThe NIAID/NIH sponsors this trialD/NIH. It was developed to provide a convenient delivery method compared to the IV route so patients can self-administer the medication. 

Sexually Transmitted Disease Vaccines

The sexually transmitted disease vaccine summary was updated in 2024.

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Clinical Trial: 
https://info.trialsearch.com/search-clinical-studies/?ad_id=12&cid=c8184e623bc4457eb23d81aadab4d2fe&o=12&ps=ws10&realtime=1&s=ss3&split_id=1482&utm_campaign=22&utm_medium&utm_source=everflow&utm_term=c8184e623bc4457eb23d81aadab4d2fe
Drug Class: 
vaccine
Condition: 
Last Reviewed: 
Saturday, August 3, 2024 - 05:45
Status: 

Avian Influenza Vaccines

Avian Influenza Vaccines 2025

The World Health Organization (WHO) reported in 2025 that over 1,000 human cases of influenza A have been reported globally since 2003. These cases include H5, H5N1, H5N6, and H5N8 strains of influenza A virus. In 2025, over 20 influenza A (bird flu) vaccines are available worldwide. The WHO updated recommendations for the development of new candidate vaccines for zoonotic influenza, with a view to pandemic preparedness.

As of November 2025, U.S. FDA-approved avian influenza vaccines are not commercially available. On December 11, 2024, the U.S. administration informed the media that there are no active plans to authorize the distribution of avian influenza (bird flu) vaccines. On June 27, 2024, the U.S. Centers for Disease Control and Prevention (CDC) confirmed that its avian vaccination program was inactive in the United States. According to the CDC, about 20 million doses of H5N1 and 12 million doses of H7N9 vaccines were available in the National Strategic Stockpile as of June 2023. The CDC also confirmed in October 2023 that an H5 candidate vaccine virus (CVV) similar to the hemagglutinin (HA) protein of H5N1 clade 2.3.4.4b A(H5) Candidate Vaccine Virus Development (pg. 37). The CDC says this H5 CVV could be used to produce a highly pathogenic avian influenza (HPAI) A(H5N1) virus vaccine for people.

The U.S. National Influenza Vaccine Modernization Strategy and the American Pandemic Preparedness Plan outlined the United States' priorities for the development and deployment of avian and pandemic influenza vaccines. As of 2025, the U.S. Influenza & Emerging Infectious Diseases (EID) Pandemic Vaccines and Adjuvants Program has advanced vaccination strategies to mitigate future pandemics. It also manages the U.S. National Pre-Pandemic Influenza Vaccine Stockpile (NPIVS) and implements its strategic use in the event of a public health emergency. The NPIVS uses the HHS Influenza Risk Assessment Tool (IRAT), updated in July 2023 and administered by the CDC, to identify and evaluate potential pandemic influenza threats. 

On April 21, 2024, the APHIS National Veterinary Services Laboratories made available 239 genetic sequences from the H5N1 clade 2.3.4.4b influenza virus recently identified in samples associated with the ongoing highly pathogenic avian influenza (HPAI) outbreak in the U.S. H5N1 is divided into several clades, each with its own geographic and clinical significance. 

Avian Influenza Vaccine Effectiveness

A Brief Communication published by the journal Nature Medicine on July 16, 2024, included the stockpiled US-licensed adjuvanted H5N1 vaccines. These vaccines generate cross-neutralizing antibodies against circulating HPAI H5N1 clade 2.3.4.4b in humans and may be helpful as bridging vaccines until updated H5N1 vaccines become available. Furthermore, the U.S. Food and Drug Administration (FDA), the United Kingdom, and European agencies say annual flu shots are unlikely to protect people during avian/pandemic influenza (bird flu) pandemics. 

U.S. FDA-Approved Avian Influenza Vaccines

On September 15, 2009, four influenza vaccine manufacturers received approval from the FDA to use the 2009 monovalent influenza A (H1N1) vaccine to prevent outbreaks caused by the 2009 pandemic influenza A (H1N1) virus. BARDA is partnering with GSK and CSL Seqirus to manufacture investigational lots of H5N8 vaccines and clinically assess the adjuvancy, immunogenicity, and dose-sparing ability of the adjuvants combined with the manufactured vaccines.

The U.S. FDA authorized CSL Seqirus Inc. Audenz™ (Influenza A(H5N1) Monovalent Vaccine, Adjuvanted), a cell-based vaccine, on January 31, 2020. CSL Seqirus has developed prophylactic vaccines to address the H5N1 threat posed by the virus, using egg-based technology at its Liverpool, UK facility (where the virus grows in eggs) and cell-based technology at its Holly Springs, NC facility (where the virus grows in cells).

On November 14, 2013, the FDA licensed the I.D. Biomedical Corporation Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted (STN#: 125419), to prevent H5N1 influenza disease. The vaccine was not commercially available in 2024, but the U.S. federal government purchased it for the National Stockpile for as-needed distribution. 

Sanofi Pasteur's Influenza Virus Vaccine, H5N1, was approved by the FDA in 2007.

Through six awards, CSL Seqirus has been working with the U.S. BARDA to support U.S. pandemic preparedness objectives. On October 4, 2024, CSL Seqirus received a new BARDA award to complete the fill-and-finish process for an additional pandemic vaccine. This $34 million investment further supports the U.S. government's response to the outbreak and preparedness efforts. It is the Six Avian Influenza Pandemic Preparedness Award presented to CSL Seqirus by BARDA. On September 25, 2024, CSL Seqirus announced an award of $121.4 million. As part of the NPIVS, it would expand its reserves of MF59® adjuvant to the equivalent of 40 million doses and expand its Vendor-Managed Inventory program for its proprietary MF59® adjuvant.

On May 30, 2024, CSL Seqirus announced that BARDA selected it to complete the fill-and-finish process of the pre-pandemic avian influenza vaccine for the U.S. government as part of the NPIVS program. The company stated that it intends to deliver approximately 4.8 million doses of pre-pandemic vaccine that are H5-matched to the H5 component of the currently circulating H5N1 strain.

CSL Seqirus announced on August 28, 2023, that BARDA selected the company to deliver one bulk lot of H5N8 A/Astrakhan antigen to support the U.S. government's pandemic response readiness under contract number 75A50122D00004 ($46.3 million). Seqirus received an award from BARDA to produce an A/Astrakhan virus vaccine, the seed, and subsequently announced the selection of CSL Seqirus to deliver an H5N8 A/Astrakhan virus vaccine candidate for assessment in a Phase 2 clinical study. Under the $30.1 million agreement, CSL Seqirus has established and maintains the required pandemic-readiness, delivering 150 million doses of cell-based pandemic influenza vaccine within 6 U.S. months of an influenza pandemic declaration in the U.S. In 2022, Sequirus's Holly Springs facility successfully achieved BARDA's criteria to establish domestic manufacturing capability for innovative cell-based seasonal and pandemic influenza vaccines. 

On October 5, 2022, CSL announced results from the preclinical studies of the company's self-amplifying messenger RNA (sa-mRNA) influenza vaccine candidates. The data, published in Molecular Therapy – Methods and Clinical Development, indicate that the sa-mRNA influenza vaccine candidates elicited a potent, cross-reactive immune response against pandemic and seasonal influenza strains A(H5N1) and A(H1N1) (Also Known as Swine flu). Roberta Duncan, CSL's mRNA Program Lead, commented in an article in March 2024, "The innovation of sa-mRNA brings the opportunity to provide greater public health protection against respiratory viruses and in other disease states." 

Avian Influenza Vaccine Candidate

On November 6, 2025, researchers at the University of Maryland School of Medicine's Center for Vaccine Development and Global Health announced encouraging results from an early-phase clinical trial that found an experimental intranasal vaccine triggered a broad immune response against multiple strains of H5N1. They reported a randomized, controlled phase I trial of a recombinant influenza A/H5 (A/Indonesia/05/2005, clade 2.1) hemagglutinin vaccine formulated with a nanoemulsion adjuvant (W805EC).

On July 24, 2025, Novavax, Inc. announced preclinical data demonstrating that its avian pandemic influenza vaccine candidate induced robust immune responses following either a two-dose intranasal or a two-dose intramuscular regimen in nonhuman primates. The results were published in Nature Communications

Canada Avian Influenza Vaccine

GSK—I.D. Biomedical Corporation of Quebec's Arepanrix H5N1 A/American wigeon clade 2.3.4.4b vaccine is approved by the U.S. FDA. It uses established technology for seasonal and pandemic flu vaccines approved in Canada. On February 19, 2025, the Public Health Agency of Canada released the National Advisory Committee on Immunization's Preliminary guidance on human vaccination against avian influenza in a non-pandemic context as of December 2024. 

China Pandemic Influenza Vaccine

SINOVAC's whole-virus inactivated H5N1 pandemic influenza vaccine, Panflu®, is supplied to the Chinese government's stockpiling program.

European Avian Influenza Vaccines

According to the European Medicines Agency (EMA), one vaccine (Aflunov) is authorized for use in the European Union (EU) during avian influenza outbreaks within notarized pandemic mic. Aflunov contains a flu strain called A/turkey/Turkey/1/2005 (H5N1)-like strain (NIBRG-23) (clade 2.2.1). Additionally, the EMA says that four pandemic-preparedness influenza vaccines authorized in the EU can be rapidly modified to protect people during a pandemic. EMA's human medicines committee recommended Celldemic at its February 2024 meeting (zoonotic influenza vaccine [H5N1] [surface antigen, inactivated, adjuvanted, prepared in cell cultures]). This vaccine is intended for immunization during outbreaks of influenza coming from animals, including when public health authorities anticipate a possible pandemic. Incellipan (pandemic influenza vaccine (H5N1) (surface antigen, inactivated, adjuvanted, prepared in cell cultures)) is a pandemic preparedness vaccine intended for use only if a flu pandemic has been officially declared.

On June 11, 2024, CSL Seqirus announced it would provide 665,000 pre-pandemic (zoonotic) vaccines to the EC's fifteen EU and EEA Member States. Seqirus UK Ltd has an EU-wide modified marketing authorization for this avian influenza vaccine for use in adults. On June 5, 2024, Andrew Joseph wrote that Finland may become the first country to offer 'bird flu' vaccinations to people this year. The zoonotic influenza vaccine Seqirus is used in Finland.

The European Commission (EC) signed a framework contract on July 22 for the joint procurement of GSK's Adjuvanted Pandemic Influenza Vaccine (Adjupanrix). As a result, EC Member States can purchase up to 85 million vaccine doses during an influenza pandemic.

Japan Avian Influenza Vaccines

Japan's Health Ministry announced in May 2023 that it is updating its avian influenza vaccine stockpile from H7N9 to H5N1. On May 25, 2023, local media reported that Japan plans to stockpile 10 million vaccine doses for its population. In 2018, Japan initiated another cull program for infected chickens. In 2008, Japan started testing bird flu vaccine versions. In 2003, after 79 years, the H5N1 Highly Pathogenic Avian Influenza (HPAI virus was detected in dead chickens.

United Kingdom Influenza Pandemic Vaccines

The UK Health Security Agency announced on September 2 an advanced purchase agreement with CSL Seqirus to produce over 100 million influenza pandemic vaccines if needed. On December 3, 2024, the UK Government purchased over five million doses of the human H5 influenza vaccine manufactured by CSL Seqirus UK Limited, a UK-based healthcare company.

Avian Influenza Vaccine Adjuvant

According to Vanderbilt University Medical Center research published in The Journal of Infectious Diseases (January 2024), avian (bird) influenza vaccines created a more robust immune response in a phase 1 study paired with the GSK-manufactured AS03 adjuvant.

mRNA Pandemic Influenza Vaccine Candidates

On April 10, 2025, Arcturus Therapeutics Holdings Inc. announced that the U.S. FDA had granted Fast Track Designation for the self-amplifying mRNA (sa-mRNA) vaccine candidate ARCT-2304. This vaccine candidate is designed for active immunization to protect against disease caused by the influenza A H5N1 subtype contained in the vaccine. ARCT-2304 (LUNAR-H5N1) is a STARR® sa-mRNA vaccine candidate formulated with Arcturus' proprietary LUNAR® delivery technology. 

Moderna initiated a Phase 1/2 study in July 2023 to generate safety and immunogenicity data for the investigational pandemic influenza vaccine (mRNA-1018) in healthy adults 18 years and older. The study includes vaccine candidates against H5 and H7 avian influenza viruses. Results from the study are expected in 2025 and will inform Phase 3 development plans. On January 17, 2025, the U.S. government awarded Moderna $590 million to continue vaccine development.

Argentinian manufacturer Sinergium Biotech is leveraging the WHO and the Medicines Patent Pool's mRNA Technology Transfer Programme. Sinergium has developed candidate H5N1 vaccines and aims to demonstrate the concept in preclinical models. Once the preclinical data package is concluded, the technology, materials, and expertise will be shared with other manufacturing partners.

In April 2024, the U.S. FDA granted CurVac N.V. Fast Track designation for a monovalent influenza A (H5N1) pre-pandemic mRNA vaccine candidate encoding an H5 antigen. The candidate is being developed in collaboration with GSK. The start of Phase 1, part of a combined Phase 1/2 study, was announced on April 24, 2024.

Arcturus Therapeutics Holding Inc.'s ARCT-2304 is a sa-mRNA vaccine candidate formulated within a lipid nanoparticle (LNP). The sa-mRNA vaccine candidate is designed to produce numerous copies of mRNA within the host cell after intramuscular injection, thereby achieving enhanced expression of haemagglutinin (HA) and neuraminidase (NA) antigens, and allowing lower doses than conventional mRNA vaccines. The FDA issued a "Study Can Proceed" notification on November 11, 2024.

Vir Biotechnology Pandemic Monoclonal Antibody

On October 4, 2022, the BARDA awarded California-based Vir Biotechnology, Inc. a multi-year contract with a potential value of up to $1 billion to advance the development of a complete portfolio of innovative solutions (vaccines) to address influenza and other infectious disease threats. BARDA will initially invest approximately $55 million to support ongoing and future development of VIR-2482, an investigational prophylactic monoclonal antibody (mAb) designed to protect against seasonal and pandemic influenza. On July 20, 2023, Vir announced that the Phase 2 PENINSULA trial, evaluating VIR-2482 for the prevention of symptomatic influenza A illness, did not meet its primary or secondary efficacy endpoints.

South Korea Avian Influenza Vaccine Candidate

SK Bioscience announced on May 6, 2025, that it has been selected for the Korea Disease Control and Prevention Agency Priority Infectious Disease Pandemic Preparedness Rapid R&D Support Program. This government-led initiative aims to develop vaccines against avian influenza, which has been identified as a high-risk candidate for the next pandemic.

Avian Influenza Vaccines for Birds

Boehringer Ingelheim VAXXITEK® HVT+IBD+H5 is a new trivalent vaccine for poultry that offers protection against Marek's disease, Infectious Bursal Disease, and H5 avian influenza.

The United States Department of Agriculture's Agricultural Research Service (APHIS) researchers confirmed on April 14, 2023, that they are currently testing several vaccine candidates for use with birds. On May 16, 2023, APHIS approved the emergency use of an HPAI vaccine to prevent additional deaths from avian influenza. The authorized vaccine is a killed, inactivated product conditionally licensed by APHIS' Center for Veterinary Biologics in 2016.   

The DIVA strategy uses an activated oil-emulsion vaccine containing the same haemagglutinin (H) subtype as the challenge virus, but a different neuraminidase (N) subtype. The possibility of using the heterologous N subtype to differentiate vaccinated from naturally infected birds was investigated by developing an "ad hoc" serological test to detect specific anti-N1 antibodies.

The World Organisation for Animal Health (WOAH) announced on June 7 that it issued a comprehensive report on Avian Influenza – Policy to Action: The Case of Avian Influenza – Reflections for Change. It was recognized that a successful vaccination strategy must rely on authorized (bird flu) vaccines. "Vaccinating is not the end; it is just the beginning. Vaccination application needs to be managed along the supply chain, including a surveillance program to detect active infection in vaccinated animals," said Dr. David Swayne, Disease Expert and Forum rapporteur.

14 min read
Last Reviewed: 
Tuesday, November 25, 2025 - 07:50
Description: 
Avian influenza and Pandemic vaccines are U.S. FDA approved.
Condition: 

Remsima Monoclonal Antibody

Remsima (Infliximab) Monoclonal Antibody 2022

Celltrion Healthcare's Remsima (Inflectra) (INN: Infliximab) is an anti-inflammatory medicine that contains the active substance infliximab. It is the world's first biosimilar chimeric human-murine IgG1 monoclonal antibody (mAbs) produced in murine hybridoma cells by recombinant DNA technology used to treat several autoimmune diseases. Remsima slows down the disease progression by neutralizing tumor necrosis factor-alpha (TNF-a), a common cause of autoimmune diseases.

The U.S. FDA approves a biosimilar product based on a showing that it is highly similar to an already-approved biological product, known as a reference product. The biosimilar also must show it has no clinically meaningful differences in terms of safety and effectiveness from the reference product. 

In August 2020, Celltrion and Inhalon Biopharma signed a Confidential Disclosure and Material Transfer Agreement to research and developed an inhaled administration formulation of regdanvimab. To elicit potent neutralizing antibody response against the new emerging SARS-CoV-2 variants, Celltrion identified a total of 38 potent neutralizing antibodies in which antibody candidate No. 32 (CT-P63) produced high neutralization titres against new emerging strains. CT-P63 has previously been demonstrated to have neutralizing activity against the most common variants, including the Alpha, Beta, Gamma, and Delta variants.

As of March 12, 2022, Remsima is Approved for various indications in Korea, Europe, Canada, Japan, the U.S., and multiple countries. U.S. FDA: BLA 125544. The EMA authorized Remsina EMEA/H/C/002576 in 2013. ATC code: L04AB02.

 Located in Incheon, South Korea, Celltrion Healthcare, Inc. is committed to delivering innovative and affordable medications to promote patients' access to advanced therapies. Its products are manufactured at state-of-the-art mammalian cell culture facilities, designed and built to comply with the U.S. FDA cGMP and the E.U. GMP guidelines. For more information, please visit https://www.celltrionhealthcare.com/en-us.

Remsima®SC

Remsima®SC is the world's first S.C. formulation of biosimilar infliximab developed by Celltrion. It was approved by the European Medicines Agency, the Korean Ministry of Food and Drug Safety, and Health Canada.

Remsima (Infliximab) Monoclonal Antibody Indication

Remsima is indicated to treat many different autoimmune diseases, including Rheumatoid Arthritis (R.A.), Ankylosing Spondylitis(AS), Ulcerative Colitis(U.C.), Crohn's disease(CD), Psoriatic Arthritis(PsA), Psoriasis(PsO).

Remsima (Infliximab) Monoclonal Antibody Dosage

Infliximab should be administered intravenously over two hours. All patients administered infliximab are to be observed for at least 1-2 hours post-infusion for acute infusion-related reactions. One vial contains 100 mg of infliximab. After reconstitution, each mL contains 10 mg of infliximab.

Rheumatoid arthritis: 3 mg/kg given as an intravenous infusion followed by additional 3 mg/kg infusion doses at 2 and 6 weeks after the first infusion, then every eight weeks thereafter. Remsima must be given concomitantly with methotrexate.

However, specific studies of infliximab in elderly patients have not been conducted.

Remsima (Infliximab) Monoclonal Antibody Contraindications

Contraindications Hypersensitivity to the active substance, to other murine proteins, or to any of the excipients listed in section 6.1. Patients with tuberculosis or other severe infections such as sepsis, abscesses, and opportunistic infections (see section 4.4). Patients with moderate or severe heart failure (NYHA class III/IV)

Regdanvimab (CT-P59) and CT-P63 Inhaled COVID-19 Therapy

Regdanvimab (CT-P59) and CT-P63 have been developed to target newly emerging mutations of SARS-CoV-2, including the Omicron variant (B.1.1.529). CT-P63 is a monoclonal antibody targeting the SARS-CoV-2 spike receptor-binding domain (RBD) as a treatment for COVID-19 infection.

The inhaled formulation of the monoclonal antibody not only targets the SARS-CoV-2 spike receptor-binding domain (RBD) and elicits a neutralizing antibody response, but it also has a 'trapping' mechanism of action and thereby neutralizes and traps in mucus with exceptional potency. The muco-trapping antibody platform directly traps the virus in airway mucus, preventing the local spread of the infection and quickly eliminating the virus from the lungs through the body's natural ability to clear mucus. In addition, the inhaled formulation can be readily self-administered by patients through a nebulizer, extend critical drug supplies to more patients by reducing the dosage needed, and does not place excessive demands on healthcare staff and infusion clinic space that intravenous drugs do.

Regkirona Monoclonal Antibody for COVID-19

Regkirona binds to the receptor-binding domain (RBD) of the spike(s) protein of SARS-CoV-2, consequently blocking cellular entry and SARS-CoV-2 infection. Regkirona is approved under Emergency Use of Authorization or Conditional Marketing Authorization in Korea, Europe, Indonesia, Brazil, Peru, and Australia.

Regkirona, Remsima Monoclonal Antibody News

February 7, 2022 - Celltrion Group announced it submitted an Investigational New Drug application to conduct a global Phase III clinical trial (2,200 people) evaluating the efficacy and safety of an inhaled COVID-19 antibody cocktail therapy for patients with mild-to-moderate symptoms of COVID-19. The inhaled COVID-19 antibody cocktail combines monoclonal antibodies with regdanvimab (CT-P59) and CT-P63 and has been developed to target newly emerging mutations of SARS-CoV-2, including the Omicron variant.

January 3, 2022 - The Celltrion Group announced results for its cocktail therapy candidates, including neutralization data against the Omicron variant. In an experiment conducted in partnership with the U.S. National Institutes of Health, CT-P63 showed strong neutralizing activity against the Omicron variant (B.1.1.529) based on structural analysis by X-ray crystallography and neutralization data from pseudo- virus testing. Celltrion anticipates results of the SARS-CoV-2 Omicron variant assays and animal model studies by the end of the first quarter of 2022.

July 22, 2021 - North Carolina-based Inhalon Biopharma, Inc., a clinical-stage immunotherapy company developing an inhaled "muco-trapping" antibody platform for treating a variety of acute respiratory infections, today announced it is partnering with Celltrion, Inc. to develop IN-006, an inhaled form of regdanvimab, for treating patients with COVID-19.

Remsima Monoclonal Antibody Clinical Trials

Remsima has been involved in over 25 clinical trials. Additionally, several other versions of the mABs are in COVID-19 six clinical trials.

A global Phase III clinical trial evaluating the efficacy and safety of an inhaled COVID-19 antibody cocktail therapy for patients with mild-to-moderate symptoms of COVID-19. The trial is expected to enroll 2,200 patients globally.

0 min read
Availability: 
Other 100 countries
Generic: 
Infliximab
Drug Class: 
Monoclonal Antibodies
Last Reviewed: 
Sunday, March 13, 2022 - 10:10
Brand: 
Remsima
Status: 
Manufacturer Country ID: 
FDA First In Class: 
Yes

Travel Diseases 2025

Travel Diseases December 2025

Vaccine-preventable disease outbreaks, such as polio, yellow fever, Ebola, measles, cholera, and chikungunya, continue to disrupt international travel in 2025, says the U.S. Centers for Disease Control and Prevention (CDC). In the United States, the National Notifiable Diseases Surveillance System collects data on reportable diseases from various jurisdictions. As of December 2025, the CDC published Travel Health Advisories and digital maps indicating disease outbreaks in multiple countries.

The World Health Organization (WHO) and the UK Health Security Agency (UKHSA) emphasize the importance of checking your destination before travel and staying prepared by staying up to date with the latest outbreaks and events. The UKHSA published an analysis of travel-related diseases in the United Kingdom for the first half of 2025. The WHO and the Pan American Health Organization (PAHO) publish weekly Epidemiological Updates for mosquito-transmitted diseases in 2025. The WHO publishes global trends and total numbers in reported cases of selected vaccine-preventable diseases.

Travel Diseases

As of 2025, the U.S. Food and Drug Administration (FDA) has approved vaccines targeting travel-related diseases, such as the following:

Chagas Disease - Researchers from Texas A&M University, the University of Florida, and the Texas Department of State Health Services say the time is now to recognize Chagas disease as endemic in the U.S. As of 2025, no vaccines are available to prevent Chagas disease.

Chikungunya: Chikungunya is a viral disease transmitted to humans by mosquitoes infected with the Chikungunya virus (CHIKV). Outbreaks are primarily found in Africa, Asia, Brazil, and the Indian subcontinent. In 2023, the U.S. FDA approved a CHIKV preventive vaccine, nd in 2025, a second one, VIMKUNYA® 2025.

Cholera: The WHO has recorded seven cholera pandemics over the past two centuries, with the current (7th) cholera epidemic, which began in 1961, expected to continue in 45 countries by 2025. WHO-prequalified oral cholera vaccines (OCV), such as DUKORAL, are available. VaxChora® became available in the U.S. in late 2023.

Dengue: The dengue virus is transmitted to humans through the bite of infected mosquitoes. There are four Dengue serotypes, and any of them can infect you.

Ebola: Ebola virus disease is a rare but often fatal illness in humans. The Ervebo® vaccine was approved by the U.S. FDA in 2020. 

Hepatitis: Hepatitis is an inflammation of the liver. The five main strains of hepatitis viruses include hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E. The CDC updated hepatitis vaccination schedules for children, adolescents, and adults. 

Influenza: Various influenza viruses continually spread worldwide. Several FDA-approved flu shots are available in 2025.

Japanese Encephalitis (JE) is a severe virus that spreads to people through the bites of infected mosquitoes. FDA-approved JE vaccines are available in the U.S.

Lassa Fever is an acute viral infection that originates and spreads through contact with a typical African rodent, such as the multimammate rat. As of 2023, the U.S. FDA has not approved a Lassa fever vaccine.

Lyme disease is a Tickborne disease common in Europe and the United States, transmitted to humans through the bite of infected ticks. No vaccine has been approved in 2025.

Malaria: A life-threatening disease caused by parasites transmitted to people through the bites of infected female Anopheles mosquitoes. It is preventable with the Mosquirix and R21/Matrix-M malaria vaccines, which are available in Africa, not the U.S.

Marburg: Marburg virus disease (MVD) is a severe human disease caused by the Marburg virus. Recent outbreaks in Africa have caused MVD. As of 2025, the FDA has not approved a vaccine for MVD.

Measles: Highly contagious, severe viral Disease; vaccines (MMR-II and Priorix) are available throughout the U.S., but the Disease poses a risk to international travelers visiting countries such as India.

Meningococcal: Vaccines can help prevent meningococcal Disease, which is any illness caused by the bacterium Neisseria meningitidis.

MERS: Middle East Respiratory Syndrome vaccines are not approved in 2025, but several vaccine candidates are being tested in clinical trials.

Mpox: Mpox is caused by the mpox virus, and outbreaks began in May 2022 and continue in 2023. Authorized vaccines such as JYNNEOS® are available in various countries in 2023.

Oropouche is a known disease that is emerging in parts of South America, Central America, and the Caribbean. As of July 2025, a commercial test was announced. Reverse transcription PCR testing can identify the RNA of the virus during the early stages of infection, aiding in diagnosis. Serology testing, which identifies antibodies produced by the immune system in response to the virus, can assist in diagnosing the virus in later stages of infection.

Polio is a highly infectious disease caused by the poliovirus. There is no cure for polio, but vaccines can prevent it. Canada, Israel, Germany, the UK, New York, Spain, and various African and European countries have detected the rabies virus in wastewater and in expanded vaccination programs. Rabies is a vaccine-preventable viral disease in over 150 countries and territories. It is present on all continents except Antarctica, with over 95% of human deaths occurring in the Asia and African regions. It is spread to people and animals through bites or scratches, usually via saliva. Dogs are responsible for up to 99% of rabies transmission to humans. 

Rift Valley Fever: An epidemic in Africa that can be fatal to humans. As of 2023, no vaccines are available for human use. However, the ThVF vaccine candidate was found safe, well-tolerated, and immunogenic when administered as a single dose in this University of Oxford phase 1 study population.

Rotavirus: Four rotavirus strains are WHO prequalified.

Tickborne encephalitis: The Tickborne encephalitis virus belongs to the family Flaviviridae. Four FDA-approved vaccines are currently available.

Typhoid: Typhoid fever is a life-threatening infection caused by Salmonella Typhi. It is usually spread through contaminated food or water. One FDA-approved vaccine has been used for many years to prevent typhoid.

Tuberculosis (TB) is a potentially severe infectious disease that primarily affects the lungs. The Bacillus Calmette-Guérin (BCG) vaccine helps prevent TB. 

West Nile Virus: Phoenix, Arizona, has become a West Nile Virus (WNV) hot spot in the U.S. in 2023. However, the U.S. FDA has not authorized a WNV vaccine for prevention.

Yellow Fever: Yellow fever is an acute viral hemorrhagic disease transmitted by infected mosquitoes. A small proportion of patients who contract the virus develop severe symptoms, and approximately half die within 7 to 10 days. Yellow fever vaccines (YF-Vax® and Stamaril®) are available worldwide.

Zika: Zika virus outbreaks in Brazil, India, and Puretro Rico are expected to continue in 2025. However, as of July 2025, no approved Zika vaccines are available.

Travel Vaccine Appointments

Request a pre-departure travel vaccination advisory appointment with a healthcare professional using this weblink.

6 min read
Last Reviewed: 
Saturday, December 13, 2025 - 20:10
Description: 
Vaccination prevents yellow fever, polio, malaria, measles, mpox, dengue, chikungunya diseases.
Condition: 

Measles Vaccines

Measles Vaccines May 2025

Measles vaccination programs began in the United States in 1963 and continue in every state and territory as of May 2025. The U.S. Centers for Disease Control and Prevention (CDC) published the measles vaccination schedules for children and adults and has issued an advisory for international travelers visiting areas with a measles outbreak in 2025. 

In May 2025, the CDC confirmed that if you are not sure if you or your travel companions are fully protected against measles, schedule an appointment to see your clinician at least six weeks before traveling so that you have enough time to get vaccinated with a measles, mumps, and rubella (MMR) vaccine. The CDC's Measles Clinical Presentation, Diagnosis, and Prevention Clinician Outreach and Communication Activity Call in 2023 included these presentations. The Lancet published a study in May 2025 that supports using the MR vaccine to protect young infants during measles outbreaks and in settings with increased risk or high transmission.

The European Medicines Agency (EMA) endorses various measles vaccines, including, but not limited to, M-M-RVaxPro and Priorix. The EU, the United Kingdom, and Health Canada offer MMR vaccines to young children as part of vaccination schedules. Among those diagnosed with measles in Europe between the beginning of 2024 and early 2025, with information available, 25,503 (86%) were unvaccinated. The WHO/UNICEF Joint Estimates of National Immunization Coverage portal displays country-based data from 2023.

Measles Vaccines

The U.S. Food and Drug Administration (FDA) approved the intramuscular route of administration for M-M-R®II and ProQuad® vaccines on March 6, 2023. In addition, the FDA approved the Priorix vaccine to prevent MMR in individuals one year and older. The U.S. CDC stated on November 18, 2022, that the Priorx and M-M-R II® vaccines are considered fully interchangeable, including for all off-label recommended uses.

Merck & Co. M-M-R®II, a Measles, Mumps, and Rubella Virus Vaccine Live (M-M-R II, is approved by the U.S. FDA for use in people 12 months and older. And Proquad® is approved for children ages 1 through 12 who may also get the MMR and Varicella Virus vaccines.

Priorix - Is licensed in the USA and over 100 countries for use in individuals aged 9 or 12 months, according to a 1- or 2-dose schedule, depending on the country. Priorix protects people against MMR. The CDC's MMR Vaccine Work Group presented: Overview of Measles by Ms. Lynn Bahta and Overview of GSK's Priorix MMR Vaccine by Remon Abu-Elyazeed, MD, Ph.D., U.S. Vaccines Medical and Clinical Affairs. 

Tresivac - This vaccine is available in India to prevent MMR. Serum Institute of India Ltd is the manufacturer.

Shanghai Institute of Biological Products released about 42 million MMR doses in China in 2020. 

Bio-MMR vaccine is offered in Brazil.

India MMR vaccine is offered to children.

MeasBio® (Biovac) in South Africa.

Indian Immunologicals Limited announced the approval from the Drug Controller General of India to manufacture the Mabella Live Attenuated Measles-Rubella Vaccine for children. This measles vaccine was developed in collaboration with the Polyvac Institute of Vietnam.

Measles Vaccines in Europe

Over the years, the European Union has authorized several monovalent vaccines for measles, including Amunovax, Priorix, Priorix Tetra, Provarivax, R.O.R. Vax, Rouvax, Trivivac, Varilrix, and Varivax. 

Measles Vaccine Immunity

The U.S. CDC says two doses of the MMR vaccine are 97% effective against measles, and people who receive MMR vaccination according to the vaccination schedule are usually considered protected for life against measles. A study published in 2021 found that within 10–15 years, the proportion of individuals with detectable anti-measles IgG was higher in two groups: those vaccinated with two doses of the anti-MMR vaccine and those with a self-reported history of measles infection. The proportion was higher among vaccinated individuals (20%; GMT = 92.2) than among those with a self-reported history of measles (6%; GMT = 213.3; p < .0001).

Measles Vaccine Price

According to the U.S. CDC, measles vaccine prices range from $87.31 to $250.02 as of 2024. Additional measles vaccine prices and discount information are posted at InstantRx™.

Measles Vaccine Microarray Patch Delivery

Vaxxas published positive results in November 2023 from a human clinical trial involving its technology that enables (measles) vaccines to be applied to the skin using a small microarray patch instead of a traditional needle and syringe.

Measles Outbreaks 2025

Measles outbreak news is updated as of 2025.

0 min read
Availability: 
Globally
Clinical Trial: 
https://clinicaltrials.gov/
Drug Class: 
Vaccine
Condition: 
Last Reviewed: 
Monday, June 9, 2025 - 07:00
Status: 
Kosher: 
Yes
Halal: 
Yes

Travel Vaccine Discounts

Travel Vaccine Discounts December 2025

The U.S. Centers for Disease Control and Prevention (CDC) vaccine Price List was updated in November 2025 to reflect current prices. The Vaccines For Children (VFC) program, established by the U.S. Congress in 1994, provides vaccines at no cost to qualifying children. Eligible children for VFC are entitled to receive approximately 19 recommended vaccines as per the U.S. CDC guidelines.

Consumers can also visit BeSafeRx to learn how to buy medicine online safely. UNICEF also delivers access to essential vaccines for children at discounted prices worldwide.

Travel Vaccine Discounts for Adults

The Adult Safety Net program helps uninsured individuals 19 or older become eligible for low-cost vaccines. You may be charged an administration fee of up to $25 per vaccine. If you cannot pay the price, notify the provider, and you will not be denied vaccination. The Inflation Reduction Act of 2022 eliminates out-of-pocket costs for vaccines under Medicare Part D. This Act aligns with policies under Medicare Part B and the Affordable Care Act, removing pharmacy counter barriers. 

Travel Vaccine Co-Payment Relief Program

The Patient Advocate Foundation's Copay Relief program helps reduce the financial distress patients and their families face when paying for treatment. Additionally, CPR's Health Equity Funds are specifically designed to assist eligible patients residing in one of the 220 counties covered by the funds.

Vaccine Discount Programs

Many pharmaceutical companies, pharmacies, states, and non-profits offer drug assistance programs that provide free or low-cost vaccines for the uninsured or underinsured.

AstraZeneca Reusethiscard.com is a prescription savings portal for pharmacies. Visit AZmedcoupons for instructions for each brand.

ArrayRx - A collaboration of state partners (Nevada, Oregon, Washington) offering the ArrayRx prescription discount card.

Bavarian Nordic vaccines are generally included in insurance programs in the United States, such as JYNNEOS (50632-0001-03).

ConnectiveRx helps pharmaceutical manufacturers, healthcare providers, and patients by facilitating access to needed medications.

Eli Lilly's Lilly Cares Foundation Patient Assistance Program provides prescribed Lilly medications at no cost to qualifying patients in the United States. Additionally, programs are available for individuals without insurance to help eligible people obtain Lilly medicines at lower prices or at no cost.

Janssen Pharmaceuticals provided $39 billion in rebates, discounts, and fees in 2022 to private and government programs, healthcare providers, distributors, and other stakeholders.

Pfizer VaxAssist and PAP Connect are designed to simplify access to certain Pfizer medicines for patients through the Pfizer Patient Assistance Program.

Sanofi Patient Connection offers various vaccine price savings, subject to eligibility and restrictions. Additionally, Sanofi offers live support specialists at (800) 633-1610 to address patients' questions. 

Valneva SE vaccines for Japanese Encephalitis and Chikungunya are generally available at travel clinics and pharmacies.

Adam J. Fein, Ph.D., published the 2025 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers in March 2025. 

3 min read
Last Reviewed: 
Saturday, December 13, 2025 - 20:10
Description: 
Travel vaccine discounts are offered through various programs in 2025

cAd3-EBO Z EBOLA Zaire Vaccine

cAd3-EBO Z EBOLA Zaire Vaccine

cAd3-EBO Z uses a chimpanzee adenovirus (cAd3) vector, or carrier, to deliver Ebola genetic material. The gene inserts express an Ebola virus protein designed to prompt the human body to make an immune response. cAd3-EBO Z EBOLA Zaire Vaccine is intended to protect against the Ebola Zaire virus species.

cAd3-EBO Z Vaccine Clinical Trials

There have been several EBOLA vaccine clinical trials over the last several years. This specific vaccine has proven to be safe and immunogenic when evaluated in numerous Phase 1 clinical trials, including at the NIH Clinical Center in Bethesda, Maryland. The vaccine candidate was also tested in multiple Phase 2 trials in both adults and children, including the Phase 2 PREVAIL 1 trial in Liberia. The PREVAIL findings indicated the vaccine was well-tolerated and induced an immune response in recipients.

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Generic: 
cAd3-EBO Z
Drug Class: 
Vaccine
Condition: 
Last Reviewed: 
Tuesday, June 18, 2024 - 07:00
Status: