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Yellow Fever Vaccines

Yellow Fever Vaccine Availability 2025

Effective yellow fever (YF) vaccines are available in the Caribbean, Europe, South America, the United States, and the United Kingdom in December 2025. YF vaccines have been listed by the World Health Organization (WHO) for decades. According to the U.S. Centers for Disease Control and Prevention (CDC) Yellow Book 2026, yellow fever vaccination is recommended for people aged nine months or older who are traveling to or living in areas at risk for the yellow fever virus. The WHO, the European Medicines Agency (EMA), the Pan American Health Organization (PAHO), and the CDC state that a single yellow fever vaccination can provide protection and promote sustained immunity in approximately 90% of people vaccinated. The 17D yellow fever vaccine was approved for human use in 1938 and in Europe in 2006.

Yellow Fever Vaccines 2025

According to a study in Nature, approximately 850 million 17D vaccine doses have been distributed since authorization. As of 2025, yellow fever vaccination appointments are offered at travel clinics and pharmacies in the United States. In 2023, nearly 62 million individuals received vaccinations under the WHO Eliminate Yellow Fever Epidemics (EYE) strategy. The yellow fever vaccine stockpile is an emergency reserve of six million doses, funded by GAVI and managed by the International Coordinating Group on Vaccine Provision. 

YF-VAX® vaccine is licensed in the U.S. (BL 103915) and available at certified travel vaccine clinics and pharmacies.

Stamaril® vaccine is available in about 40 countries.

Sanofi's vYF-247 vaccine candidate demonstrated viremia, safety, and immunogenicity in a first-in-human phase clinical trial and was chosen for further development. vYF-247 was cloned from YF-VAX and adapted for growth in serum-free Vero cells.

Bio-Manguinhos Yellow fever vaccine - The National Immunization Program offers the yellow fever vaccine in Brazil.

The Institut Pasteur Yellow fever vaccine is produced at the Institut Pasteur in Dakar. The WHO approved the laboratory to supply the yellow fever vaccine to the Expanded Programs on Immunization in Africa.

Chumakov Institute Yellow Fever Vaccine. The Chumakov Center is a research organization specializing in medical virology. The vaccine is a freeze-dried virus-containing suspension of specific-pathogen-free embryo tissues infected with attenuated Yellow Fever virus, strain 17D. 

RegaVax is a vaccine candidate that utilizes the genetic code of the yellow fever vaccine virus as a carrier (or vector) for the coronavirus's genetic code.

Najít Technologies' Vax-002 YFV is a Novel Inactivated Yellow Fever vaccine candidate, conducting phase clinical research with the NIH. The study evaluated the administration of 1 mg of CG and 5 mg of DOD intramuscularly.

SII YFV, containing the 17D-213 vaccine strain, has been developed in India. A Phase I study evaluated the safety and immunogenicity in healthy adult volunteers. This YFV was found to be safe and immunogenic when administered by IM and SC routes. 

Yellow Fever Vaccine Boosters

The U.S. CDC states that a yellow fever vaccine booster dose is not necessary. In Brazil, the standard presentation should include an additional dose for individuals who received the fractional dose of the yellow fever vaccine in 2018 and who will travel to areas with proven virus circulation in 2025.

The Lancet Global Health published results from a systematic review and meta-analysis in January 2024 to determine immunity following yellow fever vaccination. The evidence suggests that a single dose of yellow fever vaccination provides lifelong protection for travelers. However, in people living with HIV and children (younger than two years), booster doses might still be required because lower proportions of vaccinees were seroprotected ten or more years post-vaccination. Pooled seroprotection rates were 94% (95% CI, 86–99%) among healthy adults in a non-endemic setting (mostly travelers) and 76% (65–85%) in an endemic setting (all Brazilian studies). The pooled seroprotection rate was 47% (35–60) in children (aged 9–23 months at the time of vaccination) and 61% (38–82) in people living with HIV. 

Yellow Fever Vaccine Fractional Dosage

On February 19, 2025, the New England Journal of Medicine (NEJM) published an Original Article concluding that a yellow fever vaccination dose as low as 500 IU was non-inferior to the standard dose of 13,803 IU for achieving seroconversion within 28 days. The Lancet Infectious Diseases published an Opinion on April 28, 2023, stating that fractional-dose vaccination in an emergency or reactive mass vaccination campaign has become essential for stretching the limited vaccine stockpile to cover a larger population. The Lancet published results from a clinical study in January 2021 (updated Feb. 2022, concluding, 'Fractional doses of all WHO-prequalified yellow fever vaccines were non-inferior to the standard dose in inducing seroconversion 28 days after vaccination, with no major safety concerns. These results support using fractional dosage in the general adult population for outbreak response in a vaccine shortage.' The WHO's initial position on fractional yellow fever vaccine was set out in the 2013 WHO position paper.

Yellow Fever Vaccine Breakthrough Cases

In January 2025, researchers reviewed 19 papers documenting breakthrough yellow fever infections between 1944 and 2023. There were up to 7,793 suspected and up to 773 confirmed breakthrough cases reported in the literature, including 13 cohort studies, 4 case reports, and 2 case series, which we summarize, evaluate, and identify approaches used, as well as their strengths and weaknesses. The YF virus is a single-stranded RNA virus belonging to the genus Flavivirus. The virus is transmitted to people via the bite of an infected mosquito.

Yellow Fever Vaccination Card

The International Certificate of Vaccination or Prophylaxis (ICVP), also known as the International Certificate of Vaccination or Prophylaxis (ICVP), is required to enter certain countries. For example, in the U.S., vaccinated individuals receive an ICVP to prove they have recently received the YF vaccination, according to the WHO. Additionally, ICVP requirements are outlined in the WHO's Country List. The U.K.'s National Health Service (NHS) updated yellow fever vaccination requirements for specific countries in 2025, and requirements are available on the CDC Travelers' Health webpage

Yellow Fever Vaccine Price

The CDC's Vaccines for Children Program provides vaccines at no cost to eligible individuals. Additionally, UNICEF publishes vaccine prices for children. Sanofi's Patient Connection® offers various vaccine price savings. Additionally, Sanofi offers live support specialists at (800) 633-1610 to address patients' questions.

Yellow Fever Travel Advisories

The U.S. CDC, the WHO, and the U.K. Travel Health Advice recently issued yellow fever Travel Advisories. As of June 2025, news about yellow fever outbreaks in the Americas and Africa is posted on Vax-Before-Travel. A total of 13 countries in the WHO African Region have documented probable and confirmed cases of yellow fever, namely Burkina Faso, Cameroon, the Central African Republic, Chad, the Republic of the Congo, Côte d'Ivoire, the Democratic Republic of the Congo, Guinea, Niger, Nigeria, South Sudan, Togo, and Uganda. 

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Last Reviewed: 
Thursday, December 11, 2025 - 16:40
Description: 
Yellow fever vaccines are approved in 2025 for people in the United States, South America, Central America, Caribbean, Africa and Asia.
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MenABCWY Meningococcal Vaccine

MenABCWY Meningococcal Vaccine

Pfizer Inc.’s investigational pentavalent meningococcal vaccine candidate MenABCWY (PF-06886992) combines its two approved meningococcal vaccines, Nimenrix™ (meningococcal group A, C, W-135, and Y conjugate vaccine) and Trumenba® (meningococcal group B vaccine). The five serogroups included in MenABCWY are responsible for most currently circulating meningococcal disease globally. Meningococcal disease refers to any illness caused by Neisseria meningitidis, according to the U.S. Centers for Disease Control and Prevention (CDC).

Pfizer announced on December 28, 2022, that the U.S. Food and Drug Administration (FDA) accepted for review a Biologics License Application (BLA) for MenABCWY to prevent meningococcal disease caused by the most common serogroups in individuals 10 through 25 years of age. The FDA  Prescription Drug User Fee Act (PDUFA) goal date is in October 2023. The regulatory submission is supported by previously announced positive results from a randomized, active-controlled, and observer-blinded Phase 3 trial assessing the pentavalent vaccine candidate's safety, tolerability, and immunogenicity with more than 2,400 patients from the U.S. and Europe.

New York-based Pfizer Inc. 'applies science and our global resources to bring therapies to people that extend and significantly improve their lives.'

MenABCWY Indication

MenABCWY Meningococcal vaccine candidate is indicated to prevent meningococcal disease that can attack without warning and lead to meningitis and severe infections. Most invasive meningococcal disease cases worldwide can be attributed to five Neisseria meningitidis groups (A, B, C, W, and Y). Together, these meningococcal groups account for 96% of all invasive meningococcal diseases, with group B accounting for most of the disease in adolescents and young adults in the U.S. and Europe, says the CDC. The CDC's Advisory Committee on Immunization Practices recommends immunizing people with HIV with two meningococcus serogroups, A, C, W, and Y (MenACWY).

MenABCWY and Gonorrhea

Meningococcal vaccines are reported to have efficacy against gonorrhea in 2017, 2022, and 2023.

MenABCWY News 2023

December 28, 2022 - Annaliesa Anderson, Ph.D., SVP and Chief Scientific Officer, Vaccine Research and Development, Pfizer., said in a press release, "We believe our investigational MenABCWY vaccine, I approved and recommended, could help simplify the meningococcal vaccination schedule for adolescents and young adults, and in turn improve vaccination rates, and provide the broadest serogroup coverage of any meningococcal vaccine. The pentavalent vaccine candidate was well-tolerated in clinical trials, with a safety profile consistent with currently licensed meningococcal vaccines."

September 15, 2022 - Pfizer Announces Positive Top-Line Results from Phase 3 Trial of Pentavalent Meningococcal Vaccine Candidate (MenABCWY) in Adolescents.

June 22, 2020 - The initiation of the Phase 3 trial is based on positive results from a proof-of-concept study in 543 adolescents and young adults. Detailed results from the proof-of-concept study have been submitted for presentation at ID Week 2020.

MenABCWY Clinical Trials

MenABCWY Meningococcal Vaccine is currently in 4 clinical trials to determine the safety, tolerability, and immunogenicity among various age groups. The pivotal Phase 3 trial (NCT04440163) assesses the safety, tolerability, and immunogenicity of its investigational pentavalent meningococcal vaccine (MenABCWY) in healthy individuals 10 through 25. The trial met all primary and secondary endpoints. In addition, this investigational vaccine demonstrated noninferiority to licensed vaccines for the five meningococcal serogroups that cause the most invasive meningococcal disease: serogroups A, B, C, W, and Y.

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Availability: 
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Generic: 
PENTAVALENT MENINGOCOCCAL VACCINE
Clinical Trial: 
https://clinicaltrials.gov/ct2/results?term=MenABCWY&draw=2&rank=10#rowId9
Drug Class: 
Vaccine
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Last Reviewed: 
Friday, September 1, 2023 - 06:10
Brand: 
PF-06886992
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JYNNEOS (MVA-BN) Mpox Smallpox Vaccine

JYNNEOS® Mpox Smallpox Vaccine Clinical Trials, Dosage, Efficacy, Side Effects, Usage

Bavarian Nordic A/S JYNNEOS® (MVA-BN®IMVAMUNE®, IMVANEX®), third-generation, live, attenuated vaccinia virus, Modified Vaccinia Ankara (MVA) vaccine. The MVA is cultured in chicken embryo fibroblast cells and maintained in a serum-free medium. It cannot replicate in the human body but can elicit a potent immune response. It is purified and filtered from the cells using various methods, including benzonase digestion.

Since 2003, Bavarian Nordic (BN) has co-developed JYNNEOS with the U.S. Government's Biomedical Advanced Research and Development Authority (BARDA) to ensure that adult populations can be protected from smallpox, including individuals with weakened immune systems or at high risk of adverse reactions to traditional smallpox vaccines based on replicating vaccinia virus strains. Approved by the U.S. Food and Drug Administration (FDA) in 2019, JYNNEOS was the first smallpox vaccine successfully developed under the Project BioShield initiative. BARDA has supported the development of a freeze-dried formulation of the vaccine to replenish the stockpile, and in 2017, it awarded BN a ten-year contract. BN has supplied a liquid-frozen formulation of JYNNEOS to the U.S. government for stockpiling since 2010 and in response to the mpox outbreak in 2022-2023. The U.S. government recommends two doses to provide robust protection, and routine immunization against mpox is not recommended for the general public. Booster doses (third) are recommended for specific individuals. On February 14, 2025, Interim Clinical Considerations for Use of Vaccine for Mpox Prevention in the United States stated, 'That while two vaccines can be used to prevent mpox (JYNNEOS®, ACAM2000®), only JYNNEOS has been used in the ongoing mpox outbreak.'

meta-analysis of 16 studies published on April 26, 2024, revealed that the vaccine efficacy (VE) for one preexposure prophylactic JYNNEOS vaccination ranged from 35% to 86%, and the VE for two doses ranged from 66% to 90%. On June 6, 2025, a preprint study reported that MVA-BN vaccination induced sustained immunological memory after two-dose primary vaccination, as evidenced by a rapid anamnestic response up to five years post-vaccination. These results suggest that immunity does not wane for at least five years.

Since September 13, 2024, JYNNEOS has been commercially available in the U.S. and added to the World Health Organization (WHO) prequalification (PQ) list. The WHO PQ and Emergency Use Listing are mechanisms for evaluating the quality, safety, and efficacy of medical products, including vaccines. According to estimates from the U.S. Centers for Disease Control and Prevention (CDC), approximately two million U.S. individuals are eligible for mpox vaccination. Recent data shows that 15% of eligible people have received only one dose of the JYNNEOS vaccine. 

On June 5, 2025, the WHO Director-General, Dr Tedros Adhanom Ghebreyesus, announced that the mpox upsurge continues to meet the criteria of a public health emergency of international concern. On June 5, 2025, the WHO released new recommendations for clinical management and infection prevention and control (IPC) for mpox. This living guideline from WHO incorporates new evidence to dynamically update recommendations for clinical management and IPC for mpox infection. As of November 2025 (WHO reported #59), approximately 1 million vaccine doses (JYNNEOS®) have been administered to people across 12 African countries, and it remains available in the United States.

Bavarian Nordic A/S, headquartered in Kvistgaard, Denmark (OTCMKTS: BVNRY) (OMX: BAVA), focuses on developing, manufacturing, and commercializing life-saving vaccines. The MVA-BN® vaccine is marketed under the brand names IMVANEX® in the European Union, IMVAMUNE® in Canada, and JYNNEOS® in the U.S. JYNNEOS® is the only mpox vaccine that the WHO has prequalified. In 2025, JYNNEOS vaccine revenues increased by 51%, primarily driven by the phasing of supply and also positively impacted by supplemental payments for the freeze-dried vaccines delivered to the U.S. government, triggered under options exercised in May 2025.

JYNNEOS Vaccine Availability

As of 2025, healthcare providers in the United States can order JYNNEOS through their preferred wholesalers and distribution partners to make it available to at-risk individuals at pharmacies, physician offices, and public health clinics. This HHS operational planning guide is provided to aid state, tribal, local, and territorial health officials in their planning and response efforts. JYNNEOS  became commercially available at pharmacies in the U.S. in 2024.

IMVAMUNE® (MVA-BN) Vaccine Availability

The European Commission issued marketing authorization for smallpox prevention for MVA-BN (Imvanex) in 2013. It was extended to include mpox for adults in 2022, based on efficacy data in non-human primates and immunogenicity data from numerous studies involving more than 4,000 healthy and immunocompromised individuals. On September 19, 2024, the European Medicines Agency (EMA) recommended extending the indication of the smallpox and monkeypox vaccine Imvanex to adolescents aged 12 to 17. It is inferred that the vaccine will provide similar protection in adolescents as in adults. On November 11, 2024, the WHO confirmed that the Mpox Vaccines Access and Allocation Mechanism endorsed an independent Technical Review Committee to allocate 899,000 MVA-BN vaccine doses to nine countries across the African region. As of June 27, 2025, more than 731,000 doses of the MVA-BN vaccine have been administered in Africa. On October 31, 2025, BN announced an order for 750,000 MVA-BN vaccines to be delivered in Europe in 2026.

JYNNEOS (IMVANEX®) and 4CMenB Vaccination Program in the United Kingdom

Effective August 1, 2025, a new routine mpox and gonorrhoea vaccination (4CMenB) program, primarily for men who have sex with men at higher risk of acquiring these infections, will be delivered by local authority-commissioned sexual health services in the United Kingdom.

Bavarian Nordic JYNNEOS Production

Since 2022, Bavarian Nordic has built a vaccine inventory to provide surge capacity in the event of potential outbreaks. Bavarian Nordic has identified 50 million doses that could be supplied during the next 12-18 months, pending regulatory approvals and demand. The Company has informed the African CDC that it can manufacture an additional 10 million doses by the end of 2025, which aligns with current orders.

On December 16, 2024, Bavarian Nordic announced a license and manufacturing agreement for its MVA-BN® mpox vaccine with Serum Institute of India Pvt. Ltd. Adar Poonawalla, CEO of Serum Institute of India, said, "Partnering with Bavarian Nordic on the MVA-BN mpox vaccine reflects our shared commitment to protect millions at risk. Leveraging our manufacturing strength and rapid response capabilities, we aim to enhance epidemic preparedness and expand access to life-saving vaccines, safeguarding vulnerable populations and easing the global burden of mpox."

Bavarian Nordic - Biomedical Advanced Research and Development Authority Agreements 

Bavarian Nordic has collaborated with the U.S. government on the development, manufacturing, and supply of the mpox (smallpox) vaccine. On May 6, 2025, Bavarian Nordic announced that BARDA had exercised additional options, valued at $143.6 million, under the existing contract to supply a freeze-dried formulation of JYNNEOS smallpox vaccine. On September 24, 2024, Bavarian Nordic announced that it had received an additional order valued at $63 million from BARDA to manufacture additional bulk products and final freeze-dried doses of the JYNNEOS® smallpox/mpox vaccine. On August 8, 2024, Bavarian Nordic announced a new order valued at $156.8 million from the BARDA to manufacture additional bulk products for JYNNEOS®. On August 3, 2023, Bavarian Nordic announced it would manufacture and supply additional liquid-frozen doses of JYNNEOS to the U.S. government in 2023, valued at $3 million. Additionally, on August 3, 2023, Bavarian Nordic announced that BARDA had placed a new $120 million order, primarily for manufacturing a new bulk product for the JYNNEOS smallpox/mpox vaccine.

JYNNEOS Vaccine U.S. FDA

The U.S. Food and Drug Administration (FDA ) initially approved JYNNEOS for smallpox prevention in September 2019, based on a comprehensive development program comprising 22 clinical trials, including two Phase 3 studies. The FDA granted Bavarian Nordic a Priority Review Voucher (PRV) under the Material Threat Medical Countermeasure program, thereby accelerating the FDA's review of the application. The FDA's emergency use authorization (EUA) for JYNNEOS for mpox was issued by Peter Marks, MD, Ph.D., in Application Number 28801 on August 9, 2022. JYNNEOS' or mpox use was based on survival data from lethal mpox virus challenge studies (FDA's Rule) on human primates. The FDA granted an Emergency Use Authorization for use in adolescents in 2022. On March 15, 2023, the U.S. FDA updated JYNNEOS - STN: BL 125678/20. As of June 2025, JYNNEOS is the only FDA-approved smallpox and mpox vaccine for military and non-military use. On March 31, 2025, the FDA approved the freeze-dried formulation of JYNNEOS.

JYNNEOS Vaccine U.S. CDC

As of June 2025, the U.S. Centers for Disease Control and Prevention (CDC) recommends the JYNNEOS vaccine for specific populations, including those affected by the clade II mpox outbreak. In November 2021, the CDC Advisory Committee on Immunization Practices (ACIP) vaccine committee unanimously recommended JYNNEOS as an alternative to ACAM2000 for primary and booster doses of smallpox vaccine. The ACIP group leader, Pablo Sanchez, MD, led the presentations on the mpox vaccine on October 20, 2022, and February 22, 2023. The CDC announced Interim Clinical Considerations on February 22, 2023: Mpox vaccination should continue to be offered to people with the highest potential for exposure to mpox. An updated U.S. National Mpox Vaccination Strategy was published on February 6, 2023. 

On June 23, 2023, Agam Rao, MD, CAPT, U.S. Public Health Service, presented: Considerations for Long-term Protection against Mpox - No CDC Recommendation for a Third JYNNEOS Dose, Including Persons with Advanced HIV or Other Severe Immunocompromised Immune Systems. On August 18, 2023, the CDC stated that all adults at risk for mpox should receive the JYNNEOS vaccine, regardless of childhood smallpox vaccination status. On October 25, 2023, the CDC recommended the routine use of JYNNEOS for individuals at risk of smallpox or mpox infection. Survey results published in the U.S. CDC's Volume 30, Number 5, May 2024, showed that among vaccine-eligible GBMSM, uptake was 69% (95% CI 65%–72%; 601/875) and 92% (95% CI 89%–94%; 601/655) among those offered the JYNNEOS vaccine.

MVA-BN® Vaccine

As of October 2025, the European Commission currently approves MVA-BN for individuals aged 12 years and older. As of May 2025, the Democratic Republic of the Congo (DRC) had administered more than half a million mpox vaccine doses since October 2024, having received over 950,000 doses from various sources. The European Commission delivered 10,000 doses of the MVA-BN® vaccine to Uganda in January 2025. On September 26, 2024, Bavarian Nordic announced an agreement with UNICEF to supply 1 million doses of the MVA-BN® mpox vaccine for African countries. Under the agreement, UNICEF has negotiated a price of up to $65 per vaccine dose, the lowest on the market. On August 20, 2024, USAID confirmed that it would donate 50,000 Jynneos vaccines to the DRC. On August 13, 2024, Bavarian Nordic announced a new order from the European Health Emergency Preparedness and Response Authority (HERA) for the MVA-BN® vaccine. HERA will procure 175,420 vaccine doses for donation to the Africa Centers for Disease Control and Prevention.

Additionally, Bavarian Nordic will donate 40,000 doses to HERA. This more significant donation follows a recent pledge from the Company for 15,000 doses as part of a coordinated response in the African region by Gavi, WHO, and UNICEF. Bavarian Nordic was awarded a contract on September 13, 2023, to supply its MVA-BN smallpox vaccine to rescEU, a strategic reserve within the European Union.

MVA-BN® Vaccine For Adolescents

On October 7, 2025, BN announced topline results from a phase 2 clinical study of its MVA-BN® mpox/smallpox vaccine in children aged 2 to 11. Pending final results from the survey, the Company plans to submit the data to the European Medicines Agency in 2026 to support an extension of the vaccine's approval to include children aged 2 years and older.

As of 2025, the CDC has published updated Clinical Considerations for Mpox in Children and Adolescents in the United States.

On April 15, 2025, Dr. Buddy Creech presented the immunogenicity and safety of JYNNEOS in 12- to 17-year-olds to the U.S. CDC's Advisory Committee on Immunization Practices (ACIP). The Evidence-to-Recommendations Framework: Vaccination with Jynneos for Adolescents at Risk of Mpox During Outbreaks was presented by Faisal Syed Minhaj, PharmD, MPH. Additionally, Routine Vaccination with Jynneos for Adolescents at Risk of Mpox was discussed.

A National Institutes of Health-funded Phase 2 clinical trial of JYNNEOS in 229 adolescents found it to be. It generated an antibody response equivalent to that seen in adults—a peer-reviewed study funded by the U.K. The Health Security Agency, in a June 15, 2023, publication, concluded that a single dose of MVA–BN for post-exposure prophylaxis was well tolerated in children and induced robust antibody and cellular responses up to 15 weeks after vaccination. On September 15, 2022, the U.S. CDC confirmed that children and adolescents exposed to people with suspected or confirmed mpox infections might be eligible for post-exposure prophylaxis with vaccination. In addition, the CDC published interim Clinical guidance for Healthcare Providers in September 2022.

Bavarian Nordic announced on October 29, 2024, the initiation of a Phase 2 clinical study (NCT06549530) of the MVA-BN mpox/smallpox vaccine in children aged 2 to 11 years in the Democratic Republic of the Congo (DRC), with plans also to include sites in Uganda. The study is partially funded by the Coalition for Epidemic Preparedness Innovations, which announced on May 30, 2024, that it awarded BN $6.5 million to support phase 2 clinical trials.

MVA-BN® Vaccine For Pediatrics

On June 26, 2025, Bavarian Nordic announced the initiation of a Phase 2 clinical trial designed to support approval and use of the MVA-BN® vaccine in infants under 2 years of age. The first participants have been vaccinated in a study (NCT06844487) in Africa, evaluating the safety and immunogenicity of MVA-BN in 344 infants aged 4-24 months. Bavarian Nordic is also sponsoring a trial of MVA-BN in children aged 2-11 years. Topline results from this Phase 2 trial (NCT06549530) are anticipated in the third quarter of 2025. Both studies are part of the PregInPoxVac research project, led by the University of Antwerp and the University of Kinshasa.

JYNNEOS For Pregnant Women

Bavarian Nordic announced on June 26, 2025, the initiation of a Phase 2 clinical trial recruiting for a Phase 2 study (NCT06844500), which is planned to enroll 359 women (pregnant or breastfeeding), also to be evaluated for the safety and immunogenicity of MVA-BN, conducted in the Democratic Republic of Congo. This study is part of the PregInPoxVac research project.

The U.S. FDA says available human data on JYNNEOS administered to pregnant women are insufficient to inform vaccine-associated risks in pregnancy. Four developmental toxicity studies conducted in female rats and rabbits evaluated the effect of JYNNEOS on embryo-fetal and postnatal development.

JYNNEOS Vaccine HIV

The European AIDS Clinical Society recommends the vaccine for adults infected with HIV or on preexposure prophylaxis treatment, and it may support additional national recommendations for the vaccine in the future. On August 5, 2022, the early release of the CDC Report - Interim Guidance - confirmed the JYNNEOS vaccine can be safely given to people who are living with HIV infection and those who are taking preexposure prophylaxis (PrEP). HIV immunocompromised persons may have a diminished immune response to JYNNEOS.

JYNNEOS Vaccine Efficacy

On July 26, 2024, BN announced that the Committee for Medicinal Products for Human Use of the European Medicines Agency (EMA) had recommended approval of a Type II variation for the IMVANEX smallpox and mpox vaccine. BN confirmed that in real-world studies, vaccine effectiveness (VE) against mpox (clade 2) disease was demonstrated at least 14 days after vaccination, with adjusted VE estimates ranging from 35% (95% CI, -2-59) to 89% (95% CI, 76-95) after one MVA-BN dose and from 66% (95% CI, 47-78) to 90% (95% CI, 86-92) after two MVA-BN doses.

The JAMA Network published results from a study on October 3, 2024, which concluded that two doses provided 66% effectiveness and one dose provided 36% effectiveness in achieving peak immunity during the 2022 mpox outbreak. The findings of a study conducted in the context of a targeted vaccination program in Canada, published on September 11, 2024, suggested that a single dose of MVA-BN is moderately effective (58% [95% CI 31% to 75%]) at preventing clade 2 mpox infection. The study showed that the MVA-BN vaccine generated mpox serum antibody responses that largely waned after 6 to 12 months. High titers of mpox NAbs (median titer 965) were detected at three months. MVA-BN provided 66% efficacy as a 2-dose regimen and 36% as a 1-dose regimen at peak immunity during the 2022 mpox outbreak in the U.S.

U.S. CDC research, published in the journal Emerging Infectious Diseases, Volume 30, Number 10—October 2024, concluded that the estimated effectiveness of the 2-dose JYNNEOS vaccine was approximately 80%. Results from a study announced in March 2024 showed mpox antibodies waned within a year of JYNNEOS vaccination. Among individuals who received childhood smallpox vaccination, most had detectable IgG antibodies one year after vaccination. The GMT reduction between 4 weeks after the last vaccine dose in 2022 and the one-year follow-up visit was 2.5-fold for those vaccinated with two doses of JYNNEOS and 1.9-fold for those vaccinated with one dose of JYNNEOS.

On March 14, 2024, the U.S. CDC staff stated, 'JYNNEOS vaccination is expected to be effective regardless of mpox clade. The Mpox virus is divided into two clades: Clade I, further divided into lineages 1–5, and Clade II, divided into subclades IIa and IIb. Clade IIb is responsible for the global mpox outbreak that began in May 2022. On December 7, 2023, the CDC published a Health Alert Network Health Advisory stating that mpox vaccines are expected to be effective for both Clade I and Clade II MPXV infections. However, the ECDC reported in 2023 that real-world data regarding JYNNEOS' effectiveness against clade 1 is lacking.

The Lancet Infectious Diseases reported on December 7, 2023, that 12% of vaccinated individuals were non-antibody responders, whereas all people with mpox infection developed a neutralizing antibody response. A case series (67) study published in The Lancet Infectious Diseases on September 4, 2023, confirmed that natural and vaccine-induced immunity are not fully protective against mpox infection. Demographic subgroup information is available in Section 1.1 of the Clinical Review Memo, which details participation in the clinical trials and notable analyses of demographic subgroup outcomes. And Section 6.2 (Postmarketing Experience) to the Package Insert.

The CDC reported in October 2023 that the JYNNEOS Vaccine's Effectiveness (VE) against mpox ranges from 36% to 75% for a single dose and 66% to 89% for a two-dose regimen. VE trended higher among immunocompetent participants than among those who self-reported as immunocompromised. The Lancet Infectious Diseases reported that the JYNNEOS vaccine showed effectiveness of 66–78%, and second mpox episodes and breakthrough infections among fully vaccinated individuals have been reported. On June 29, 2023, Original Research estimated adjusted vaccine effectiveness was 66% (95% confidence interval [CI], 47.4 to 78.1), and 146 case patients and 1000 control patients received one dose, among whom the estimated adjusted vaccine effectiveness was 35.8% (95% CI, 22.1 to 47.1).

On May 18, 2023, the New England Journal of Medicine (NEJM) published data from Cosmos, a nationwide Epic Electronic Health Record (EHR) database, to assess the effectiveness of JYNNEOS vaccination in preventing mpox disease among adults who received two doses of the vaccine. The estimated adjusted vaccine effectiveness was 66% (95% confidence interval [CI], 47.4 to 78.1), and among those who received one dose, the estimated adjusted VE was 35.8% (95% CI, 22.1 to 47.1). 

JYNNEOS Vaccine Coadministration

As of 2025, the CDC says limited clinical trial data have been presented on administering the JYNNEOS vaccine simultaneously with other vaccines. 

JYNNEOS Vaccine Dosage

In the U.S., the FDA-approved regimen for JYNNEOS involves subcutaneous administration of 2 injections of 0.5 mL, 4 weeks apart. 

JYNNEOS Vaccine Booster

In June 2025, results from a preprint study confirmed durable disease protection for 5 years after three doses of JYNNEOS. On October 3, 2024, JAMA published a Research Letter concluding that data suggest protective immunity may be waning in individuals vaccinated with MVA-BN in 2022 and that booster doses may be required to maintain robust protective immunity. The U.S. CDC wrote 'Based on currently available data from the unpublished CDC study, protection after the two-dose JYNNEOS vaccine series does not wane for at least five years. Thus, booster doses are not recommended for the general population.' However, France recommends a booster dose for people vaccinated more than 2 years ago.

JYNNEOS Pre- and Post-Exposure Vaccination

The mpox vaccine can be administered as post-exposure prophylaxis (PEP) to individuals with known or presumed exposure to the Monkeypox virus (MPXV). The mpox vaccine can also be given to individuals with certain risk factors and recent experiences that may increase their likelihood of exposure to mpox. As PEP, the vaccine should be administered as soon as possible, ideally within four days of exposure; administration between 4 and 14 days after exposure may still provide some protection against mpox.

On July 29, 2024, a Phase 4 clinical study was launched to assess whether an mpox vaccine can protect people against the disease after exposure to the potentially deadly infection. A study published in January 2024 concluded that the time to PEP and the observed incubation period resulted in overestimating PEP effectiveness using a conventional method. On October 10, 2022, the WHO confirmed that post-exposure vaccination (PEPV) is recommended for close contacts with MPX cases, ideally within four days of first exposure and up to 14 days after exposure without symptoms.

JYNNEOS Cell Line

JYNNEOS (MVA-BN) vaccine utilizes Chicken Embryo Fibroblast cells to produce the vaccine. Replication-competent poxvirus strains can cause clinical infections in humans and contain infectious viruses that can be transmitted to others. However, replication-deficient poxvirus strains, including MVA, do not produce contagious viruses in humans and therefore do not cause infection. As such, replication-deficient poxvirus strains pose a substantially lower risk of adverse events than replication-competent strains. 

JYNNEOS Vaccine Myocarditis Risk

According to the U.S. CDC, myocarditis and pericarditis have occurred following either primary vaccination or revaccination with live vaccinia virus smallpox vaccines, and are a known health risk for military forces (2003). The CDC reported on October 25, 2023, that VAERS and VSD data suggest an increased risk for myocarditis or pericarditis following JYNNEOS. As with smallpox vaccination, the possibility of negligible risk cannot be excluded.

JYNNEOS Side Effects

A study funded by the European Medicines Agency (EMA) concluded in March 2025 that the MVA-BN vaccination was safe and well-tolerated. The risk of a severe allergic reaction should be weighed against the risk of smallpox or mpox. A Research Letter published on May 5, 2023, reviewed a Phase 4 clinical study of adverse events following Jynneos vaccination and found that local adverse event rates were highest following intradermal administration. The adverse event rate was highest following dose 1 of intradermal vaccination (53%) and low immunization dose 2 of subcutaneous vaccination (31%). The adverse effects of immunization included local redness, itching, and swelling following intradermal vaccination, as well as local pain, swelling, and redness following subcutaneous immunization.

Jonathan Dufimmunization, Immunization Safety Office, CDC Advisory Committee on Immunization Practices, presented JYNNEOS Vaccine Safety Monitoring During the 2022 Mpox Outbreak on February 22, 2023. According to VAERS, the number of serious adverse events reported after JYNNEOS was 26. The CDC announced on December 8, 2022, that the vaccine's safety profile was consistent with the results of pre-licensure studies. The most common adverse health events reported were nonserious, including injection site reactions. Serious adverse events were rare among adults.

Severe adverse reactions, such as those associated with replicating vaccinia virus strains, including myocarditis, encephalitis, generalized vaccinia, or eczema vaccinatum, were not observed during the Jynneos development program. The U.S. FDA reports in smallpox vaccine-naïve healthy adults, the most common (> 10%) solicited injection site reactions were pain (84.9%), redness (60.8%), swelling (51.6%), induration (45.4%), and itching (43.1%); the most common solicited systemic adverse reactions were muscle pain (42.8%), headache (34.8%), fatigue (30.4%), nausea (17.3%) and chills (10.4%).

JYNNEOS Contraindication 

According to the CDC, JYNNEOS is contraindicated in persons with allergies to any vaccine component.

JYNNEOS Immunocompromised

Immunocompromised persons, including those receiving immunosuppressive therapy, may have a diminished immune response to JYNNEOS.

JYNNEOS Storage Requirement

 JYNNEOS must be safely stored at 20 degrees Celsius (20°C). 

Bavarian Nordic JYNNEOS Revenues 2025

Revenue from sales of JYNNEOS/IMVANEX/IMVAMUNE in the first quarter of 2025 was DKK 629 million (DKK 344 million), which includes revenue from ongoing contracts with the U.S. government, other governments, and organizations, as well as private markets (the U.S. and Germany). For 2025, DKK 3,000-4,000 million in revenue from JYNNEOS/IMVANEX/IMVAMUNE is still expected, of which contracts have secured DKK 2,650 million as of May 2025. The ongoing, global mpox clade 1 and 2 outbreak continues to drive a surge in demand, resulting in the guided annual revenue exceeding the communicated base level of DKK 1,500-2,000 million.

In the United States, JYNNEOS (50632-0001-03) is commercially available at clinics and pharmacies, with insurance coverage for most individuals.

JYNNEOS MVA-BN® Vaccine News

October 7, 2025 - Nina Wressnigg, Head of Clinical Development Science at CEPI, said: "Although MVA-BN has been licensed for emergency use in children in the Democratic Republic of the Congo - the worst affected country - many other countries lack this access causing children to continue to bear the brunt of the suffering, marked by severe illness and possible loss of life. These new topline data provide additional positive findings that could expand licensure to children in more countries to control the ongoing outbreak."

June 26, 2025 - Paul Chaplin, President & CEO of Bavarian Nordic, stated in a press release, "These new studies will fill the gap by providing essential data about the use of MVA-BN in infants and pregnant women

May 19, 2025 - A study reported that genomics reveals zoonotic and sustained human Mpox spread in West Africa. It was noted that hMPXV-1 emerged in humans in August 2014 in southern Rivers State and circulated undetected for three years.

May 15, 2025 - The WHO published the 52nd situation report on the multi-country mpox outbreak, with data as of May 2025. The African Region has administered more than 668,000 doses of MVA-BN vaccines across seven countries.

May 9, 2025 – Bavarian Nordic A/S announced that Public Preparedness (mpox, smallpox) revenue increased by 83% to DKK 629 million compared to the first quarter of 2024.

May 6, 2025 - Paul Chaplin, President & CEO of Bavarian Nordic, stated, "Following the recent FDA approval of the freeze-dried formulation of our smallpox/mpox vaccine, we applaud the U.S. government's steadfast commitment to improving national health security through the exercise of these options. The freeze-dried vaccine, with its improved shelf life, significantly contributes to securing the long-term availability of countermeasures to protect U.S citizens against life-threatening diseases."

March 19, 2025 - Prof. Leif Erik Sander, Director of the Department of Infectious Diseases and Critical Care Medicine at Charité and a research group leader at the Berlin Institute of Health at Charité, commented, "Our results confirm that a single dose of the vaccine provides good protection against Mpox, at least for a short time. Unfortunately, we found that people with HIV – even those taking adequate medication – are not sufficiently protected by a single dose."

December 20, 2024 - Gavi CEO Dr. Sania Nishtar: "We thank the U.S. for these donations, which substantially strengthen the global mpox response. In addition to the 500,000 doses that Gavi procured directly in September through our First Response Fund, working with our donors, we now have legal frameworks in place to facilitate a substantial volume of additional pledged doses, which we will work with our partners to ensure are rolled out as quickly as possible."

November 22, 2024 - The WHO Director-General, in agreement with the advice of the IHR Emergency Committee, has determined that the mpox upsurge continues to constitute a public health emergency of international concern.

November 15, 2024 - Paul Chaplin, President and Chief Executive Officer of Bavarian Nordic, said: "We have had a busy but highly purposeful and rewarding third quarter, during which we have worked intensively to support efforts to curb the ongoing mpox outbreak in Africa."

October 23, 2024 - A study reported a distinct clade I sequence from Sudan, suggesting local circulation of Monkeypox virus (MPXV) in Eastern Africa over the past four decades.

October 14, 2024 - The WHO approved JYNNEOS for people aged 12 to 17.

September 26, 2024 - Bavarian Nordic A/S announced an agreement with UNICEF to supply 1 million doses of the MVA-BN® mpox vaccine for African countries.

August 27, 2024 - Germany intends to donate 100,000 mpox vaccine doses to African countries.

August 16, 2024 - "Children and adolescents are disproportionately affected by mpox in the ongoing outbreak in Africa, highlighting the importance and urgency to broaden access to vaccines and therapies for this vulnerable population. We applaud the NIH for their work on this study and are pleased to report data that support the use of our vaccine in adolescents, adding to the growing pool of evidence that MVA-BN is well tolerated and able to generate a relevant immune response in adolescents and adult populations," said Paul Chapel, President and Chief Executive Officer of Bavarian Nordic.

April 2, 2024 - Brian Hujdich, Executive Director of the National Coalition for LGBTQ Health, commented: "JYNNEOS is a vital step toward ensuring equitable access to healthcare for the LGBTQ+ community and marks a significant stride in preventing the spread of mpox."

JYNNEOS Vaccine Clinical Trial

The results of a Phase 2 study, posted as a preprint on September 9, 2022, concluded that priming with either 1 or 2 doses of MVA-BN induced durable immune memory, similar to the generated by replicating smallpox vaccines. When the MVA-BN vaccine was administered as a booster to individuals who had been primed 2 years earlier with MVA-BN or an older-generation replicating smallpox vaccine, it elicited a similarly rapid and durable immune response, generally well-tolerated. One-dose priming with MVA induced a long-term B-cell memory, resulting in robust anamnestic responses following an MVA booster two years later. This suggests that a single dose may offer protection against future exposure.

The FDA approval of JYNNEOS for smallpox is based on a development program comprising 22 clinical trials, including two Phase III trials. The program enrolled 7,871 individuals aged 18 to 80 who received at least one dose of the vaccine. Approval for the monkeypox indication is based on survival data from studies conducted in non-human primates. The survival rate ranged from 80% to 100% in animals vaccinated with JYNNEOS, compared to 0% to 40% in the control group.

Upon successful completion of the current study, expected in 2021, the Company plans to submit a supplement to the BLA to extend the approval for both formulations of MVA-BN, anticipated in 2022.

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Availability: 
Commercially available in the U.S.
Generic: 
MVA-BN
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https://www.bavarian-nordic.com/investor/news/news.aspx?news=5758
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Vaccine
Condition: 
Last Reviewed: 
Monday, December 8, 2025 - 07:25
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JYNNEOS
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Yes
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Yes
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zsQuK9dH

MVA-BN WEV Equine Encephalitis Vaccine

MVA-BN® WEV Equine Encephalitis Vaccine Description

Bavarian Nordic A/S MVA-BN® WEV is a prophylactic vaccine candidate against three equine encephalitis viruses (western, eastern, and Venezuelan). Eastern equine encephalitis virus (EEEV), a mosquito-borne alphavirus, is the cause of one of the most severe arboviral diseases in North America, says the U.S. Centers for Disease Control and Prevention (CDC). The clinical course typically begins as a systemic febrile illness but often progresses to neurologic disease. EEEV neuroinvasive disease is estimated to have a 30% case-fatality rate, with approximately half of survivors left with neurologic sequelae.

Using the live virus vaccine platform technology, MVA-BN®, Bavarian Nordic has created a diverse portfolio of proprietary and partnered product candidates designed to save and improve lives by unlocking the immune system's power.

In March 2018, Bavarian Nordic entered a multi-year contract valued at up to $36 million with the U.S. Government to develop MVA-BN WEV. Under this contract, Bavarian Nordic is conducting a Phase 1 clinical trial, which was initiated in October. In addition, on the 19. On December 23, 2022, Bavarian Nordic announced a new agreement with the U.S. Department of Defense’s (DoD) Joint Program Executive Office for Chemical, Biological, Radiological, and Nuclear Defense (JPEO-CBRND), for the advanced development of MVA-BN WEV. The new DoD agreement has a total value of up to USD 83 million.

As of December 23, 2022, the U.S. CDC indicates no approved vaccines for human use against equine encephalitis viruses.

Bavarian Nordic is a fully integrated biotechnology company focused on developing innovative therapies against infectious diseases and cancer.

MVA-BN WEV Vaccine Indication

MVA-BN-WEV vaccine candidate is indicated to prevent illness from equine encephalitis viruses. Eastern, Venezuelan, and western equine encephalitis viruses belong to the family alphavirus and are transmitted through mosquitos, birds, and some mammals. While the viruses vary in infection rates and disease severity, all three pathogens are associated with risks of flu-like symptoms, potential central nervous disorders, and death.

In 2019, the U.S. experienced the worst outbreak of Eastern equine encephalitis since monitoring of the disease began. According to the U.S. Centers for Disease Control and Prevention (CDC), 38 cases, including 15 deaths, were reported in 2019, compared to an annual average of 7 cases over the past decade. The majority of cases occurred in the northeastern parts of the U.S., where mosquitoes have been found to carry the virus.

MVA-BN WEV Vaccine News

December 23, 2022 - “We are proud to continue our partnership with the U.S. government on the developing-needed vaccine to combat equine encephalitis, which is another emerging disease, often leading to serious complications and even death. Using the same platform technology upon which our mpox vaccine was also built, we are truly leveraging our core experience in R&D innovation and vaccine manufacturing to help before robustronger preparedness for the U.S. and its citizens. We look forward to continuing our work with DoD on this vital program,“ commented Paul Chaplin, President, and CEO of Bavarian Nordic, in a press release.

June 8, 2020 – Bavarian Nordic announced topline results from the first-in-human trial of MVA-BN WEV, a prophylactic vaccine candidate against three equine encephalitis viruses (western, eastern and Venezuelan), for which there are currently no preventative vaccines available.

October 8, 2019 – Bavarian Nordic A/S announced the initiation of the first-in-human trial of MVA-BN® WEV, a prophylactic vaccine candidate against the equine encephalitis virus - a rare but potentially deadly illness. The program, funded by the United States Department of Defense (DOD) Joint Project Manager for Chemical, Biological, Radiation, and Nuclear Medical (JPM CBRN Medical), is a multi-year agreement valued at up to USD 36 million. He. He aims to develop a vaccine against three separate strains of the equine encephalitis virus, Eastern (EEEV), Venezuelan (VEEV), and Western (WEEV).

MVA-BN WEV Clinical Trials

Clinical Trial NCT04131595: Vaccination Trial of a Recombinant MVA-BN-WEV Vaccine in 45 Healthy Adult Subjects. Actual Study Start Date: October 7, 2019.

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MVA-BN® WEV
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Yes

BBV87 Chikungunya Vaccine

BBV87 Chikungunya Vaccine Description

Bharat Biotech International Ltd's (BBIL) Chikungunya vaccine candidate (BBV87) is an inactivated whole virion vaccine based on a strain derived from an East, Central, South African (ECSA) genotype. Based on the ECSA strain, BBIL developed a pure, inactivated CHIKV immunogenic formulation. BBV87 vaccine completed standard pre-clinical studies, and the adjuvanted vaccine elicited an optimum immune response in phase 1 clinical trials in India.

On August 24, 2023, the International Vaccine Institute (IVI) announced the first participant received BBV87 in a Phase II/III clinical trial in Costa Rica, marking the start of a multi-country study funded by the Coalition for Epidemic Preparedness Innovations (CEPI) with support from the Ind-CEPI mission of the Department of Biotechnology, India. In addition to the trial at Clinica San Agustin in Costa Rica, trials are expected to begin in Panama and Colombia by September 2021 and in Thailand and Guatemala soon after.

On June 15, 2023, MDPI published: An Overview of Indian Biomedical Research on the Chikungunya Virus with Particular Reference to Its Vaccine. This review gives an overview of the outbreak history and CHIKV-related research in India to favor novel; high-quality research works that promote effective treatment and preventive strategies, including vaccine development, against CHIKV infection.

Inactivated virion technology has a safety profile that potentially makes this vaccine accessible to special populations, such as immunocompromised and pregnant women, that some other technologies cannot reach.

The first report on CHIKV was from Tanzania, an eastern African country, in 1952. The first CHIKV outbreak in India was recorded in the city of Kolkata in 1963. Chikungunya is an emerging arthritogenic arboviral illness caused by the chikungunya virus (CHIKV), a member of the genus Alphavirus in the  Togaviridae family. The pathologic mechanism of this virus leads to acute infection of several weeks, which can persist for months with an incubation period of 2–12 days. The hallmark characteristics of CHIKV infection are saddle-back fever, polyarthralgia (mainly in small joints – ankles, toes, wrists, and phalanges), and a petechial or maculopapular rash (mainly on the face, limbs, and trunk). CHIKV affects all age groups with dengue-like symptoms characterized by nausea, fever, chills/rigors, headache, polyarthralgia, myalgia, photophobia, and skin rash.

Bharat Biotech creates innovative vaccines and bio-therapeutics trusted by physicians around the world. USFDA, KFDA, and WHO approve BBIL's manufacturing facilities.

BBV87 Chikungunya Vaccine Indication

Chikungunya virus was first identified in Tanzania in 1952, with sporadic disease outbreaks reported across Africa and Asia. In 2004, the disease began to spread quickly, causing large-scale outbreaks worldwide. Since the re-emergence of the virus, the total number of cases has been estimated at over 3.4 million in 43 countries. Outbreaks during the last decade worldwide have prompted the National Institute of Allergy and Infectious Diseases (NIAID) to add CHIKV to the category C priority pathogen biodefense list.

BBV87 Chikungunya Vaccine Dosage

A 2-dose live-inactivated vaccine (BBV87) against Chikungunya is being tested.

BBV87 Chikungunya Vaccine News

June 3, 2020 - The Coalition for Epidemic Preparedness Innovations (CEPI) announced a new partnering agreement to advance the development of a Chikungunya vaccine. The CEPI will provide the consortium up to US $14.1 million for vaccine manufacturing and clinical development of a 2-dose live-inactivated vaccine (BBV87) against Chikungunya. The European Union's Horizon 2020 program supports the funding through an existing framework partnership agreement with CEPI. The consortium was also supported with a grant of up to US $2.0 million from the Indian Government's Ind-CEPI initiative to fund the set-up of GMP manufacturing facilities for the vaccine in India and subsequent manufacture of clinical trial materials.

June 2, 2020 - Oslo, Norway; Seoul, South Korea; Telangana, India—CEPI, in collaboration with Ind-CEPI, has announced a new partnering agreement with a consortium comprising Bharat Biotech (BBIL) and the International Vaccine Institute (IVI) to advance the development of a Chikungunya vaccine.

BBV87 Chikungunya Vaccine Clinical Trial

The BBV87 vaccine candidate completed pre-clinical studies, and an optimum immune response was elicited by the adjuvanted vaccine in phase 1 clinical trials in India.

A Phase II/III Adaptive Seamless Design, Randomized, Controlled Trial To Evaluate Safety And Immunogenicity of 2 Dose-Regimen of BBV87 Chikungunya Vaccine In Healthy Subjects Aged 12 to 65 Years in Latin America and Asia.

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Availability: 
N/A - conducting clinical research
Generic: 
BBV87
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Vaccine
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Last Reviewed: 
Sunday, November 12, 2023 - 07:50
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Manufacturer Country ID: 
FDA First In Class: 
Yes

Cecolin HPV Vaccine

Cecolin® HPV Vaccine 2025

The bivalent Cecolin® HPV Vaccine (Escherichia coli) protects people against HPV 16 and 18, two major Human Papillomavirus (HPV) types causing about 70% of all cervical cancer cases, the third most common cancer among women. The Escherichia coli-produced Cecolin vaccine was jointly developed by Innovax, a biotechnology company based in Xiamen, Fujian province, China, in cooperation with Xiamen University.

Cecolin was approved by the National Medical Products Administration of China on December 30, 2019, and officially launched in China (excluding Hong Kong, Macao, and Taiwan) in May 2020. It is the first domestically manufactured HPV vaccine against cervical cancer in China. The World Health Organization (WHO) found the vaccine safe and prequalified it for use in a single-dose schedule in October 2024.

On March 12, 2023, The Lancet Regional Health Western Pacific published results from a phase 1 study that concluded that the candidate E. coli-produced 9vHPV vaccine had been preliminarily proven well tolerated and immunogenic. In March 2025, a phase 3 clinical study funded by the Bill & Melinda Gates Foundation and others concluded that Cecolin produced non-inferior immune responses for extended two-dose regimens of 2vHPV, supporting dosing flexibility. For up to 24 months, one dose of 2vHPV elicited immunogenicity similar to one dose of 4vHPV, for which single-dose efficacy has been shown, supporting a single-dose use of 2vHPV.

Cecolin has been licensed in ChinaBangladesh, Morocco, Nepal, Thailand, the Democratic Republic of the Congo, and Cambodia.

Xiamen Innovax Biotech Co., Ltd., a subsidiary of Beijing Wantai, is a leading company in developing, manufacturing, and marketing innovative vaccines. Its headquarters and manufacturing are based in Xiamen, China.

Cecolin 9 Vaccine Vs Gardasil 9 Vaccine

The Lancet Infectious Diseases published results from a clinical study in July 2023, comparing the immunogenicity of the E coli-produced HPV 9-valent vacc,ine Cecoli,n 9 with Gardasil 9. Study Interpretation: Cecolin 9 induced non-inferior HPV type-specific immune responses compared with Gardasil9. Data on the first-in-human phase 1 clinical trial of Cecolin 9 have been published, which preliminarily reveal its safety and immunogenicity in healthy adults, and the results from its phase 2 clinical trial are in preparation. 

Cecolin Price

According to The Lancet Global Health in 2020, the vaccine Cecolin is priced at ¥329 ($47.7) per dose.

Cecolin Indication

Cecolin is a vaccine indicated for women 9 through 45 years of age to prevent the following diseases caused by two HPV types included in the vaccine. Cervical, vulvar, vaginal, and anal cancer are caused by HPV types 16 and 18. According to the Centers for Disease Control (CDC), HPV is linked to more than 90% of anal and cervical cancer cases, nearly 70% of vaginal cancer cases, and more than 60% of penile malignancy cases [11]. 

Cecolin Dosage

In October 2024, Cecolin® confirmed for use in a single-dose schedule. In the phase 3 study, the dosage contained 40μg HPV 16 virus-like particle antigen and 20μg HPV 18 virus-like particle antigen adsorbed in alum adjuvant. Each dose (0.5ml) contains HPV16 L1 protein 40μg, HPV18 L1 protein 20μg.

    Cecolin Vaccine News

    March 19, 2025 - A phase 3 study found that serious adverse events following vaccination were rare, and none were determined to be related to vaccination.

    October 4, 2024 - Dr. Kate O'Brien, Director of the Department of Immunization, Vaccines and Biologicals at WHO, commented, “Given the continuing supply challenges, this addition of single-dose vaccine product means countries will have a greater choice of vaccines to reach more girls.”

    May 2023 - Safety and immunogenicity of an Escherichia coli-produced 9-valent human papillomavirus L1 virus-like particle vaccine (types 6/11/16/18/31/33/45/52/58) in healthy adults: an open-label, dose-escalation phase 1 clinical trial. Study Interpretation - The candidate E. coli-produced 9vHPV vaccine has been preliminarily proven well tolerated and immunogenic, encouraging further studies in large cohorts with a broader age range.

    August 26, 2022—The Lancet Infectious Diseases published results after 66 months of the phase 3 clinical study. Interpretation of results: The E. coli-produced HPV 16 and 18 vaccine was well tolerated and highly efficacious against HPV 16 and 18-associated high-grade genital lesions and persistent infection. It would supplement the global HPV vaccine availability and accessibility for cervical cancer prevention.

    September 12, 2020 - The city of Xiamen, Fujian province, China's health commission announced, 'Free human papillomavirus vaccinations will be provided to girls aged 13 to 14 until the end of 2022 to help prevent cervical cancer. Xiamen's Haicang district is expected to kick off the free HPV vaccination project by the end of September.

    June 3, 2020 - Vaccine manufacturers MSD, GSK, Innovax, Serum Institute of India Pvt. Ltd. (SII), and Walvax have pledged to ramp up human papillomavirus (HPV) vaccine supply availability for Gavi-supported countries ahead of tomorrow's Global Vaccine Summit 2020.

    May 18, 2020 - From May 18, human papillomavirus vaccines developed by Chinese researchers are available in the provincial Maternity and Child Healthcare Hospital in Wuhan. (Xinhua/Xiong Qi).

    April 30, 2020 – In a significant step forward in fighting cervical cancer in China, a human papillomavirus (HPV) vaccine developed by Chinese researchers will be widely available for women under 45. Starting in May 2020, the Cecolin HPV vaccine's first batch will be available in community hospitals in provincial-level regions, including Hubei, Jilin, and Xinjiang Uygur Autonomous Region, reported Xinhuanet on April 26, 2020.

    March 16, 2020 - Submitted on January 20, the Innovax HPV vaccine technical dossier screening has been completed. Therefore, on March 16, 2020, WHO officially accepted the vaccine for Prequalification evaluation.

    January 2, 2020—According to a notice from the National Medical Products Administration (NMPA), China has approved its first domestically made cancer prevention vaccine against the human papillomavirus (HPV) for use by females between the ages of 9 and 45.

    December 16, 2019 – China announced the goal of launching an innovative national vaccine tracking system before March 31, 2020.

    September 9, 2019 – Xiamen Innovax Biotech and GSK Biologicals announced they had entered a partnership to develop and commercialize a next-generation adjuvanted Human Papillomavirus vaccine. This vaccine will combine the innovative antigen detection method developed by Prof. Xia Ningshao's team at Xiamen University with GSK's proprietary adjuvant AS04, which leverages this antigen technology.

    November 12, 2013—Xiamen Innovax Biotech Co., Ltd., got CFDA approvals for the Bivalent Human Papillomavirus (Type 6/11) Recombinant Vaccine (No.2013L0372) for clinical trials of phases I, II, and III. The vaccine is mainly used for the prevention of Genital Warts. 

    2009 - China's government launched the National Cervical Cancer Screening Program in rural areas.

    Cecolin Clinical Trial

    Clinical Trial NCT01735006: Efficacy and Immunogenicity Study of Recombinant Human Papillomavirus Bivalent(Type 16/18) Vaccine. The efficacy, safety, and immunogenicity results from the pivotal phase 3 clinical trial were conducted on 7,372 healthy women in 5 provinces in China. In preventing precancerous lesions and persistent HPV infection, these two key indicators of effectiveness are that the corresponding protection rate for high-grade precancerous lesions is 100%. The protection rate for persistent HPV infection is 97.8%. Regarding vaccine safety and preventive effect indicators, domestic vaccines' effectiveness is comparable to imported vaccines at an internationally advanced level.

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    Availability: 
    China
    Drug Class: 
    Vaccine
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    Last Reviewed: 
    Tuesday, April 8, 2025 - 11:40
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    Cecolin
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    Manufacturer Country ID: 
    FDA First In Class: 
    Yes
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    Novavax COVID-19 Vaccine

    Novavax COVID-19 Vaccine (Nuvaxovid) Clinical Trials, Dosage, Indication, Side Effects

    Novavax Inc. COVID-19 vaccine (Nuvaxovid™(XBB.1.5 dispersion for injection) (NVX-CoV2373) (NVX-CoV2601) (NVX-CoV2705) is a protein-based vaccine engineered from the genetic sequence of the SARS-CoV-2 beta coronavirus. The vaccine was developed using Novavax's proprietary nanoparticle technology, Matrix-M, an adjuvant that enhances immune responses and stimulates high levels of neutralizing antibodies. Matrix-M has demonstrated a potent, well-tolerated effect by stimulating the entry of antigen-presenting cells into the injection site and enhancing antigen presentation in local lymph nodes, thereby boosting the immune response and facilitating the production of antibodies against the coronavirus in immunized individuals. Novavax's vaccines are genetically engineered using three-dimensional nanostructures of recombinant proteins critical to disease pathogenesis. The baculovirus infects a culture of Sf9 moth cells, which generate and display the spike protein on their cell membranes. Next, the spike proteins are harvested and assembled onto a synthetic lipid nanoparticle of about 50 nanometers, each displaying up to 14 spike proteins. 

    On December 17, 2021, the World Health Organization (WHO) granted Emergency Use Listing (EUL) for Novavax's NVX‑CoV2373 (Covovax) vaccine, manufactured and marketed by Serum Institute of India Pvt. Ltd. (SII). On November 29, 2022, the WHO issued an updated Emergency Use Listing (EUL) for the Nuvaxovid vaccine, recommending it as a two-dose primary series for adolescents aged 12 through 17 and as a booster for adults. On November 28, 2023, the WHO authorized Nuvaxovid, enabling its 194 member states to expedite regulatory approvals for importing and administering the vaccine. As of 2025, Novavax's COVID-19 vaccine was one of the vaccines listed by the WHO. On May 15, 2025, the WHO's Technical Advisory Group on COVID-19 Vaccine Composition (TAG-CO-VAC) advised manufacturers that monovalent JN.1 or KP.2 vaccines remain appropriate vaccine antigens. That monovalent LP.8.1 is a suitable alternative vaccine antigen.

    On June 27, 2024the U.S. Centers for Disease Control and Prevention's (CDC) Advisory Committee on Immunization Practices (ACIP) voted unanimously in favor of a universal recommendation for the use of 2024-2025 COVID-19 vaccines authorized under Emergency Use Authorization (EUA) or approved by Biologics License Application in individuals aged six months and older. On June 24, 2024, Novavax confirmed the JN.1 COVID-19 vaccine is active against current circulating strains, including KP.2 and KP.3.

    As of May 18, 2025, Novavax's vaccine is the only non-mRNA COVID-19 vaccine available in the United States, following the U.S. Food and Drug Administration's (FDA) granting of emergency use authorization (EUA) for the updated 2024-2025 Formula COVID-19 Vaccine version (NVX-CoV2705). On May 17, 2025, the U.S. FDA approved Nuvaxovid (STN: 125817) for specific individuals aged 12 and older.

    Novavax COVID-19 vaccine brands include NuvaxovidCovovax, NVX-CoV2373, and TAK-019 (outside the USA)—trademark filing #90813423. A global listing of NVX‑CoV2373 studies is available at this link—NNVX-CoV2373's Drugbank Accession Number: DB15810; UNII: UK9AK2IN1P. Additionally, global information about the Novavax COVID-19 Vaccine varies by country and is available on this webpage. And at NovavaxMedInfo.com. See the Summary of Product Characteristics with Package Leaflet, Prescribing Information, Important Safety Information, and adverse event reporting instructions, or request additional information by visiting www.NovavaxCovidVaccine.com. 

    Maryland-based Novavax, Inc. (Nasdaq: NVAX) is a biotechnology company located at 21 Firstfield Road, Gaithersburg, MD 20878. It promotes improved health globally by discovering, developing, and commercializing innovative vaccines to prevent serious infectious diseases. SK bioscience announced on August 9 that it had also made an equity investment in Novavax, following a similar move by Sanofi in May 2024.

    Novavax JN.1 Vaccine

    Novavax's updated COVID-19 vaccine targets the "parent strain" of KP.2 and KP.3. NVX-CoV2705 is an updated version of Novavax's NVX-CoV2373, formulated to target the JN.1 variant. The JN.1 vaccine has demonstrated broad cross-neutralizing antibodies against multiple variant strains, including KP.2 and KP.3, indicating its potential to protect against forward-drift variants.

    On April 15, 2025, Novavax announced preliminary results from the SHIELD-Utah study, showing that Novavax's COVID-19 Vaccine, Adjuvanted (2024-2025 Formula), targeting the JN.1 strain, resulted in fewer and less severe reactogenicity symptoms than the Pfizer-BioNTech mRNA vaccine (2024-2025 Formula). This real-world study also showed that the impact of symptoms on daily activities, including work and family responsibilities, was lower in recipients of Novavax's vaccine.

    As discussed at the June 2024 FDA Vaccines and Related Biological Products Advisory Committee meeting, targeting JN.1, the parent strain of the most common currently circulating variants, has a public health benefit. Nonclinical data have demonstrated that Novavax's JN.1 vaccine induces broad neutralization responses against JN.1 lineage viruses, including those carrying the F456L and R346T mutations, as well as against "FLiRT" and "FLuQE" variants. Novavax's vaccine also elicits conserved, polyfunctional, Th1-biased CD4+ T cell responses across a range of JN.1 lineage variants. 

    Novavax and Sanofi Pasteur Inc. Agreement

    Novavax and Sanofi Pasteur Inc. announced on May 10, 2024, that they entered into a co-exclusive licensing agreement that includes a co-exclusive license to co-commercialize Novavax's current stand-alone adjuvanted COVID-19 vaccine worldwide (except in countries with existing Advance Purchase Agreements and in India, Japan and South Korea where Novavax has existing partnership agreements) effective January 2025; a sole license to Novavax's adjuvanted COVID-19 vaccine for use in combination with Sanofi's flu vaccines, while Novavax retains the right to and is developing its own COVID-19-Influenza Combination vaccine candidate; a non-exclusive license to use Novavax's adjuvanted COVID-19 vaccine for use in combination with non-flu vaccines; and a non-exclusive license to use the Matrix-M adjuvant in vaccine products. In addition, Sanofi will take a minority (<5%) $70 million equity investment in Novavax, issue a $500 million upfront payment, Up to $700 million in COVID-19, and combination product near-term milestones, plus ongoing tiered royalties on product sales; Up to $210 million in milestones plus royalties for each new vaccine developed utilizing Novavax's Matrix-M adjuvant.

    On December 13, 2024, Novavax confirmed it had achieved a milestone in its Phase 2/3 clinical trial of its COVID-19 vaccine in children, triggering the first $50 million milestone payment from Sanofi.

    NVX-CoV2373 Vaccine U.S. FDA Authorizations

    The U.S. FDA Vaccines and Related Biological Products Advisory Committee (VRBPAC) June 5, 2024, meeting Presentation was led by Robert Walker, MD, and included Novavax Data in Support of the 2024-2025 Vaccine. On October 3, 2023, the U.S. Food and Drug Administration (FDA) amended the Emergency Use Authorization (EUA) of the Novavax COVID-19 Vaccine, Adjuvanted for use in individuals 12 and older, to include the 2023-2024 formula. Individuals 12 years of age and older previously vaccinated with a COVID-19 vaccine (and who have not already been vaccinated with a recently updated mRNA COVID-19 vaccine) are eligible to receive one dose, and unvaccinated individuals receive two doses. On September 12, 2023, Dr. Filip Dubovsky, President of Research & Development, presented Data supporting the Novavax XBB.1.5 Vaccine.

    On June 15, 2023, Novavax, Inc. participated in the VRBPAC meeting and presented updated data. The meeting resulted in a unanimous vote recommending updating the current COVID-19 vaccine composition to a monovalent XBB lineage. On June 6, 2023, the FDA confirmed that the Novavax COVID-19 Vaccine, Adjuvanted, is available under Emergency Use Authorization (EUA) in the United States to prevent COVID-19 in individuals 12 years of age and older and for booster doses for specific individuals.

    On February 13, 2023, Novavax announced a modification to its agreement with the U.S. Department of Health and Human Services (HHS) to deliver up to 1.5 million doses of the Novavax COVID-19 Vaccine. The U.S. FDA publishes Fact Sheets for Healthcare ProvidersRECIPIENTS, and CAREGIVERS. Novavax, Inc., Filip Dubovsky, MD, MPH, Executive Vice President & Chief Medical Officer, presented to the VRBPAC on January 26, 2023 - Novavax Vaccine Regimens Addressing COVID-19. Where authorized under state law in the U.S., standing orders enable eligible nurses and other healthcare professionals (e.g., pharmacists) to assess and vaccinate persons who meet the criteria in the "Procedure" section without the need for clinician examination or direct order from the attending provider at the time of the interaction.

    On October 19, 2022, Novavax announced that the Novavax COVID-19 Vaccine had received an Emergency Use Authorization (EUA) from the U.S. Food and Drug Administration (FDA). The FDA confirmed on August 19, 2022, that the Novavax COVID-19 Vaccine was available under Emergency Use Authorization (EUA) to prevent COVID-19 in individuals 12 years of age and older. The CDC approved this EUA on August 22, 2022. Previously, on August 15, 2022, Novavax, Inc. announced that it had submitted an application to the U.S. Food and Drug Administration (FDA) for Emergency Use Authorization (EUA) of its protein-based COVID-19 Vaccine as a homologous and heterologous booster in adults aged 18 and older. As of August 8, 2022, Novavax received U.S. FDA Emergency Use Authorization (EUA) and CDC recommendations for NVX-CoV2373, marking the first protein-based, non-mRNA COVID-19 vaccine authorized in the U.S. for adults. On June 7, 2022, the VRBPAC's 22 members voted 21 -1, with one abstention, to endorse the authorization of the protein-based Novavax COVID-19 vaccine. The VRBPAC digital meeting reviewed various authorization presentations.

    Nuvaxovid™ XBB.1.5 Dispersion for Injection NVX-CoV2601 COVID-19 Vaccine Authorizations

    On March 11, 2024, Canada's National Advisory Committee on Immunization announced it had published updated guidance on the use of Nuvaxovid™ XBB.1.5, a recombinant protein subunit COVID-19 vaccine. The recommendations state that Nuvaxovid XBB.1.5 can be used in individuals aged 12 years and older, regardless of vaccination status. On February 7, 2024, the U.K.'s Joint Committee on Vaccination and Immunisation advised that Nuvaxovid may be used as a booster dose for individuals aged 12 years and older when alternative vaccines are not considered clinically suitable. In January 2024, Novavax's updated protein-based non-mRNA COVID-19 vaccine became available in the United Kingdom and Taiwan. As of December 19, 2023, Novavax's updated vaccine is available in FranceItalyPolandSweden, and Singapore, and is the only COVID-19 vaccine option available in PolandHealth Canada granted expanded authorization on December 5, 2023. On October 31, 2023, the European Commission (EC) approved Nuvaxovid XBB.1.5 dispersion for injection as the COVID-19 Vaccine (recombinant, adjuvanted) (NVX-CoV 2601) for active immunization to prevent COVID-19 caused by the SARS-CoV-2 coronavirus in individuals aged 12 and older. The EC decision follows a positive opinion for approval from the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA).

    On July 6, 2023, Nuvaxovid received Full Marketing Authorization from the EU for use as a primary series in individuals aged 12 and older and as a booster in adults. On June 16, 2022, the European Medicines Agency (EMA) published clinical data EMEA/H/C/005808/0000. The EMA's human medicines committee (CHMP) recommended granting an indication extension for the COVID-19 vaccine Nuvaxovid, developed by Novavax CZ, a.s., to include adolescents aged 12 to 17 years. The EMA and European Commission authorized Nuvaxovid for adults on December 20, EU study number: EudraCT number 2020-004123-16.

    As of April 2024, the Novavax XBB.1.5 vaccine is under evaluation by the Australian Therapeutic Goods Administration (TGA). The Novavax XBB.1.5 vaccine will be introduced into the program as soon as possible following approval by the Therapeutic Goods Administration (TGA).

    Novavax COVID-19 Vaccine Production

    Nuvaxovid has manufacturing sites in the Czech Republic, Australia, Canada, Japan, and South Korea. In 2021, Novavax licensed and transferred its manufacturing technologies, providing the Matrix-M adjuvant, to enable Takeda to manufacture the vaccine at its Hikari facility in Japan.

    CovoVax™ Authorizations

    Novavax, Inc. and Serum Institute of India Pvt. Ltd. (SII) confirmed the CovoVax™ vaccine was authorized in Indonesia on December 1, 2021. India's Drugs Controller General of India (DCGI) issued its authorization on December 28, 2021. The DCGI authorized the Novavax co-branded vaccine for adolescents aged 12 to 17 years in India. On May 2, 2022, the Standing Technical Sub-Committee of the NTAGI authorized Covovax for individuals aged 12 years and above. On June 28, 2022, the DCGI of India approved Covovax for restricted use in children aged 11 and below. On September 13, 2022, the companies confirmed that CovoVax was authorized in South Africa

    Novavax COVID-19 Vaccine Availability

    Novavax's updated 2024-2025 Nuvaxovid™ COVID-19 Vaccine was authorized for use in individuals aged 12 and older in the European Union and Japan to prevent COVID-19. In the U.S., the Novavax COVID‑19 Vaccine, Adjuvanted (2024-2025 Formula), is available at certain pharmacies, including, but not limited to, Costco, CVS Pharmacy, Giant, Publix, Rite Aid, and Stop & Shop. Pharmacies in the U.K. offer Novavax to patients. Novavax vaccines have been delivered in about 40 global markets. Global information about the Novavax COVID-19 Vaccine is found on this weblink. The Company has announced regulatory filings for its vaccine in the U.K., Austria,   Australia,   CanadaCyprus, EstoniaEuropean Commission,   IndonesiaThe Philippines, Croatia, New ZealandSingaporeSouth Korea, UAEJapan, Finland, South AfricaFrance, Germany, IsraelIndia, Ireland,   GermanySwitzerland, the NetherlandsTaiwan, ThailandSwitzerland, Portugal, and Singapore.

    NVX-CoV2373 Side Effects

    The CDC published a Morbidity and Mortality Weekly Report on August 4, 2023 - During July 13, 2022–March 13, 2023, a total of 69,227 Novavax doses were administered to persons aged ≥12 years in the U.S., and 230 reports of adverse events after the Vaccine Adverse Event Reporting System received 230 reports of adverse events after vaccinationVID-19 Vaccine, Adjuvanted to individuals with a known history of a severe allergic reaction (e.g., anaphylaxis) to any component of the Novavax COVID-19 Vaccine, Adjuvanted. Adverse reactions reported in clinical trials following administration of the Novavax COVID-19 Vaccine Adjuvanted include injection site pain/tenderness, fatigue/malaise, muscle pain, headache, joint pain, nausea/vomiting, injection site redness, injection site swelling, fever, chills, injection site pruritus, hypersensitivity reactions, and lymphadenopathy-related reactions. Myocarditis, pericarditis, anaphylaxis, paresthesia, and hypoesthesia have been reported following the Novavax COVID-19 Vaccine, Adjuvanted outside clinical trials. Do not administer the Novavax COVID-19 Vaccine Adjuvanted to individuals with a known history of a severe allergic reaction (e.g., anaphylaxis) to any component of the Novavax COVID-19 Vaccine Adjuvanted.

    Filip Dubovsky, M.D., MPH, with Novavax, Inc., presented heart health (Post-Authorization Myocarditis / Pericarditis) information - 1,072,074 doses administered worldwide as of June 30, 2022; a Broad search safety database yielded 68 potential reports; Reports often had limited information; Brighton Collaborative Case definition used to evaluate reports: 1 met the definitive case definition of myocarditis, 6 met the probable case definition of myocarditis, 10 met the likely case definition of pericarditis.

    On July 14, 2022, the European Medicines Agency (EMA) updated the Novavax COVID-19 vaccine (NVX-CoV2373) label to include the risk of severe allergic reactions. The EMA reported that 964 cases of suspected side effects spontaneously reported from EU/EEA countries had been treated with Nuvaxovid; none of these cases were fatal as of May 15, 2022. The WHO states that Nuvaxovid is contraindicated in individuals with a history of hypersensitivity to the active substance or excipients. Appropriate medical treatment and supervision should be readily available for anaphylaxis reactions.

    To the extent feasible, report adverse events to Novavax, Inc. using the following contact information or by providing a copy of the VAERS form to Novavax, Inc. Website: www.NovavaxMedInfo.com, Fax Number: 1-888-988-8809, Telephone Number: 1-844-NOVAVAX (1-844-668-2829). Also, read more about the side effects on the FDA's Fact Sheet for Recipients and Caregivers.

    Novavax COVID-19 Vaccine Pregnancy and Breastfeeding

    Available data on the Novavax COVID-19 Vaccine, Adjuvanted, administered to pregnant women, are insufficient to inform vaccine-associated risks in pregnancy. The Company says if you are pregnant or breastfeeding, discuss the options with your healthcare provider. A pregnancy exposure registry monitors pregnancy outcomes in women exposed to the Novavax COVID-19 Vaccine during pregnancy. 

    Novavax COVID-19 Vaccine Immunocompromise

    For immunocompromised individuals, an additional dose of the Novavax COVID-19 Vaccine, Adjuvanted (2023-2024 Formula), may be administered at least 2 months after the last dose of a COVID-19 vaccine (2023-2024 Formula). Additional doses of the Novavax COVID-19 Vaccine, Adjuvanted (2023-2024 Formula) may be administered at the healthcare provider's discretion, based on the individual's clinical circumstances. The timing of the additional doses may be based on the individual's clinical circumstances.

    Novavax COVID-19 Vaccine Coadministration

    The U.S. CDC publishes Interim Clinical Considerations for Use of COVID-19 Vaccines. In Nov. 2023, 2023–24 Formula Vaccine Presentation. In 2022, a systematic review of clinical studies on the coadministration of influenza and COVID-19 vaccines was published. Novavax's COVID-19 Influenza combination Vaccine (CIC), COVID-NanoFlu, is a combination vaccine candidate that integrates NanoFlu and NVX-CoV2373. 

    Novavax COVID-19 Vaccine Price

    As of 2025, the Novavax COVID-19 vaccine is offered to the Vaccine for Children program.

    NVX-CoV2373 Vaccine Cell Lines

    "No human fetal-derived cell lines or tissue, including HEK293 cells, are used to develop, manufacture, or produce NVX-CoV2373," a Novavax spokesperson told Religion News Service on February 8, 2022.

    Novavax and Pharmacists

    As of November 2024, Nuvaxovid™ is available in prefilled syringe presentation in over 30,000 locations across major pharmacy retailers and regional grocers in the U.S. Silvia Taylor, Executive Vice President, Chief Corporate Affairs, and Advocacy Officer of Novavax, Inc., stated on January 12, 2024, that Novavax is proud to celebrate the invaluable contributions of pharmacists. Perhaps pharmacists have never been more essential to our health and well-being than they have been over the past three years, working tirelessly to ensure access to vaccines in communities everywhere. We recognize the vital role pharmacists and their teams play in communities worldwide in promoting public health and wellness, and we want to Thank You for your commitment. 

    Novavax Vaccine News

    May 5, 2025 - "Our ongoing partnership with Takeda is important for Novavax and our strengthened agreement enhances our ability to operate effectively in the Japanese market," said John C. Jacobs, President and Chief Executive Officer, Novavax. "This partnership further validates our cutting-edge technology platform and proprietary Matrix-M® adjuvant and our efforts to become a partner of choice."

    April 15, 2025 - "The risk of side effects or reactogenicity is a major decision factor for those opting to get vaccinated. Our findings of lower frequency and intensity of reactogenicity symptoms from the protein-based COVID-19 vaccine observed in SHIELD-Utah add valuable insights to the public debate weighing choice and value of COVID-19 vaccination," said Sarang K. Yoon, DO, MOH, Principal Investigator, University of Utah Health.

    February 28, 2025 - Novavax, Inc. announced its financial results and operational highlights for the fourth quarter and twelve months ended December 31, 2024.

    December 10, 2024 - "A combination vaccine for two vaccine-preventable diseases is an important step forward for public health, and the trial start is a key step in advancing our late-stage pipeline, which we plan to progress through strategic partnerships," said Ruxandra Draghia-Akli, MD, PhD, Executive Vice President, Head of Research and Development, Novavax. "Our goal is to get these assets to market as soon as possible, and we will work with the U.S. FDA to assess the possibility of an accelerated approval pathway."

    November 12, 2024 - "Novavax continues to focus on our corporate growth strategy of driving value from additional business development activities and organic R&D using our proven technology platform," said John C. Jacobs, President and Chief Executive Officer of Novavax.

    August 8, 2024: Novavax generated a total revenue of $415 million in the second quarter of 2024 and ended the period with $1.1 billion in Cash.

    June 24, 2024—John C. Jacobs, President and CEO of Novavax, stated, "Our updated COVID-19 vaccine is active against current circulating strains, including KP.2 and KP.3."

    June 14, 2024 - "Novavax is committed to having a protein-based COVID-19 option available at the start of the vaccination season, which is critical because research suggests that providing vaccine choice, along with healthcare provider recommendations, may help improve vaccination rates," said John C. Jacobs, President and Chief Executive Officer, Novavax. 

    February 28, 2024—John C. Jacobs, President and Chief Executive Officer of Novavax, commented, "Moving into the next chapter of our business journey as a more lean and agile organization, we are laser-focused on improving our commercial performance in 2024 and 2025 and diversifying our revenue opportunity with our potential combination vaccine launch, which we expect in the fall of 2026."

    January 31, 2024 - John C. Jacobs, President and Chief Executive Officer of Novavax, commented in a press release, "We are redefining how we do business and are purposefully focusing on the critical activities needed to achieve our objectives and strengthen the Company's financial performance."

    January 3, 2024: Florida State Surgeon General Dr. Joseph A. Ladapo published an open letter stating that providers concerned about patient health risks associated with COVID-19 should prioritize patient access to non-mRNA COVID-19 vaccines.

    December 19, 2023 - The French Ministry of Health had the new (Novavax) vaccine available primarily in retail pharmacies by 2023.

    November 28, 2023 - "The WHO Emergency Use Listing of our updated protein-based non-mRNA COVID-19 vaccine enables expedited regulatory approvals for its 194 member states and UN procurement agencies, such as UNICEF, thereby supporting equitable access to our vaccine around the world," said John C. Jacobs, President and Chief Executive Officer, Novavax.

    November 9, 2023 - The Company announced that its total revenue for the third quarter of 2023 was $187 million, compared to $735 million in the same period in 2022.

    October 3, 2023 - Peter Marks, M.D., Ph.D., director of the FDA's Center for Biologics Evaluation and Research, commented in a press release, "Today's (Novavax) authorization provides an additional COVID-19 vaccine option that meets the FDA's standards for safety, effectiveness, and manufacturing quality needed to support emergency use authorization.

    June 15, 2023: Novavax confirmed it is prepared to deliver a Protein-based Monovalent XBB COVID Vaccine Consistent with the FDA VRBPAC Recommendation for Fall 2023.

    May 25, 2023 - "The positive CHMP Opinion for full Marketing Authorization for our COVID vaccine brings us one step closer to full authorization and will provide an approval pathway for an updated vaccine in time for the fall," said John C. Jacobs, President and Chief Executive Officer of Novavax.

    April 8, 2020 - Novavax, Inc. announced it had identified a coronavirus vaccine candidate, NVX-CoV2373. The clinical development plan combines Phase 1 and Phase 2 approaches to allow rapid advancement.

    Novavax Clinical Trials

    The NVX-CoV2373 vaccine is currently being evaluated in multiple clinical trials.

    A Phase 4 study, published in September 2024, confirmed that NVX-CoV2372 is suitable for boosting humoral immune responses in individuals primed with AZD1222. Compared to mRNA vaccines, it induces fewer acute side effects and more sustained levels of anti-spike IgG antibodies.

    On March 6, 2024, The Lancet Infectious Diseases published results from an interim analysis of phase 3, a randomized, observer-blinded study focused on the immunogenicity and safety of a saponin-adjuvanted, protein-based, omicron-BA.5-containing bivalent vaccine (NVX-CoV2540 plus NVX-CoV2373) versus the prototype vaccine alone (NVX-CoV2373) when used as the more significant greater. Booster dose (Novavax). These findings show that the bivalent vaccine booster induces more robust immune responses than the prototype booster against clinically relevant variants of interest. Boosting with the monovalent BA.5-containing vaccine alone resulted in the highest neutralizing titers against Omicron BA.5. Part 2 of the ongoing 2019nCoV-311 study met all three coprimary endpoints. It did not raise any new safety concerns, supporting the use of omicron-based booster vaccines.

    On March 16, 2024, the journal Vaccine published a positive benefit-risk assessment for the Novavax COVID-19 vaccine (NVX-CoV2373). On April 6, 2024, MDPI's journal Vaccines published the results of a Real-World Retrospective Study in Germany, funded by Novavax Europe. These researchers stated that the Tolerability and COVID-19 protection support the use of NVX-CoV2373 as a primary or booster vaccination for all authorized populations, including high-risk individuals. On April 24, 2024, the JAMA Network published an Original Investigation that found no statistically significant signal for seizures when analyzing 2019 or 2022 background-rated data.

    On October 3, 2022, the peer-reviewed journal The Journal of Clinical Investigation published a study that found the protein-based vaccine NVX-CoV2373 induces robust T-cell immunity capable of recognizing SARS-CoV-2 antigens and supporting humoral immune responses. On October 25, 2022, a non-peer-reviewed study reported that after the third dose of NVX-CoV2373, titers against Omicron BA.1 (GMT: 1,197) and BA. 4/BA.5 were observed.5 (GMT: 582), with responses similar in magnitude to those triggered by three doses of an mRNA vaccine. On November 8, 2022, the Company reported the Novavax BA.1 vaccine candidate (NVX-CoV2515) met its primary strain-change endpoint, allowing for the development of variant vaccines, if necessary; Novavax's prototype vaccine induced a broad immune response against the original Wuhan, BA.1, and BA.5 strains; and the phase 3 trial showed no benefit for a bivalent vaccine utilizing Novavax' recombinant protein/adjuvant technology.

    0 min read
    Availability: 
    USA, Japan, Europe
    Generic: 
    NVX-CoV2373
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    https://www.novavax.com/resources#protocols
    Drug Class: 
    Protein-based Subunit Vaccine
    Condition: 
    Last Reviewed: 
    Tuesday, December 2, 2025 - 15:55
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    Nuvaxovid
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    Avigan Antiviral

    Avigan (Favipiravir) Antiviral Description For 2022

    Avigan (Favipiravir) (T-705) (Reeqonus) Tablet is a pyrazinecarboxamide derivative with activity against RNA viruses. Host enzymes convert Favipiravir to the ribofuranosyltriphosphate derivative and selectively inhibit the influenza viral RNA-dependent RNA polymerase.

    Avigan (Favipiravir) was approved for manufacture and sale in Japan in 2014 as an influenza antiviral. However, Avigan is considered for use only when there is an outbreak of novel or re-emerging influenza virus infections.

    Favipiravir-based drugs are sold worldwide, such as Avigan, FabiFlu, Avifavir, Favijaj, Ciplenza, FluGuard, Avifavir, Coronavir, and Reeqonus in Canada.

    Avigan undergoes an intracellular phosphoribosylation to be an active form, favipiravir-RTP (favipiravir ribofuranosyl-5′-triphosphate) is recognized as a substrate RdRp and inhibits the RNA polymerase activity, and is a pyrazinecarboxamide derivative. Favipiravir-RTP is a nucleoside analogue. It mimics both guanosine and adenosine for the viral RdRP.

    Since the catalytic domain of RdRp is conserved among various types of RNA viruses, this mechanism of action underpins a broader spectrum of antiviral activities of favipiravir.

    The active favipiravir-RTP selectively inhibits RNA polymerase and prevents replication of the viral genome. In addition, studies have shown that favipiravir-RTP is incorporated into a nascent RNA strand prevents RNA strand elongation and viral proliferation. Studies have also found that the presence of purine analogs can reduce favipiravir's antiviral activity, suggesting competition between favipiravir-RTP and purine nucleosides for RdRp binding.

    Toyama Chemical Co., Ltd. discovered Avigan (favipiravir), which selectively inhibits RNA polymerase necessary for influenza virus replication. Due to this mechanism of action, it is expected that Avigan may potentially have an antiviral effect on the new coronavirus, SARS-CoV-2, because, like influenza viruses, coronaviruses are single-stranded RNA viruses that also depend on viral RNA polymerase.

    Glenmark Pharmaceuticals confirmed on September 15, 2021, a prospective, open-label, multicentre, single-arm phase 4 study of Favipiravir showed that fever resolution was four days, while the time for a clinical cure was seven days. And, no new safety signals or concerns with the use of Favipiravir, and already-known side effects were found to be mild.

    Appili Therapeutics Inc. announced that the Phase 3 PRESECO clinical trial evaluating oral antiviral Avigan (Reeqonus) (favipiravir) for the treatment of mild-to-moderate COVID-19 did not achieve statistical significance on the primary endpoint of time to sustained clinical recovery.

    Favipiravir Accession Number: DB12466; Chemical Formula: C5H4FN3O2; ATC code: J05AX27 

    Avigan (Favipiravir) Antiviral History

    On September 23, 2020, Fujifilm Toyama Chemical Co. announced a small phase III trial in Japan, which began in March 2020, was now complete. It intends to apply the medication to be approved for treating coronavirus patients after trials showed it could shorten recovery time. In this study, the median value of primary endpoints, using 156 individuals as analysis targets, was 11.9 days for the Avigan group and 14.7 days for the placebo group. FUJIFILM Toyama Chemical confirmed, with a statistically significant difference (p-value = 0.0136), that the administration of Avigan to COVID-19 patients with non-serious pneumonia demonstrates a shorter time to resolution. The adjusted hazard ratio*2 showed 1.593 (95% confidence interval of 1.024 – 2.479). No new safety concerns were noted in this trial.

    Previously, Fujifilm signed a patent license agreement on its anti-influenza medication Avigan (favipiravir) Tablet with China's significant pharmaceutical Company Zhejiang Hisun Pharmaceutical in June 2016.

    On June 1, 2020, Avifavir (Favipiravir) received a temporary registration certificate from the Ministry of Health of the Russian Federation, which has included Avifavir in its latest 7th edition of the prevention guidelines diagnosis, and treatment of new coronavirus infection COVID-19. Starting June 10, 2020, Avifavir was delivered to more than 50 Russian regions and Belarus and Kazakhstan.

    Favipiravir-based drugs, such as Coronavir, have demonstrated efficacy in clinical trials held in the leading medical centers across Russia, involving patients with confirmed cases of COVID-19. The drugs disrupt the coronavirus's reproduction mechanisms, relieve symptoms, and halve the treatment period compared to standard therapy.

    On July 13, 2020, Glenmark Pharmaceuticals announced that it would lower the price of its generic version of favipiravir, FabiFlu, to 75 rupees ($0.9983) per tablet. This indicates a treatment course with FabiFlu would require a patient to take 122 tablets over 14 days and will now cost 8,475 rupees ($112.80) per patient at the new price.

    Glenmark reported results from a phase 3 trial on July 22, 2020, that showed numerical improvements for the primary efficacy endpoint with 28.6% faster viral clearance in the overall population as measured by the median time until cessation of oral shedding virus in the Favipiravir treatment arm. In addition, Glenmark's Favipiravir was well tolerated with no serious adverse events or fatalities in the Favipiravir-treated arm.

    Avigan is not approved for distribution in the USA by the U.S. FDA.

    FUJIFILM Toyama Chemical Co., Ltd. is located at 14-1, Kobayashi 2-Chome, Chuo-Ku, Tokyo 104-0031 Japan. The Drugbank Accession Number is DB12466.

    Avigan (Favipiravir) Antiviral Indication

    Avigan (favipiravir) (REEQONUS) is effective against a wide range of types and subtypes of influenza viruses, including strains resistant to existing anti-influenza drugs, says a study published by the U.S. NIH.

    Of note is that favipiravir shows antiviral activities against other RNA viruses such as arenaviruses, bunyaviruses, and filoviruses, all known to cause fatal hemorrhagic fever. These unique antiviral profiles will make Avigan a potentially promising drug for specifically untreatable RNA viral infections. The main advantages of favipiravir are that it is administered orally. Thus, it can be given in patients who are symptomatic but not ill enough to be hospitalized, stated a study published in September 2020. Favipiravir has been investigated to treat life-threatening pathogens such as the Ebola virus and Lassa virus.

    Avigan (Favipiravir) Antiviral Indication For COVID-19

    Appili Therapeutics Inc. announced on November 12, 2021, that the Phase 3 PRESECO (PREventing SEvere COVID-19) clinical trial evaluating oral antiviral  Avigan / Reeqonus(favipiravir) for the treatment of mild-to-moderate COVID-19 did not achieve statistical significance on the primary endpoint of time to sustained clinical recovery.

    eBioMedicine published a study on September 23, 2021, The combined treatment of Molnupiravir and Favipiravir results in a potentiation of antiviral efficacy in a SARS-CoV-2 hamster infection model. When animals were treated with a combination of suboptimal doses of Molnupiravir and Favipiravir at the time of infection, a marked combined potency at the endpoint is observed. 

    On September 15, 2021: Glenmark Pharmaceuticals announced the successful completion of its Post Marketing Surveillance study on Favipiravir (FabiFlu®) in India. The time for fever resolution was 4 days, while the time for a clinical cure was 7 days.

    On June 19, 2020, Glenmark Pharmaceutical became the first Company in India to receive restricted emergency use approval from India's drug regulator for FabiFlu®, making it the first oral Favipiravir-approved medication in India for the treatment of mild to moderate COVID-19. The mortality rate in the Favipiravir study group was approximately 30% less than the control group when used early in the treatment of a SARS-CoV-2 virus infection, reported the journal Nature on May 26, 2021.

    Avigan (Favipiravir) Antiviral Availability For 2022

    Cellvera holds directly, or through its affiliates worldwide (excluding Japan), exclusive rights to Avigan® and all strengths and formulations of Favipiravir, as of January 24, 2022. Regulators authorized Avigan® in several markets to treat COVID-19 and/or influenza, including Japan, Malaysia, Thailand, United Arab Emirates, Indonesia, Mexico, and India. Several other countries purchase it on a compassionate patient basis, including the United Kingdom, Greece, Hungary, and Saudi Arabia. The governments of those countries have ordered a total of 80m tablets in the past 12 months.

    On July 12, 2021, FDC Limited announced the launch of India's first oral suspension of Favipiravir – Favenza Oral Suspension, used to treat mild to moderate cases of COVID-19. This prescription-only solution is currently available at all retail, medical outlets, and hospital pharmacies across the country.

    Avigan (Favipiravir) Antiviral Dosage

    As an influenza antiviral drug approved for manufacture and sale in Japan, Avigan (Favipiravir) selectively inhibits RNA polymerase necessary for influenza virus replication. The dosage of Avigan to treat COVID-19 disease patients is currently being evaluated in various clinical studies. For example, in a phase 2 study in Boston, Massachusetts, Aviagn tablets are being evaluated: on the first day, once for 1600 mg, twice a day; From the 2nd day to the 10th day, once for 600 mg, twice a day; maximum of ten days for oral administration of the drug.

    However, reports indicate Avigan cannot be administered to expecting mothers or those who may become pregnant. On September 2, 2020, a study from India found that the drug's side-effect profile also seems acceptable, with asymptomatic hyperuricemia and mild, reversible elevation in transaminases being the most frequently reported adverse effects. In the Indian trial, no special safety signal was elicited. However, it is teratogenic and must never be used in pregnant women.

    The main disadvantage is a high pill burden, which works out to a loading dose of 18-tablets on the first day and then 8-tablets a day for the rest of the course.

    Avigan (Favipiravir) Antiviral Side Effects

    A CLINICAL COMMENTARY was published on January 21, 2022: Angioedema after favipiravir treatment: Two cases. Clinicians should be careful about the side effects and possible skin manifestations, especially including angioedema, related to the use of favipiravir.

    Dove Press published a study on July 30, 2021, that included, 'Favipiravir is a prodrug converted to favipiravir-RTP, an active form of ribofuranosyl-5-triphosphate that competes for polymerase active binding sites. Favipiravir is capable of inhibiting the RdRp enzyme of RNA viruses like influenza.'

    Avigan (Favipiravir) Antiviral News For 2015 - 2022

    March 11, 2022 - Fujifilm Holdings Corp announced it was halting enrolment in the phase 3 clinical trial of Avigan. With the recent spread of the Omicron variant that has lower symptom severity rates than conventional strains, and the assumption that a vast majority of patients who had recently been enrolled in the trial having infected by the Omicron strain, Fujifilm decided that, even if trials were continued under the current clinical trial protocol, it would be difficult to verify Avigan’s efficacy to suppress the symptoms from becoming severe, and that continuation of the placebo control trial would not lead to the subjects’ benefits. 

    January 24, 2022 - Cellvera announced a supply of millions of its COVID-19 oral antiviral Avigan to Malaysia in the coming weeks. Favipiravir works by inhibiting a viral enzyme called RNA polymerase, preventing viral replication within human cells. This viral enzyme is common to several viruses, including SARS-CoV-2, which causes COVID-19.

    November 12, 2021 - “While we are disappointed by the topline results of the PRESECO trial, we remain steadfast in our belief that safe and effective oral antivirals are urgently needed for patients who are still struggling to overcome COVID-19,” said Dr. Armand Balboni, CEO, Appili Therapeutics.

    November 5, 2021 - National Geographic published an article: How the rise of antivirals may change the course of the pandemic.

    November 3, 2021 - The journal Nature published an article - In a bid to stave off looming disaster, scientists are trying to repurpose drugs used for malaria and other diseases, but infrastructure and recruitment challenges stymie progress.

    October 28, 2021 - AiPharma owned Global Response Aid and Pharmax announced they have partnered to supply Avigan (Favipiravir) in the UAE. Favipiravir was added to the list of approved therapeutics in the Dubai Health Authority's National Guidelines for Clinical Management and Treatment of COVID-19 in June 2020.

    October 14, 2021 - Appili Therapeutics (TSX: APLI) announced the closing of a Public Offering of $7,000,220. Dr. Armand Balboni, CEO, Appili Therapeutics, commented, "With the COVID-19 pandemic continuing to evolve, the need for at-home oral antivirals remains urgent. As Appili rapidly approaches the top-line readout from our Phase 3 PRESECO trial, which is evaluating the oral antiviral Avigan®/Reeqonus™ (favipiravir) for the treatment of mild-to-moderate COVID-19, this funding will support us as we move aggressively to deliver this critically needed medicine and hopefully change the trajectory of this pandemic."

    September 29, 2021 - Appili Therapeutics Inc. (TSX: APLI; OTCQX: APLIF) and AiPharma Global Holdings LLC announced a strategic alliance to advance the global development of Avigan® / Reeqonus™ (favipiravir).

    September 20, 2021 - Appili Therapeutics Inc. announced it entered into an agreement with FUJIFILM Toyama Chemical Co., Ltd., that will provide funding support for its Phase 3 PRESECO (PREventing SEvere COVID-19) clinical trial. The new funding of $1,000,000 USD was secured from FFTC, one of the Company's partners in a global consortium focused on the worldwide development, commercialization, and distribution of Avigan®/Reeqonus™ (favipiravir) tablets for the potential treatment and prevention of COVID-19.

    September 17, 2021 - Appili Therapeutics Inc. (TSX: APLI; OTCQX: APLIF) announced it has completed patient enrollment in the viral shedding sub-study portion of its Phase 3 PRESECO (PREventing SEvere COVID-19) trial evaluating Avigan®/Reeqonus™ (favipiravir) as a potential oral antiviral COVID-19 treatment in the USA. The viral shedding sub-study is designed to identify COVID-19 variants in study patients and evaluate the direct antiviral effect of favipiravir against the SARS-CoV-2 virus, including recent and emerging variants. 

    September 15, 2021 - Glenmark Pharmaceuticals announced the successful completion of its Post Marketing Surveillance phase 4 study on Favipiravir (FabiFlu®) in India. The study commenced in July 2020 to evaluate the safety and efficacy of Favipiravir in mild to moderate COVID-19 patients. A total of 1,083 patients were enrolled in the prospective, open-label, multicentre, single-arm study. Results showed no new safety signals or concerns with the use of Favipiravir.

    August 8, 2021 - Thailand's Department of Medical Services Public Health Ministry decided to administer Favipiravir to more groups of Covid-19 patients and is planning to stockpile 420 million tablets of the drug, reported local media.

    July 7, 2021 - The Indonesian Food and Drug Supervisory Agency granted an emergency permit to use Avigan to treat COVID-19 patients.

    June 24, 2021 - Appili Therapeutics Inc. announced in a press statement: "We are encouraged that an independent Data and Safety Monitoring Board has recommended continuation without modification of Appili's ongoing Phase 3 PRESECO trial evaluating Avigan® / Reeqonus™ (favipiravir). We look forward to the completion of the PRESECO trial and are hopeful that Avigan/Reeqonus will emerge as one of the first prescription oral medicine for newly diagnosed patients with COVID-19," commented Dr. Balboni. 

    June 17, 2021 - Appili Therapeutics Inc. has added several clinical research sites in Mexico and Brazil to its Phase 3 clinical trial evaluating Avigan® / Reeqonus™ (favipiravir) as a potential oral therapy for patients with mild-to-moderate COVID-19. The expansion into Mexico and Brazil will ensure timely completion of this pivotal trial and reaffirm favipiravir as one of the most advanced oral COVID-19 antiviral candidates in development, with top-line data expected in Q3 2021.

    June 14, 2021 - Ireland-based AiPharma announced a production and distribution deal for China and the Russian Federation with FUJIFILM for its influenza antiviral drug Avigan® for COVID-19.

    June 8, 2021 - Glenmark Pharmaceuticals announced interim data of 503 patients from its Post Marketing Surveillance study on Favipiravir (FabiFlu) in India. The time to fever resolution was seen on day 3, while two-third of the patients achieved clinical cure on day 7. The study commenced in July 2020 aimed to evaluate the safety and efficacy of Favipiravir in mild to moderate Covid-19 patients. A total of 1,083 patients have been enrolled in the prospective, open-label, multicenter, single-arm study. A total of 13 sites – both Government and private institutions – across Mumbai, Bangalore, Hyderabad, Nashik, Nagpur, and Trivandrum took part. Glenmark's interim data to the regulator reveals no new safety signals or concerns using Favipiravir and already-known side effects such as weakness, gastritis, diarrhea, vomiting, etc., which were found to be mild in nature. The time to fever resolution was seen on day 3, while two-third of the patients achieved clinical cure on day 7.

    June 7, 2021 - India's Union health and family welfare ministry revised the Covid-19 treatment guidelines and removed the use of the antiviral drug favipiravir from its list of advised treatment.

    May 27, 2021 - BMC published: Favipiravir for treating patients with COVID-19: a systematic review and meta-analysis. Conclusions - Favipiravir induces viral clearance by 7 days and contributes to clinical improvement within 14 days. The results indicated that favipiravir is strongly capable of treating COVID-19, especially in patients with the mild-to-moderate illness. However, additional well-designed studies, including examinations of the dose and duration of treatment, are crucial for reaching definitive conclusions.

    May 26, 2021 - The journal Nature published a study: The efficacy and safety of Favipiravir in treatment of COVID-19: a systematic review and meta-analysis of clinical trials. Finding: The mortality rate in the Favipiravir group was approximately 30% less than the control group, but this finding was not statistically significant. Favipiravir possibly exerted no significant beneficial effect in the term of mortality in the general group of patients with mild to moderate COVID-19. We should consider that perhaps the use of antiviral once the patient has symptoms is too late, which would explain their low efficacy in the clinical setting.

    May 22, 2021 - India-based Bharat Parenterals confirmed it received approval from the Drugs Controller General of India for favipiravir l00mg/ml oral suspension for treating COVID-19.

    May 17, 2021 - Appili Therapeutics Inc. announced that an independent Data and Safety Monitoring Board had recommended continuation without modifying the ongoing Phase 3 PRESECO trial evaluating Avigan® / Reeqonus™ (favipiravir) as a potential oral therapy for patients with mild-to-moderate COVID-19.

    May 10, 2021 - Vivimed Labs received India's approval to manufacture and market Favipiravir Tablet 200 mg and 400 mg for the Indian market.

    May 4, 2021 -  PTI reported India-based Bajaj Healthcare announced the launch of its antiviral Favipiravir tablets under the brand name 'Favijaj' to treat mild to moderate COVID-19 infections in India said in a BSE filing. The Company successfully developed the active pharmaceutical ingredient and formulated favipiravir through its own in-house R&D team.

    April 21, 2021 - FUJIFILM Toyama Chemical Co., Ltd. announced a new phase III clinical trial in Japan concerning its anti-influenza drug Avigan® Tablet (Avigan; favipiravir), targeting patients infected with COVID-19. The trial is a double-blind, placebo-controlled clinical trial investigating the drug's efficacy and safety in patients with early-onset COVID-19 with risk factors for progression to severe symptoms.

    April 19, 2021 - Appili Therapeutics Inc. (TSX: APLI; OTCQX: APLIF) announced that Dr. Armand Balboni would present at the fully virtual Bloom Burton & Co. Healthcare Investor Conference taking place on April 20 and 21, 2021.

    April 12, 2021 - Philippines-based My Med Rx Plus Corporation announced it had placed orders for 1 million Favipiravir (Avigan) and 3 million tablets of Umifenovir (Arbidol) tablets to secure supplies for hospitals and patients.

    March 31, 2021 - The journal Nature published a study: Safety and efficacy of favipiravir versus hydroxychloroquine in management of COVID-19: A randomized controlled trial. Finding: Favipiravir is a safe, effective alternative for hydroxychloroquine in mild or moderate COVID-19 infected patients.

    March 24, 2021 - The Russian Direct Investment Fund and the ChemRar group of companies announce that they have received a registration certificate from the Indonesian Medicines and Foods Control Agency for the Avifavir antiviral (favipiravir). Registration of Avifavir in Indonesia was carried out according to an accelerated procedure based on data from an extended phase II-III clinical trial, which took place from April to September 2020, at 30 specialized centers throughout Russia with the participation of 460 patients.

    March 17, 2021 – Appili Therapeutics Inc. announced that it would present at the fully virtual Inaugural Emerging Growth Virtual Conference, presented by M Vest LLC and Maxim Group LLC taking place on March 17th through 19th. In addition, Appili CEO Dr. Armand Balboni, M.D., Ph.D., will participate in a Fireside Chat on Friday, March 19th at 4:30 PM ET. Appili is developing a version of Avigan (Favipiravir) for use in Canada and the USA. "While we are encouraged by the early signals that favipiravir may be active against COVID-19, we realize that there is a duty to provide robust clinical data evaluating favipiravir as an early treatment option and prophylactic agent. Appili is honored to be a part of this world-class clinical program as we race to find options for the greatest public health threat of our lifetime."

    March 9, 2021 - According to IQVIA data, Favipiravir posted total sales of Rs 424 crore from June to December 2020 in India.

    February 21, 2021 - Kyodo News reported that Fujifilm Holdings Corp is considering restoring a clinical trial for its drug Avigan in treating COVID-19 patients. Details, including when the trial would start in Japan, have yet to be determined.

    February 12, 2021 - Appili Therapeutics Inc. announced recent operational highlights including: Signing a collaboration, development, and supply agreement to create a global consortium with Dr. Reddy's Laboratories Ltd. and Global Response Aid for oral COVID-19 antiviral candidate favipiravir (REEQONUS); Working with partner DRL to support the filing of an application under Health Canada's interim order for favipiravir oral tablets (REEQONUS in Canada) on behalf of the global consortium; Dosing the first participant and activating over 50% of the planned sites in the U.S. for its Phase 3 PRESECO study evaluating favipiravir for the early treatment of mild-to-moderate COVID-19 infections; Receiving a 'No Objection Letter' from Health Canada to initiate the Phase 3 PEPCO study evaluating favipiravir for the prevention of COVID-19 in exposed individuals in the community setting.

    January 28, 2021 - Appili Therapeutics Inc. announced that its Phase 3 PRESECO (PReventing SEvere COvid-19) clinical trial actively recruited participants in 12 out of 20 sites in the USA. Based on current forecasts, Appili believes it will reach the enrollment threshold required to provide an interim data readout by late March 2021. PRESECO evaluates favipiravir, an oral antiviral, in the early treatment of COVID-19 in the outpatient setting. The Company is also pursuing regulatory approvals to expand PRESECO into Mexico, Brazil, and Colombia.

    January 27, 2021 - India-based Dr. Reddy's Laboratories Ltd. and Global Response Aid FZCO announced the termination of the Avigan Trial Study conducted in Kuwait focused on moderate to severe COVID-19 patients in a hospital setting.

    January 6, 2021 - The Lancet published a commentary: Understanding the pharmacokinetics of Favipiravir: Implications for treating influenza and COVID-19. Results from this study, as well as others, demonstrate a highly complex pharmacokinetic profile.

    January 1, 2021 - Study: Role of favipiravir in the treatment of COVID-19. Conclusion: Considering the approved status, evidence on the safety, and key indicators of efficacy of favipiravir in COVID-19 from trials/registries in Russia, Japan, China, and Thailand, it appears to be useful management of COVID-19, particularly mild to moderate disease.

    December 22, 2020 - Dr. Reddy's Laboratories Ltd., Appili Therapeutic, and Global Response Aid FZCO announced that Dr. Reddy's Canada had filed an application on behalf of the consortium for REEQONUS™ (favipiravir) Tablets for the acute treatment of mild to moderate COVID-19 adult patients under Health Canada's Interim Order Respecting the Importation, Sale, and Advertising of Drugs for Use concerning COVID-19. REEQONUS is also known as Avigan® (favipiravir) Tablets, developed by FUJIFILM Toyama Chemical Co., Ltd.

    December 19, 2020 - According to the National Institute of Pharmacy and Food Health (OGYÉI), a new coronavirus drug-containing favipiravir, manufactured by the Hungarian pharmaceutical company Egis, has been approved, so it is expected to be used in the treatment of coronavirus patients from mid-January. The preparation is managed by the state health reserve and delivered to health care providers, writes MTI.

    December 17, 2020 - Japanese authorities have found it difficult to conclude the effectiveness of antiviral drug Avigan in treating COVID-19 patients based on clinical testing results by its developer, FUJIFILM Toyama Chemical Co., Ltd. However, according to local media, the Pharmaceuticals and Medical Devices Agency's latest assessment will likely decide whether to approve the use of Avigan to treat COVID-19 in Japan.

    December 14, 2020 - The Philippines Department of Health announced it had to tweak the Avigan clinical trial protocol against COVID-19 to get more participants. The anti-flu drug Avigan is among the off-label drugs being studied as a possible treatment for the new coronavirus disease. As of December 7, the study had a total of 16 participants.

    December 11, 2020 - Professor Fehmi Tabak of Istanbul University's Cerrahpaşa Faculty of Medicine says favipiravir is one of the strongest currently available medicines against COVID-19. Still, people stopping intake based on rumors see their situation worsen. "The drug might have minor side effects on people with liver problems, but it does not have any side effect for COVID-19 patients without any underlying disease," he said.

    December 10, 2020 - Nepal Health Research Council has decided to test antiviral medicine favipiravir on Covid-19 patients admitted to Kathmandu and Pokhara hospitals. The drug, administered under a phase-III trial, will be given to 600 patients with mild or moderate contagious disease symptoms. Favipiravir is being manufactured by Deurali-Janta Pharmaceuticals Pvt. Ltd in Nepal.

    December 2, 2020 - Appili Therapeutics Inc. announced that investigators had dosed the first participant in its Phase 3 trial (referred to as the "PRESECO" clinical trial) evaluating oral Avigan® tablets (favipiravir) for the treatment of COVID-19. Appili expects to report early data from the PRESECO study in the first half of 2021. Appili is initially focusing the trial in the United States but may expand it to other areas of the world affected by COVID-19.

    November 30, 2020 - The sovereign wealth fund of the Russian Federation and the ChemRar group of companies announce an increase in production of the first Russian drug against the new coronavirus infection, Avifavir. The production level is now 200,000 packs per month. Avifavir (favipiravir) is the first drug globally with the active ingredient favipiravir, registered to treat new coronavirus infections.

    November 24, 2020 - Appili Therapeutics Inc. announced the initiation of its Phase 3 Post Exposure Prophylaxis for COVID-19 (PEPCO) study to evaluate Avigan® tablets (favipiravir) in the prevention of COVID-19. And Health Canada has provided a 'No Objection Letter (NOL)' for Appili's proposed study; the U.S. FDA accepted a submission of a protocol amendment to conduct the trial in the USA. This is the second Phase 3 study that Appili has announced to evaluate Avigan tablets' utility against COVID-19 in the community setting. The other study, also known as the PRESECO study, evaluates Avigan for treating adults with mild-to-moderate symptoms of COVID-19.

    November 20, 2020 - The Ministry of Healthcare of the Russian Federation confirmed the 'permanent registration of Avifavir, which enables the drug to be used both in outpatient and inpatient settings. 

    November 16, 2020 - Phase III study published in the International Journal of Infectious Diseases showed that early treatment with favipiravir might be associated with more rapid viral clearance of COVID-19.

    November 6, 2020 - The Russian Direct Investment Fund and the ChemRar group of companies announced a permit for the outpatient use of the first Russian anti-coronavirus drug, Avifavir (Favipiravir), provided to COVID-19 patients free of charge. The drug is already provided free of charge under the compulsory medical insurance program to patients undergoing treatment for coronavirus in medical institutions.

    October 30, 2020 - Appili Therapeutics Inc. announced that it had signed a collaboration, development, and supply agreement with Dr. Reddy's Laboratories Ltd. Global Response Aid. The agreements work together to coordinate and accelerate the worldwide development, commercialization, and distribution of Avigan® tablets (favipiravir) for the potential treatment and prevention of COVID-19.

    October 30, 2020 - FDC Limited announced the launch of new strength variants of its Favipiravir brands– PiFLU and Favenza- to treat mild to moderate cases of COVID-19 in India. These prescription-only drugs will be available at all retail, medical outlets, and hospital pharmacies across the country from the 1st of November, 2020. The 800mg version of the drugs will help reduce the number of tablets taken by any patient by 75%. Patients must take 18 pills on the first day, followed by 8 tablets every day for the next 13 days.

    October 29, 2020 - A review provides insights into the evidence-based evolving role of favipiravir in the management of COVID-19 infection with emphasis on the benefits of initiating an early antiviral therapy with a special focus on favipiravir, its pharmacodynamic, pharmacokinetic, in vitro, clinical data, and inclusion in the treatment protocols of COVID-19.

    October 22, 2020 - Fujifilm Holdings Corp. announced it has partnered with Shanghai-based Carelink Pharmaceutical Co. to seek approval in China for Avigan to treat COVID-19 and influenza.

    October 20, 2020 - Appili Therapeutics Inc. announced that investigators enrolled and dosed the first cluster of participants in Appili's CONTROL COVID-19 clinical trial. 

    October 16, 2020 - FUJIFILM Toyama Chemical Co., Ltd. announced that the Company filed an Application for Partial Changes to manufacturing and marketing approval matters of its anti-influenza drug Avigan® Tablet the Ministry of Health, Labour and Welfare in Japan. The filing seeks to add an indication and other items relating to novel coronavirus infections (COVID-19).

    October 9, 2020 - Pre-clinical study: The potent antiviral efficacy of high favipiravir doses is in line with a recent study in which thrice-daily dosing of ∼1,400 mg⋅kg−1⋅d−1 of favipiravir resulted in significant reductions in virus infection in hamsters. Favipiravir plasma exposures were consistent in both studies, although the doses used were not completely the same.

    October 3, 2020 - Moscow's Mayor Sobyanin said 'COVID-19 outpatients in Moscow will receive the antiviral drugs "Areplivir" and "Coronavir," which are versions of Avigan, for free.'

    September 24, 2020 - The Russian Direct Investment Fund (RDIF), Russia's sovereign wealth fund, and ChemRar Group have agreed to supply Avifavir, the world's first registered favipiravir-based drug against coronavirus and Russia's first drug approved for the treatment of COVID-19, to 17 countries. The drug has already been delivered to Belarus, Bolivia, Kazakhstan, Kyrgyzstan, Turkmenistan, and Uzbekistan.

    September 23, 2020 - FUJIFILM Toyama Chemical Co., Ltd. announced that the primary endpoint had been met in phase III clinical trial of "Avigan Tablet" (generic name: favipiravir, "Avigan") conducted in Japan for patients with novel coronavirus infections. As an influenza antiviral drug approved for manufacture and sale in Japan, Avigan selectively inhibits RNA polymerase necessary for influenza virus replication.

    September 18, 2020 - Russia-based R-Pharm announced the approval of Coronavir for outpatient treatment of mild to moderate COVID-19 coronavirus infection. Coronavir is manufactured at R-Pharm's facility in Yaroslavl, will be available in Russian pharmacies.

    September 17, 2020 - Article: Rapid incorporation of Favipiravir by the fast and permissive viral RNA polymerase complex results in SARS-CoV-2 lethal mutagenesis. 

    September 11, 2020 - Appili Therapeutics Inc. announced that it had submitted a new protocol to its open investigational new drug application with the U.S. FDA to conduct a Phase 3 clinical study evaluating favipiravir, the early treatment outpatient setting for adult COVID-19 infections. Favipiravir is a broad-spectrum antiviral administered in oral tablet form.

    September 3, 2020 - The start of clinical trials for the Japanese flu drug, Avigan, in the Philippines has been delayed anew because the ethics board of the Department of Health has not given its approval for the participation of three of four local hospitals in the trials, Health Undersecretary Maria Rosario Vergeire said. Japan turned over the Avigan (favipiravir) tablets to the Philippines, used by 100 patients with coronavirus disease (COVID-19).

    September 2, 2020 - India review article 'Favipiravir: A new and emerging antiviral option in COVID-19. The main advantages of favipiravir are that it is administered orally and that it can be given to patients who are symptomatic but not ill enough to be hospitalized. '

    August 19, 2020 - Dr. Reddy's Laboratories Ltd. announced the launch of AVIGAN® (Favipiravir) 200 mg Tablets in India. The launch is part of the global licensing agreement with FUJIFILM Toyama Chemical Co. Ltd. It grants Dr. Reddy's exclusive rights to manufacture, sell, and distribute AVIGAN (Favipiravir) 200 mg Tablets in India.

    August 17, 2020 - The Philippines started 9-month clinical trials for Avigan to study the anti-flu drug's efficacy against the COVID-19 disease. Health Undersecretary Maria Rosario Vergeire said the clinical trials would include just four hospitals in Metro Manila.

    August 14, 2020 - Fujifilm Holdings Corp. announced it expects to complete clinical tests in Japan of the antiviral drug Avigan, a potential candidate treatment for COVID-19, after a delay caused by difficulty in September securing enough patient data.

    August 10, 2020 - Appili Therapeutics announced the U.S. FDA had granted the Company clearance to proceed after Appili filed an investigational new drug application for broad-spectrum antiviral favipiravir known as Avigan. Appili's Phase 2 clinical trial is leveraging the versatility of favipiravir as an oral tablet suitable for administration across a wide variety of care settings, including long-term care. Appili intends to enroll up to 760 participants in this Phase 2 clinical trial across the U.S. and Canada. In addition, health Canada provided regulatory clearance on May 21, 2020, for Appili's Phase 2 study evaluating FUJIFILM Toyama Chemical's (FFTC) favipiravir as a preventative measure against COVID-19 outbreaks.

    August 4, 2020 - Sun Pharmaceutical Industries Ltd., the world's 4th largest generic pharmaceutical company, announced on Twitter that it would launch favipiravir (Avigan) under the brand 'FluGuard' ₹35 per pill, making it the cheapest brand of the antiviral drug in India. Favipiravir is used to treat mild to moderate Covid-19 disease through an emergency use authorization from India's Drug Controller General. 'FluGuard' is the sixth generic of favipiravir to be launched in India, with Glenmark Pharmaceuticals Ltd being the first to launch it in June after conducting a 150-patient clinical trial.

    August 4, 2020 - The Philippine government announced that it had begun clinical trials for Japanese anti-flu drug Avigan to see whether it would effectively treat COVID-19, the disease caused by the new coronavirus.

    August 3, 2020 – Chromis, a joint venture established by the Russian Direct Investment Fund and ChemRar Group, announced the signing of a distribution agreement with South Africa's 3Sixty Biopharmaceuticals, a subsidiary of 3Sixty Global Solutions Group, to deliver Avifavir, the first Russian anti-COVID drug, to South Africa.

    July 30, 2020 - The Philippine government said Thursday it would stockpile Japanese anti-flu drug Avigan to treat severe cases of the new coronavirus, as planned clinical trials for the drug draw closer.

    July 28, 2020 - Fujifilm has not yet submitted the drug for approval to Japanese authorities as a treatment for COVID-19 and has said it will take that step as soon as possible. Health ministry official Yasuyuki Sahara said the government stands ready to review Avigan once Fujifilm submits it for approval. And Stanford University is soon to start a phase II trial of 120 patients with mild symptoms and could move to a phase III around September, said Stanford professor Yvonne Maldonado.

    July 24, 2020 - Hyderabad: Optimus Pharma Pvt. Ltd Director P. Prashanth Reddy announced that their Company had received approval from the Drugs Controller General of India (DCGI) to manufacture the active pharmaceutical ingredient, Favipiravir, through its subsidiary, Optrix Laboratories, and manufacture and market its antiviral drug, Favipiravir tablets. The drug was jointly developed by Cipla and the Council of Scientific and Industrial Research's Indian Institute of Chemical Technology.

    July 22, 2020 - Glenmark Pharmaceuticals Ltd. announced top-line results from a Phase 3 clinical trial in mild to moderate COVID-19 patients conducted across seven clinical sites in India.

    July 18, 2020 - Fujifilm Holdings Corp. announced it would start a clinical study of the antiviral drug Avigan in Kuwait in collaboration with India's Dr. Reddy's Laboratories Ltd, up to 1,000 people to assess the flu drug's effectiveness as a COVID-19 preventive therapy.

    July 17, 2020 - The Kingdom of Saudi Arabia is set to play a key role in developing a Russian COVID-19 vaccine that produced promising results in the first phase of human trials. Kirill Dmitriev, CEO of the Russian Direct Investment Fund, said the Kingdom could be part of Phase III, involving thousands of people, expected to begin in August 2020.

    July 13, 2020 - Glenmark Pharmaceuticals Ltd said it would lower its generic version of favipiravir, FabiFlu, to 75 rupees ($0.9983) per tablet for restricted emergency use for patients with mild-to-moderate COVID-19 symptoms in India. Due to better yield and scale, Glenmark benefits patients by reducing the price of oral antiviral FabiFlu® by 27 % in India. 

    July 1, 2020 - FUJIFILM Corporation announced a partnership with Dr. Reddy's Laboratories Ltd. and Global Response Aid concerning the development, manufacture, and sales of Avigan® Tablets (favipiravir), a potential drug for the treatment of COVID-19 disease. Because it has a mechanism of action that selectively inhibits viral RNA polymerase, thereby preventing viral proliferation, Avigan may have an antiviral effect on the novel SARS-CoV-2 coronavirus, classified into the same type of RNA virus as influenza viruses. 

    June 30, 2020 - Stanford Medicine researchers are launching a clinical trial to test whether an oral drug can reduce symptoms and viral shedding in people with COVID-19. The researchers aim to enroll 120 participants, beginning July 6, who was recently diagnosed with the disease but were not hospitalized.

    June 15, 2020 - Istanbul Medipol University Faculty Member Assoc. Prof. Dr. Mustafa Guzel and his team managed to create the local synthesis of Favipiravir, used to treat COVID-19.

    June 11, 2020 - Russian Direct Investment Fund and ChemRar Group have delivered the 1st batch of Avifavir drugs against the coronavirus to Russian hospitals. As many as 60,000 courses of Avifavir will be delivered to Russian hospitals in June. If necessary, production of Avifavir could be increased to 2m courses per year. Clinics and pharmaceutical organizations in Moscow, Leningrad, Novgorod, Kirov, and Nizhny Novgorod regions and the Republic of Tatarstan and Ekaterinburg have already received the first deliveries drug.

    June 8, 2020 - Fujifilm Holdings said it would continue clinical tests of its anti-influenza drug Avigan, a potential treatment for people infected with SARS-CoV-2 coronavirus, beyond the initially scheduled end in June 2020 due to a lack of sufficient data.

    June 2, 2020 - Dr. Monika Tandon, VP & Head, Clinical Development Global Specialty/Branded Portfolio, Glenmark Pharmaceuticals, told Telangana Today, "Combining antiviral agents that have a good safety profile and act on different stages of viral life-cycle is an effective treatment approach to rapidly suppress initial high viral load and lead to an overall improvement in clinical parameters." Simultaneously Glenmark is also conducting phase 3 clinical trials of Favipiravir as a COVID-19 monotherapy option with 150 patients enrolled from 9 leading government and private hospitals across India.

    June 1, 2020 - The Russian Direct Investment Fund, Russia's sovereign wealth fund, and the ChemRar Group announced that Avifavir, a Favipiravir-based drug, has received a temporary registration certificate from the Ministry of Health of the Russian Federation. Avifavir is Russia's first COVID-19 drug and has shown high efficacy in treating patients with coronavirus during clinical trials.

    May 22, 2020 - Fujifilm Holdings Corp. said it is on course to supply the anti-influenza drug Avigan for 2 million COVID-19 patients by next March 2021, meeting a target set by the Japanese government to ramp up production of the potential treatment for the new coronavirus.

    May 20, 2020 - Avigan, a candidate drug for treating COVID-19, has not shown apparent efficacy in treating respiratory disease in clinical trials so far, raising doubts about its approval by the end of this month as sought by the government sources familiar with the matter. "There is currently no data showing that Avigan has high efficacy," said Daisuke Tamura, an associate professor at Jichi Medical University specializing in pediatric infectious disease.

    May 15, 2020 - Favipiravir Observational Study Group (principal investigator: Dr. Yohei Doi, Fujita Health University) released a preliminary report of the Favipiravir Observational Study in Japan on the Japanese Association for Infectious Diseases website. Given that over 80% of COVID-19 patients have a mild disease that often improves by supportive therapy, caution is required to interpret the efficacy of favipiravir based on the data presented here.

    May 13, 2020: The ChemRar Group and Russia's sovereign wealth fund announced interim results of the multi-center, randomized, open comparative clinical trial of the drug Favipiravir (Avigan) tablets hospitalized with COVID-19 disease.

    May 13, 2020: Japan's health ministry decided to allow pharmaceutical companies to bypass standard clinical trial procedures to facilitate the fast-track approval of the anti-flu medicine Avigan as an early-stage treatment for COVID-19 disease.

    May 12, 2020: Glenmark Pharmaceuticals has initiated Phase 3 clinical trials in India on the antiviral tablet Favipiravir, for which it received approval from India's drug regulator DCGI in late April. Clinical trials have commenced, and over 10 leading government & private hospitals in India are enrolled for the study. Glenmark estimates study completion by July/August 2020.

    May 4, 2020:  Japanese Prime Minister Shinzo Abe said Monday he wants Avigan (favipiravir) approved for COVID-19 treatment in May, as Japan moves to fast-track approval remdesivir as well.

    May 1, 2020: Japan will provide anti-flu drug Avigan free of charge to 43 countries for clinical studies on its efficacy as a coronavirus treatment, Foreign Minister Toshimitsu Motegi said to local media.

    April 30, 2020:  FUJIFILM Diosynth Biotechnologies teams with COVID-19 Therapeutics Accelerator to reserve manufacturing capacity and provide technical expertise to deliver future COVID-19 therapies.

    April 30, 2020: Glenmark Pharmaceuticals announced that it had received approval from the Drug Controller General of India to conduct clinical trials on Favipiravir Antiviral tablets on COVID-19 disease patients. The product is a generic version of Avigan® of Fujifilm Toyama Chemical Co. Ltd., Japan, a Fujifilm Corporation subsidiary.

    April 15, 2020: Fujifilm accelerates the production of its influenza antiviral drug "Avigan® Tablet" for COVID-19.

    April 9, 2020:  Fujifilm announces phase II clinical study of its influenza antiviral drug "Avigan® Tablet" (favipiravir) for patients with COVID-19 collaboration Brigham and Women's Hospital, Massachusetts General Hospital, and UMass Medical School.

    March 17, 2020: China's health leadership announced they found the Japanese-developed anti-influenza drug Avigan to treat COVID-19 disease patients effectively.

    February 17, 2020:  The Taizhou government of Zhejiang province China announced Avigan (favipiravir) was approved for marketing.

    June 22, 2016: Fujifilm signs a patent license agreement on its anti-influenza drug Avigan Tablet* with China's major pharmaceutical Company Zhejiang Hisun Pharmaceutical.

    November 11, 2015:  Phase 3 Efficacy and Safety Study of Favipiravir for Treatment of Uncomplicated Influenza in Adults.

    Avigan (Favipiravir) Clinical Trials

    FujiFilm announces a new Phase III Clinical Trial of Anti-influenza Drug Avigan Tablet in Japan, Targeting COVID-19 Patients. Avigan (Favipiravir) continues to be tested in clinical trials.

    ClinicalTrials.gov Identifier: NCT04600895 - The Phase 3 PRESECO (PREventing SEvere COVID-19 Disease) study is a double-blind, placebo-controlled, randomized, multi-center superiority trial investigating the safety and efficacy of Avigan/Reeqonus in the early treatment for adults infected with COVID-19 and showing mild-to-moderate symptoms. Investigators are enrolling participants at multiple clinical trial sites in the United States, Brazil, and Mexico. Participants are outpatients with mild-to-moderate symptoms who have had a recent positive COVID-19 test (within 72 hours of enrollment). Participants self-administer the drug regimen in their homes, with clinical investigators monitoring patients remotely. Last updated on August 13, 2021.

    Stanford University is conducting a phase II trial of 120 patients with mild coronavirus symptoms in the USA. This study was last updated on July 27, 2020. And a separate phase II study in Massachusetts was last updated on September 9, 2020.

    0 min read
    Availability: 
    Most countries, except the USA
    Generic: 
    Favipiravir
    Drug Class: 
    Antiviral
    Condition: 
    Last Reviewed: 
    Sunday, March 13, 2022 - 07:40
    Brand: 
    Avigan
    Abbreviation: 
    T-705
    Status: 
    Manufacturer Country ID: 
    Kosher: 
    Yes
    Halal: 
    Yes
    Rate Vaccine: 
    SEZMqTqW

    Plaquenil Antiviral Medication

    Plaquenil (Hydroxychloroquine) 2024

    Plaquenil (Hydroxychloroquine) is U.S. FDA-approved to treat certain types of malaria and autoimmune conditions such as chronic discoid lupus erythematosus, systemic lupus erythematosus in adults, and rheumatoid arthritis, says the U.S. Centers for Disease Control and Prevention (CDC). The U.S. HHS Secretary Alex Azar clarified on June 15, 2020, that hydroxychloroquine remains FDA-authorized for various use cases. People with lupus should follow their doctor's guidance and the CDC's safety guidelines for people with compromised immune systems. Plaquenil (Hydroxychloroquine) is in a class of drugs called antimalarials. Hydroxychloroquine sulfate is a colorless crystalline solid, soluble in water to at least 20%; chemically, the drug is 2-[[4-[(7-Chloro-4-quinolyl)amino]pentyl]ethylamino] ethanol sulfate (1:1). Plaquenil (Hydroxychloroquine) is a more soluble and less toxic metabolite of chloroquine, which causes fewer side effects and is, therefore, assumed to be safer.

    Plaquenil is a longer-acting medication that can take months to become effective. Conversely, the medicine can take weeks to "leave the body." Although hydroxychloroquine has a longer half-life -- around 40-45 days – than many medications, it is most effective and safe at its prescribed dosage. Therefore, it is essential to continue the prescribed dosage unless your prescribing doctor says otherwise, according to Lupus.org.On April 7, 2020, the U.S. Food and Drug Administration (FDA) approved an Abbreviated New Drug Application (ANDA) for Hydroxychloroquine (Plaquenil) Sulfate Tablets USP, 200 mg treatment uncomplicated malaria due to P. falciparum, P. malariae, P. ovale, and P. vivax. Chronic discoid lupus erythematosus and systemic lupus erythematosus in adults treat acute and chronic rheumatoid arthritis in adults. 

    Hydroxychloroquine is registered in approximately 60 countries under different trade names: Plaquenil®, Quensyl®, and Plaquinol®, says Sanofi. Hydroxychloroquine was granted FDA approval in April 1955. Hydroxychloroquine's Accession Number is DB01611.

    Plaquenil (Hydroxychloroquine) Indication

    Studies indicate chloroquine prevents and treatment for malaria. Hydroxychloroquine is FDA-approved to prevent and treat certain types of malaria. It has a long elimination half-life of 30–45 days, allowing for weekly dosing when used to avoid malaria and a short 48-hour treatment course when used to treat malaria. Chloroquine is a lysosomotropic antimalarial drug that neutralizes lysosomal acidification, thus blocking autophagosomal degradation. Chloroquine use for influenza prevention has been researched for years and can effectively treat rheumatoid disease manifestations, such as joint pain and rashes, reduce thrombotic events, and prolong survival.

    Plaquenil (Hydroxychloroquine) COVID-19

    The World Health Organization (WHO) does not recommend hydroxychloroquine to prevent COVID-19. This recommendation is based on findings from six clinical trials with over 6,000 participants who did not have COVID-19 and received hydroxychloroquine.

    A February 2024 study found HCQ use was associated with an 11% increase in the mortality rate in a meta-analysis of randomized trials. The number of hydroxychloroquine-related deaths in hospitalized patients is estimated at 16,990 in six countries. This study has some limitations, as some of the results should be taken cautiously, particularly those obtained in France, Turkey, and Belgium.

    A study published in August 2023 concluded: The present report unveils the ultrastructural proof to complement the paradox regarding the role of prophylactic HCQ in COVID-19 patients. This study highlighted the level of SARS-CoV-2 infection and ultrastructural alteration in the preventive HCQ+ group in comparison to the HCQ group of the ciliated epithelium, type II pneumocytes, alveolar macrophage, neutrophil, and anucleated granulocytes individually. We found the significant antiviral activity of HCQ to have a protective role rather than a degenerating effect on the ciliated epithelium and type II pneumocytes in which low infection levels and relatively intact cellular ultrastructure were observed. The ultrastructure of alveolar macrophages and neutrophils was degenerated in ARDS patients of both the HCQ+ and HCQ− groups. However, enucleated fragments of granulocytes showed a higher tendency of phagocytosis of the mature SARS-COV-2 virus in the HCQ+ group.

    A study published by New Microbes and New Infections on October 7, 2023, concluded that treating COVID-19 using a combination of hydroxychloroquine plus azithromycin was safe and was associated with a statistically significant mortality benefit in hospitalized patients - the OR for mortality in the treatment group was 0.635 vs. controls. These researchers analyzed raw data collected from a cohort of 30,423 patients with COVID-19 cared for at IHU Méditerranée Infection in Marseille, France, and extracted from the DRYAD open data platform and performed univariate and multivariable logistic regressions with all-cause mortality within six weeks. Multivariable logistic regressions were adjusted for sex, age group, variants, and type of patient management.

    The RECOVERY and SOLIDARITY clinical studies did not demonstrate any benefit of treating COVID-19 with hydroxychloroquine. Both suffer from significant methodological problems, as the HCQ doses during the first 24 ​h (2400 ​mg) were four times higher than the highest recommended dose of 600 ​mg. 

    Mayo Clinic's hydroxychloroquine webpage was removed in September 2023. However, that page was republished on September 26, 2023.

    Plaquenil (Hydroxychloroquine) Side Effects

    Side effects of Plaquenil (hydroxychloroquine) include irreversible retinal damage, cardiac effects (including cardiomyopathy and QT prolongation), worsening of psoriasis and porphyria, proximal myopathy, and neuropathy, neuropsychiatric events, and hypoglycemia. The FDA has published a Frequently Asked Questions document and added clinical trials studying HCQ.

    Plaquenil (Hydroxychloroquine) Ingredients

    PLAQUENIL (hydroxychloroquine sulfate) tablets contain 200 mg hydroxychloroquine sulfate, equivalent to 155 mg basre for oral administration. Inactive Ingredients: Dibasic calcium phosphate USP, hypromellose USP, magnesium stearate NF, polyethylene glycol 400 NF, polysorbate 80 NF, corn starch, titanium dioxide USP, carnauba wax NF, shellac NF, black iron oxide NF.

    Plaquenil (Hydroxychloroquine) News

    August 17, 2022 - UCLA Health published: Lupus is an autoimmune disease with several forms.

    March 3, 2022 - The WHO reconfirmed its recommendation not to use hydroxychloroquine or chloroquine for COVID-19 treatment.

    October 20, 2021 - The European Review published a new study: Safety profile of chloroquine and hydroxychloroquine: a disproportionality analysis of the FDA Adverse Event Reporting System database. Conclusions: Our results confirm previously published evidence and suggest that HCQ has a safer clinical profile than CQ and, thus, could serve as the drug of choice for future therapeutic purposes.

    September 24, 2020 - A study found HCQ administration is safe for short-term treatment for patients with COVID-19 infection regardless of the clinical setting of delivery, causing only modest QTc prolongation and no directly attributable arrhythmic deaths.

    August 3, 2020 - The Henry Ford Health System issued an open letter about its study, saying, "the political climate that has persisted has made any objective discussion about this drug impossible." The health system said in the letter that it would no longer comment.

    July 9, 2020 - A study published in The Lancet stated: Recent randomized clinical trials have confirmed that hydroxychloroquine does not reduce mortality of hospitalized patients with severe cases of COVID-19 disease. And the risk of heart-related events is associated.

    June 15, 2020 - The US FDA has concluded that it is no longer reasonable to believe that HCQ and CQ oral formulations may effectively treat COVID-19 disease patients in a hospital setting. Accordingly, the FDA revoked the EUA for emergency use of HCQ and CQ to treat COVID-19.

    June 9, 2020 -  Study: Hydroxychloroquine inhibits trained immunity - implications for COVID-19 

    June 3, 2020 - The World Health Organization (WHO) leader announced it would resume testing an experimental COVID-19 disease treatment, Plaquenil (Hydroxychloroquine).

    May 27, 2020 - European Countries Ban Hydroxychloroquine Treatments for COVID-19 Patients.

    May 22, 2020 - The Indian Council of Medical Research, India's apex body in the field, has found that consuming hydroxychloroquine reduces the chances of getting infected with COVID-19.

    May 22, 2020 - A study published by The Lancet was retracted because the study authors could not assure the integrity of this observational study's data.

    May 20, 2020 - Brazil's Health Ministry issued new guidelines for further use of antimalarial drug hydroxychloroquine in mild coronavirus cases.

    On May 14, 2020, the U.S. FDA issued an ANDA for Hydroxychloroquine Sulfate Tablets USP, 200 mg, for the treatment of uncomplicated malaria due to P. falciparum, P. malariae, P. ovale, and P. vivax; chronic discoid lupus erythematosus and systemic lupus erythematosus in adults; and acute and chronic rheumatoid arthritis in adults. The full name of this applicant holder is HAVIX GROUP INC DBA.

    May 5, 2020 - Early treatment of COVID-19 patients with hydroxychloroquine and azithromycin: A retrospective analysis of 1061 cases in Marseille, France.

    April 17, 2020 - The Indian Council of Medical Research, under the Ministry of Health and Family Welfare, has recommended chemoprophylaxis with hydroxychloroquine (400 mg twice on day 1, then 400 mg once a week thereafter) for asymptomatic healthcare workers treating patients with suspected or confirmed COVID-19 and for asymptomatic household contacts of confirmed cases.

    April 11, 2020 - A new study was performed by researchers at IHU Méditerranée Infection, Marseille, France, of the 1,061 coronavirus-infected patients treated entirely with hydroxychloroquine and azithromycin, mortality is around 0.5%, and that the cure rate is extremely high. It avoids worsening and clears virus persistence and contagiously in most cases.

    April 9, 2020 - The Outcomes Related to COVID-19 treated with hydroxychloroquine among In-patients with symptomatic Disease study, or ORCHID Study, is being conducted by the Prevention and Early Treatment of Acute Lung Injury (PETAL) Clinical Trials Network of the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health.

    April 8, 2020 - The ORCHID trial (Outcomes Related to COVID-19 treated with Hydroxychloroquine among In-patients with symptomatic Disease), funded by the National Heart, Lung and Blood Institute of the National Institutes of Health, enrolled its first patient on April 2 and will include hundreds of patients to determine if hydroxychloroquine is an effective treatment against the virus projected to hospitalize thousands of U.S. residents in the coming weeks.

    April 7, 2020 - The FDA approved an Abbreviated New Drug Application for Hydroxychloroquine Sulfate Tablets USP, 200 mg.

    April 2, 2020 - Henry Ford Health System led a national study to determine the drug's effectiveness in preventing COVID-19 disease.

    March 29, 2020: Novartis Chief Executive Vas Narasimhan said his Sandoz generics unit's malaria, lupus, and arthritis drug hydroxychloroquine plans to donate up to 130 million 200 mg doses by the end of May, including its current stock of 50 million 200 mg doses. Narasimhan also said Novartis supports the clinical trials needed before the medicine against the coronavirus can be approved.

    March 28, 2020:  The FDA issued an Emergency Use Authorization for the use of oral formulations of chloroquine phosphate and hydroxychloroquine sulfate for the treatment of COVID-19 when administered by a healthcare provider according to a valid prescription of a licensed practitioner as described in the Scope of Authorization (section II) of this letter.

    March 25, 2020:  The FDA added hydroxychloroquine sulfate to category one under the Interim Policy on Compounding Using Bulk Drug Substances, Section 503B of the Federal Food, Drug, and Cosmetic Act.

    March 25, 2020: The WHO urges countries to ensure the continuity of malaria service during the COVID-19 pandemic.

    March 22, 2020: India's Secretary of Health stated that the National Task Force for COVID-19 disease officially recommends prophylactic hydroxychloroquine for healthcare workers and families of laboratory-confirmed positive COVID-19 patients.

    January 7, 2019 - Study: Calcium pyrophosphate disease (CPPD) is caused by the deposition of calcium pyrophosphate (CPP) crystals in the joint tissues, particularly fibrocartilage and hyaline cartilage. Several mechanisms of action have been suggested for Hydroxychloroquine (HCQ) in the context of CPPD treatment, all of which signify its capability to immunomodulate and reduce inflammation. HCQ blocks T-cells' activity and reduces the release of various cytokines (interleukin-1, interleukin-6, and tumor necrosis factor-alfa). It has also been demonstrated to inhibit matrix metalloprotease activity in experimental animals. In a double-blinded, prospective six-month trial, HCQ was beneficial specifically for chronic CPPD-related arthropathies.

    August 22, 2005: Chloroquine is a potent inhibitor of SARS coronavirus infection and spread.

    March 1, 2015 - HCQ triggers the host defense machinery by inducing ROS- and MAVS-mediated innate immune activation against DENV infection and may be a candidate drug for DENV infection.

    Plaquenil Antiviral Medication Clinical Trials

    Clinical Trial NCT04341441: Will Hydroxychloroquine Impede or Prevent COVID-19 (WHIP COVID-19).

    Clinical Trial NCT04332991: Outcomes Related to COVID-19 Treated With Hydroxychloroquine Among In-patients With Symptomatic Disease (ORCHID) (Phase 3).

    Clinical Trial NCT04308668: Post-exposure Prophylaxis / Preemptive Therapy for SARS-Coronavirus-2 (COVID-19 PEP) (Phase 3)

    Clinical Trial NCT04333654Hydroxychloroquine in Outpatient Adults With COVID-19 (Phase 1).Primary Objective: To assess hydroxychloroquine versus placebo effect on nasopharyngeal SARS-CoV-2 viral load in outpatient adults with COVID-19.

    Clinical Trial NCT04321278: Safety and Efficacy of Hydroxychloroquine Associated With Azithromycin in SARS-CoV2 Virus (Phase 3).

    Clinical Trials NCT04358068: Evaluating Hydroxychloroquine and Azithromycin's Efficacy to Prevent Hospitalization or Death in Persons With COVID-19.

    Note: This content is aggregated from the CDC, WHO, clinical studies, and the Precision Vax news network. This information is fact-checked by healthcare professionals, such as Dr. Robert Carlson.

    0 min read
    Availability: 
    Limited access worldwide
    Generic: 
    Hydroxychloroquine
    Clinical Trial: 
    https://www.sanofi.com/en/science-and-innovation/clinical-trials-and-results/our-disclosure-commitments/pharma/letter-h
    Drug Class: 
    Antiviral
    Condition: 
    Last Reviewed: 
    Friday, January 5, 2024 - 08:50
    Brand: 
    Plaquenil
    Abbreviation: 
    HCQ
    Status: 
    Manufacturer Country ID: 
    Kosher: 
    Yes
    Halal: 
    Yes

    GEO-ZM02 Zika Vaccine

    GEO-ZM02 Zika Vaccine Candidate

    The GeoVax Labs GEO-CM02 Zika virus vaccine candidate is based on a novel GV-MVA-VLP platform that integrates recombinant Modified Vaccinia Ankara (MVA) vector technology with advanced antigen design and state-of-the-art manufacturing technologies. GEO-ZM02 is designed to function through the induction of T-cell responses rather than antibodies to eliminate the risk of Antibody-Dependent Enhancement (ADE), a serious side effect observed in flavivirus infections when an individual does not have a fully protective immune response from vaccination or a previous infection which causes a more serious disease if infected.

    This Zika vaccine candidate is based on the NS1 protein of Zika, which is not associated with ADE of infection. Moreover, an NS1-based vaccine has the potential advantage of blocking the transmission of Zika from humans to its mosquito vectors. 

    The GeoVax MVA platform is a large virus capable of carrying several vaccine antigens express proteins that assemble into VLP immunogens within (in vivo) the vaccine recipient. Vaccines produced on this platform are safe, highly immunogenic, suitable for repeated use, stable at refrigerator temperatures, lyophilized, and amenable to rapid and affordable scale-up for epidemic response and routine vaccination.

    The U.S. Patent and Trademark Office issued a Notice of Allowance for Patent Application No. 17/000,768 titled, "Method for Generating a ZIKV Immune Response Utilizing a Recombinant Modified Vaccinia Ankara Vector Encoding the NS1 Protein." The claims to be granted in the patent cover GeoVax's MVA vector comprising a nucleic acid sequence encoding a ZIKV nonstructural (NS1) protein, of which GEO-ZM02 is designed.

    GeoVax Labs, Inc. is a clinical-stage biotechnology company located in Atlanta, GA, developing human vaccines and immunotherapies against infectious diseases and cancer using novel proprietary platforms. The company's lead program in oncology is a novel oncolytic solid tumor gene-directed therapy, Gedeptin®, presently in a multicenter Phase 1/2 clinical trial for advanced head and neck cancers. GeoVax's lead infectious disease candidate is GEO-CM04S1, a next-generation COVID-19 vaccine targeting high-risk immunocompromised patient populations.

    GEO-ZM02 Indication

    A pathogen endemic in parts of the world, Zika virus (ZIKV), is linked to an increase in microcephaly in infants and neurodegenerative disease, Guillain-Barre syndrome, in adults. Zika is a member of the Flaviviridae family, which includes other significant pathogens affecting patients worldwide, such as dengue fever, yellow fever, Japanese encephalitis, tick-borne encephalitis, and West Nile viruses. 

    GEO-ZM02 News 2023

    January 25, 2023 - "Our novel Zika vaccine candidate, GEO-ZM02, is constructed using our modified vaccinia Ankara (MVA) vector platform. Preclinical studies demonstrated a single dose of GEO-ZM02 provided 100% protection against a lethal dose of Zika virus," stated GeoVax CEO David Dodd in a press release. "Addressing many of the world's most threatening infectious diseases is part of our vision and corporate priorities for MVA's applications, including an MVA-based next-generation COVID-19 vaccine currently in Phase 2 clinical trials."

    April 12, 2022 – GeoVax Labs, Inc. announced that on April 21, 2022, its Chief Scientific Officer, Mark J. Newman, Ph.D., will participate in an expert panel discussion on the topic of Pan-Corona and Universal Vaccines during the World Vaccine Congress in Washington, DC.

    March 18, 2020 - GeoVax's Chief Scientific Officer, Farshad Guirakhoo, Ph.D., stated, "We are pleased with our three vaccine candidates' rapid progress with design, construction, and in vitro characterizations. From here, we will narrow it down to one vaccine candidate based on the safety, immunogenicity and protective efficacy of our PreMaster Seed Viruses observed in upcoming animal studies. The final candidate will proceed directly to manufacturing and initial human clinical testing for safety and immunogenicity."

    GEO-ZM02 Clinical Trial

    Completed preclinical evaluation.

    0 min read
    Availability: 
    N/A
    Generic: 
    GEO-ZM02
    Drug Class: 
    Vaccine
    Condition: 
    Last Reviewed: 
    Wednesday, January 25, 2023 - 16:20
    Status: 
    Manufacturer Country ID: 
    FDA First In Class: 
    Yes