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SKYCovione™ COVID-19 Vaccine

SK bioscience SKYCovione™ (SKYCovion™, GBP510) is a recombinant protein-based vaccine made of proteins that form tiny particles studded with fragments of the pandemic SARS-CoV-2 coronavirus. These nanoparticles were designed by scientists at the University of Washington School of Medicine (UW of Medicine) and advanced into clinical trials by SK bioscience and  GlaxoSmithKline (GSK) with financial support from the Coalition for Epidemic Preparedness Innovations. In addition, SKYCovione includes GSK's pandemic adjuvant, AS03, which helps strengthen the immune response to the vaccine.

The vaccine consists of GBP510 with the AS03 adjuvant. GBP510 is a self-assembling two-component protein nanoparticle that displays 60 copies of the receptor-binding domain (RBD) of SARS-CoV-2 Spike. The nanoparticle component allows for the high-level multimeric display of the RBD antigen that enhances humoral immune responses even at lower doses. This platform also allows for efficient and straightforward adjustment of the vaccine to match variant strains of SARS-CoV-2 or other emergent pathogens by swapping out the target antigen displayed by the nanoparticle. In addition, the inclusion of AS03 may enable the use of lower doses of the protein antigen.

The Phase 3 clinical trial results showed that SKYCovion induced neutralizing antibody responses and had an acceptable safety and reactogenicity profile compared to the control vaccine, Vaxzevria™, used in the study. In addition, the extended phase I/II clinical trials showed a high immune response to the Omicron variant after a booster of SKYCovion. The clinical trial was conducted at 16 institutions, including the Korea National Institute of Health Vaccine Center, the International Vaccine Institute, and Korea University Guro Hospital.

The Korean Ministry of Food and Drug Safety approved SKYCovione for use on June 29, 2022, in individuals 18 years and older. In addition, the South Korean government has agreed to purchase 10 million doses for domestic use. On May 30, 2023, the UK's Medicines and Healthcare products Regulatory Agency (MHRA) granted Marketing Authorization for SK bioscience's COVID-19 vaccine SKYCovion™ as a primary series for strong immunization to prevent COVID-19 caused by SARS-CoV-2 in individuals 18 years of age and older. On June 19, 2023, SkyCovione received an Emergency Use Listing (EUL) from the World Health Organization (WHO). SKYCovione is the 12th COVID-19 vaccine granted an EUL by the WHO.

SKYCovion is the world's first vaccine developed using the RoseTTAFold, a software tool that uses deep learning to quickly and accurately predict protein structures from limited information. The RoseTTAFold was designed as a three-track neural network developed by the University of Washington.

SK bioscience is an innovative biopharmaceutical company committed to global pandemic preparedness through vaccine development and manufacturing to create more equitable access to vaccines.

SKYCovione Indication

SKYCovione is indicated to prevent the disease COVID-19 caused by the SARS-CoV-2 virus. When a person is given the vaccine, their immune system is expected to identify the nanoparticles containing parts of the spike protein as foreign and produce natural defenses - antibodies and T cells - against them. If, later on, the vaccinated person comes into contact with SARS-CoV-2, the immune system will recognize the spike protein on the virus and be prepared to attack it. The antibodies and immune cells can protect against COVID-19 by working together to kill the virus, prevent its entry into the body's cells, and destroy infected cells.

"This intramuscular vaccine was designed at the molecular level to present the immune system with a key part of the coronavirus spike protein. We know this part, called the receptor-binding domain, is targeted by the most potent antibodies," said Neil King, an assistant professor of biochemistry at UW Medicine and co-developer of the vaccine.

SKYCovion Booster

SK bioscience announced that SKYCovione had shown cross-neutralizing activity against Omicron variant BA.1 following booster vaccination administered ~7 months after the primary series. The results of the Phase I/II clinical trial, conducted with 81 healthy adults who received a booster dose of SKYCovione 7 months after the second dose of SKYCovione™, showed that the neutralizing antibody titers against the Omicron variant BA.1 were 25 times the titers right after the second dose, and 72 times the titers seven months after the second dose. 

SKYCovione News

June 19, 2023 - Jaeyong Ahn, CEO of SK bioscience said, "Based on the immunogenicity and safety profile, SKYCovione has become the first Korean vaccine to be granted to the WHO EUL. We will be committed to developing more vaccines to strengthen Korea's vaccine sovereignty and enable equitable access to the vaccine."

May 30, 2023 - Jaeyong Ahn, CEO of SK bioscience said in a press release, "We are delighted with the MHRA's authorization of Korea's first COVID-19 vaccine SKYCovion. This is the result of our commitment to protecting and promoting global public health. We are confident it will be the milestone to solidify our position in the global market amid the transition of the pandemic to the endemic phase."

August 18, 2022 - The EMA's human medicines committee began reviewing a conditional marketing authorization application for Skycovion, a vaccine to protect against COVID-19.

August 1, 2022 - SK bioscience announced that it had applied for a Conditional Marketing Authorization for SKYCovion to the European Medicines Agency.

July 29, 2022 - SK bioscience announced that it applied for a Conditional Marketing Authorization of the SKYCovion to the UK Medicines and Healthcare Products Regulatory Authority.

June 29, 2022 - The Seattle scientists behind the new vaccine sought to create a 'second-generation' COVID-19 vaccine that is safe, effective at low doses, simple to manufacture, and stable without deep freezing. These attributes could enable vaccination on a global scale by reaching people in areas with limited medical, transportation, and storage resources.

SKYCovione Clinical Trials

A Phase 3 clinical trial, Immunogenicity and Safety Study of SK SARS-CoV-2 Recombinant Nanoparticle Vaccine (GBP510) Adjuvanted With AS03 (COVID-19), compared the immunogenicity and safety of SKYCovione recombinant nanoparticle vaccine adjuvanted with AS03 (GBP510) to the Oxford/AstraZeneca vaccine Covishield/Vaxzevria in adults aged 18 years and older. The results indicated that SKYCovione elicits roughly three times more neutralizing antibodies than the Oxford/AstraZeneca vaccine Covishield/Vaxzevria. In these studies, SKYCovione or Covishield/Vaxzevria was administered twice with an interval of four weeks. In the Phase 3 trial, there were again no severe adverse reactions to the vaccine.

Phase 1/2 trial results announced by SK bioscience last November and posted as a preprint found that SKYCovione was safe and produced virus-neutralizing antibodies in all trial participants receiving the adjuvanted vaccine. 

BPL-1357 Universal Flu Vaccine Description

BPL-1357 is a whole virus influenza vaccine candidate made up of four strains of non-infectious, chemically inactivated, low-pathogenicity avian flu virus. The vaccine candidate was developed by researchers at the National Institute of Allergy and Infectious Diseases (NIAID), a component of the U.S. National Institutes of Health (NIH). The intranasal formulation of BPL-1357 is currently in Phase Ib and II/III trials, designed to block virus transmission, and is also on track for U.S. FDA review by 2029.

BPL-1357 was studied in mice in September 2021, which showed that all mice receiving two doses of the BPL-1357 vaccine, delivered either intramuscularly or intranasally, survived subsequent exposure to lethal doses of each of six different influenza virus strains, including subtypes not included in the vaccine. Similar results were obtained in challenge experiments with ferrets vaccinated with BPL-1357.

“With the BPL-1357 vaccine, especially when given intranasally, we are attempting to induce a comprehensive immune response that closely mimics immunity gained following a natural influenza infection,” stated Matthew J. Memoli, M.D., on June 28, 2022. “This is very different than nearly all other vaccines for influenza or other respiratory viruses, which focus on inducing immunity to a single viral antigen and often do not induce mucosal immunity.”

The NIAID conducts and supports research at the NIH, throughout the USA, and worldwide.

BPL-1357 Vaccine Indication

 This vaccine aims to provide broad-spectrum protection against multiple strains of pandemic-prone viruses. On January 17, 2023, Antiviral Research (Volume 210, 105505) published: The race toward a universal influenza vaccine: Front runners and the future directions. 

BPL-1357 Vaccine News

May 1, 2025 - “Generation Gold Standard is a paradigm shift,” said NIH Director Dr. Jay Bhattacharya. “It extends vaccine protection beyond strain-specific limits and prepares for flu viral threats – not just today’s, but tomorrow’s as well – using traditional vaccine technology brought into the 21st century.”

June 28, 2022 - “Influenza vaccines that can provide long-lasting protection against a wide range of seasonal influenza viruses, as well as those with pandemic potential, would be invaluable public health tools,” said NIAID Director Anthony S. Fauci, M.D. “The scientific community is making progress on this pressing global health priority. The BPL-1357 candidate influenza vaccine being tested in this clinical trial performed very well in pre-clinical studies, and we look forward to learning how it performs in people.”

April 11, 2022 - Researchers at the NIH are investigating a new influenza vaccine that may offer protection against various flu strains. The study aims to gain a deeper understanding of the safety of this flu vaccine.

BPL-1357 Vaccine Clinical Trial

A Phase 1 trial began at the National Institutes of Health Clinical Center in Bethesda, Maryland. The placebo-controlled trial will test the safety of a candidate vaccine, BPL-1357, and its ability to prompt immune responses. The Complete Date is February 2025. Volunteers will be randomized into three groups in a 1:1:1 ratio and receive two doses of either placebo or vaccine, spaced 28 days apart. Group A participants receive BPL-1357 intramuscularly, along with an intranasal saline placebo. Group B will receive doses of the candidate vaccine intranasally, along with an intramuscular placebo. Volunteers in Group C receive a placebo administered intramuscularly and intranasally at both clinic visits. Neither the study clinicians nor the volunteers are aware of the group assignments. Volunteers must not have received any flu vaccination within the past eight weeks.

Additionally, they must agree to forgo seasonal flu vaccination for approximately two months after receiving the second dose of vaccine (or placebo). The study duration for each participant is approximately seven months. In addition to the two clinic visits to receive a vaccine (or placebo), volunteers will be asked to return to the clinic seven times to provide blood and nasal mucosal samples, which the investigators will use to detect and characterize immune responses.

A Phase II clinical trial to evaluate the efficacy and safety of the BPL-1357 vaccine in the setting of a healthy volunteer influenza human challenge study, sponsored and guided by NIAID but performed by UTMB’s research team. The primary hypothesis is that IM (intramuscular) and IN (intranasal) BPL-1357 will be safe and offer protection against mild-moderate influenza disease (MMID) caused by H1N1 influenza challenge compared to placebo. The primary objectives of this study are to measure the efficacy of BPL-1357, administered intramuscularly (IM) or intranasally (IN), in preventing MMID compared to placebo; and to assess the safety of BPL-1357, administered IM or IN in two doses 28 days apart, followed by viral challenge with H1N1. The challenge will be with a human 2015 seasonal-like H1N1 strain against which participants are likely to have partial immunity. The study population includes healthy male and female volunteers, aged 18 to 55 years. The 120 participants are divided into three study arms: placebo, intranasal vaccine, and intramuscular vaccine. 

TPOXX® (Tecovirimat) Clinical Trials, Dosage, Efficacy, Side Effects

SIGA Technologies, Inc. TPOXX® (tecovirimat, ST-246®, TEPOXX), a novel small-molecule oral drug that inhibits the variola virus's and other poxviruses' viral maturation by preventing the formation of a secondary viral envelope (protein VP13) found on the surface of all orthopoxviruses. Without this envelope, viral particles remain inside the cell and cannot spread to and infect other cells. Tecovirimat is 77-82% bound to human plasma proteins. Tecovirimat is an inducer of cytochrome P450 (CYP) 3A and a weak inhibitor of CYP2C8 and CYP2C19. However, the effects are not expected to be clinically relevant for most substrates of those enzymes based on the magnitude of interactions and the duration of treatment of TPOXX. 

Tecovirimat's efficacy for treating smallpox was established based on data from the U.S. Food and Drug Administration (FDA) Animal Rule and safety data from 359 healthy adults. TPOXX has been approved by the FDA, Canada, the U.K., and the European Medicines Agency (EMA) for the treatment of smallpox as of July 13, 2018. In January 2022, the EMA and the U.K. approved Tecovirimat with a broader label that covers the treatment of smallpox, mpox, cowpox, and complications from vaccination for smallpox. On May 30, 2022, the World Health Organization (WHO) confirmed that TPOXX was effective against mpox infections. On January 2, 2025, tecovirimat was approved in Japan for the treatment of orthopoxviruses.

On April 16, 2025, a study funded by the National Institute of Allergy and Infectious Diseases and others determined that tecovirimat did not reduce the number of days to lesion resolution in patients with mpox caused by clade I MPXV.

On December 10, 2024, the U.S. National Institutes of Health (NIH) announced tecovirimat did not reduce the time to lesion resolution or have an effect on pain among adults with mild to moderate clade II mpox and a low risk of developing severe disease, according to an interim data analysis from the international clinical trial called the Study of Tecovirimat for Mpox (STOMP). Given the lack of an efficacy signal, clinical trials have been discontinued. The STOMP findings are consistent with results reported in 2024 from a National Institute of Allergy and Infectious Diseases (NIAID)-cosponsored randomized controlled trial of tecovirimat among children and adults with clade I mpox in the Democratic Republic of the Congo. On August 15, 2024, the  NIAID   announced topline results from a preliminary analysis of the PALM 007 (Tecovirimat for Treatment of Monkeypox Virus) phase 2 clinical trial (NCT05559099). NIAID reported that the study did not meet its primary endpoint of a statistically significant improvement in time to lesion resolution within 28 days post-randomization for patients in the Democratic Republic of the Congo with mpox who were administered tecovirimat. 

As of September 17, 2024, the U.S. Centers for Disease Control and Prevention (CDC) recommends tecovirimat as the first-line antiviral treatment for severe mpox or for individuals with mpox who are at risk for severe disease. Tecovirimat is FDA-approved only for the treatment of smallpox in adults and children. Using tecovirimat to treat other orthopoxvirus infections, including mpox, is unapproved. On June 9, 2023, the CDC recommended that postexposure prophylaxis be considered for all household members, including children and infants, when mpox is diagnosed. However, the safety and efficacy of TPOXX for treating mpox have not been established. The CDC published Guidance for Tecovirimat Use Under Expanded Access Investigational New Drug Protocol on September 15, 2022. The CDC/FDA expanded TPOXX access via the Investigational New Drug Protocol. Its use follows Informed Consent. The FDA  suggested that the broad use of TPOXX could promote resistance and render the drug ineffective for some patients. The CDC hosted a COCA call on October 6, 2022, and presented a situational update for Clinicians about severe mpox virus infections. The CDC Health Alert Network (HAN) issued CDCHAN-00481 on November 17, 2022, providing clinicians and public health officials with information on managing mpox in patients requiring therapeutics. TPOXX treatment for mpox is available through voluntary participation in https://www.stomptpoxx.org/stompsites, sponsored by the U.S. NIH.

Tecovirimat - NDC Code(s): 50072-200-42. DrugBank Accession Number: DB12020. UNII: F925RR824R. ATC code: J05AX24. KEGG: D09390, as monohydrate: D11557. ChEMBL: ChEMBL1257073. Formula: C19H15F3N2O3. ND No. 116,039, CDC IRB No. 6402.

SIGA Technologies, Inc. (NASDAQ: SIGA) is a commercial-stage pharmaceutical company based in New York (31 East 62nd Street, 10065).

TPOXX Sales And Deliveries

SIGA established a network with over 20 partners across discovery, pre-clinical, clinical, manufacturing, and supply chains that supported the development of TPOXX and the successful delivery of approximately $200 million of courses to the U.S. Strategic National Stockpile (SNS). On July 22, 2024, the U.S. Department of Health and Human Services exercised a procurement option to deliver approximately $113 million of oral TPOXX treatment courses.

On June 17, 2024, SIGA announced an agreement to expand access to TPOXX to the member states in the Association of Southeast Asian Nations. On April 1, 2024, SIGA Technologies announced that it had entered into an amendment to its international promotion agreement with Meridian Medical Technologies, Inc. Effective June 1, 2024, SIGA will drive international promotion activities for oral TPOXX, while maintaining its contractual relationship with Meridian to ensure continuity for key customer relationships.

In 2023, SIGA had $131 million in product sales, including approximately $98 million of fourth quarter product sales of oral TPOXX to the U.S. SNS, roughly $11 million of product sales of oral TPOXX to the U.S. DoD, of which approximately $6 million was recognized in the fourth quarter; and approximately $21 million of international sales, of which roughly $12 million was recognized in the fourth quarter. In the first two months of 2024, the Company delivered an additional approximately $15 million of oral TPOXX to the U.S. SNS, substantially completing the oral TPOXX order received in July 2023, as well as offered an additional roughly $7 million of oral TPOXX to European countries and Canada.

On August 9, 2022, SIGA Technologies announced the exercise of procurement options under its 75A50118C00019 (19C) contract with the U.S. Department of Health and Human Services (HHS) to deliver intravenous (IV) formulations of TPOXX treatment courses, valued at approximately $26 million. Product deliveries of IV TPOXX in connection with these contract options are targeted for 2023. September 29, 2022, SIGA Technologies announced that the U.S. DoD awarded a new contract for the procurement of $10.7 million of oral TPOXX (Contract number: W911SR22C0051), of which $5.1 million of oral TPOXX is targeted for delivery in 2022. The remainder is subject to an option at the sole discretion of the DoD. This contract follows an award made earlier this year for the procurement of $7.4 million of oral TPOXX (Contract Number: W911SR22C0032), under which all products are expected to be delivered in 2022.

In September 2018, SIGA signed a contract with the U.S. Biomedical Advanced Research and Development Authority (BARDA) for additional procurement and development related to oral and intravenous formulations of TPOXX. SIGA has also collaborated with the Department of Defence (DoD) Joint Program Executive Office for Chemical, Biological, Radiological, and Nuclear Defense (JPEO-CBRND) to develop the post-exposure prophylaxis (PEP) indication for TPOXX. The DoD has drafted an Expanded Access Protocol (EAP) for TPOXX, which can be used for post-exposure prophylaxis (PEP) purposes for certain DoD-affiliated personnel. In addition, oral TPOXX is supplied to the Canadian Department of National Defence and the Public Health Agency of Canada for stockpiling as an essential countermeasure.

TPOXX Mpox Effectiveness and Breakthrough Infections

Data from 15 clinical trials of oral TPOXX in over 800 healthy volunteers, including a pivotal repeat-dose phase 1 pharmacokinetics (PK) trial involving 20 healthy volunteers conducted in Japan. These studies showed no drug-related serious adverse events and quantifiable PK within efficacious dose ranges. 

A small study published in January 2024 suggested that early tecovirimat initiation may hasten subjective symptomatic improvement in people with severe mpox. However, more extensive randomized trials are needed to evaluate this finding. The Antimicrobial Agents Chemotherapy journal published a letter on June 20, 2023, identifying Tecovirimat Resistance-Associated Mutations in Human Monkeypox Virus in Los Angeles County. This analysis detected TPOXX resistance-related HIV status.

The U.S. CDC published "Notes from the Field" on April 28, 2023, describing patients in New York City who were diagnosed with mpox and also developed new lesions after completing tecovirimat treatment, suggesting that post-treatment lesions may occur more commonly than previously reported by the CDC. In addition, the CDC reported on September 9, 2022, among 317 patients with available outcome information, 230 (72.6%) recovered with or without sequelae by or before completion of the post-treatment assessment; 87 (27.4%) patients were reported by clinicians to be not yet recovered, 78 of whom had not yet completed the standard 14-day tecovirimat treatment course. The CDC's MMWR was published on September 9, 2022. At the post-treatment follow-up visit, it was confirmed that three (2.2%) of 137 persons with available information had developed new lesions, compared with 25 (13.1%) who had developed new lesions during the first week of treatment. Most (119, 89.5%) patients reported that all lesions were crusted and healing with a new layer of skin under the scab following treatment. 

TPOXX, Mpox, and HIV

JAMA Internal Medicine published a study on January 8, 2024, demonstrating that people with HIV (PWH) who received tecovirimat within seven days of mpox symptom onset were 13 times less likely to progress to severe mpox disease compared with those who were treated after seven days or who did not receive tecovirimat. These researchers wrote that the findings of this study support the use of tecovirimat in all people with HIV (PWH) as soon as mpox is suspected. In a U.S. NIH-funded retrospective study published on May 2, 2023, a cohort of New York City patients treated with tecovirimat for severe mpox, HIV status did not appear to affect treatment outcomes. As of March 3, 2023, the STOMP Trial is evaluating the use of TPOXX in the HIV community. 

TPOXX Tecovirimat Resistance

On November 19, 2023, the U.S. CDC's Emerging Infectious Diseases - Volume 29, Number 12—December 2023 - confirmed that the MPXV F13L gene homologue encodes the target of tecovirimat, and single amino acid changes in F13 are known to cause resistance to tecovirimat. Genomic sequencing identified 11 mutations previously reported to cause resistance, as well as 13 novel mutations. The resistant phenotype was determined using a viral cytopathic effect assay. We tested 124 isolates from 68 patients; 96 isolates from 46 patients were found to have a resistant phenotype. Most resistant isolates were associated with severely immunocompromised mpox patients on multiple courses of tecovirimat treatment. In contrast, most isolates identified by routine surveillance of patients not treated with tecovirimat remained sensitive. 

This Annals of Internal Medicine report (July 2023) - Tecovirimat Resistance in an Immunocompromised Patient With Mpox and Prolonged Viral Shedding - confirms the potential rapid selection of a resistant mutant virus during tecovirimat monotherapy, and we believe this report is the first to study this phenomenon longitudinally. A variant (VP37 N267D) with substantiated tecovirimat resistance was selected within the standard 2-week treatment.

TPOXX Ingredients

Tecovirimat Formula: C19H15F3N2O3; ChemSpider ID: 17281586; ChEMBL Id: 1257073; PubChem CID: 16124688; Monoisotopic mass376.103485 Da. The capsules include the inactive ingredients: colloidal silicon dioxide, croscarmellose sodium, hydroxypropyl methylcellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and sodium lauryl sulfate. The capsule shell consists of gelatin, FD&C Blue #1, FD&C Red #3, FD&C Yellow #6, and titanium dioxide.

TPOXX For Children

The U.S. CDC's MMWR on June 9, 2023 - Notes from the Field: Exposures to Mpox Among Cases in Children Aged ≤12 Years — United States, September 25–December 31, 2022- When caring for the child with mpox, postexposure prophylaxis should be considered for all members of the household. On August 4, 2022, the CDC confirmed that no clinical studies had been conducted in pediatric populations regarding the use of TPOXX.

TPOXX For Women

On May 18, 2023, the CDC confirmed a lack of sufficient data on TPOXX in women. However, on January 6, 2023, a CDC Morbidity and Mortality Weekly Report disclosed that four pregnant women were hospitalized for mpox and administered tecovirimat, which was tolerated with no adverse reactions.

TPOXX Side Effects

The JAMA Network published a Research Letter on August 22, 2022: Compassionate Use of Tecovirimat for Treating Monkeypox Infection. In this preliminary, limited study, oral tecovirimat was well tolerated by all patients with mpox infection, with minimal adverse effects. The safety of TPOXX was evaluated in three clinical trials in 359 healthy adult subjects aged 18-79 years. Of the subjects who received at least one 600 mg dose of TPOXX, 59% were female, 69% were White, 28% were Black/African American, 1% were Asian, and 12% were Hispanic or Latino. Ten percent of the study participants were aged 65 or older. Of these 359 subjects, 336 received at least 23 of 28 doses of 600 mg TPOXX twice daily for 14 days. The most frequently reported adverse reactions were headaches and nausea. Adverse reactions occurred in at least 2% of the subjects in the TPOXX treatment group. In addition, co-administration of repaglinide and tecovirimat may cause mild to moderate hypoglycemia.

TPOXX Drug Interactions

Significant interactions have been reported in healthy adults with co-administration of repaglinide (hypoglycemia) and midazolam (decreased effectiveness of midazolam).

TPOXX Price

The U.S. CDC confirmed on August 18, 2022, that healthcare providers could provide tecovirimat (TPOXX) treatment to patients with mpox under EA-IND. The drug is currently offered at no cost. Contact the CDC Emergency Operations Center (770-488-7100) for clinical consultation on patient cases. NYC providers who want to prescribe tecovirimat and adhere to the IND protocol can email [email protected] for information on free delivery to patients or request supplies for a pharmacy at their facility.

TPOXX News

January 2, 2025 -  SIGA Technologies received regulatory approval in Japan for treating smallpox, mpox, and cowpox, as well as complications following smallpox vaccination in adults and pediatric patients weighing at least 13 kg.

March 13, 2024 - "In 2023, SIGA had approximately $131 million in product revenues and approximately $84 million of pre-tax operating income," stated Diem Nguyen, Chief Executive Officer. "These financial results represent a significant increase over the 2022 financial results; product revenues increased 51% over the corresponding 2022 amount, and pre-tax operating income increased 96% over the corresponding 2022 amount.

April 28, 2023—The U.S. CDC published Notes from the Field: Post-treatment Lesions After Tecovirimat Treatment for Mpox—New York City, August–September 2022. New lesions appeared a median of 13 days after completion of Tecovirimat treatment (range = 2–30 days). In eight patients, the provider rated post-treatment lesions as less severe than initial lesions (median severity score = 3 [range = 3–7]). 

February 2, 2023 - Special Report: Overview of the regulatory approval of tecovirimat intravenous formulation for treating smallpox: potential impact on smallpox outbreak response capabilities, and future tecovirimat development potential.

September 6, 2022—The HHS Administration for Strategic Preparedness and Response awarded AmerisourceBergen a distribution contract valued at $19.8 million to expand MPXV treatment access.

August 25, 2022 - The Swiss government health agency (SwissMedic) intends to purchase 500 units of the TPOXX antiviral. 

July 15, 2022 - SIGA Technologies announced a collaboration with KaliVir Immunotherapeutics to make TPOXX® available for use with KaliVir's novel oncolytic vaccinia immunotherapy platform, including multiple proprietary genetic modifications that can be combined to generate a unique oncolytic virus that has been optimized for systemic delivery and anti-tumor immune stimulation.

May 19, 2022 - SIGA Technologies, Inc. announced that the U.S. FDA approved the IV formulation of TPOXX for treating smallpox.

January 10, 2022 - SIGA Technologies, Inc. announced that the EMA approved SIGA's Marketing Authorisation Application for oral tecovirimat. The EMA approval includes labeling for oral tecovirimat, indicating its use to treat smallpox, mpox, cowpox, and vaccinia complications following vaccination against smallpox.

July 29, 2021 - SIGA Technologies, Inc. announced that it has partnered with Oxford University in the U.K. to provide TPOXX® (tecovirimat) under an expanded access protocol to treat individuals affected by mpox in the Central African Republic.

July 13, 2018 - The U.S. FDA approved TPOXX (tecovirimat), the first drug with an indication for the treatment of smallpox. The FDA granted this application Fast Track and Priority Review designations, and TPOXX also received an Orphan Drug designation.

TPOXX Clinical Trials

The National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health, is sponsoring the Study of Tecovirimat for Human Mpox Virus (STOMP). The STOMP trial assesses whether tecovirimat is safe and effective for treating mpox in people with the disease.

A Phase 3 clinical trial evaluating the antiviral tecovirimat, also known as TPOXX, began enrolling adults and children with monkeypox infection in the United States on September 9, 2022. Study investigators aim to register more than 500 people from clinical research sites nationwide. Interested volunteers can visit the ACTG website (clinical trial A5418) for more information. The National Institute of Allergy and Infectious Diseases sponsors the trialThe first study compares the enrolled participants' immune response to the Jynneos smallpox vaccines to the immune response to Jynneos while on TPOXX treatment. In addition, the study is designed to determine if TPOXX interferes with developing an effective immune response to the vaccine. A second clinical study, also expected to commence in 2022, will look at creating an expanded safety dataset to support 28-day dosing of TPOXX for the post-exposure prophylaxis indication compared with the currently approved 14 days for treatment of smallpox indication.