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HilleVax HIL-214 Norovirus Vaccine

HilleVax HIL-214 Norovirus Vaccine Clinical Trials, Dosage, Indication, Side Effects

The HilleVax, Inc. HIL-214 investigational virus-like particle (VLP) based bivalent vaccine candidate is targeted to prevent moderate-to-severe acute gastroenteritis (AGE) caused by norovirus. The HIL-214 vaccine includes antigens from genotypes GI.1 and GII.4 to represent the genogroups that cause most human illnesses. Noroviruses, previously called Norovirus-like viruses, are members of the Norovirus genus in the family Caliciviridae, a group of non-enveloped viruses.

The Company announced on August 8, 2024, that it is exploring the potential for continued development of its HIL-214 and HIL-216 norovirus vaccine candidates in adults. On July 8, 2024, the Company announced plans to discontinue further development of HIL-214 in infants. "We are disappointed that the NEST-IN1 study did not meet its primary efficacy endpoint," said Rob Hershberg, MD, PhD, Chairman and Chief Executive Officer of HilleVax, in a press release on July 8, 2024. "While HIL-214 previously showed clinical benefit in adults, NEST-IN1 was the first efficacy study conducted in infants for a norovirus vaccine candidate. We believe the efficacy in the infant setting may have been impacted by the appearance of multiple emerging GII.4 strains in this trial."

As of December 31, 2024, and December 31, 2023, HilleVax, Inc. had cash, cash equivalents, and marketable securities totaling $171.4 million and $303.5 million, respectively. For 2024, research and development expenses were $78.2 million for the entire year ending December 31, 2024, compared to $33.3 million for the fourth quarter of 2023 and $106.7 million for the whole of the year ending December 31, 2023.

HilleVax (NASDAQ GS: HLVX) is a clinical-stage biopharmaceutical company located at 75 State St, Suite 100, Boston, MA 02109, focused on developing and commercializing novel vaccines. For information about HilleVax, visit the Company's website at http://www.HilleVax.comCORPORATE PRESENTATION JANUARY 2023. Takeda Pharmaceutical Company Limited (TSE:4502/NYSE: TAK) and Frazier Healthcare Partners announced a collaboration to launch HilleVax, Inc. on July 29, 2021.

HIL-214 Vaccine Indication

Globally, norovirus is estimated to result in over 700 million cases of AGE and 200,000 deaths per year, resulting in over $4 billion in direct health system costs and $60 billion in societal costs per year. HIL-214 is indicated to prevent moderate or severe AGE due to norovirus, a common intestinal infection marked by watery diarrhea, vomiting, abdominal cramps, nausea, and sometimes fever that may lead to clinically significant dehydration. Globally, norovirus is estimated to result in approximately 700 million cases of AGE and 200,000 deaths per year, resulting in over $4 billion in direct health system costs and $60 billion in societal costs per year. In a study published in 2020, the cost of norovirus to the U.S. economy was estimated at $10.5 billion per annum, mainly driven by children under five and adults over 65.

HIL-214 Vaccine Dosage

The HIL-214 vaccine candidate is administered as an intramuscular injection.

HIL-214 Vaccine News

March 31, 2025 - Net loss for the fourth quarter 2024 was $33.9 million and $147.3 million for the year ended December 31, 2024, compared to $37.0 million for the fourth quarter 2023 and $123.6 million for the full year ended December 31, 2023.

July 8, 2024 - The NEST-IN1 clinical study did not meet its primary or secondary efficacy endpoints, and the Company will discontinue further development of HIL-214 in infants. The Company is exploring the potential for continued development of HIL-214 and HIL-216 in adults. "We sincerely thank the trial investigators, clinical sites, and the HilleVax team for conducting a highly rigorous study, and we deeply appreciate the infants and families that participated in this trial," said Dr. Hershberg.

January 18, 2024 - HilleVax, Inc. announced the appointment of Sean McLoughlin as Chief Operating Officer.

September 25, 2023 - The Company announced it raised $115 million in funding. HilleVax intends to use the net proceeds from the offering to fund the clinical development of HIL-214.

April 25, 2023 - "I am excited to announce the completion of enrollment of our NEST-IN1 study, which brings us one step closer to topline results in the first quarter of 2024," said Rob Hershberg, MD, Ph.D., Chairman and Chief Executive Officer of HilleVax. "There are no approved vaccines for norovirus, which results in approximately 700 million cases of acute gastroenteritis and 200,000 deaths per year."

December 5, 2022 - "We are very pleased with the immunogenicity results from the NEST-IN1 run-in cohort, which were consistent with our expectations based on previous studies of HIL-214 given to infants," said Rob Hershberg, MD, Ph.D., Chairman and Chief Executive Officer of HilleVax. "We now look forward to the full NEST-IN1 topline safety and efficacy data, which remain on track for the second half of 2023."

August 31, 2022 - HilleVax, Inc. reported that an independent safety data monitoring committee completed a prespecified review of safety data from the 203 subjects enrolled in the run-in portion of NEST-IN1, the Company's Phase 2b trial for HIL-214. Based on this review, the DMC recommended continuing NEST-IN1 without modification, and enrollment has subsequently resumed.

September 8, 2021 - HilleVax, Inc. announced the close of a $135 million crossover financing.

July 29, 2021 - "Takeda and Frazier have a history of successfully partnering together, and we are confident in HilleVax's capabilities to progress HIL-214, the most advanced norovirus vaccine candidate in development with the potential to address the huge global burden of norovirus-associated acute gastroenteritis," said Rajeev Venkayya, M.D., President of the Global Vaccine Business Unit, Takeda, in a press release.

HIL-214 Vaccine Clinical Trials

As of 2025, HIL-214 has been studied in nine clinical trials. HIL-214 has been the subject of various Phase 1, 2, and 3 clinical trials. In Q3 2023, HilleVax initiated three clinical trials supporting the advancement of HIL-214, including NOR-109, a Phase 1 clinical trial of HIL-214 in Japanese infants, NOR-206, a Phase 2 clinical trial co-administering HIL-214 with other standard infant vaccinations, and NOR-215, a Phase 2 serology study of HIL-214 in adults.

On December 5, 2022, HilleVax reported results from a prespecified immunogenicity analysis of the 203 subjects enrolled in the run-in cohort of NEST-IN1 (Norovirus Efficacy and Safety Trial for Infants), the Company's ongoing Phase 2b trial for HIL-214. Immunogenicity Results: Geometric Mean Titers (GMTs) of pan-IG antibodies 28 days following the second dose were 11,102.0 IU/mL and 2,185.5 IU/mL for GI.1 and GII.4, respectively, for HIL-214 compared to 59.6 IU/mL and 73.5 IU/mL for GI.1 and GII.4, respectively, for placebo. These titers corresponded to a Geometric Mean Fold Rise (GMFR) versus a baseline of more than 18-fold for HIL-214. And Seroresponse rates (SRRs) for HIL-214, defined in NOR-212 as the percentage of subjects with at least a 4-fold increase in pan-Ig (immunoglobulin) antibody titers 28 days following the second dose compared to pre-vaccination baseline, were 99.0% for GI.1 and 86.9% for GII.4. SRRs for placebo were 4.1% and 3.1% for GI.1 and GII.4, respectively.

On April 25, 2023, the Company announced the completion of enrollment of NEST-IN1, with over 3,000 subjects enrolled in six countries. The phase 2/3 study was last updated on May 25, 2023. Topline safety and clinical efficacy data from NEST-IN1 are expected in the first quarter of 2024. In addition to infants, the Company plans to seek approval for HIL-214 in additional age groups, such as older children and adults.

Clinical Trial NCT03039790:  Long-Term Immunogenicity of the Norovirus GI.1/GII.4 Bivalent Virus-like Particle (VLP) Vaccine (NoV Vaccine) in Adults (Active)

Clinical Trial NCT02153112: Safety and Immunogenicity of Norovirus GI.1/GII.4 Bivalent Virus-Like Particle (VLP) Vaccine in Children (Completed) Results: In 6–12 month-old infants and children up to 4 years of age, robust immune responses to the bivalent norovirus VLP vaccine candidates were observed; the highest HBGA responses in both age cohorts were observed after two doses of the 50/150 μg formulation. Further clinical evaluation of these formulations is underway in infants < 6 months of age.

Clinical Trial NCT01609257:  Norovirus Bivalent-Vaccine Efficacy Study (Completed) This Phase 1/2 study aims to determine whether the norovirus vaccine effectively prevents acute gastroenteritis due to the experimental human Norovirus GII.4 challenge dose. The purpose is also to evaluate the safety and immunogenicity of the vaccine. Takeda has published the results of this challenge study, which showed that the candidate vaccine is generally well-tolerated and had a clinically relevant impact on the symptoms and severity of norovirus illness after the challenge.

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NoV Vaccine
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HIL-214
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PreHevbrio Hepatitis B Vaccine

PreHevbrio™ Vaccine Clinical Trials, Dosage, Efficacy, Side Effects, Usage

PreHevbrio™ (PreHevbri®, Sci-B-Vac) is a third-generation hepatitis B trivalent vaccine that mimics all three surface antigens, pre-S1, pre-S2, and S of the hepatitis B virus ("HBV"). PreHevbrio has demonstrated safety and efficacy in over 500,000 patients. As of April 2024, PreHevbri is the only 3-antigen hepatitis B vaccine, comprised of the three hepatitis B surface antigens of the hepatitis B virus, administered in three doses over six months, approved for use in the United States, European Union/European Economic Area, United Kingdom, Canada, and Israel.

In December 2017, VBI Vaccines Inc.(VBI) initiated patient dosing in a global Phase 3 clinical program with two concurrent pivotal studies: PROTECT, a safety and immunogenicity study, and CONSTANT, a lot-to-lot consistency study. Data from both the PROTECT study and the CONSTANT study. During an August 2020 presentation, Adam Finn, M.D., Ph.D., Professor of Paediatrics at the University of Bristol, UK, and principal investigator of the CONSTANT Phase 3 clinical study discussed the successfully met primary endpoint of CONSTANT – demonstration of the consistency of immune response as measured by the geometric mean concentration (GMC) of hepatitis B antibodies (anti-HBs titers) across three consecutively-manufactured lots of vaccine. Additional data highlighted included: High anti-HBs titers: GMC of anti-HBs for Sci-B-Vac was more than 7.5x compared to Engerix-B after two vaccinations (day 168) and more than 3x after three vaccinations (day 196); Rapid Onset of Seroprotection: After two vaccinations, Sci-B-Vac elicited a 90.4% seroprotection rate (SPR) compared to 51.6% with Engerix-B, increasing to 99.3% vs. 94.8% after the 3rd dose. On Oct. 12, 2021, the JAMA Network published an Original Investigation: Immunogenicity and Safety of a 3-Antigen Hepatitis B Vaccine vs. a Single-Antigen Hepatitis B Vaccine, phase 3 study. It found the 3-antigen HBV vaccine had higher seroprotection rates after the second and third vaccinations than the single-antigen HBV vaccine.

On Feb. 2, 2021, the U.S. Food and Drug Administration (FDA) accepted the Biologics License Application (BLA) filing. On Dec. 1, 2021, the FDA approved PreHevbrio to prevent infection caused by all known subtypes of HBV in adults. On Jan. 12, 2022, Francisco Diaz-Mitoma, M.D., Ph.D. – Chief Medical Officer, VBI, presented 'The Safety & Immunogenicity of a 3-Antigen Hepatitis B Vaccine, PreHevbri, during the U.S. CDC's Advisory Committee on Immunization Practices meeting. Then, on Feb. 23, 2022, LCDR Mark K. Weng, MD MSc, CDC Hepatitis Vaccines Work Group, Advisory Committee on Immunization Practices, presented PreHevbrio for adult hepatitis B vaccination Evidence to Recommendation and GRADE. Following a positive vote, PreHevbrio is now recommended for prophylactic adult vaccination against HBV infection.

On May 2, 2022, the Company announced that the European Commission granted Marketing Authorisation for PreHevbri for active immunization against infection caused by all known subtypes of HBV in adults. On Sept. 8, 2022, Valneva SE and VBI Vaccines Inc. announced a partnership in select European markets for the marketing and distribution of PreHevbri®. The brand names for this vaccine are PreHevbri™ (EU/EEA/UK), PreHevbrio™ (US), and Sci-B-Vac® (Israel). In addition, on Dec. 8, 2022, Health Canada approved PreHevbrio™.

As of Mar. 22, 2024, Brii Bio secured exclusive development and commercialization rights for PreHevbri in Greater China and Asia Pacific (excluding Japan) and has submitted two pre-INDs to the CDE for PreHevbriTM's registration plan in China. A Market Authorization Application has also been filed in Hong Kong. In addition, VBI's enveloped virus-like particle (eVLP) platform technology enables the development of eVLPs that closely mimic the target virus to elicit a potent immune response.

Massachusetts-based VBI Vaccines Inc. (Nasdaq: VBIV) is a commercial-stage biopharmaceutical company developing the next generation of vaccines to address unmet infectious disease and immuno-oncology needs. Through its innovative approach to VLPs, including a proprietary enveloped VLP platform technology, VBI develops vaccine candidates that mimic the natural presentation of viruses, designed to elicit the innate power of the human immune system.

PreHevbrio Vaccine Revenues

As of May 16, 2024, PreHevbrio's global net revenue increased 105% year-over-year in the first quarter of 2024 compared to the first quarter of 2023. In the U.S., PreHevbrio sales continue to demonstrate substantial growth in early 2024, with over 80% of the 2023 full-year volume being sold in the first five months of 2024. VBI partners with Valneva SE to make PreHevbri available in certain European countries.

PreHevbrio Availability 2024

As of May 2024, PreHevbrio was available in the U.S., PreHevbri® is available in Europe (Netherlands, Belgium), the U.K., and Sci-B-Vac® in Israel. PreHevbri was approved by the European Commission and the United Kingdom Medicines and Healthcare Products Regulatory Agency in the second quarter of 2022. Valneva SE will lead marketing activities in the United Kingdom, Sweden, Norway, Denmark, Finland, Belgium, and the Netherlands. Valneva and VBI expect PreHevbri to be available in these countries in 2023. Brii Biosciences announced the development and commercialization of PreHevbri in the Asia Pacific region, excluding Japan. Availability is expected in Canada under the brand name PreHevbrio in 2024. In the U.S., PreHevbrio is available for purchase at retail pharmacy chains, including Costco, RiteAid, Walmart, and three of the top 10 regional retail pharmacy networks, as well as through the U.S. Department of Veterans Affairs, Federal Bureau of Prisons, and at certain military treatment facilities.

PreHevbrio Indication

Please visit www.PreHevbrio.com for U.S. Safety Information for PreHevbrio or U.S. Full Prescribing Information. In addition, a full European Summary of Product Characteristics for PreHevbri is available from the European Medicines Agency website. HBV infection is the leading cause of liver disease, and, with current treatments, it is challenging to cure, with many patients developing liver cancers. An estimated 900,000 people die each year from complications of chronic HBV, such as liver decompensation, cirrhosis, and hepatocellular carcinoma. The U.S. CDC. Sci-B-Vac is indicated to prevent hepatitis B in adults 18 and older. It can also be expected that hepatitis D will be controlled by immunization with PreHevbri, as hepatitis D does not occur without hepatitis B infection.

PreHevbrio Dosage

It is administered 10ug and intramuscular injection as a solution on Days 0, 28, and 168. Sci-B-Vac is currently in two Phase 3 clinical trials to support Sci-B-Vac licensure in the U.S., Europe, and Canada. In addition, it can be administered at lower doses than competing hepatitis B vaccines, says the Company.

PreHevbrio Side Effects

The safety and tolerability seen in a phase 3 study support the safety profile of VBI's 3-antigen vaccine candidate – with no safety signals observed in either study arm and no new safety risks identified. However, do not administer PreHevbrio to individuals with a history of a severe allergic reaction after a previous dose of any hepatitis B vaccine or any component of PreHevbrio. To report SUSPECTED ADVERSE REACTIONS, contact VBI Vaccines at 1-888-421-8808 (toll-free), VAERS at 1-800-822-7967, or www.vaers.hhs.gov.

PreHevbrio Cost

On March 29, 2022VBI Vaccines Inc. announced that PreHevbrio™ is now available in the U.S. at a Wholesale Acquisition Cost of $64.75/dose.

PreHevbrio News

April 16, 2024 - “Over the last 12 months, we’ve seen continued progress across all of our lead programs – with increased use of PreHevbrio and an ever-expanding access and distribution network in place, as well as positive clinical data announcements from all lead pipeline programs, we are helping to make great strides in the fight against GBM, hepatitis B, and coronaviruses,” said Jeff Baxter, VBI’s President and CEO. 

July 19, 2023 - Jeff Baxter, President and CEO of VBI, commented: "We are excited to announce the launch of PreHevbri in the Netherlands and Belgium through our partnership with Valneva.

December 8, 2022 - "We are excited to announce Health Canada's approval, a fourth regulatory approval for this vaccine," said Jeff Baxter, VBI's President and CEO. 

September 8, 2022 - Jeff Baxter, President and CEO of VBI, commented: "This partnership is a significant milestone for PreHevbri, enabling us to hit the ground running in Europe. Valneva has substantial local knowledge, experience, and relationships in each of these European countries."

June 1, 2022 - VBI Vaccines Inc. announced that the UK Medicines and Healthcare Products Regulatory Agency granted marketing authorization for PreHevbri™.

May 2, 2022VBI Vaccines Inc. announced that the European Commission had granted Marketing Authorisation for PreHevbri™.

February 23, 2022 - VBI announced that, following a discussion at the U.S. CDC Advisory Committee meeting on Immunization Practices, PreHevbrio joined the recommended products for prophylactic adult vaccination against HBV infection.

December 1, 2021 - VBI announced that the U.S. FDA had approved PreHevbrio™.

October 26, 2020 - VBI Vaccines announced across the PROTECT and CONSTANT registrational Phase 3 studies, Sci-B-Vac safely elicited higher anti-HBs titers in all study subjects than Engerix-B, a single antigen HBV vaccine, regardless of age, gender, or underlying comorbidity.

January 9, 2020 - VBI Vaccines Announces Second Pivotal Phase 3 Study of Sci-B-Vac® Meets Primary and Secondary Endpoints; op-line data from CONSTANT, the second pivotal Phase 3 study, assessing lot-to-lot manufacturing consistency of Sci-B-Vac®.

December 2017 - VBI initiated patient dosing in a global, 15-month Phase 3 clinical program that, if successful, will allow the Company to seek marketing authorization in the U.S., Europe, and Canada.

Sci-B-Vac Vaccine Clinical Trials

Sci-B-Vac Vaccine has been tested in several clinical trials and a Phase 4 post-marketing clinical trial.

June 28, 2022 - Timo Vesikari, M.D., Ph.D., Professor Emeritus and Director of the Nordic Vaccine Research Network in Finland, and principal investigator of the PROTECT and CONSTANT Phase 3 clinical studies of VBI's 3-antigen HBV vaccine, highlighted data from his investigator-initiated analysis that evaluated the duration of immune response approximately 2.5 years after completion of vaccination. Immunogenicity was assessed using frozen sera samples from a subset of participants (n=465) enrolled at five clinical sites in Finland as part of PROTECT. In the follow-up analysis, participants in PROTECT who received VBI's 3-antigen HBV vaccine had 5.5-fold higher mean anti-HBs titers (GMC: 1382.9 mIU/mL vs. 251.4 mIU/mL) and a higher seroprotection rate (SPR: 88.1% vs. 72.4%) compared to those who received Engerix-B. Additionally, 72.9% of participants who received VBI's 3-antigen HBV vaccine retained anti-HBs titers ≥ 100 mIU/mL compared to 32.6% of those who received Engerix-B.

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Availability: 
Israel, U.S., Europe, the U.K., Canada, Belgium, Netherlands
Generic: 
Sci-B-Vac™
Clinical Trial: 
https://www.vbivaccines.com/our-pipeline/clinical-trials/
Drug Class: 
3-antigen HBV vaccine
Condition: 
Last Reviewed: 
Friday, May 17, 2024 - 05:30
Brand: 
PreHevbrio™
Abbreviation: 
PreHevbri™
Status: 
Manufacturer Country ID: 
FDA First In Class: 
Yes
Kosher: 
Yes
Rate Vaccine: 
qlXaJ2AF

ResVax RSV Vaccine

ResVax RSV Vaccine Description for 2022

ResVax™ is an aluminum adjuvanted RSV fusion (F) protein recombinant nanoparticle vaccine for infants via maternal immunization.

Novavax developed its nanoparticle-based RSV vaccine for older adults and went through a large phase 2b clinical trial. However, in a large phase 3 trial, it was found ineffective. In light of the fact that the trial failed to meet its primary endpoints, the U.S. FDA and European Medicines Agency recommended conducting an additional Phase 3 clinical trial to confirm efficacy. As a result, Novavax is currently unblinding its next phase 3 trial in pregnant women. To accelerate RSV vaccine development, developers adopted the fail-fast approach.

The Bill & Melinda Gates Foundation (BMGF) has supported the Prepare trial for ResVax through a grant of up to $89.1 million; BMGF continues to financially support our efforts to conduct certain follow-up analyses of the Phase 3 data.

ResVax RSV Vaccine Indication

ResVax is indicated to prevent severe RSV disease, protecting infants as early as birth and during the first months of life when they are most at risk for hospitalization. RSV is the most common cause of lower respiratory tract infections and the leading viral cause of severe lower respiratory tract disease in infants and young children worldwide.

ResVax is administered to the maternal participant as an intramuscular (IM) Injection of RSV F Vaccine at 28-36 weeks Estimated Gestational Age (EGA).

ResVax RSV Vaccine News For 2015 - 2022

March 14, 2022 - A peer-reviewed article concluded: In a double-blind, randomized, placebo-controlled trial, administering an RSV vaccine to pregnant mothers reduced antimicrobial prescribing among their infants by 12.9% over the first three months of life.

July 21, 2021 - ResVax missed its primary efficacy endpoint in the pivotal PREPARE study. While it hit key secondary endpoints, the EMA and FDA have requested an additional confirmatory efficacy study before considering approval. The elderly segment offers the most commercial potential because of the large population size, high coverage rates that can be achieved, and the likely requirement for repeat seasonal vaccination. ResVax also failed to meet its primary efficacy endpoint in this subgroup in the RESOLVE study,

August 12, 2019 - Novavax presented new data from Novavax Phase 3 Prepare Trial of ResVax Presented at 2019 IDSOG Annual Meeting.

June 10, 2019 - Novavax Provides Updates on the Global Pathways to Licensure for ResVax™

February 28, 2019 - Novavax Announces Topline Results from Phase 3 PrepareTM Trial of ResVax™ for Prevention of RSV Disease in Infants via Maternal Immunization.

April 2015 - RSV F Nanoparticle Vaccine: Biological Rationale, Summary of the Clinical Data and Path Forward.

ResVax RSV Vaccine Clinical Trials

ResVax RSV vaccine has completed four clinical trials to date.

Data from our Prepare trial, initiated in December 2015, was announced in February 2019. The Prepare trial was conducted to determine whether ResVax reduced the incidence of medically significant RSV-positive LRTI in infants through a minimum of the first 90 days of life and up through the first six months of life. While these data did not meet the trial’s primary efficacy endpoint, it did demonstrate efficacy against a secondary endpoint by reducing RSV LRTI hospitalizations in treated infants. ResVax is thus the first RSV vaccine to show efficacy in a Phase 3 clinical trial and, in addition, to show important effects against a variety of prespecified exploratory endpoints and post hoc analyses. This included an approximately 60% reduction in RSV-related severe hypoxemia and an about 74% reduction in RSV-related, radiographically confirmed pneumonia through Day 90. As in previous clinical trials, ResVax also showed favorable safety and tolerability results.

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Availability: 
N/A
Generic: 
RSV F vaccine
Clinical Trial: 
https://clinicaltrials.gov/ct2/results?cond=RSV%20F%20maternal%20immunization&term=novavax&cntry=&state=&city=&dist=
Drug Class: 
Vaccine
Last Reviewed: 
Saturday, June 11, 2022 - 14:00
Brand: 
ResVax
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SurVaxM Cancer Vaccine

SurVaxM Vaccine Clinical Trials, Dosage, Indication, Side Effects

MimiVax Inc.'s SurVaxM is a first-in-class peptide mimic immunotherapeutic vaccine (immunotherapy) candidate targeting survivin, a cell-survival protein in 95% of glioblastoma and many other cancers. It is engineered to recognize survivin-expressing cancer cells as foreign and stimulate patients' immune response to control tumor growth and recurrence. SurVaxM is a brain cancer immunotherapy born in the labs of Roswell Park Comprehensive Cancer Center.

Positive Final Data from the Phase 2a Clinical Study of SurVaxM for nGBM, published in the Journal of Clinical Oncology, found that 51% of patients receiving SurVaxM survived at least two years, and 41% survived at least three years. The median Overall survival rate of 25.9 months with nGBM in this study is considerably higher than expected with standard therapy alone. A randomized, blinded, placebo-controlled Phase 2b clinical trial of SurVaxM for nGBM (SURVIVE) is recruiting at cancer centers across the USA. On October 12, 2023, MimiVax announced that the United States Food and Drug Administration granted Fast Track Designation to the SurVaxM vaccine candidate being studied for treatment for diagnosed glioblastoma. In June 2024, the U.S. Food and Drug Administration (FDA) expanded the orphan drug designation for SurVaxM. MimiVax first received orphan drug status for SurVaxM in August 2017. The supplemental FDA designation awarded to MimiVax Inc. now applies to SurVaxM as a treatment for not just adult glioblastoma but a broader category of cancerous brain tumors: any malignant glioma in children or adults. 

MimiVax Inc. is a NY-based, Delaware corporation, clinical-stage biotechnology company formed in 2012. The Company was initially formed as a spin-off from Roswell Park, supported by donations to Roswell Park. For more information on MimiVax, visit www.mimivax.com.

SurVaxM Vaccine Indication

Although SurVaxM was first tested in brain cancer, survivin is present in most cancers, including multiple myeloma, melanoma, ovarian, renal, lymphoma, prostate, and breast cancers. SurVaxM is an immunostimulant targeting survivin, a molecule in many cancers.

SurVaxM Vaccine Dosage

SurVaxM is delivered through a subcutaneous injection.

SurVaxM Vaccine News

June 21, 2024 - Roswell Park President and CEO Candace S. Johnson, PhD. “SurVaxM is one of the few treatment options for incurable brain cancer to reach late-stage clinical trials, and everyone who supports this work is helping to speed a highly promising cancer treatment to patients who may benefit from it.”

October 12, 2023 - "The receipt of Fast Track Designation affirms the importance of new clinical developments of novel therapies to improve the treatment and outcomes for patients with newly diagnosed glioblastoma," said Michael Ciesielski, CEO of MimiVax. "This designation is a key component in our journey to help patients with glioblastoma to live longer."

December 15, 2022 - “We are finally starting to see immunotherapy having an impact upon difficult-to-manage diseases like glioblastoma and are excited to be able to contribute in a meaningful way to cancer care to provide hope for glioblastoma patients” –Michael Ciesielski, Ph.D.; Chief Executive Officer, MimiVax

May 30, 2020 - MimiVax LLC announced a clinical collaboration to assess the combination of SurVaxM (MimiVax) and pembrolizumab (Keytruda; MERCK). SurVaxM is a patented peptide immunogen targeting survivin, a cell-survival protein in glioblastoma and many other cancers.

May 29, 2019 - MimiVax LLC, a clinical-stage biotechnology company developing immunotherapeutics for cancer and autoimmune diseases, announced upcoming presentations at leading scientific and industry events.

SurVaxM Vaccine Clinical Trial

A randomized, blinded, placebo-controlled Phase 2b clinical trial of SurVaxM for nGBM (SURVIVE) [NCT05163080] is now recruiting at 11 cancer centers. Results from the fully accrued phase 2b SURVIVE trial are expected in 2025, and a pilot study of the vaccine in children and adolescents with several forms of brain cancer is underway. SurVaxM is also being studied as a treatment for neuroendocrine tumors and multiple myeloma in adults.

Clinical Trial NCT02455557:  SurVaxM Vaccine Therapy and Temozolomide in Treating Patients With Newly Diagnosed Glioblastoma. This phase II trial studies the side effects and how well vaccine therapy works when given with temozolomide to treat patients with newly diagnosed glioblastoma.

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Availability: 
N/A
Drug Class: 
Immunotherapy
Condition: 
Last Reviewed: 
Friday, August 16, 2024 - 05:30
Brand: 
MimiVax
Status: 
Manufacturer Country ID: 
FDA First In Class: 
Yes

HSV529 Herpes Vaccine

HSV529 Herpes Vaccine Description 2022

Sanofi Pasteur's HSV529 is a herpes vaccine candidate classified as a replication-defective virus. The virus possesses all the wild-type HSV virus components except two proteins UL5 and UL29, involved in viral DNA replication. 

This replication-defective HSV-2 vaccine can infect cells and result in a broader immune response. HSV529 uses a replication-defective mutant virus genetically altered to prevent the virus from replicating, says Sanofi.

Vaccine-elicited protection against HSV is challenging to achieve due to herpes viruses' ability to evade many aspects of the mammalian immune response.  Subunit vaccines, which consist of individual or small groups of viral antigens, remove the risk of complications resulting from the production of vaccine-associated infectious viral particles but are limited in the degree and scope of immunity produced in vaccinated individuals.  

The Sanofi Pasteur vaccine candidate HSV529 is derived from HSV-2 strain 186, produced in Vero cells expressing HSV2 UL5 and UL29. 

In October 2014, Sanofi Pasteur and Immune Design announced a collaboration: Sanofi Pasteur contributed HSV529, a clinical-stage replication-defective HSV vaccine product candidate, and Immune Design will contribute G103, its preclinical trivalent vaccine product candidate.

About Sanofi Pasteur, a Sanofi Company. The phase 1 study sponsor was the National Institute of Allergy and Infectious Diseases.

HSV529 Indication

The HSV529 herpes vaccine candidate is indicated to treat herpes simplex virus (HSV). Worldwide, about 400 million people are infected with herpes simplex virus type 2 (HSV-2), the predominant cause of genital herpes, says the CDC. The challenge of developing experimental vaccines that are both safe and effective has led to two opposing approaches in HSV vaccine development: increasing the efficacy of subunit vaccines and increasing live-attenuated vaccines' safety.

Genital herpes is an STD caused by two types of viruses. The viruses are called herpes simplex virus type 1 (HSV-1) and HSV-2. Genital herpes infection is common in the United States. The CDC estimates that, annually, 776,000 people in the United States get new genital herpes infections.

Of the more than 100 known herpes viruses, 8 routinely infect only humans: herpes simplex virus types 1 and 2, varicella-zoster virus, cytomegalovirus, Epstein-Barr virus, human herpesvirus 6, human herpesvirus 7, and Kaposi's sarcoma virus or human herpesvirus 8. A simian virus, called the B virus, occasionally infects humans. All herpes viruses can establish latent infection within specific tissues, which are characteristic of each virus.

HSV529 Dosage

Intramuscular injections deliver the HSV529 vaccine candidate as a 0.5 ml solution containing 1 x 10(7) plaque-forming units on day 0, one month after the first dose (day 30), and then six months after the first dose (day 180).

HSV529 Side Effects

Anyone can submit a side effects report to VAERS, including parents and patients. And healthcare providers are required by law in the USA to report to VAERS. Here is a link to report an adverse event.

HSV529 News

January 13, 2021 - The Study of the Safety of a Particular Herpes Vaccine in Adults With or Without Herpes Infection was updated.  This Phase I Study of the Safety of replication-defective Herpes Simplex Virus-2 Vaccine, HSV529, in Adults Aged 18 to 40 Years With or Without HSV Infection Start Date was September 26, 2013. The Biological: HSV529 vaccine was administered intramuscularly (deltoid muscle) as a 0.5 ml solution containing 1 x 10(7) plaque-forming units on day 0, one month after the first dose (day 30), and then six months after the first dose (day 180). The Sponsor is the National Institute of Allergy and Infectious Diseases, and the Collaborator is Sanofi Pasteur.

August 7, 2020 - The phase 2 study, 'Safety and Efficacy of 4 Investigational HSV 2 Vaccines in Adults With Recurrent Genital Herpes Caused by HSV 2 (HSV15)' was last updated on September 18, 2020.

January 10, 2020 - Phase 1 and 2 studies were posted. The studies' primary objectives are: To describe the safety profile of different investigational vaccine regimens against herpes simplex virus type 2 (HSV-2); To evaluate the efficacy of the investigational vaccine regimens concerning the frequency of herpes simplex virus (HSV) deoxyribonucleic acid (DNA) detection in the genital area (shedding rate) following a 2 dose vaccine schedule; To determine the proportion of participants free of HSV genital recurrence at 6 months after the 2-dose vaccine schedule. Allocation: Randomized, 381 participants.

August 2019 - This first-in-human study of the replication-defective HSV vaccine HSV529 showed that it was safe and well-tolerated, with evidence of immunogenicity in HSV-naive and previously infected subjects, and elicited neutralizing antibody and modest CD4+T-cell responses in HSV-seronegative vaccinees.

October 8, 2015 - Phase 1 Clinical Trial for HSV529 Vaccine in HSV-2 Seropositive Adults launches. Last updated on January 14, 2019.

October 16, 2014 - Sanofi Pasteur, the vaccines division of Sanofi and Immune Design Corp., a clinical-stage immunotherapy company, today announced that they have entered into a broad collaboration to develop a herpes simplex virus (HSV) immune therapy.

HSV529 Clinical Trials

HSV529 Herpes Vaccine has completed two Phase 1 clinical trials and is still active in a phase 1/2 trial.

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Availability: 
Pending
Generic: 
Replication-defective virus
Drug Class: 
Replication-defective Virus Vaccine
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Wednesday, August 24, 2022 - 05:35
Brand: 
HSV529
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SkyZoster Shingles Vaccine

SKYZoster™ Shingles Vaccine 2023

SK bioscience SkyZoster (NBP608) is a live-attenuated zoster vaccine developed in South Korea. The vaccine was approved in South Korea by the Ministry of Food and Drug Safety (KMFDS) in September 2017 based on the results of clinical trials conducted in domestic and global institutions.

SK bioscience is growing into a domestic and global vaccine developer by continuously making investments and establishing infrastructure for vaccine development. For further information, please visit https://www.skbioscience.co.kr/en/main.

SkyZoster Availability 2023

SkyZoster is authorized in South Korea, Thailand, and Malaysia. SK bioscience plans to submit SKYZoster™ Pre-Qualification to the WHO to further accelerate the vaccine's approval for overseas emerging markets, such as Southeast Asia and developing countries.

SkyZoster Indication

This live attenuated vaccine is indicated for adults over the age of 50 to prevent Shingles (Herpes Zoster). It is contraindicated for individuals with a history of hypersensitivity reactions to gelatin or any other component in SKYZoster.

SkyZoster Dosage

Sky Zoster is administered as a single dose by subcutaneous injection into the outer aspect of the upper arm as one full dose (approximately 0.5 mL) and should not be injected intravascularly or intramuscularly. Keep refrigerated at 2-8°C in an airtight container away from light.

SkyZoster News 2023

February 28, 2023 - SK Bioscience said its shingles vaccine Skyzoster has taken the top market share position in 2022.

January 9, 2023 - SK bioscience announced that the company has received a biologics license application approval of the 'SKYZoster™' from the National Pharmaceutical Regulatory Agency in Malaysia.

May 20, 2019 - The SkyZoster vaccine study's results found ‘no statistically significant difference between the 2 groups in terms of the geometric mean spot numbers determined by IFN-γ and IL-2 ELISPOT assays at 6 weeks post-vaccination.’ 

October 9, 2017 - South Korean drug regulators granted approval to SK Chemicals’ Zoster vaccine.

SkyZoster Clinical Trials

Clinical Trial NCT03120364:  Immunogenicity and Safety of NBP608 Compared to Zostavax in Healthy Adults Aged 50 and Over: This study assesses non-inferiority by comparing GMR(Geometric Mean Ratio) of NBP608 to Zostavax which are evaluated by gpELISA (Glycoprotein Enzyme-Linked Immunosorbent Assay). A total of 824 healthy subjects (412 subjects per treatment arm) aged 50 and over are enrolled, and each subject is administered with a single dose of vaccine which is randomly assigned.

This is a multi-center, randomized, double-blinded, parallel-group study to assess the Immunogenicity and safety of NBP608 compared to Zostavax which are indicated for the prevention of herpes zoster. Total of 824 healthy subjects aged 50 and over are enrolled, and each subject is administered with a single dose of vaccine which is randomly assigned in 1:1 ratio. Stratified randomization for the age group is used to achieve the balance of treatment assignment within age strata.

A total of five visits are scheduled, including two visits via telephone contact. Blood sampling is conducted for immunogenicity assessment before and 6 weeks after vaccination at Visit 2 and Visit 4 respectively. Safety is monitored 1 week, 6 weeks and 26 weeks after vaccination through Visit 3*, Visit 4 and Visit 5* (* telephone contact).

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Availability: 
South Korea, Thailand, Malaysia
Generic: 
NBP608
Drug Class: 
Vaccine
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Thursday, March 2, 2023 - 06:00
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SkyZoster
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INO-4500 Lassa Fever Vaccine

INO-4500 DNA Vaccine Description 2022

INO-4500 is a DNA vaccine candidate. On November 17, 2022, the company discontinued the development of product candidates targeting Lassa Fever (INO-4500) following initial analyses of data from studies conducted by INOVIO and funded by CEPI.

In addition, INOVIO is leveraging its optimized plasmid design and delivery technology to develop DNA medicines to treat and prevent infectious diseases. INO-4500 is the first vaccine candidate for Lassa fever to enter human trials, says the company.

INOVIO's DNA medicines deliver optimized plasmids directly into cells intramuscularly or intradermally using one of INOVIO's proprietary hand-held CELLECTRA smart devices. INOVIO's DNA medicines are made using a process called SynCon®. SynCon uses a proprietary computer algorithm designed to identify and optimize the DNA sequence of the target antigen, whether it is a virus or a tumor. Once this sequence has been determined, the DNA is synthesized or reorganized, and manufacturing can begin, says the company.

DNA medicines are composed of optimized DNA plasmids, which are small circles of double-stranded DNA synthesized or reorganized by computer sequencing technology and designed to produce a specific immune response in the body.

On February 23, 2021, INOVIO announced the first participant was dosed in a Phase 1B clinical trial for INO-4500 in Ghana, Africa. The Phase 1B clinical trial (LSV-002) is ongoing at the Noguchi Memorial Institute for Medical Research in Accra, Ghana. It is the first vaccine clinical trial for Lassa fever to be conducted in West Africa.

Plymouth Meeting, Pennsylvania-based INOVIO is a biotechnology company focused on rapidly bringing to market precisely designed DNA medicines to treat and protect people from infectious diseases, cancer, and diseases INOVIO has 15 DNA medicine clinical programs currently in development focused on HPV-associated diseases, cancer, and infectious diseases, including coronaviruses associated with MERS and COVID-19 diseases being developed under grants from the Coalition for Epidemic Preparedness Innovations and the U.S. Department of Defense.

INO-4500 Indication

The U.S. CDC says Lassa fever is an animal-borne, or zoonotic, acute viral illness. It is endemic in West Africa, including Sierra Leone, Liberia, Guinea, and Nigeria. Neighboring countries are also at risk, as the animal vector for the Lassa virus, the "multimammate rat" (Mastomys natalensis), is distributed throughout the region.

The illness was discovered in 1969 and is named after the town in Nigeria where the first cases occurred. An estimated 100,000 to 300,000 infections of Lassa fever occur annually, with approximately 5,000 deaths, says the CDC. Unfortunately, surveillance for Lassa fever is not standardized; therefore, these estimates are crude. However, in some areas of Sierra Leone and Liberia, it is known that 10-16% of people admitted to hospitals annually have Lassa fever, demonstrating the serious impact the disease has on the region.

INO-4500 Dosage

The INO-4500 vaccine is conducting clinical tests for the prevention of Lassa Fever. Inovio's proprietary Cellectra electroporation device injects this vaccine into the muscle or skin. Injection of the DNA plasmid into a patient generates robust in vivo monoclonal antibody production. Thus, this approach can potentially generate in vivo production of therapeutic antibodies.

INOVIO's Phase 1B clinical trial, LSV-002, dosing regimen involves two vaccinations at 0 and 28 days with either 1.0 mg or 2.0 mg dosing levels. This trial will inform dose selection for subsequent Phase 2 studies in West Africa.

INO-4500 News 2018 - 2022

March 22, 2022 - The UK NHS confirmed a systematic review examining preclinical and human pharmacokinetic data and found that the clinical evidence for ribavirin as a treatment for Lassa fever was limited. 

March 15, 2022 - The U.S. CC confirmed an outbreak of Lassa fever in Nigeria in Ondo, Edo, Bauchi, Ebonyi, Kogi, Taraba, Enugu, Benue, Gombe, Nasarawa, and the Delta States.

February 21, 2022 - The WHO stated 'Considering the seasonal increases of cases between December and March, countries in West Africa that have endemic Lassa fever are encouraged to strengthen their related surveillance systems to enhance early detection and treatment of cases and to reduce the case fatality rate, as well as to strengthen cross border collaboration.'

February 9, 2022 - The UK Health Security Agency press office confirmed two people had been diagnosed with Lassa fever in the East of England. Before these cases, 8 cases of Lassa fever were imported to the UK since 1980. The last 2 cases occurred in 2009. There was no evidence of onward transmission from any of these cases.

November 7, 2021 - The WHO Africa reported through October 2021 that Nigeria had confirmed 403 cases. A total of 79 individuals have died among those who had confirmed results, yielding a 19.6% CFR this year. The CFR during the same period in 2020 was 20.7%

October 26, 2021 - INOVIO announced its Phase 1B clinical trial for INO-4500, its DNA vaccine candidate for Lassa fever, and completed full enrollment of 220 participants. This trial is ongoing at the Noguchi Memorial Institute for Medical Research in Accra, Ghana. It is the first vaccine clinical trial for Lassa fever conducted in West Africa, where the viral illness is endemic.

February 23, 2021 - INOVIO announced the first participant was dosed in a Phase 1B clinical trial for INO-4500, its DNA vaccine candidate for Lassa fever, in Ghana. The Phase 1B clinical trial (LSV-002), ongoing at the Noguchi Memorial Institute for Medical Research in Accra, Ghana, is the first vaccine clinical trial for Lassa fever to be conducted in West Africa, where the infection is endemic.

October 11, 2018 - According to new research published in Nature Communications, a novel vaccine designed to protect people from Lassa fever and rabies showed promise in preclinical testing. The investigational vaccine, called LASSARAB, was developed and tested by scientists at Thomas Jefferson University in Philadelphia; the University of Minho in Braga, Portugal; the University of California, San Diego; and the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health.

April 11, 2018 -  Inovio Pharmaceuticals, Inc. (NASDAQ: INO) and the Coalition for Epidemic Preparedness Innovations announced a partnership under which Inovio will develop vaccine candidates against Lassa fever and Middle East Respiratory Syndrome.

INO-4500 Clinical Trials 

Clinical Trial NCT04093076: INOVIO's Phase 1B clinical trial, LSV-002, will enroll approximately 220 adult participants 18-50 years old, with the primary endpoint of evaluating safety and immunogenicity in an African population. The dosing regimen involves two vaccinations at 0 and 28 days with either 1.0 or 2.0 mg dosing levels. In addition to providing valuable insights on the INO-4500 safety and immunogenicity profile, this trial will inform dose selection for subsequent Phase 2 studies in West Africa. Last Update Posted: February 25, 2021. Estimated study completion date: September 2022.

Clinical Trial NCT03805984:  Safety, Tolerability, and Immunogenicity of INO-4500 in Healthy Volunteers. This Phase 1 trial is a randomized, double-blinded, placebo-controlled, placebo-controlled trial to evaluate the safety, tolerability, and immunological profile of INO-4500 administered by intradermal (ID) injection followed by electroporation using the CELLECTRA® 2000 device in healthy adult volunteers. Last Update Posted: November 23, 2020. Actual completion date: October 21, 2020.

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Generic: 
INO-4500
Drug Class: 
DNA vaccine
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Last Reviewed: 
Friday, November 18, 2022 - 06:45
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mRNA-1944 Chikungunya Vaccine

mRNA-1944 Vaccine 2023

Moderna's mRNA-1944 chikungunya vaccine candidate encodes a fully human IgG antibody isolated initially from B cells of a patient with a prior history of potent immunity against Chikungunya infection. It comprises two mRNAs that encode this anti-Chikungunya antibody's heavy and light chains within lipid nanoparticle (LNP) technology.

All mRNA medicines start with identifying a protein designed to prevent or treat a certain disease. Moderna's mRNA is delivered systemically to create proteins that are either secreted or expressed on the cell surface.

The preclinical data showed that treatment with mRNA was well tolerated at doses ranging from 0.3 mg/kg to 3.0 mg/kg in non-human primates, with linear dose-dependent pharmacology, meaning that increases in mRNA doses result in predictable and proportionate increases in expressed antibodies in the blood. Finally, in a mouse viral challenge model for chikungunya virus infection, the mRNA-encoded protein protected it from arthritis, musculoskeletal tissue infection, and death. Extrapolating these findings from the preclinical models suggests that the persistence of antibody levels of at least one microgram per milliliter could be protective against chikungunya virus infection in humans.

The peer-review journal Nature Medicine reported on December 9, 2021,  To our knowledge, mRNA-1944 is the first mRNA-encoded monoclonal antibody showing in vivo expression and detectable ex vivo neutralizing activity in a phase 1 clinical trial and may offer a treatment option for CHIKV infection. Further evaluation of the potential therapeutic use of mRNA-1944 in clinical trials for the treatment of CHIKV infection is warranted.

Moderna is advancing messenger RNA (mRNA) science to create a new class of transformative medicines for patients.

mRNA-1944 Vaccine Indication

mRNA-1944 is a developmental vaccine candidate to prevent disease caused by the Chikungunya virus. Chikungunya virus (CHIKV) infection causes an acute disease characterized by fever, rash, and arthralgia, progressing to severe and chronic arthritis in up to 50% of patients. CHIKV infection can be fatal in infants or immunocompromised individuals and has no approved therapy or prevention. 

Chikungunya is a Togaviridae mosquito-borne alphavirus circulating predominantly in tropical and subtropical regions, potentially affecting over one billion people. GAVI reported on March 23, 2021, 'Chikungunya has already been a pandemic, albeit one that didn't affect the Global North. In 2004, a large outbreak in Kenya spilled out into the Indian Ocean and Asia islands and led to a pandemic that spanned several years and had more than a million cases. But there is a risk it could become endemic in the Americas and potentially parts of Europe as climate change warms these regions and offers new habitats for mosquitoes. This means there is a growing possibility we could see another pandemic.'

Chikungunya Vaccine Candidates 2023

There are no approved chikungunya vaccines as of January 29, 2023.

mRNA-1944 Vaccine News 2019- 2022

May 12, 2022 - PLOS Medicine reported on a cohort study conducted in coastal Kenya among children hospitalized with neurological disease. The findings suggest a high burden of CHIKV infections.

November 4, 2021 - Moderna announced that its chikungunya virus (mRNA-1944) had completed the Phase 1 study evaluating escalating doses of mRNA-1944. The Company anticipates publication of the full results of the Phase 1 study soon. Currently, the Company does not have plans to advance to a Phase 2 study.

September 17, 2020 - Moderna announced positive data from additional cohorts of the Phase 1 study evaluating escalating antibody doses against the chikungunya virus (mRNA-1944) administered via intravenous infusion in healthy adults. Neutralizing antibodies were observed at all dose levels, indicating functional antibody production by mRNA-1944. 

May 24, 2019 - The Company announced the publication of preclinical data in Science Immunology, showing that mRNA encoding a human monoclonal antibody against the chikungunya virus delivered in a proprietary LNP can protect from infection by the virus in vivo.

January 2019 - Moderna announced initiating a limited, Phase 1 study of mRNA-1944 against the chikungunya virus. 

mRNA-1944 Vaccine Clinical Trial

mRNA-1944 has been studied in one clinical trial to date.

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Availability: 
N/A
Generic: 
mRNA-1944
Drug Class: 
mRNA Vaccine
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Tuesday, January 31, 2023 - 05:45
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Manufacturer Country ID: 

VAXNEUVANCE 15 Pneumococcal Vaccine

VAXNEUVANCE™ Pneumococcal Vaccine Clinical Trials, Dosage, Indication, News, Side Effects

The U.S. Food and Drug Administration (FDA) approved Merck's VAXNEUVANCE™ on July 16, 2021, for active immunization for the prevention of invasive pneumococcal disease (IPD) caused by 15 serotypes conjugated to a CRM197 carrier protein, including Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, and 33F, in adults. On June 22, 2022, the FDA approved (STN: 125741) an expanded indication for VAXNEUVANCE, which now includes children aged six weeks through 17 years. The FDA published a Package Insert, Patient Information sheet, and BLA Clinical Review Memorandum; STN: 125741.

On January 28, 2022, the U.S. CDC confirmed that using PCV20 alone or PCV15 in combination with PPSV23 is expected to reduce pneumococcal disease incidence in adults aged 65 years and older, as well as in those aged 19–64 years with certain underlying conditions. Natalie Banniettis, MD, FAAP, Senior Principal Scientist, Global Clinical Development, Merck Research Laboratories, Merck & Co., presented (V114, VAXNEUVANCE): Pediatric Clinical Development Program on February 24, 2022. Merck states that vaccinating with VAXNEUVANCE pneumococcal polysaccharides may not protect all vaccine recipients.

On December 15, 2021, the European Commission approved VAXNEUVANCE EMEA/H/C/005477 for use by adults. On October 24, 2022, the European Commission approved the expanded approval for infants, children, and adolescents aged 6 weeks to less than 18 years.

For more information on the VAXNEUVANCE vaccine, visit www.merck.com or this Merck webpage. The brand is trademarked in Canada. ATC code: J07AL02. U.S. Patent No. 8,192,746

VAXNEUVANCE Vaccine Revenues

On April 26, 2025, Merck announced that Vaxneuvance produced $230 million in revenues. Growth was primarily driven by higher demand in the Europe and Asia Pacific regions, partially offset by lower demand in the U.S. due to competitive pressure. On April 25, 2024, Merck announced that Vaxneuvance generated $219 million in revenues during the first quarter of 2024, representing a 106% increase from the prior year period. 

VAXNEUVANCE Vaccine Indication

VAXNEUVANCE is indicated for active immunization to prevent invasive disease caused by the S. pneumoniae serotypes contained in the vaccine in adults. According to the U.S. FDA disclosure, more than 90 types of pneumococcal bacteria can affect adults differently than children. Pneumococcal serotypes not in the currently licensed conjugate vaccine, such as 22F and 33F, are commonly associated with invasive pneumococcal disease. For example, serotypes 22F and 33F now account for 13% of the invasive pneumococcal disease seen among adults aged 65 and older in the U.S. and 7-12% of European adult cases.

Additionally, serotype 3 remains one of the leading causes of invasive pneumococcal disease in adults and children, despite being included in currently available pneumococcal vaccines. For example, in the U.S., the U.S. CDC says that 15% of invasive pneumococcal disease among adults aged 65 and older continues to be caused by serotype 3. And this ranges from 12 to 18% of adult cases across European countries.

Children under the age of 2 are particularly vulnerable to pneumococcal infection, and the incidence of invasive pneumococcal disease remains highest in the first year of life. There are 100 different types of pneumococcal bacteria, including serotypes 22F, 33F, and 3, which collectively represent more than a quarter of invasive pneumococcal disease cases in children under 5.

The U.S. CDC Advisory Committee on Immunization Practices (ACIP) met on October 20, 2021, and unanimously voted to update pneumococcal vaccination recommendations for adults 65 and older and those ages 19 to 64 with certain underlying medical conditions or other disease risk factors. In both groups, the ACIP voted to recommend vaccination with a sequential regimen of VAXNEUVANCE followed by PNEUMOVAX 23 or with a single dose of 20-valent pneumococcal conjugate vaccine. These updates would apply to adults who have not received a pneumococcal conjugate vaccine or whose previous pneumococcal vaccination history is unknown.

VAXNEUVANCE Dosage

Merck's VAXNEUVANCE is administered as an intramuscular injection. When PCV15 is used, the CDC recommends a minimum of one year between the administration of PCV15 and PPSV23. A minimum interval of 8 weeks can be considered for adults with an immunocompromising condition, a cochlear implant, or a cerebrospinal fluid leak to minimize the risk of IPD caused by serotypes unique to PPSV23 in these vulnerable groups. Adults who have only received PPSV23 may receive a PCV (either PCV20 or PCV15) ≥ one year after their last PPSV23 dose. When PCV15 is used in individuals with a history of receiving PPSV23, it must be followed by another dose of PPSV23.

VAXNEUVANCE Coadministration

The CDC confirmed PCV15, PCV20, or PPSV23 could be coadministered with QIV in an adult immunization program as concomitant administration (PCV15 or PPSV23 and QIV [Fluarix], PCV20, and adjuvanted QIV [Fluad]) has been demonstrated to be immunogenic and safe. However, slightly lower pneumococcal serotype-specific OPA GMTs or geometric mean concentrations were reported when pneumococcal vaccines were coadministered with QIV than when pneumococcal vaccines were given alone. Currently, there is no data on the coadministration of this vaccine with other vaccines (e.g., tetanus, diphtheria, acellular pertussis vaccine, hepatitis B, or zoster vaccine) among adults. Evaluation of coadministration of PCV15, PCV20, or PPSV23 with COVID-19 vaccines is ongoing.

VAXNEUVANCE Side Effects

Do not administer VAXNEUVANCE to individuals with a severe allergic reaction to any VAXNEUVANCE or diphtheria toxoid component. Additionally, individuals with altered immunocompetence, including those receiving immunosuppressive therapy, may have a reduced immune response to VAXNEUVANCE. The most commonly reported solicited adverse reactions in individuals 18 through 49 years of age were injection site pain (75.8%), fatigue (34.3%), myalgia (28.8%), headache (26.5%), injection site swelling (21.7%), injection site erythema (15.1%) and arthralgia (12.7%). The most commonly reported solicited adverse reactions in individuals 50 years of age and older were injection site pain (66.8%), myalgia (26.9%), fatigue (21.5%), headache (18.9%), injection site swelling (15.4%), injection site erythema (10.9%) and arthralgia (7.7%).

VAERS is a U.S. passive reporting system, meaning it relies on individuals to send in reports of their experiences with a vaccine. However, anyone, including parents and patients, can submit information to VAERS. Furthermore, healthcare providers are required by law to report to VAERS. People are also encouraged to report the adverse side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1–800–FDA–1088.

VAXNEUVANCE Availability

As of 2024, VAXNEUVANCE was available in the U.S., the U.K., and Europe. On April 27, 2023, Merck reported higher sales of VAXNEUVANCE, which increased to $106 million, primarily due to continued uptake in the pediatric indication following its launch in the U.S. 

VAXNEUVANCE News

June 13, 2023 - VAXNEUVANCE (V114) was found to be well-tolerated and safe for infants, according to a study published in the journal Pediatrics.

October 24, 2022 - Dr. Eliav Barr, SVP, head of global clinical development and chief medical officer, Merck Research Laboratories, stated in a press release: "With this (EC) approval, we are pleased to bring an important new PCV option to a vulnerable population in Europe, including infants less than one year of age, who typically experience the highest rates of disease."

September 16, 2022 - Dr. Eliav Barr, senior vice president, head of global clinical development, and chief medical officer, Merck Research Laboratories, stated, "We are pleased with the CHMP's positive opinion as it brings us one step closer to our goal of helping to protect against pneumococcal strains that pose a substantial risk to infants and children in Europe."

July 28, 2022 - The U.S. CDC's ACIP unanimously voted to provisionally recommend using VAXNEUVANCE as an option to the currently available 13-valent pneumococcal conjugate vaccine (PCV13) for children under 19 years according to the presently recommended PCV13 dosing and schedules.

December 15, 2021 - Merck announced today that the European Commission has approved VAXNEUVANCE for active immunization to prevent invasive disease and pneumonia caused by Streptococcus pneumoniae in individuals 18 years of age and older. The approval enables the marketing of VAXNEUVANCE in all 27 member states of the European Union, as well as in Iceland, Norway, and Liechtenstein.

December 1, 2Merck announced that the U.S. FDA has accepted for Priority Review a supplemental Biologics License Application for VAXNEUVANCE to prevent invasive pneumococcal disease in children six weeks through 17 years of age. Additionally, the FDA has set a target action date under the Prescription Drug User Fee Act of April 1, 2022.

October 20, 2021 - Merck announced the U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) unanimously voted in favor of updates to pneumococcal vaccination recommendations for adults 65 years and older and adults ages 19 to 64 with certain underlying medical conditions (e.g., chronic conditions such as diabetes, chronic heart disease, chronic lung disease, or chronic liver disease, as well as HIV) or other disease risk factors (e.g., smoking, alcoholism). In both groups, the ACIP voted to provisionally recommend vaccination with either a sequential regimen of VAXNEUVANCE followed by PNEUMOVAX23 or a single dose of 20-valent pneumococcal conjugate vaccine. These updates would apply to adults who have not received a pneumococcal conjugate vaccine or whose previous pneumococcal vaccination history is unknown.

October 15, 2021 - Merck announced that the European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) had recommended the approval of VAXNEUVANCE™.

August 25, 2021 - Merck announced topline results from the pivotal PNEU-PED (V114-029) study evaluating the immunogenicity, safety, and tolerability of VAXNEUVANCE™ in 1,720 healthy infants enrolled between 42-90 days of age. In the PNEU-PED study, primary endpoints demonstrated that VAXNEUVANCE had a safety profile generally comparable to PCV13 following receipt of any vaccine dose. Secondary endpoints demonstrated statistically superior immune responses for VAXNEUVANCE compared to PCV13 for shared serotypes three and unique serotypes 22F and 33F, based on prespecified criteria. Additionally, VAXNEUVANCE showed non-inferior immune responses to antigens contained in several routinely used pediatric vaccines when administered concomitantly with VAXNEUVANCE or PCV13.

July 16, 2021 - Merck today announced the U.S. Food and Drug Administration approved VAXNEUVANCE™ (Pneumococcal 15-valent Conjugate Vaccine) (pronounced VAKS-noo-vans) for active immunization for the prevention of invasive disease caused by Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F and 33F in adults 18 years of age and older.

May 20, 2021 - Merck announced that V114, the company's investigational 15-valent pneumococcal conjugate vaccine, met its primary immunogenicity and safety endpoints in the V114 Phase 3 pediatric clinical program.

January 12, 2Merck announced that the U.S. FDA accepted for priority review a Biologics License Application (BLA) for V114, Merck's investigational 15-valent pneumococcal conjugate vaccine, for the prevention of invasive pneumococcal disease in adults 18 years of age and older. Additionally, the FDA established a target action date under the Prescription Drug User Fee Act, as of July 18, 2021. The European Medicines Agency is also reviewing an application for licensure of V114 in adults.

October 20, 2020 - Merck announced Positive topline results from Two Additional Phase 3 Adult Studies Evaluating V114, Merck's Investigational 15-valent Pneumococcal Conjugate Vaccine. In the PNEU-PATH (V114-016) study, healthy adults 50 or older received V114 or PCV13, followed by PNEUMOVAX® 23 one year later. Following vaccination with PNEUMOVAX 23 (month 13), immune responses were comparable in vaccination groups for the 15 serotypes in V114. Results also showed that at 30 days post-vaccination with either V114 or PCV13 (day 30), immune responses were comparable for both groups across the 13 serotypes shared by the conjugate vaccines and higher in the V114 group for serotypes 22F and 33F, the two serotypes not included in PCV13.

January 30, 2019 - Merck announced that V114 received a Breakthrough Therapy Designation from the U.S. Food and Drug Administration (FDA) to prevent invasive IPD caused by the vaccine serotypes in pediatric patients six weeks to 18 years of age.

VAXNEUVANCE 15 Clinical Trials

Merck's V114 Pneumococcal Vaccine has undergone many clinical trials, and Merck continues to test the vaccine candidate under many scenarios. The registered 28 clinical trials can be accessed here.

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Availability: 
USA
Generic: 
V114
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Conjugate Vaccine
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VAXNEUVANCE 15
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PPV 15
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Zabdeno (Ad26.ZEBOV) and Mvabea (MVA-BN-Filo) Ebola Vaccine

Ebola Vaccine Zabdeno® and Mvabea® Clinical Trials, Dosage, Indication, News

The J&J Innovative Medicine Ebola vaccine consists of two components, Zabdeno® (Ad26.ZEBOV) and Mvabea® (MVA-BN-Filo). Zabdeno is given first, and Mvabea is administered approximately eight weeks later as a vaccine booster. This prime-boost vaccination method is an established approach for preventing infectious diseases during Ebola outbreaks for individuals at risk of exposure and preventively before episodes, says J&J.

J&J developed Zabdeno, a monovalent vaccine designed to provide active, specific, acquired immunity to the Ebola virus. The vaccine is based on an adenovirus type 26 (Ad26) vector expressing the glycoprotein of the Ebola virus Mayinga variant. Bavarian Nordic's Mvabea (MVA-BN-Filo) is a multivalent vaccine preparation designed to provide active acquired immunity to Sudan, Ebola, Marburg, and Tai Forest (formerly Côte d'Ivoire ebolavirus). The Zabdeno and Mvabea combination was evaluated under the European Medicines Agency (EMA) (EMEA/H/C/005337) accelerated assessment. However, as a precautionary measure, a Zabdeno booster vaccination should be considered for individuals at imminent risk of exposure to the Ebola virus, for example, healthcare professionals and those living in or visiting areas with an ongoing Ebola virus outbreak who completed the Zabdeno, Mvabea 2-dose primary vaccination regimen.

On June 4, 2021, J&J welcomed a new recommendation by the WHO's Strategic Advisory Group of Experts on Immunization (SAGE) that supports the use of the Ebola vaccine regimen both during outbreaks for individuals at risk of Ebola exposure and preventively in the absence of an outbreak, as protection against Ebola virus disease (EVD) is considered a significant public health interest. Accordingly, African countries began evaluating a single dose of Bavarian Nordic's Mvabea (MVA-BN-Filo) to treat the Marburg virus disease in August 2021. 

The Lancet published a study on September 13, 2021, concluding, 'The Ad26.ZEBOV and MVA-BN-Filo Ebola vaccine regimens were well tolerated in a clinical trial (NCT02509494), with no safety concerns in children. The vaccine induced robust humoral immune responses. Data from two papers published in The Lancet Infectious Diseases demonstrated that Zabdno and Mvabea generated robust humoral immune responses in adults and children, with the immune responses persisting in adults for at least two years. The data also showed that booster vaccination with Ad26.ZEBOV, administered to adults two years after the initial immunization, induced a robust anamnestic response within seven days. On December 14, 2022, a study published by the New England Journal of Medicine concurred with The Lancet's findings. In addition, the JAMA Network published Ebola Vaccines Safe and Immunogenic in Clinical Trials on January 24, 2023. On March 26, 2024, The Lancet Infectious Diseases published results from a study that found the J&J vaccine regimen and booster dose were well tolerated. A similar and robust humoral immune response was observed for participants boosted one year and two years after the first dose, supporting the use of the regimen and flexibility of booster dose administration for prophylactic vaccination in at-risk populations. 

Janssen is now Johnson & Johnson Innovative Medicine.

Zabdeno and Mvabea Vaccine History

The U.S. National Institutes of Health sponsored the initial development of the Mvabea (MVA-BN-Filo) vaccine. The U.S. NIAID, BARDA, and other funding partners supported the development, preclinical, and clinical testing of this investigational vaccine regimen designed to protect against the virus responsible for the 2014-2016 Ebola outbreak in West Africa. On May 29, 2020, the EMA human medicines committee recommended granting Zabdeno and Mvabea a positive opinion for marketing authorizations under exceptional circumstances because the applicant was able to demonstrate that it is not possible to conduct a randomized controlled study that might generate comprehensive clinical data on the efficacy of the latest Ebola vaccine even after authorization. The EMA has approved its use in individuals aged one year or older.

Zabdeno and Mvabea Indication

The Ad26.ZEBOV / MVA-BN-Filo combination is indicated to provide an active acquired immunity to the Ebola virus. Clinical results suggest that Ad26.ZEBOV prime immunization readily induces an immune response enhanced by MVA-BN-Filo boosting. Heterologous 2-dose vaccination with Ad26.ZEBOV and MVA-BN-Filowere were used against the Ebola virus and were well tolerated and immunogenic in healthy volunteers. The vaccine is administered as an intramuscular injection. A study published in 2020 found that the two-dose heterologous regimen with Ad26.ZEBOV and MVA-BN-Filo were safe, well-tolerated, and immunogenic, with humoral and cellular immune responses persisting for one year after vaccination.

Zabdeno and Mvabea Side Effects

The most common side effects found in participants in the clinical trials were injection-site reactions (pain, warmth, and swelling), fatigue, headache, myalgia, arthralgia, and chills reported by the EMA. In a phase 1 study, the reporting of A.E.s was identical to that described for the VAC52150EBL1003 trial. Briefly, solicited A.E.s were recorded in a diary by participants for seven days following each vaccination, and unsolicited A.E.s were collected at all visits until 21 days after dose 2. 

Zabdeno and Mvabea Safety

In November 2023, The Lancet Global Health published: Safety and immunogenicity of the two-dose heterologous Ad26.ZEBOV and MVA-BN-Filo Ebola vaccine regimen in infants: a phase 2, randomized, double-blind, active-controlled trial in Guinea and Sierra Leone. This analysis that included Ad26.ZEBOV and MVA-BN-Filo were well tolerated and induced strong humoral responses in infants younger than one-year-old. There were no safety concerns related to vaccination.

Zabdeno and Mvabea News

March 26, 2024 - The Innovative Medicines Initiative 2 Joint Undertaking and Coalition for Epidemic Preparedness Innovations funded a study: Ad26.ZEBOV, MVA-BN-Filo Ebola virus disease vaccine regimen plus Ad26.ZEBOV booster at one year versus two years in healthcare and front-line workers in the Democratic Republic of the Congo: secondary and exploratory outcomes of an open-label, randomized, phase 2 trial.

January 31, 2023 - The JAMA Network published a review of three vaccine regimens against Zaire Ebola virus disease that safely produced immune responses for up to 12 months, according to two clinical trials of adults and children reported in the New England Journal of Medicine.

December 9, 2021 - The peer-reviewed journal PLOS Pathogens published: Current state of Ebola virus vaccines: A snapshot.

October 4, 2021 - The journal PLOS Medicine published a RESEARCH ARTICLE: Safety and immunogenicity of 2-dose heterologous Ad26.ZEBOV, MVA-BN-Filo Ebola vaccination in healthy and HIV-infected adults: A randomized, placebo-controlled Phase II clinical trial in Africa. Conclusions - Ad26.ZEBOV, MVA-BN-Filo vaccination was well tolerated and immunogenic in healthy and HIV-infected African adults.

September 13, 2021 - A study published by the journal The Lancet assessed the Safety and immunogenicity of a two-dose heterologous vaccine regimen comprising the adenovirus type 26 vector-based vaccine encoding the Ebola virus glycoprotein (Ad26.ZEBOV) and the modified vaccinia Ankara vector-based vaccine, encoding glycoproteins from the Ebola virus, Sudan virus, and Marburg virus, and the nucleoprotein from the Tai Forest virus (MVA-BN-Filo), in a pediatric population in Sierra Leone, Africa. Ebola virus glycoprotein-specific binding antibody responses at 21 days after the second dose of the Ebola virus vaccine were observed in about 97% of the children. And there were no treatment-related deaths.

August 17, 2021 - The World Health Organization Africa confirmed it helped the vaccine deployment from Guinea to Cote d'Ivoire of about 3,000 vaccine doses manufactured by Johnson & Johnson, which will be used to boost the vaccination in areas not experiencing active Ebola transmission.

June 4, 2021 - Johnson & Johnson announced it 'welcomes the Strategic Advisory Group of Experts on Immunization recommendation for the WHO.

November 17, 2020 - Study published by The Lancet: Vaccine - Study Interpretation - The two-dose heterologous regimen with Ad26.ZEBOV and MVA-BN-Filo were safe, well-tolerated, and immunogenic, with humoral and cellular immune responses one year after vaccination. Together, these data support the intended prophylactic indication for the vaccine regimen.

July 1, 2020 - The European Commission adopted the decision granting marketing authorizations to Janssen, a Johnson & Johnson company, for a vaccine against Ebola.

June 12, 2020 - Bavarian Nordic A/S announced that the Company has entered into a new supply contract with Janssen Vaccines & Prevention B.V., part of the Janssen Pharmaceutical Companies of Johnson & Johnson valued at USD 13.9 million. Under the agreement, Bavarian Nordic will manufacture and deliver bulk drug substances of its MVA-BN® Filo vaccine, which Janssen has licensed as part of its Ebola vaccine regimen.

April 19, 2019 - A phase 1 study of healthy volunteers, immunization with Ad26.ZEBOV or MVA-BN-Filo did not result in any vaccine-related serious adverse events.

March 14, 2017 - Immune Responses to Novel Adenovirus Type 26 and Modified Vaccinia Virus Ankara–Vectored Ebola Vaccines at 1 Year.

September 12, 2016 – Bavarian Nordic A/S announced that Janssen Vaccines & Prevention B.V. (Janssen) had completed a submission to the WHO for Emergency Use Assessment and Listing for its Ebola prime-boost vaccine regimen, which includes the MVA-BN® Filo vaccine.

October 22, 2014 – Bavarian Nordic A/S announced a global license and supply agreement for its MVA-BN Filovirus (Ebola and Marburg) vaccine candidate with Crucell Holland B.V., one of the Janssen Pharmaceutical Companies of Johnson & Johnson. 

Zabdeno (Ad26.ZEBOV) and Mvabea (MVA-BN-Filo) Ebola Vaccine Clinical Trials

As a result of these collaborations, more than 6,500 individuals have now participated in clinical studies for the Ebola vaccine across the U.S., Europe, and Africa. So far, the data from these studies suggest that the vaccine stimulates a robust immune response and has a favorable safety profile.

ClinicalTrials.gov: NCT0—9494—Phase 3 Study to Assess the Safety and Immunogenicity of Ebola Candidate Vaccines Ad26.ZEBOV and MVA-BN-Filo (EBOVAC-SaThe lone). It was last posted on June 29, 2020.

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Availability: 
Limited
Generic: 
Ad26.ZEBOV, MVA-BN-Filo
Clinical Trial: 
https://www.janssen.com/uk/tov/clinical-trials
Drug Class: 
Viral Vector Vaccine
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Last Reviewed: 
Friday, March 29, 2024 - 06:10
Brand: 
Zabdeno and Mvabea
Abbreviation: 
Ebola Vaccine Regimen
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FDA First In Class: 
Yes
Kosher: 
Yes
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Yes
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