Zika Breaking News

Zika breaking news brought to you by Zika News.

Sep 12, 2023 • 3:19 pm CDT
by Gerd Altmann

When the U.S. Food and Drug Administration (CDC) approved and authorized newer mRNA COVID-19 vaccines yesterday, they also withdrew the current mRNA vaccine use in the U.S.

The FDA stated in a September 11, 2023, press release that the bivalent Moderna and Pfizer-BioNTech COVID-19 vaccines are no longer authorized.

The FDA approved and authorized the emergency use of updated mRNA COVID-19 vaccines formulated to more closely target currently circulating variants and provide better protection against serious consequences of COVID-19, including hospitalization and death.

These enhanced mRNA vaccines are unavailable at health clinics or pharmacies as of September 12, 2023.

This news indicates Novavax Inc.'s protein-based COVID-19 vaccine is the only one in use until the new vaccines arrive.

Furthermore, the U.S. CDC's Advisory Committee on Immunization Practices did vote affirmatively today on its recommendation for the new mRNA vaccines. The final authorization step is for the CDC's Director to issue her approval.

 

Sep 12, 2023 • 2:38 pm CDT
by Vit Ducken

Replicate Bioscience, a clinical-stage company pioneering its novel self-replicating RNA (srRNA) technology to overcome the limitations of current mRNA modalities, today announced the dosing of the first participant in a Phase 1 trial of its RBI-4000 vaccine for the prevention of rabies.

The Phase 1 trial will evaluate the safety, tolerability, and immunogenicity of RBI-4000 in 84 participants in the U.S.

In preclinical studies, intramuscular administration of RBI-4000 provided durable protection against the rabies virus, inducing antibody production and robust virus-specific T cells.

"Replicate's srRNA technology offers the potential for more robust and durable immune responses and improved tolerability at lower doses than existing mRNA approaches," commented Zelanna Goldberg, M.D., CMO of Replicate, in a press release on September 12, 2023.

"In infectious disease specifically, our srRNA technology unlocks opportunities to effectively address more complex infectious disease indications and allows us to rapidly develop vaccine candidates to treat or prevent illness — a crucial capability for future pandemic readiness."

According to the World Health Organization, Rabies is a vaccine-preventable viral disease found in more than 150 countries and territories. Rabies vaccination can prevent infections before and after exposure to the rabies virus.

Various rabies vaccines are approved and available in 2023.

Sep 12, 2023 • 12:59 pm CDT
by Pete Linforth

While the U.S. FDA issued various authorizations for mRNA COVID-19 vaccines yesterday, the only protein-based COVID-19 vaccine was included in the Advisory Committee on Immunization Practices (ACIP) meeting on September 12, 2023.

Dr. Filip Dubovsky, President Research & Development, Novavax Inc., presented updated data supporting the Novavax XBB.1.5 Vaccine.

This ACIP presentation included, but is not limited to, the following:

  • Non-human primate data demonstrates that Novavax vaccine technology induces broadly neutralizing antibodies with primary vaccination,
  • Neutralizing responses against XBB subvariants achieve levels comparable to homologous XBB.1.5 response,
  • Consistent responses against all variants including emerging XBB subvariants.

In summary, Dr. Dubovsky stated during today's webinar that non-clinical data supports the use of the Novavax XBB.1.5 vaccine, there are robust neutralizing responses against XBB subvariants and data that generate a polyfunctional Th1-biased CD4+ cellular immune response against XBB subvariants.

Novavax COVID-19 vaccine brands include Nuvaxovid, CovoVax, and NVX-CoV2373, and has been distributed in about 40 markets as of September 2023.

Sep 12, 2023 • 8:28 am CDT
World Health Organization influenza map 2023

The only imported quadrivalent seasonal influenza vaccine approved for use in individuals aged three years and older has been listed in 26 provinces and municipalities in China.

Clover Biopharmaceuticals, Ltd. today announced the launch of AdimFlu-S (QIS) in mainland China.

“The launch of AdimFlu-S in mainland China – our second commercialized product – strengthens Clover’s leading respiratory vaccine franchise and contributes to our financial sustainability and future growth,” said Joshua Liang, Chief Executive Officer and Executive Director of Clover, in a press release on September 12, 2023.

AdimFlu-S (QIS) is a quadrivalent split inactivated vaccine that can be used to prevent influenza. It contains hemagglutinin from four influenza virus strains (two A and two B).

This quadrivalent improves its ability to achieve high vaccine effectiveness, regardless of which influenza B strain becomes seasonally prevalent, compared to trivalent flu shot options, says the company.

AdimFlu-S gained approval from the China National Medical Products Administration in January 2022.

As of September 2023, over 100 flu shot candidates are in development globally.

Sep 11, 2023 • 1:13 pm CDT
from Pixabay

Pfizer Inc. and BioNTech SE today announced that the U.S. Food and Drug Administration (FDA) approved the supplemental Biologics License Application (COMIRNATY 2023-2024 Formulation) for individuals 12 years and older.

And the FDA granted emergency use authorization for individuals six months through 11 years of age for the companies' Omicron XBB.1.5-adapted monovalent COVID-19 vaccine.

This decision follows guidance from the FDA's Vaccines and Related Biological Products Advisory Committee, which recommended an Omicron XBB.1.5-adapted monovalent COVID-19 vaccine for this fall and winter season.

"With today's decision, an updated vaccine will shortly become available that helps address multiple Omicron XBB-related sublineages, which currently account for the vast majority of COVID-19 cases globally," said Prof. Ugur Sahin, M.D., CEO and Co-founder of BioNTech, in a press release on September 11, 2023.

The approval of this season's COVID-19 vaccine is based on the full body of previous clinical, non-clinical, and real-world evidence supporting the safety and efficacy of the COVID-19 vaccines by Pfizer and BioNTech.

Further, the application included pre-clinical data showing this season's vaccine substantially improved responses against multiple Omicron XBB-related sublineages, including XBB.1.5, XBB.1.16, and XBB.2.3, compared to the Omicron BA.4/BA.5-adapted bivalent vaccine.

Additionally, pre-clinical (non-human) data demonstrate that serum antibodies induced by Omicron XBB.1.5-adapted monovalent COVID-19 vaccine, when compared to the Omicron BA.4/BA.5-adapted bivalent vaccine, effectively neutralize the recently emerged Omicron BA.2.86 (Pirola) and the globally dominant Omicron-related EG.5.1 (Eris) subvariant.

This season's COVID-19 vaccine will be available in pharmacies, hospitals, and clinics across the U.S. following a recommendation by the U.S. Centers for Disease Control and Prevention.

In Europe, the Comirnaty Omicron XBB.1.5 vaccine was recommended on August 30, 2023.

Also, on September 11, 2023, Moderna, Inc. announced the FDA approved the supplemental Biologics License Application for Spikevax®. Moderna's updated COVID-19 vaccine contains spike proteins for the XBB.1.5 sublineage of SARS-CoV-2 to help prevent COVID-19 in individuals 6 months of age and older. 

Sep 11, 2023 • 9:09 am CDT
ImmunityBio website September 2023

To support an innovative bladder cancer vaccine candidate, ImmunityBio, Inc. today announced that it has executed financing transactions resulting in approximately $200 million of proceeds to the Company.

This financing includes an exchange into equity of current debt and a new convertible debt instrument from Nant Capital, LLC, an entity affiliated with Dr. Patrick Soon-Shiong, the Company's Founder, Executive Chairman, and Global Chief Scientific and Medical Officer.

With this new financing from Dr. Soon-Shiong, confirmed on September 11, 2023, includes the extension of the maturity date of the current debt.

ImmunityBio stated in a press release that it 'believes that it is well-positioned to fund its ongoing business operations and pre-commercialization efforts as it continues to drive toward a potential regulatory approval of N-803 plus BCG for BCG-unresponsive non-muscle invasive bladder cancer.'

"Our Company, scientists, physicians, and Board are grateful to Dr. Soon-Shiong for his continued financial support of our Company and its important mission, as well as for his involvement in our day-to-day operations," commented Richard Adcock, Chief Executive Officer and President of ImmunityBio.

"With this additional financing, we are well positioned to execute our commercialization plans in anticipation of the approval of N-803 plus BCG in bladder cancer."

"This funding will also help support the planned expansion of our current clinical trials and the opening of new studies to explore the untapped potential of N-803 and our other platforms across multiple indications."

N-803 Plus BCG is a therapy to treat adults with non-muscle-invasive Bladder Cancer carcinoma in situ with or without Ta/T1 papillary disease. 

Its mechanism of action is direct specific stimulation of CD8+ T cells and NK cells through beta gamma T-cell receptor binding (not alpha) while avoiding T-reg stimulation.

The U.S. FDA is reviewing the Biologics License Application for N-803 plus BCG.

Sep 10, 2023 • 2:53 pm CDT
by M. Schwander

Since May 2022, a global outbreak of human mpox has proven to differ from the 2017–18 outbreak in Nigeria. The mpox strain responsible, Clade IIb, has mutated substantially, according to a study published in the peer-reviewed journal The Lancet Infectious Disease.

On September 4, 2023, this research study confirmed recent mpox cluster cases were described in individuals with presumed immunity through recent infection or vaccination. 

These researchers found that of 37 men who have sex with men, seven individuals had mpox reinfections, and 29 individuals had mpox infections that occurred after two appropriately spaced JYNNEOS-Bavarian Nordic vaccine courses.

And one individual had an infection that met the criteria for both reinfection and infection after vaccination.

Those men, with an average of 36, with natural immunity after initial infection had a shorter disease course with less mucosal disease upon reinfection than with their initial infection.

Few lesions, minor mucosal disease, and minimal analgesia requirements characterized Mpox infections post-vaccination.

Overall, there were no deaths or bacterial superinfections, and all individuals were managed in the ambulatory clinic, with one hospital admission for a necrotizing neck lesion reported in the study.

As of May 2023, about 87,500 mpox cases and 141 related deaths were reported from 111 World Health Organization member countries.

Previous studies from the Netherlands, Spain, England, and the United States have described infections among children and adolescents during the recent mpox outbreak. 

Globally, 1.3% of reported cases have been in children and adolescents.

This finding differed from 1970–2021 when mpox cases in Central Africa were predominately (54%–90%) reported in young children (ages 4–6).

For patients without known exposure to a person with mpox, various activities and interactions with others were reported in a separate study.

However, it was impossible to determine the likely source of infection for most of them, wrote these researchers. These highlight concerns about a potential mpox resurgence and have underscored the need to address critical knowledge gaps concerning immunity.

Previous mpox studies have been posted since 2022.

Sep 10, 2023 • 12:34 pm CDT
by Patrick Sommer

A Moderna Inc. funded study published on September 7, 2023, offered positive news ahead of the U.S. Centers for Disease Control and Prevention meeting of the Advisory Committee on Immunization Practices on September 12, 2023, at 10 a.m. ET.

This non-peer-reviewed preprint study of the ongoing phase 2/3 study of Moderna's mRNA-1273.815 monovalent (50-µg omicron XBB.1.5 spike mRNA) or mRNA-1273.231 bivalent (25-µg omicron XBB.1.5 and 25-µg omicron BA.4/BA.5 spike mRNAs) vaccines, administered as 5th doses to adults.

In this interim analysis, XBB.1.5-containing monovalent and bivalent vaccines elicited potent neutralizing responses against variants of the omicron XBB-lineage (XBB.1.5, XBB.1.6, XBB.2.3.2, EG.5.1, and FL.1.5.1) as well as the recently emerged BA.2.86 variant, in about 50 study participants.

And the safety profile of the XBB.1.5-containing vaccine was consistent with those of prior vaccines.

According to these researchers, these results overall indicate that the XBB.1.5-containing mRNA-1273.815 vaccine has the potential to provide protection against these emerging variants and support the Covid-19 vaccine update in 2023-2024 to a monovalent XBB.1.5-containing vaccine.

This study was not powered for a statistical comparison of the immune responses between the vaccine groups or vaccine efficacy. The corresponding author is Spyros Chalkias, MD Moderna, [email protected].

Previously, Moderna announced that clinical trial data from a research assay confirmed its updated COVID-19 vaccine generated an 8.7-fold increase in neutralizing antibodies in humans against BA.2.86 (Pirola).

Previously known as SpikeVax, this COVID-19 Vaccine is a Messenger RNA (mRNA) vaccine targeted against the SARS-CoV-2 betacoronavirus to prevent severe COVID-19. On December 18, 2020, the U.S. Food and Drug Administration issued an emergency use authorization.

 

Sep 10, 2023 • 8:50 am CDT
South Africa measles outbreak September 2023

The Republic of South Africa's year-long battle against measles outbreaks continues in September 2023.

In the past weeks (week 34 up until week 35), 17 laboratory-confirmed measles cases were detected across the country from four of the eight provinces.

As of September 2, 2023, Gauteng province reported most of the cases (11), Limpopo reported three, Kwa-Zulu Natal reported two, and North West reported one case.

Measles is highly contagious. Around 90% of people who are not protected will become infected following exposure to the virus.

The National Institute for Communicable Diseases (NICD) criteria for declaring the measles outbreak was met in the Northern Cape province in week 15, the North West province in week 24, and the Free State province in week 25. 

Since late 2022, the NICD has tested 6,816 serum samples for measles, of which 1160 (17%) were confirmed positive.

The NICD has implemented numerous vaccination programs throughout the measles outbreaks and continue in September 2023.

According to the U.S. Centers for Disease Control and Prevention (CDC), India leads all other countries over the past year with about 57,000 cases.

In addition, the CDC published a global Travel Health Notice on June 29, 2023, highlighting various measles outbreaks.

Sep 9, 2023 • 9:00 am CDT
by Oleg Mityukhin

While most people have heard of norovirus outbreaks on cruise ships, this diarrhea-causing virus also impacts people on land.

The U.S. CDC's Morbidity and Mortality Weekly Report on September 8, 2023, highlighted about 27 cases of acute gastroenteritis among hikers on the Pacific Crest Trail in 2022, suggesting a possible norovirus outbreak.

The CDC wrote preventing future outbreaks will require fostering increased awareness of handwashing and the lack of effectiveness of alcohol-based hand sanitizers against norovirus and more frequent cleaning of public facilities.

These hikers and others are eagerly awaiting news of a norovirus vaccine.

On September 6, 2023, Vaxart, Inc. announced top-line data from the Phase 2b challenge study of its oral tablet monovalent norovirus vaccine candidate, VXA-G1.1-NN.

Vaccination with VXA-G1.1-NN led to a statistically significant reduction in infection rate, a non-statistically significant reduction in norovirus acute gastroenteritis, and a substantial reduction in viral shedding.

The oral vaccine candidate was also safe and well tolerated with no vaccine-related serious adverse events.

Dr. James F. Cummings, Vaxart's Chief Medical Officer, commented in a press release, "The magnitude of the reduction in shedding could have an impact on transmission and may have important public health benefits, as norovirus spreads rapidly among people gathering in large numbers, including settings such as daycare centers, nursing homes, and workplaces, and may reduce the potential spread of the infection to families at home."

"The results of this study highlight the potentially distinctive profile of mucosal vaccination and the potential that our oral pill vaccines may have in protecting against infection and blocking transmission – potential benefits that have also been seen with our influenza vaccine," added Dr. Cummings.

Norovirus is the leading cause of acute viral gastroenteritis in all age groups in the U.S. On average, norovirus causes 19 to 21 million cases, infects 15% of all children under age 5, and leads to 465,000 emergency department visits, 109,000 hospitalizations, and 900 deaths, says the U.S. CDC.

As of September 9, 2023, norovirus vaccine candidate news is posted by Precision Vaccinations.

Sep 8, 2023 • 2:39 pm CDT
WHO world flu zone map 2023

Most health experts say 'what happens in the Southern Hemisphere is a reliable indication of the next flu season in the United States.'

This opinion is based on the yearly circulating influenza viruses and flu shot composition.

Flu seasons in the Southern Hemisphere usually occur between April and September, compared with October through May in the north.

According to a new Morbidity and Mortality Weekly Report (MMWR) published today, the 2023-2024 influenza vaccines should protect people from severe hospitalizations.

On September 8, 2023, the U.S. Centers for Disease Control and Prevention (CDC) MMWR stated the adjusted vaccine effectiveness against severe acute respiratory infection hospitalization associated with any influenza virus during the 2023 Southern Hemisphere season was 51.9% (95% Confidence Interval 39.2%–62.0%).

Despite the encouraging data, fewer than 30% of persons identified in this CDC study were vaccinated against influenza in the five countries studied before their illness onset.

This news means the circulating influenza viruses were genetically similar to those targeted by the 2023–2024 Northern Hemisphere influenza vaccine available in the U.S.

Over 100 million flu shots have already been distributed this year.

In anticipation of the new flu season, the CDC recommends U.S. healthcare providers eagerly administer seasonal influenza vaccine to all eligible persons.

The findings in this CDC report are subject to at least five limitations, and no industry conflicts of interest were disclosed. Corresponding author: Ashley L. Fowlkes, [email protected].

Sep 8, 2023 • 12:47 pm CDT
US CDC - Malaria-endemic in the Americas & the Caribbean 2023

Malaria was eliminated as a public health threat in the United States in the mid-1950s, recent locally-acquired cases refreshed the awareness of this mosquito-transmitted disease.

The species of Anopheles mosquitoes biologically capable of transmitting malaria have been found throughout the U.S.

The U.S. CDC published a Morbidity and Mortality Weekly Report on September 8, 2023, confirming eight malaria cases were reported in Florida (seven) and Texas (one) from May 18–July 17, 2023.

As of August 2023, no additional autochthonous P. vivax cases have been detected in Florida or Texas, and there has been no evidence of infected Anopheles mosquitoes since early June. 

Although the risk for autochthonous malaria in the U.S. remains very low, U.S. clinicians need to consider a malaria diagnosis in patients with an unexplained fever, especially in areas where autochthonous malaria has been recently reported, wrote the CDC.

The recent cases underscore the potential for imported malaria cases from outbreak areas with competent vectors to produce local mosquito transmission of malaria parasites.

Before traveling internationally to areas where malaria is endemic, travelers should consult their healthcare provider regarding recommended malaria prevention measures, including potentially taking malaria prophylaxis.

Furthermore, malaria is preventable with vaccines available in Africa but not in the U.S.

Separately, the Pan American Health Organization (PAHO) called on Member States to maintain surveillance, early detection, and timely treatment of malaria cases in the Americas.

On September 7, 2023, the PAHO reported between 2022 and 2023, Argentina, Bahamas, and Jamaica reported sporadic cases of imported malaria and local transmission, including in areas where this disease had not previously been reported.

Sep 8, 2023 • 10:40 am CDT
US CDC FluView report Sept. 8, 2023

According to the U.S. Centers for Disease Control and Prevention (CDC) new report, very few influenza samples tested positive last week.

The CDC's FluView Week #35 report, published on September 8, 2023, data from clinical laboratories indicate 233 specimens tested positive for influenza, reflecting a 0.8% rate.

And public health laboratories reported only 41 positives out of 1,466 samples.

Nationwide, 1.8% of patient visits to healthcare providers last week were due to respiratory illness that included fever plus a cough or sore throat.

This data is increasing week over week, which can usually predict a flu outbreak is forecasted.

The unfortunate news is that influenza continues to cause related fatalities.

National Center for Health Statistics Mortality Surveillance data available on September 7, 2023, shows four death certificates listed influenza as an underlying or contributing cause of death.

Additionally, two influenza-associated pediatric deaths occurring during the 2022-2023 season were reported to the CDC during week #35.

A total of 174 influenza-associated pediatric deaths occurring during the 2022-2023 season have been reported to CDC. This is the most significant number of fatalities since the 2019-2020 flu season.

The CDC's new Director, Mandy K. Cohen, MD, MPH, recently recommended on X that people start getting their annual flu shot ahead of the 2023-2024 flu season.

'It's that time of year — I got my flu shot... Get yours to #FightFlu.'

Sep 8, 2023 • 9:55 am CDT
MIT News 2023

A team of researchers at MIT today announced they are working on making mRNA vaccines produce a more robust immune response at a lower dose.

Published in the journal Nature Biomedical Engineering on September 7, 2023, this study showed how MIT researchers delivered COVID-19 antigen and the antigen to boost the immune response without needing a separate adjuvant.

The researchers’ tests also showed that the vaccine induced a strong immune response when delivered intranasally compared to the response elicited by traditional intramuscular vaccination.

In mice, intramuscular or intranasal administration of nanoparticles with the lead ionizable lipid and with mRNA encoding for the fusion protein (either the spike protein or the receptor-binding domain of SARS-CoV-2 increased the titres of antibodies against SARS-CoV-2 tenfold with respect to the vaccine encoding for the unadjuvanted antigen.

“With intranasal vaccination, you might be able to kill Covid (SARS-CoV-2) at the mucus membrane before it gets into your body,” commented Daniel Anderson, a professor in MIT’s Department of Chemical Engineering and the senior author of the study in an MIT News article.

“Intranasal vaccines may also be easier to administer to many people since they don’t require an injection.”

The researchers believe the effectiveness of other types of mRNA vaccines now in development, including vaccines for cancer, could be improved by incorporating similar immune-stimulating properties.

If further developed for use in humans, this type of mRNA vaccine could help to reduce costs, reduce the dosage needed, and potentially lead to longer-lasting immunity, wrote these researchers.

The National Institutes of Health and Translate Bio funded the research.

Sep 7, 2023 • 5:55 pm CDT
by David Mark

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

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

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

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

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

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

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