Zika Breaking News

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Feb 17, 2023 • 4:39 am CST
WHO Influenza Update N° 438 Feb. 3, 2023

The World Health Organization (WHO) Influenza Update N° 438 recently reported influenza activity decreased globally.

In the countries of North America, most indicators of influenza activity fell to levels similar to or below levels typically observed this time of year.

As of February 9, 2023, Influenza A(H3N2) was the predominant virus detected in the U.S., whereas A(H1N1)pdm09 and A(H3N2) were co-circulated in Canada in the most recent reporting week.

In Europe, overall influenza activity continued to decrease, but influenza positivity from sentinel sites remained above the epidemic threshold at the regional level. 

Separately, a leading mRNA-based flu shot candidate for adults announced encouraging interim results from its pivotal Phase 3 safety and immunogenicity trial of mRNA-1010 (P301).

As of February 4, 2023, the U.S. CDC confirmed about 172.76 million influenza vaccines had been distributed for the 2022-2023 flu season in the U.S.

Feb 17, 2023 • 3:59 am CST
from Pixabay

Moderna Inc. today announced one of five influenza vaccine candidates in its portfolio published interim results from its pivotal Phase 3 safety and immunogenicity trial.

mRNA-1010 (P301) is an mRNA-based seasonal influenza (flu) vaccine candidate for adults.

mRNA-1010 encodes for hemagglutinin (HA) glycoproteins of the four influenza strains recommended by the World Health Organization (WHO) to prevent influenza.

Interim results indicate that mRNA-1010 achieved superiority on seroconversion rates for A/H3N2 and A/H1N1 and superiority on geometric mean titer ratios for A/H3N2 and non-inferiority on geometric mean titer ratios for A/H1N1.

Non-inferiority was not met for either endpoint for the influenza B/Victoria- and B/Yamagata-lineage strains.

"Today's results represent an important step forward in developing mRNA-based influenza vaccines to address the substantial burden of disease caused by influenza."

"We are encouraged by the safety and tolerability profile and the strong immunogenicity results against Influenza A viruses which cause the overwhelming majority of flu-related disease in older adults."

"We now look forward to the efficacy results from the ongoing pivotal Phase 3 efficacy study being conducted in parallel," said Stephen Hoge, M.D., Moderna's President, in a press release on February 16, 2023.

"While we did not achieve non-inferiority for the Influenza B strains, which are more frequent in younger populations, we have already updated the vaccine that we believe could improve immune responses against Influenza B and will seek to quickly confirm those improvements in an upcoming clinical study thanks to the agility of our mRNA platform."

The first per-protocol interim analysis of efficacy is now expected to be reviewed by an independent Data and Safety Monitoring Board (DSMB) before the end of the first quarter of 2023.

Based on these results, the DSMB will notify the Company whether the primary efficacy endpoint has been met or whether the study should continue accruing further cases toward the final analysis.

Moderna is advancing a portfolio of five influenza vaccine candidates that include additional HA antigens for broader coverage of circulating influenza A strains (mRNA-1011 and mRNA-1012) and candidates that incorporate both HA and neuraminidase (NA) antigens to target multiple proteins involved in the influenza virus lifecycle to reduce the potential of viral antigenic escape (mRNA-1020 and mRNA-1030).

Moderna is also developing combination vaccine candidates, including vaccine candidates against influenza and SARS-CoV-2, influenza and RSV, and influenza, SARS-CoV-2, and RSV.

The goal of Moderna's combination vaccine candidates is to protect against multiple respiratory pathogens in a single vaccine.

Moderna's unedited press release is available at this link.

Other flu shot news is posted at PrecisionVaccinations.

Feb 16, 2023 • 10:21 am CST
from Pixabay

ImmunityBio, Inc. today announced Dr. Karim Chamie, Associate Professor of Urology at UCLA, will be presenting “Quality of life in QUILT 3.032 study: Patients with BCG-unresponsive non-muscle invasive bladder cancer (NMIBC) receiving IL-15R⍺Fc superagonist N-803 plus BCG” at the ASCO Genitourinary Cancers Symposium conference on February 16-18, 2023.

N-803 (Anktiva™), ImmunityBio’s lead cytokine fusion protein, is a novel IL-15 superagonist complex and has received Breakthrough Therapy and Fast Track Designations from the U.S. Food and Drug Administration (FDA) for BCG-unresponsive CIS NMIBC.

N-803 is currently under review by the FDA for this indication with a Prescription Drug User Fee Act target date of May 23, 2023.

Previously, on November 10, 2022, the peer-review journal NEJM Evidence published results from the QUILT 3.032 trial studying N-803 plus BCG in adults with NMIBC CIS with or without Ta/T1 papillary disease.

The published results demonstrate that in patients with BCG-unresponsive NMIBC CIS and papillary disease, BCG plus N-803 (referred to as NAI) CRs were achieved with the persistence of effect with a 90% probability of avoiding cystectomies in responders, a life-changing procedure of removing the bladder, and 100% bladder cancer-specific survival at 24 months.

“The peer review and publication of data in NEJM Evidence highlights the significance of the positive results of the QUILT 3.032 trial in patients with BCG-unresponsive NMIBC,” commented  Patrick Soon-Shiong, M.D., Executive Chairman and Global Chief Scientific and Medical Officer at ImmunityBio, in a press release on November 10, 222.

“These data further our understanding of N-803’s unique role in potentially boosting the proliferation of natural killer and T cells while synergistically enhancing BCG efficacy.”

ImmunityBio is a vertically-integrated, clinical-stage biotechnology company developing next-generation therapies and vaccines that bolster the natural immune system to defeat cancers and infectious diseases. 

Feb 16, 2023 • 9:38 am CST
City of Hope Feb. 15, 2023

Recent American Cancer Society (ACS) statistics show a concerning increase in prostate cancer cases, particularly among Black men, wrote Abe Rosenberg with the City of Hope.

On February 15, 2023, the new data indicated cancer mortality rates have decreased by 33% in the last three decades.

After decades of decline, prostate cancer rates increased by 3% annually from 2014 to 2019.

And there is a significant increase among men presenting with later-stage prostate cancer.

Furthermore, according to the ACS report, Black men have a 70% higher prostate cancer incidence rate than white men, and they are two to four times more likely to die of prostate cancer than any other ethnic group. 

“People got confused,” commented urologic surgeon Diana Londoño, M.D., assistant clinical professor in the Division of Urology and Urologic Oncology, Department of Surgery, who sees patients at City of Hope’s Glendora clinical network location.

Dr. Londono emphasized the importance of regular screenings, especially postpandemic, as people resume seeing their doctors regularly.

To reach out to underserved communities where cancer rates are high, ACS unveiled a new initiative called IMPACT (Improve Mortality From Prostate Cancer Together), aimed at reducing prostate cancer disparities in Black men and deaths from prostate cancer for all men by 2035.

The Center for Community Outreach and Engagement runs several programs aimed at the same result. 

The City of Hope is dedicated to making a difference in the lives of people with cancer, diabetes, and other life-threatening illnesses. 

Feb 16, 2023 • 8:57 am CST
from Pixabay

The Public Health Agency of Canada (PHAC) today issued a statement offering an update on the ongoing response to the Mpox outbreak.

On February 9, 2023, the World Health Organization (WHO) Director-General declared that Mpox remained a Public Health Emergency of International Concern.

This initial declaration was issued on July 23, 2022.

On February 14, 2023, the WHO noted a sustained decline in Mpox cases globally, with the majority of cases being reported from the Regions of the Americas, with 200-250 cases per week,

And about 4% of Mpox cases occurred in women.

Since the beginning of the Mpox outbreak, the Government of Canada has taken action to protect the health and safety of Canadians.

The ongoing management of Mpox relies on continued vigilance, re-emergence of cases, various public health measures, and vaccination.

Mpox vaccines will continue to be available in Canadian provinces and territories for those at higher risk, including second doses of Imvamune®.

Bavarian Nordic's MVA-BN vaccine is approved by the U.S. Food and Drug Administration for smallpox and Mpox under the JYNNEOS® brand.

Since May 2022, the Government of Canada has deployed over 145,000 doses of vaccine.

Mpox information can be found on the Government of Canada's Mpox: For health professionals website. Other outbreak news is posted at Mpox Today.

Feb 16, 2023 • 8:00 am CST
by Robin Higgins

OSE Immunotherapeutics SA today provided a regulatory update on the clinical development plan of Tedopi®, a immunotherapy activating tumor-specific T-cells, in phase 3 in monotherapy in advanced or metastatic non-small cell lung cancer (NSCLC) after checkpoint inhibitor failure (ICI).

Nicolas Poirier, Chief Executive Officer of OSE Immunotherapeutics, commented in a press release on February 15, 2023, “We are pleased with the positive outcomes from the US Food & Drug Administration Type C Meeting following the supportive European Medicines Agency advice, as we are actively preparing a confirmatory phase 3 trial to support the regulatory registration of Tedopi®."

Both Agencies supported the continuation of the clinical development for Tedopi® through a new confirmatory phase 3 clinical trial versus standard of care in second-line treatment for HLA-A2+ patients in advanced in NSCLC.

Tedopi® is the first cancer vaccine to show positive and clinically meaningful efficacy results associated with a better safety and quality of life profile in monotherapy versus active comparator (chemotherapy-based standard of care) in the third line with secondary resistance to ICI in advanced or metastatic NSCLC.

Feb 16, 2023 • 5:48 am CST
UK Travel Advisory Nigeria Feb. 2023

The Nigeria Center for Disease Control and Prevention (NCDC) confirmed 216 diphtheria cases with 40 related fatalities deaths since December 2022.

About 184 diphtheria cases were reported as children, confirmed a news report on February 14, 2023.

The NCDC confirmed a previous diphtheria outbreak in Borno, north-eastern Nigeria, in 2011, with 98 cases and 21 deaths (the case-fatality ratio was 21.4%). 

Diphtheria spreads quickly between people by direct contact or through the air through respiratory droplets from coughing or sneezing. It may also be spread by contaminated clothing and objects.

In Nigeria, Diphtheria infection is treated by administering a diphtheria antitoxin intravenously or through an intramuscular injection.

Antibiotics can also be given to eliminating the bacteria to prevent transmission and toxin production to others.

Children are fully vaccinated against diphtheria after three doses of the pentavalent vaccine, as the Nigerian immunization schedule recommends. 

The latest U.K. travel advisory says serious tropical illnesses like malaria, typhoid, Lassa fever, and yellow fever occur in Nigeria. 

And as of February 16, 2023, the U.S. CDC has issued various health alerts for Nigeria.

Feb 15, 2023 • 5:35 pm CST
by Duernsteiner

The U.S. National Center for Immunization and Respiratory Diseases today reported five additional children with Acute Hepatitis of Unknown Etiology were reported over the past month.

Investigators are examining a possible relationship to adenovirus type 41 infection, which is not a common cause of hepatitis in otherwise healthy children.

'While rare, children can still have serious hepatitis, and we don't always know the cause. That's why investigators continue to look at possible causes and investigate,' wrote the U.S. Centers for Disease Control and Prevention (CDC).

The U.S. CDC is looking broadly, including hepatitis cases of unknown origin in children under ten years of age.

Since October 1, 2021, the number of persons under investigation (PUI) has reached 389 as of February 15, 2023.

Among the reported PUIs, about 90% required hospitalization, a few needed a liver transplant, and over ten died.

The World Health Organization, the U.K., Europe, and Canada have recently reported acute liver inflammation infections of unknown etiology among children.

Feb 15, 2023 • 12:14 pm CST
from Pixabay

VBI Vaccines Inc. today announced interim data from the Phase 2 study evaluating the combination of VBI-2601 (BRII-179), VBI's HBV immunotherapeutic candidate, and BRII-835 (VIR-2218), an HBV-targeting siRNA candidate, in chronically infected HBV patients.

The data, which will be featured in an oral presentation on February 18, 2023, demonstrated that the combination therapy was generally well-tolerated, restored strong anti-HBsAg antibody responses, and led to improved HBsAg-specific T-cell responses when compared to BRII-835 alone.

Notably, in two participants who received the combination therapy, maximum reductions in HBsAg to an undetectable level or the lower limit of quantification (LLOQ) were achieved by Week 40, which were associated with robust HBV-specific antibody and T-cell responses.

Dr. Francisco Diaz-Mitoma, M.D., Ph.D., VBI's Chief Medical Officer, commented in a press release on February 15, 2023, "Numerous studies have assessed the potential of siRNA candidates in hundreds of chronically infected HBV patients, but this is the first time we've seen data from the combination of an HBV siRNA with an HBV-specific immunomodulatory."

"Consistent with the known mechanism of action of VBI-2601 and its inclusion of the pre-S1 and pre-S2 antigens in addition to the S antigen, these interim data indicate that VBI-2601 may be able to break tolerance to the S antigen, achieving immune restoration."

"Additionally, the reduction of S antigen to at or below the LLOQ, as seen in the two patients, is a noteworthy achievement in this population."

"We are very encouraged by these interim data, which suggest that the combination of VBI-2601 and an HBV siRNA has the potential to be a meaningful part of a functional cure regimen."

"We look forward to additional data from this study, as well as data from the ongoing Phase 2 study of VBI-2601 as an 'add-on' to existing pegylated interferon and nucleos(t)ide reverse transcriptase inhibitor therapy in non-cirrhotic chronic HBV patients, both of which are expected later this year."

An abstract summarizing the interim data is available at this link.

Feb 14, 2023 • 2:02 pm CST
WHO Global Report neglected tropical diseases (Jan. 2023)

According to a recent World Health Organization (WHO) global report, 8 countries eliminated at least one neglected tropical disease last year. As of December 2022, 47 countries had eliminated at least one NTD.

Previously, more than 1 billion people were treated yearly for four consecutive years between 2016 and 2019.

But over the past decade, the number of people requiring interventions against NTDs has decreased by 25%.

And the burden of disease calculated in disability-adjusted life years is also steadily decreasing.

NTDs are a group of around 20 conditions that affect more than one billion people worldwide but have been largely overlooked by global health agendas.

The diseases generally affect people living in impoverished communities and can be caused by bacteria, viruses, fungi, parasites, or toxins.

The completed WHO Global Report (Jan. 2023) is posted at this link.

Feb 14, 2023 • 8:36 am CST
from Pixabay

Vaxart, Inc. today announced that it had dosed the first subject in a Phase 2 dose-ranging clinical trial of its oral tablet bivalent vaccine candidate.

Vaxart expects to report topline data from the Phase 2 study in mid-2023.

"Initiating the Phase 2 clinical trial of this candidate is an important achievement toward our goal of developing an oral tablet vaccine that may reduce the significant global health threat that norovirus poses to children and seniors," said Dr. James F. Cummings, MD, Chief Medical Officer at Vaxart, in a press release on February 14, 2023.

"Results from the Phase 1b clinical trial in healthy adults demonstrate that this candidate stimulates robust IgA antibody-secreting cells against the prevalent strains of two norovirus genotypes that cause most norovirus disease."

"Data from the Phase 2 trial will inform our further clinical development strategy for this promising vaccine candidate."

As previously reported, Vaxart's bivalent vaccine candidate demonstrated robust immunogenicity, with an IgA ASC response rate of 78% for the GI.1 strain and 93% for the GII.4 strain, with no interference observed.

Three Phase 1 studies of Vaxart's norovirus pill vaccine indicated it is well tolerated and generated systemic and local immune responses that are both robust and persistent. 

In the U.S., norovirus causes 21 million illnesses each year, infecting 15% of all children under the age of five years and resulting in illness — which frequently requires hospitalization — in 7.5% of people over 65 years.

Other norovirus vaccine candidate news is posted at PrecisionVaccinations.

Feb 14, 2023 • 5:16 am CST
WHO Marburg outbreak Feb. 2023

The World Health Organization (WHO) today announced it would convene an urgent Marburg virus vaccine consortium (MARVAC) meeting on February 14, 2023, to discuss the new Marburg virus disease outbreak in Equatorial Guinea, in Africa.

This is an open webinar, and non-MARVAC members can digitally attend at this Zoom link.

The MARVAC includes leaders in the field of vaccine research and development, working together to develop vaccines against this infectious disease threat.

As of February 14, 2023, no vaccines or antiviral treatments have been U.S. FDA-approved to treat this severe virus.

However, there are vaccine candidates currently being evaluated.

The emergence of the Marburg virus disease (MVD)in Africa triggered the assembly of the MARVAC consortium in 2022.

MVD is in the same virus family that causes Ebola virus disease.

This urgent action is related to yesterday's WHO announcement that Equatorial Guinea had confirmed its first-ever outbreak of Marburg virus disease.

Preliminary tests carried out following the deaths of at least nine people in the country's western Kie Ntem Province turned out positive for MARV viral hemorrhagic fever.

"Marburg is highly infectious. However, thanks to the rapid and decisive action by the Equatorial Guinean authorities in confirming the disease, emergency response can get to full steam quickly so that we save lives and halt the virus as soon as possible," commented Dr. Matshidiso Moeti, WHO Regional Director for Africa, in a press release.

Feb 14, 2023 • 5:04 am CST
by Michelle Raponi

Valneva SE today announced that it completed enrollment and vaccination for a Phase 3 clinical trial in adolescents, VLA1553-321, of its single-shot chikungunya vaccine candidate, VLA1553.

This live-attenuated, investigational vaccine candidate targets the chikungunya virus and was designed by deleting a part of the chikungunya virus genome.

The initial results of this trial are expected in mid-2023, which are intended to support the label extension in this age group following a potential initial regulatory approval in adults from the Food and Drugs Administration (FDA) in the United States (U.S.).

This adolescent trial is intended to support the label extension in this age group following a potential initial regulatory approval in adults from the FDA in the U.S.

Furthermore, the adolescent trial is expected to supvaccine'svaccine's licensure in Europe and Brazil, which would be the first potential approval for use in these chikungunya endemic regions.

Previously, Valneva completed the rolling submission of the Biologics License Application (BLA) to the FDA for approval of VLA1553 in persons aged 18 years and above (adults) in December 2022. 

If BLA filing is accepted and approved, VLA1553 could become the first chikungunya vaccine to be marketed in the U.S.

The Company also recently reported positive antibody persistence data with a 99% seroresponse rate 12 months after a single-dose vaccination.

Dr. Melanie Saville, Director of Vaccine Research & Development at CEPI, which provided funding for this pediatric study, commented in a press release on February 14, 2023, "Millions of people have been affected by chikungunya and, today, over a billion people live in areas where chikungunya outbreaks occur."

"The progress Valneva has made to date brings the world one step closer towards a safe and effective vaccine against this debilitating disease, for which there is currently no specific treatment nor vaccine licensed for use."

"Data from this Phase 3 study will help to ensure that the people most affected by this virus can benefit from this product and help regulators assess this important vaccine candidate.

To make VLA1553 more accessible to Low- and Middle-Income Countries, Valneva and Instituto Butantan in Brazil signed an agreement in January 2021 for the development, manufacturing, and marketing of the chikungunya vaccine.

Chikungunya is a mosquito-borne viral disease caused by the chikungunya virus (CHIKV), a Togaviridae virus transmitted by Aedes mosquitoes.

A CHIKV infection leads to symptomatic disease in up to 97% of humans after three to seven days following the mosquito bite.

While mortality with CHIKV is low, morbidity is high.

Clinical symptoms include acute onset of fever, debilitating joint and muscle pain, headache, nausea, rash, and chronic arthralgia.

Additional chikungunya outbreak news at Vax-Before-Travel.

Feb 13, 2023 • 10:07 am CST
by Mojca-Peter

ENA Respiratory today announced that INNA-051, a first-in-class, broad-spectrum, innate immunomodulator in development for the prevention of respiratory viral infections, was found to significantly impact the course of viral infection in a Phase 2a flu challenge study.

The study's post hoc analyses, excluding those with pre-existing immunity, showed that INNA-051-treated participants with PCR laboratory-confirmed infection had a statistically significant shorter duration of infection.

"This study further supports the concept that boosting the local innate immune response to common respiratory viruses has potential clinical benefit. In this study, INNA-051 was found to be safe and to significantly impact the course of infection. We are eager to investigate INNA-051's clinical benefit in the context of natural viral respiratory tract infections in individuals at increased risk of more severe illness," said Christophe Demaison, Ph.D., Managing Director and CEO of ENA Respiratory, in a press release on February 14, 2023.

These Phase 2a study results mirror those seen in animal respiratory infection models and are consistent with the INNA-051 mechanism of action. INNA-051 accelerates virus clearance and reduces virus spread to other body parts.

It is anticipated that INNA-051 prophylaxis will reduce illness severity and healthcare utilization in individuals exposed to respiratory viral infections, especially those at high risk of complications. 

Earlier research in humans and animals has shown that INNA-051 activates the innate immune system in the nose, a common site of infection.

Feb 13, 2023 • 6:18 am CST
by Orna Wachman

Jiangsu Recbio Technology Co., Ltd. today announced it has recently completed the first batch of subject enrollment for its novel adjuvanted recombinant vaccine, REC610, that prevents shingles caused by varicella zoster virus (VZV).

The study is a randomized, observer-blinded, active-controlled phase I clinical trial to evaluate the safety and immunogenicity of REC610 in healthy adult subjects aged 40 and above.

According to research data on shingles vaccines that have been marketed worldwide, the novel adjuvanted vaccine can provide stronger cellular immunity and protective efficacy compared to live attenuated vaccines.

This announcement is essential since about 2.5 million adults in China suffer from herpes zoster yearly, and most seniors in China carry the dormant herpes zoster virus.

REC610 is equipped with a novel adjuvant BFA01 independently developed by the Company, which can promote the production of high levels of VZV glycoprotein E (gE)-specific CD4+ T cells and antibodies.

Preclinical studies have shown that REC610 has favorable immunogenicity and can induce high levels of gE-specific CD4+ T cell responses and IgG antibodies.

Its immune response is non-inferior to the controlled vaccine, Shingrix® says the Company.

Shingrix® is a non-live, adjuvanted recombinant vaccine consisting of the VZV glycoprotein E antigen and the AS01B adjuvant system, a proprietary adjuvant containing QS-21 and MPL with liposomes. 

Shingrix has been commercially available in the U.S. since 2017.

Additional shingles vaccine development is posted at PrecisionVaccinations.