Milwaukee Journal Sentinel

Fifth vaccine developer has promising trial

- Karen Weintraub

More good news in the pursuit of a COVID-19 vaccine: A fifth vaccine developer has released promising results from a small, early trial.

Novavax Inc., of Gaithersbu­rg, Maryland, said in a statement that the vaccine appeared safe and elicited a similar immune response to an active infection with COVID-19.

“Good news,” said Dr. William Schaffner, a professor and infectious­disease expert at the Vanderbilt University School of Medicine in Nashville, Tennessee. “I think it clearly boosts confidence that we will have one or more vaccines.”

Moderna, AstraZenec­a and Pfizer have all released promising Phase 1 results, with the first two publishing in major journals. Chinese researcher­s also have published early trial results, and have begun providing their candidate vaccine to members of the military, Reuters reported.

In the new trial, participan­ts were divided into four groups of 25, Dr. Gregory Glenn, the company’s president, told reporters, sharing slides of the results. One group received a placebo. One group received one dose of the vaccine, called NVX CoV2373. A third group received two 5-microgram doses of the vaccine plus an adjuvant meant to boost the vaccine’s strength. The last group received two higher doses, of 25 micrograms, plus the booster.

None of the trial participan­ts had a severe reaction to the vaccine; most just had sore arms for a day or two. Reactions to the second dose of the vaccine were more significant than the first, which is typical.

The vaccine seems to have generated an immune reaction similar to those in people who have recovered from COVID-19, the data shows. True effectiveness cannot be determined until the candidate is tested in many volunteers.

Novavax has received $1.6 billion from the federal government to complete developmen­t of NVX CoV2373 and to scale up manufactur­ing. The government will own 100 million doses of the developmen­tal vaccine.

The company also has started production in six other countries, including in Europe, India and other parts of Asia, producing 1 billion to 2 billion doses next year, according to company CEO Stanley Erck.

The company plans to publish the trial results in a peer-reviewed journal, which is the standard for scientific publicatio­ns.

Schaffner said he thinks it was acceptable to release results via press release because several other companies have done it, and “it has become the new normal.” It would be “terrible for the company” if the informatio­n it released was later shown to be inaccurate.

The side effects seen in the study were very encouragin­g, Schaffner said, and a “small price to pay for protection against COVID-19.”

Based on these results, he is confident that the U.S. Food and Drug Administra­tion will support the company’s move to shortly begin a Phase 2 trial in the U.S. and Australia, including older patients, and a large, Phase 3 trial by the end of September.

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