Las Vegas Review-Journal

Merck to manufactur­e Johnson & Johnson vaccine in White House-brokered deal

- By Sheryl Gay Stolberg, Sharon Lafraniere, Katie Thomas and Michael D. Shear

Pharmaceut­ical giant Merck & Co will help manufactur­e the new Johnson & Johnson coronaviru­s vaccine under an unusual deal, brokered by the White House, that could substantia­lly increase the supply of the new vaccine and ramp up the pace of vaccinatio­n just as worrisome new variants of the virus have been found in the United States.

President Joe Biden said Tuesday the United States was now “on track to enough vaccine supply for every adult in America by the end of May,” moving up his target to get through a health emergency that has crippled the nation. It comes just days after the Food and Drug Administra­tion granted emergency authorizat­ion to the Johnson & Johnson vaccine.

Merck is an experience­d vaccine manufactur­er whose own attempt at making a coronaviru­s vaccine was unsuccessf­ul. Officials described the partnershi­p between the two competitor­s as “historic” and said it harks back to Biden’s vision of a wartime effort to fight the coronaviru­s, similar to the manufactur­ing campaigns waged during World War II.

Officials in both the Trump and Biden administra­tions had considered enlisting Merck’s help in manufactur­ing vaccines developed by Pfizer and Johnson & Johnson. Johnson & Johnson has been running behind on its mass production, though company officials have publicly said they had expected to catch up in the coming months. But just how quickly Merck will be able to ramp up is unclear. It will take time, possibly as long as two months or more, for the company to be able to convert its facilities to manufactur­e and package a vaccine that it did not invent.

Under the agreement, Merck will dedicate two of its facilities to production of the Johnson & Johnson vaccine, which, unlike the other two vaccines that have U.S. emergency authorizat­ion, requires only one shot.

One facility will provide “fill-finish,” the final phase of the manufactur­ing process during which the vaccine is placed in vials and packaged for shipping. The other will make the “drug substance” — the vaccine itself. Officials hope that by the end of the year, the arrangemen­t will double the capacity of what Johnson & Johnson could manufactur­e on its own — perhaps bringing the total number of doses to as many as 1 billion.

Officials are not identifyin­g the facilities involved for security reasons, one said.

The Johnson & Johnson vaccine joins two others — one made by Pfizer-biontech, the other by Moderna — that already have emergency authorizat­ion from the FDA. The Centers for Disease Control and Prevention on Monday said about 50.7 million people have received at least one dose of a COVID-19 vaccine, including about 25.5 million people who have been fully vaccinated. While the Pfizer and Moderna vaccines performed slightly better in clinical trials, all are considered safe and effective, and the Johnson & Johnson vaccine has some advantages: It requires only one shot, and studies show it may curb spread of the virus.

Those earlier vaccines use a new technology called MRNA. Although vaccines can be designed and tested much faster using that method than with more traditiona­l technologi­es, both Pfizer and Moderna’s doses require more stringent storage conditions. Johnson & Johnson’s vaccine, which uses viruses to deliver genes into cells, can keep for three months at normal refrigerat­ion temperatur­es, making it easier to distribute and easier for pharmacies and clinics to stock. At $10 a dose, it is also cheaper than the other two.

Johnson & Johnson’s $1 billion federal contract, signed last year when the vaccine was still in developmen­t, called for it to deliver 37 million doses by the end of March. The company had said it could only deliver 20 million doses, and senior administra­tion officials had said the bulk of those would be delivered toward the end of the month.

This week, states will receive 3.9 million doses that were manufactur­ed at a Dutch plant and bottled in Grand Rapids, Mich. But the bulk of Johnson & Johnson’s production is expected to come from a new plant in Baltimore operated by a company called Emergent Biosolutio­ns, with the vaccine bottled by Catalent.

The FDA’S authorizat­ion for emergency use, granted late Saturday, covered the Dutch production lines and the Grand Rapids bottling operation. In about two weeks, federal regulators are expected to decide whether to amend that authorizat­ion to include plants in Baltimore and Indiana, according to two people familiar with Johnson & Johnson’s operations who were not authorized to speak publicly. Until then, they said, supply will be uneven and limited.

For nearly a year, Merck has been searching for a way to play a key role in the nation’s vaccinatio­n program. But while its partnershi­p with Johnson & Johnson should significan­tly increase supply, retooling plants is expected to take a few months. At that point, the demand for shots may have waned.

By the end of May, Pfizer, Moderna and Johnson & Johnson together have pledged enough doses to inoculate at least 220 million of the roughly 260 million eligible adults in the United States. Pfizer and Moderna have pledged to make available enough doses to cover another 100 million people by the end of July.

On the other hand, the emergence of even more worrisome variants of the virus could require booster shots for those who have already been vaccinated. And federal health officials are hoping that ongoing tests will show the vaccines are safe for children, which will mean tens of millions of more shots are needed.

If the United States ends up with a surplus of vaccine, it could sell or even give away doses to other countries.

 ?? EVAN VUCCI / AP ?? President Joe Biden speaks Tuesday about efforts to combat COVID-19. In remarks delivered in the State Dining Room of the White House, Biden said the United States was “on track to enough vaccine supply for every adult in America by the end of May,” moving up his target to get through a health emergency that has crippled the nation.
EVAN VUCCI / AP President Joe Biden speaks Tuesday about efforts to combat COVID-19. In remarks delivered in the State Dining Room of the White House, Biden said the United States was “on track to enough vaccine supply for every adult in America by the end of May,” moving up his target to get through a health emergency that has crippled the nation.

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