The Oklahoman

Pfizer-BioNTech vaccine 1st to win FDA full approval

- Karen Weintraub and Elizabeth Weise

Eight months after authorizin­g the Pfizer-BioNTech COVID-19 vaccine for emergency use in the USA, the Food and Drug Administra­tion issued its full stamp of approval.

Now that the companies’ detailed, so-called biologics license applicatio­n has been granted, it’s likely that vaccinatio­n will be required by many companies, schools and other entities.

On Monday, President Joe Biden called on companies, non-profit groups, government agencies and schools to “step up vaccine requiremen­ts that will reach millions more people.”

Vaccinatio­ns allowed people in this country to stop worrying about diseases such as smallpox, polio, measles, mumps and rubella, he said, and vaccines can help do the same for COVID-19.

“It only makes sense to require a vaccine to stop the spread of COVID-19,” Biden said at a news conference. “With today’s FDA full approval, there’s another good reason to get vaccinated.”

The FDA decision clears the way for the companies to market their vaccine, which is not permitted without full licensure. It may launch a race for booster shots, allowing doctors to prescribe extra Pfizer-BioNTech shots “off label” to anyone they think should get one.

The FDA confirmed late last year through a more streamline­d evaluation process that the vaccine, from pharmaceut­ical giant Pfizer and its partner, German startup BioNTech, was safe, effective and could be reliably produced. The review of the 340,000-page license applicatio­n was completed in just 97 days by FDA staff working “night and day,” said Dr. Peter Marks, director of the FDA’s Center for Biologics Evaluation and Research, which approves vaccines.

“We completed this in about 40% of the normal clock time for a submission of this magnitude,” he said.

The license applicatio­n was three times the size of the emergency use authorizat­ion submission, which weighed in at 110,000 pages.

The companies have manufactur­ed more than 2 billion doses, more than 200 million of which were administer­ed in the USA, the most of any of the three vaccines allowed for use in the country. The full license includes four more months of efficacy and safety data, confirming trial results and detailing manufactur­ing processes.

The Pfizer-BioNTech emergency use authorizat­ion was based on clinical trials involving about 37,000 people. The full approval was based on study results involving more than 44,000 people followed for six months.

The license applies only to those 16 and over, but the vaccine is allowed for those 12 to 15 under the previous authorizat­ion.

“Based on the longer-term follow-up data that we submitted, today’s approval for those aged 16 and over affirms the efficacy and safety profile of our vaccine at a time when it is urgently needed,” Pfizer chairman and CEO Albert Bourla said in a statement. “I am hopeful this approval will help increase confidence in our vaccine, as vaccinatio­n remains the best tool we have to help protect lives and achieve herd immunity.”

Acting FDA Commission­er Janet Woodcock said she hoped the approval would help alter the course of the pandemic in the USA.

Health and patient safety coverage at USA TODAY is made possible in part by a grant from the Masimo Foundation for Ethics, Innovation and Competitio­n in Healthcare.

 ?? KEN RUINARD/PROVIDED ?? Revonda Wood pulls a vaccine dose from a Pfizer-BioNTech COVID-19 vial earlier this year.
KEN RUINARD/PROVIDED Revonda Wood pulls a vaccine dose from a Pfizer-BioNTech COVID-19 vial earlier this year.

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