27th March 2023

Novavax Inc.’s long-awaited Covid-19 vaccine is shifting towards U.S. authorization after the corporate stated it resolved manufacturing issues that had held up its utility.

Clearance within the U.S. isn’t imminent as a result of the Meals and Drug Administration should type by means of a considerable amount of research knowledge from a number of nations, an individual acquainted with the matter stated. A choice is getting nearer, nonetheless, since Novavax formally submitted an authorization request in late January.

If the shot is rolled out within the U.S., it may enhance vaccination efforts which have flagged among the many hesitant, based on Novavax and docs.

Not like the cutting-edge messenger RNA vaccines from Pfizer Inc. and Moderna Inc., Novavax’s jab makes use of a well-recognized know-how, used for many years to inoculate infants towards hepatitis B, which some hesitant folks may discover extra interesting. Some folks have additionally apprehensive about how quickly the mRNA photographs have been developed and their lack of long-term knowledge.

“It’s necessary to supply the selection,” stated Carina Rodriguez, chief of infectious ailments on the College of South Florida. “Perhaps it won’t fully eradicate the difficulty of vaccine hesitancy however will assist people who find themselves not comfy going with an mRNA vaccine.”

Novavax, of Gaithersburg, Md., emerged in early 2020 as a dark-horse candidate within the race to make a Covid-19 vaccine. In July 2020, the U.S. awarded the corporate a $1.6 billion contract to develop and ship 100 million doses of its vaccine candidate.

But Novavax struggled to match the tempo of the bigger and extra skilled Pfizer and the richer biotech Moderna, stated Roger Track, a Jefferies biotech analyst. “All the foremost gamers have been significantly better funded,” stated Dr. Track. “Novavax was an underdog and didn’t have the capital to do that.”

Novavax needed to broaden its workforce rapidly and discover companions to spice up its manufacturing functionality. By the top of 2020, it had quadrupled its workforce to round 690, then doubled it final yr to greater than 1,500 workers.

Novavax’s largest challenges have been in displaying the FDA that it may reliably and persistently manufacture its vaccine on a mass scale, stated Novavax Chief Medical Officer Filip Dubovsky.

The Novavax jab, generally known as a recombinant protein vaccine, instantly delivers a model of the spike protein that the coronavirus makes use of to contaminate human cells, coaching the immune system to struggle off the virus. (In contrast, mRNA vaccines ship the genetic materials that the physique makes use of to fabricate the spike protein to set off the identical immune response.)

Novavax has needed to display that it will probably reliably and persistently manufacture its vaccine on a mass scale.

The shot features a so-called adjuvant, an ingredient that’s generally utilized in vaccines to stimulate an immune response. Novavax’s is a substance known as Matrix-M, derived from the bark of a tree native to Chile.

To win FDA authorization, Novavax needed to present that its spike protein and adjuvant have been the identical in each manufacturing batch. The method took longer than anticipated, however Novavax has been capable of resolve it, Dr. Dubovsky stated.

“That’s why we have been delayed in comparison with among the different platforms,” stated Dr. Dubovsky. “As a result of it was tougher to persuade the regulatory businesses that we had it discovered.”

Novavax’s far-flung manufacturing community additional difficult the method, Silvia Taylor, Novavax senior vp for international company affairs, stated in an interview. The corporate is initially counting on the Serum Institute of India to make the spike-protein portion of the vaccine and to finish the bottling of the vaccine.

The FDA was intent on ensuring Novavax’s manufacturing was as much as U.S. requirements, an individual acquainted with the matter stated, after hundreds of thousands of Johnson & Johnson vaccines doses have been ruined in 2021 due to quality-control issues at its contract producer Emergent BioSolutions Inc. in Baltimore.

But pandemic security protocols made it tougher for FDA inspectors to get to Novavax’s abroad manufacturing websites, the particular person stated.

Novavax’s vaccine was 90% protecting towards symptomatic an infection and 100% protecting towards extreme illness in a big Part three trial performed within the U.S. and Mexico. It additionally seems to have decrease charges of unwanted effects together with headache and fatigue than mRNA vaccines, based on docs.

Novavax stated that its vaccine loses a few of its efficiency towards the Omicron variant after two doses, however {that a} third booster shot ought to present sturdy safety. The corporate can also be engaged on an Omicron-specific vaccine, however the firm stated it isn’t positive but if it will likely be wanted.


How will the Novavax vaccine may change some folks’s attitudes towards vaccination? Be a part of the dialog under.

Well being officers in Europe, Australia and elsewhere have cleared the shot to be used in current months. Some together with in Canada and South Korea have actively promoted it as an alternative choice to mRNA photographs for individuals who haven’t been vaccinated or boosted.

Australia lately stated it will enable folks for whom mRNA vaccines aren’t appropriate to make use of the Novavax shot as a booster, however at present recommends the Pfizer or Moderna vaccines for everybody else over 18. Docs interpreted the advice as a technique to make the Novavax shot obtainable to individuals who don’t wish to get boosted with an mRNA vaccine.

The FDA will evaluate Novavax’s utility “as expeditiously as potential,” an FDA spokeswoman stated. The company plans to carry an advisory-committee listening to earlier than it decides on authorizing Novavax’s vaccine, she stated. A date hasn’t been scheduled.

An evaluation of extremely purified Covid-19 Omicron spike protein performed on the Novavax facility in Gaithersburg, Md.

Some 75% of U.S. adults have been totally vaccinated as of early March, up from about 61% in August, based on the Facilities for Illness Management and Prevention.

The share of adults saying they’d “positively not” get vaccinated or “provided that required” rose from 16% in September to 19% in February, based on an opinion ballot performed by the Kaiser Household Basis. The share who say they’d “wait and see” was 4%, down from 7% in September.

“It surprises me day-after-day, how a lot folks attain out to us and say, ‘I’m ready on your vaccine,’” stated Ms. Taylor of Novavax.

Write to Joseph Walker at joseph.walker@wsj.com

Covid-19 Vaccines

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