FDA Advisory Committee Recommends Emergency Use Authorization of Novavax COVID-19 Vaccine for People Aged 18 Years and Older

Novavax, Inc.

PR96399

 

GAITHERSBURG, Md., June 7, 2022 /ASIANET=KYODO JBN/ --

 

--Novavax COVID-19 vaccine receives positive vote from U.S. Food and Drug

   Administration Vaccines and Related Biological Products Advisory Committee

--If Emergency Use Authorization is granted by the FDA, the Novavax COVID-19

   vaccine would become the first protein-based COVID-19 vaccine available in

   the U.S.

 

Novavax, Inc. (Nasdaq: NVAX), a biotechnology company dedicated to developing

and commercializing next-generation vaccines for serious infectious diseases,

today announced the U.S. Food and Drug Administration (FDA) Vaccines and

Related Biological Products Advisory Committee (VRBPAC) voted 21 to 0, with one

abstention, to recommend that the FDA grant Emergency Use Authorization (EUA)

for the Novavax COVID-19 vaccine (NVX-CoV2373) for individuals aged 18 years

and over.

 

Logo - https://mma.prnewswire.com/media/1506866/Novavax_High_Res_Logo.jpg

 

"The advisory committee's positive recommendation acknowledges the strength of

our data and the importance of a protein-based COVID-19 vaccine developed using

an innovative approach to traditional vaccine technology," said Stanley C.

Erck, President and Chief Executive Officer, Novavax. "In today's VRBPAC

meeting, we heard the overwhelming support for our vaccine from physicians,

healthcare organizations, and consumers who are eagerly anticipating a

protein-based vaccine option. Consistent with submissions to regulatory

authorities worldwide, we have already submitted an amendment with updated

manufacturing information for the EUA to the FDA for review. We look forward to

collaborating with the FDA as it makes its final decision."

 

The VRBPAC considered data from the pivotal Phase 3 clinical trial, PREVENT-19,

which enrolled approximately 30,000 participants aged 18 years and older in the

U.S. and Mexico and was published in the New England Journal of Medicine

(https://c212.net/c/link/?t=0&l=en&o=3560647-1&h=3880827182&u=https%3A%2F%2Fc212.net%2Fc%2Flink%2F%3Ft%3D0%26l%3Den%26o%3D3407775-1%26h%3D907997649%26u%3Dhttps%253A%252F%252Fwww.nejm.org%252Fdoi%252Ffull%252F10.1056%252FNEJMoa2116185%253Fquery%253Dfeatured_home%26a%3DNew%2BEngland%2BJournal%2Bof%2BMedicine&a=New+England+Journal+of+Medicine).

In the trial, the Novavax COVID-19 vaccine demonstrated 90.4% efficacy (95%

confidence interval [CI], 82.9 to 94.6; P<0.001) with a reassuring safety

profile. Serious and severe adverse events were low in number and balanced

between vaccine and placebo groups. The most common adverse reactions observed

during the trial (frequency category of very common greater than or equal to

1/10) were headache, nausea or vomiting, myalgia, arthralgia, injection site

tenderness/pain, fatigue, and malaise. The data showed that overall the rate of

myocarditis was balanced between the vaccine and placebo arms (0.007% and

0.005%) and in the post-crossover portions of Novavax trials the observed cases

were all within the expected rate.

 

The FDA considers the recommendations of VRBPAC when making decisions on EUA.

 

The Novavax COVID-19 vaccine has received authorization for use in individuals

aged 18 and over from more than 40 countries in addition to Emergency Use

Listing (https://c212.net/c/link/?t=0&l=en&o=3560647-1&h=482690262&u=https%3A%2F%2Fir.novavax.com%2F2021-12-20-World-Health-Organization-Grants-Second-Emergency-Use-Listing-for-Novavax-COVID-19-Vaccine&a=Emergency+Use+Listing) from the World Health Organization.

 

Authorization in the U.S.

 

The Novavax COVID-19 vaccine (NVX-CoV2373) has not yet been authorized for use

in the U.S.

 

About NVX-CoV2373

 

NVX-CoV2373 is a protein-based vaccine engineered from the genetic sequence of

the first strain of SARS-CoV-2, the virus that causes COVID-19 disease. The

vaccine was created using Novavax' recombinant nanoparticle technology to

generate antigen derived from the coronavirus spike (S) protein and is

formulated with Novavax' patented saponin-based Matrix-M(TM) adjuvant to

enhance the immune response and stimulate high levels of neutralizing

antibodies. NVX-CoV2373 contains purified protein antigen and can neither

replicate, nor can it cause COVID-19.

 

The Novavax COVID-19 vaccine is packaged as a ready-to-use liquid formulation

in a vial containing ten doses. The vaccination regimen calls for two 0.5 ml

doses (5 mcg antigen and 50 mcg Matrix-M adjuvant) given intramuscularly 21

days apart. The vaccine is stored at 2 degrees - 8 degrees Celsius, enabling

the use of existing vaccine supply and cold chain channels. Use of the vaccine

should be in accordance with official recommendations.

 

Novavax has established partnerships for the manufacture, commercialization and

distribution of NVX-CoV2373 worldwide. Existing authorizations leverage

Novavax' manufacturing partnership with Serum Institute of India, the world's

largest vaccine manufacturer by volume. They will later be supplemented with

data from additional manufacturing sites throughout Novavax' global supply

chain.

 

About the NVX-CoV2373 Phase 3 Trials

 

NVX-CoV2373 continues being evaluated in two pivotal Phase 3 trials.

 

PREVENT-19 (the PRE-fusion protein subunit Vaccine Efficacy Novavax Trial |

COVID-19) is a 2:1 randomized, placebo-controlled, observer-blinded trial to

evaluate the efficacy, safety and immunogenicity of NVX-CoV2373 with Matrix-M

adjuvant in 29,960 participants 18 years of age and over in 119 locations in

the U.S. and Mexico. The primary endpoint for PREVENT-19 was the first

occurrence of PCR-confirmed symptomatic (mild, moderate or severe) COVID-19

with onset at least seven days after the second dose in serologically negative

(to SARS-CoV-2) adult participants at baseline. The statistical success

criterion included a lower bound of 95% CI >30%. A secondary endpoint was the

prevention of PCR-confirmed, symptomatic moderate or severe COVID-19. Both

endpoints were assessed at least seven days after the second study vaccination

in volunteers who had not been previously infected with SARS-CoV-2. In the

trial, NVX-CoV2373 achieved 90.4% efficacy overall. It was generally

well-tolerated and elicited a robust antibody response after the second dose in

both studies. Full results of the trial were published in the New England

Journal of Medicine (NEJM) (https://c212.net/c/link/?t=0&l=en&o=3560647-1&h=2360709328&u=https%3A%2F%2Fc212.net%2Fc%2Flink%2F%3Ft%3D0%26l%3Den%26o%3D3440781-1%26h%3D467849857%26u%3Dhttps%253A%252F%252Fwww.nejm.org%252Fdoi%252Ffull%252F10.1056%252FNEJMoa2116185%253Fquery%253Dfeatured_home%26a%3DNew%2BEngland%2BJournal%2Bof%2BMedicine&a=New+England+Journal+of+Medicine).

 

The pediatric expansion of PREVENT-19 is a 2:1 randomized, placebo-controlled,

observer-blinded trial to evaluate the safety, effectiveness, and efficacy of

NVX-CoV2373 with Matrix-M adjuvant in 2,247 adolescent participants 12 to 17

years of age in 73 locations in the United States, compared with placebo. In

the pediatric trial, NVX-CoV2373 achieved its primary effectiveness endpoint

(non-inferiority of the neutralizing antibody response compared to young adult

participants 18 through 25 years of age from PREVENT-19) and demonstrated 80%

efficacy overall at a time when the Delta variant of concern was the

predominant circulating strain in the U.S. Additionally, immune responses were

about two-to-three-fold higher in adolescents than in adults against all

variants studied.

 

PREVENT-19 is being conducted with support from the U.S. government, including

the Department of Defense, the Biomedical Advanced Research and Development

Authority (BARDA), part of the Office of the Assistant Secretary for

Preparedness and Response at the U.S. Department of Health and Human Services

(HHS), and the National Institute of Allergy and Infectious Diseases, part of

the National Institutes of Health at HHS. BARDA is providing up to $1.75

billion under a Department of Defense agreement (# MCDC2011-001).

 

Additionally, a trial conducted in the U.K. with 14,039 participants aged 18

years and over was designed as a randomized, placebo-controlled,

observer-blinded study and achieved overall efficacy of 89.7%. The primary

endpoint was based on the first occurrence of PCR-confirmed symptomatic (mild,

moderate or severe) COVID-19 with onset at least seven days after the second

study vaccination in serologically negative (to SARS-CoV-2) adult participants

at baseline. Full results of the trial were published in NEJM

(https://c212.net/c/link/?t=0&l=en&o=3560647-1&h=1866415503&u=https%3A%2F%2Fc212.net%2Fc%2Flink%2F%3Ft%3D0%26l%3Den%26o%3D3440781-1%26h%3D3617137863%26u%3Dhttps%253A%252F%252Fwww.nejm.org%252Fdoi%252Ffull%252F10.1056%252FNEJMoa2107659%26a%3DNEJM&a=NEJM).

 

About Matrix-M(TM) Adjuvant

 

Novavax' patented saponin-based Matrix-M adjuvant has demonstrated a potent and

well-tolerated effect by stimulating the entry of antigen-presenting cells into

the injection site and enhancing antigen presentation in local lymph nodes,

boosting immune response.

 

About Novavax

 

Novavax, Inc. (Nasdaq: NVAX) is a biotechnology company that promotes improved

health globally through the discovery, development, and commercialization of

innovative vaccines to prevent serious infectious diseases. The company's

proprietary recombinant technology platform harnesses the power and speed of

genetic engineering to efficiently produce highly immunogenic nanoparticles

designed to address urgent global health needs. NVX-CoV2373, the company's

COVID-19 vaccine, has received conditional authorization from multiple

regulatory authorities globally, including the European Commission and the

World Health Organization. The vaccine is currently under review by multiple

regulatory agencies worldwide and will soon be under review in the U.S. for use

in adults, adolescents and as a booster. In addition to its COVID-19 vaccine,

Novavax is also currently evaluating a COVID-seasonal influenza combination

vaccine candidate in a Phase 1/2 clinical trial, which combines NVX-CoV2373 and

NanoFlu*, its quadrivalent influenza investigational vaccine candidate, and is

also evaluating an Omicron strain-based vaccine (NVX-CoV2515) as well as a

bivalent Omicron-based / original strain-based vaccine. These vaccine

candidates incorporate Novavax' proprietary saponin-based Matrix-M adjuvant to

enhance the immune response and stimulate high levels of neutralizing

antibodies.

 

For more information, visit www.novavax.com and connect with us on LinkedIn

(https://www.linkedin.com/company/novavax/ ).

*NanoFlu identifies a recombinant hemagglutinin (HA) protein nanoparticle

influenza vaccine candidate produced by Novavax. This investigational candidate

was evaluated during a controlled phase 3 trial conducted during the 2019-2020

influenza season.

 

Forward-Looking Statements

 

Statements herein relating to the future of Novavax, its operating plans and

prospects, its partnerships, the timing of clinical trial results, the ongoing

development of NVX-CoV2373, including an Omicron strain based vaccine, a

COVID-seasonal influenza investigational vaccine candidate, the scope, timing

and outcome of future regulatory filings and actions, including the FDA's

upcoming decision regarding EUA for Novavax' COVID-19 vaccine candidate, and

Novavax' subsequent discussions with the CDC, Novavax' plans to supplement

existing authorizations with data from the additional manufacturing sites in

Novavax' global supply chain, additional worldwide authorizations of

NVX-CoV2373 for use in adults and adolescents, and as a booster, the potential

impact and reach of Novavax and NVX-CoV2373 in addressing vaccine access,

controlling the pandemic and protecting populations, the efficacy, safety and

intended utilization of NVX-CoV2373, and expected administration of NVX-CoV2373

are forward-looking statements. Novavax cautions that these forward-looking

statements are subject to numerous risks and uncertainties that could cause

actual results to differ materially from those expressed or implied by such

statements. These risks and uncertainties include, without limitation,

challenges satisfying, alone or together with partners, various safety,

efficacy, and product characterization requirements, including those related to

process qualification and assay validation, necessary to satisfy applicable

regulatory authorities; unanticipated challenges or delays in conducting

clinical trials; difficulty obtaining scarce raw materials and supplies;

resource constraints, including human capital and manufacturing capacity, on

the ability of Novavax to pursue planned regulatory pathways; challenges

meeting contractual requirements under agreements with multiple commercial,

governmental, and other entities; and those other risk factors identified in

the "Risk Factors" and "Management's Discussion and Analysis of Financial

Condition and Results of Operations" sections of Novavax' Annual Report on Form

10-K for the year ended December 31, 2021 and subsequent Quarterly Reports on

Form 10-Q, as filed with the Securities and Exchange Commission (SEC). We

caution investors not to place considerable reliance on forward-looking

statements contained in this press release. You are encouraged to read our

filings with the SEC, available at www.sec.gov and www.novavax.com, for a

discussion of these and other risks and uncertainties. The forward-looking

statements in this press release speak only as of the date of this document,

and we undertake no obligation to update or revise any of the statements. Our

business is subject to substantial risks and uncertainties, including those

referenced above. Investors, potential investors, and others should give

careful consideration to these risks and uncertainties.

 

Contacts:

 

Investors

Alex Delacroix | 240-268-2022

ir@novavax.com

 

Media

Ali Chartan | 240-720-7804

media@novavax.com

 

SOURCE   Novavax, Inc.

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