Novavax Phase 3 COVID-19 Omicron Trial Supports the Continued and Future Use of Novavax Prototype Vaccine as a Booster
PR98682
GAITHERSBURG, Md., Nov. 8, 2022 /PRNewswire=KYODO JBN/ --
-- The Novavax BA.1 vaccine candidate met its primary strain-change endpoint
allowing for development of variant vaccines, if necessary
-- Novavax' prototype vaccine induced broad immune response against original
Wuhan, BA.1, and BA.5 strains
-- The trial showed no benefit for a bivalent vaccine utilizing Novavax'
recombinant protein/adjuvant technology
Novavax, Inc. (Nasdaq: NVAX), a biotechnology company dedicated to developing
and commercializing next-generation vaccines for serious infectious diseases,
today announced topline results from its Phase 3 Boosting Trial for the
SARS-CoV-2 rS Variant Vaccines (COVID-19) showing that the Company's BA.1
vaccine candidate (NVX-CoV2515) met the primary strain-change endpoint. The
data demonstrate that the BA.1 vaccine candidate neutralizing responses in
those not previously exposed to COVID-19 were greater than those of the
prototype vaccine (NVX-CoV2373), enabling a shift to a new variant vaccine, if
necessary (see chart 1).
Additionally, data show no benefit for the Novavax bivalent vaccine candidate
compared to the BA.1 vaccine candidate or prototype vaccine in the overall
trial population. Immunoglobulin G (IgG) antibody responses against BA.1 and
prototype strains showed similar responses across the three vaccine groups
(prototype [n=273], BA.1 vaccine candidate [n=279], and bivalent – prototype +
BA.1 vaccine candidate [n=277]).* Importantly, for the BA.5 strain (which is
structurally similar to BA.1), pseudoneutralization responses demonstrated that
there was no benefit for the BA.1 or bivalent vaccine candidates compared to
the prototype vaccine.**
Overall, the data demonstrated that the prototype vaccine induced a broad
immune response against original prototype, BA.1, and BA.5 strains. The
prototype vaccine induced robust IgG responses to both BA.1 and the matched
prototype strain.* Pseudoneutralization responses against BA.5 for the
prototype vaccine were comparable to those induced by the more closely matched
BA.1 vaccine and bivalent vaccine candidates.*
"Today's results show that use of our prototype vaccine as a booster induces
cross-reactive responses to a broad range of variants with the potential to
protect against future strains. This is a hallmark of our vaccine technology
and shows the suitability of our current prototype vaccine as a booster even as
the COVID-19 landscape continues to evolve," said Gregory M. Glenn, M.D.,
President of Research and Development, Novavax. "Our vaccine, which provides
broad immune response even in the face of evolving variants, presents a
potential strategy to protect against COVID-19 now and into the future."
When given as a second booster dose (fourth dose), all three vaccine
formulations were similarly well-tolerated, consistent with the
well-established safety profile of the prototype vaccine. The most common local
solicited symptom was pain/tenderness (BA.1 69%, prototype 71%, bivalent 65%).
The most common systemic solicited symptoms were fatigue and malaise (BA.1 45%,
prototype 41%, bivalent 45%), headache (BA.1 38%, prototype 35%, bivalent 36%),
muscle pain (BA.1 25%, prototype 24%, bivalent 24%), and joint pain (BA.1 10%,
prototype 11%, bivalent 6%), with the majority of reactions being mild or
moderate.
Chart 1: Geometric Mean Ratio of BA.1 wild-type Neutralizing Responses (Day 14)
Study Arm in Participants Not Previously Infected
|
Group Comparisons |
||
Neutralizing antibodies for BA.1 |
BA.1 vaccine to |
Bivalent vaccine to |
Bivalent vaccine to |
Geometric Mean Ratio (GMR) |
1.6 |
1.2 |
0.7 |
GMR 95% Confidence Interval |
1.31, 2.03 |
0.94, 1.44 |
0.57, 0.89 |
*IgG responses are not statistically significant.
**Fit-for-purpose analysis being confirmed with validated assay.
About the Phase 3 Omicron Trial
Novavax' Phase 3 Omicron trial is a two-part, observer blinded, randomized
trial to evaluate Omicron subvariant vaccine candidates. NVX-CoV2515 (BA.1) and
bivalent (NVX-CoV2373 + Omicron subvariant NVX-CoV2515) vaccine candidates were
compared to NVX-CoV2373 in adults aged 18 to 64 previously vaccinated with
three doses of mRNA vaccines. All formulations include the Matrix-M(TM)
adjuvant to enhance and broaden the immune response. The trial is evaluating
the reactogenicity and immune responses to all three formulations. The trial's
primary endpoints include measures of immune response, and its secondary
endpoints include additional measurements of immune responses and safety
measures. The trial plans to enroll 2,090 adults aged 18 to 64 across 19 sites
in Australia.
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 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 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 the vaccine 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 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. The Novavax COVID-19 vaccine
has received authorization from multiple regulatory authorities globally,
including the U.S. Food and Drug Administration, the European Commission, and
the World Health Organization. The vaccine is currently under review by
multiple regulatory agencies worldwide, including for additional populations
and indications such as adolescents and as a booster. In addition to its
COVID-19 vaccine, Novavax is also currently evaluating its COVID-19-Influenza
Combination (CIC) vaccine candidate in a Phase 1/2 clinical trial, its
quadrivalent influenza investigational vaccine candidate, and an Omicron
strain-based vaccine (NVX-CoV2515) as well as a bivalent format 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 (
) .
Forward-Looking Statements
Statements herein relating to the future of Novavax, its operating plans and
prospects, the timing of clinical trial results, the ongoing development of
NVX-CoV2373, including NVX-CoV2515 and bivalent Omicron-based / original strain
based vaccine, the CIC investigational vaccine candidate, the scope, timing and
outcome of future regulatory filings and actions, including 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 and 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
Erika Schultz | 240-268-2022
ir@novavax.com
Media
Ali Chartan or Giovanna Chandler | 202-709-5563
media@novavax.com
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Source - Novavax, Inc.
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