Moderna vaccine produces antibodies in all 45 trial participants

8,498 Views | 59 Replies | Last: 5 yr ago by amercer
Keegan99
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https://www.cnbc.com/2020/05/18/moderna-reports-positive-data-on-early-stage-coronavirus-vaccine-trial.html

Quote:

Moderna's closely watched early-stage human trial for a coronavirus vaccine produced Covid-19 antibodies in all 45 participants, the biotech company announced Monday, sending the company's shares surging 35% in premarket trading.

Each participant received a 25, 100 or 250 microgram dose, with 15 people in each dose group. Participants received two doses of the potential vaccine via intramuscular injection in the upper arm approximately 28 days apart.

At day 43, or two weeks following the second dose, levels of binding antibodies in the 25 microgram group were at the levels generally seen in blood samples from people who recovered from the disease, the company said.

Those in the 100 microgram had antibodies that "significantly exceeded levels" in recovered patients. Data on a second dose was not available for the 250 microgram group, the company said.

The vaccine also produced neutralizing antibodies against Covid-19 in at least eight participants, the company said. Experts have said neutralizing antibodies appear to be important in acquiring protection.

Four participants were assigned to receive a 25 microgram dose, while the other four received 100 micrograms. Levels of neutralizing antibodies were at or above levels seen in blood samples, the company said. Data on neutralizing antibodies for the other participants were not yet available, Moderna said.

Quote:

The company said it expects to begin a phase 3 trial in July.

Earlier this month, Moderna announced that it was wrapping up phase one human trials on its potential vaccine with the U.S. government and is moving to start phase two trials that would include 600 participants. If the vaccine is found to be effective and safe to use, it could be ready for the market in early 2021, the company said.

The company said the vaccine was generally safe and well tolerated. To date, the most notable adverse events were seen in the 250-dose group where three participants developed "grade 3 systemic symptoms," following the second dose, the company said.

The potential vaccine by Moderna contains genetic material called messenger RNA, or mRNA, that was produced in a lab. The mRNA is a genetic code that tells cells what to build in this case, an antigen that may induce an immune response to the virus.

The phase 1 trial took place at the Kaiser Permanente Washington Health Research Institute in Seattle, Washington. It tested the vaccine on 45 males and non-pregnant females between the ages of 18 and 55.

Other articles have pointed to the possibility of emergency use of the vaccine as soon as this fall.
ElephantRider
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What are "grade 3 systemic symptoms"?
amercer
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My biggest question for Moderna is how much they can scale manufacturing. They've been around for a while, but they've never really brought a drug to market. I don't think anyone in the world has manufactured RNA on the scale that will be required.
Windy City Ag
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https://www.fiercepharma.com/manufacturing/moderna-aims-for-a-billion-covid-19-shots-a-year-lonza-manufacturing-tie-up

Quote:

Moderna aims for a billion COVID-19 shots a year with Lonza manufacturing tie-up

If all goes to plan, the partners will continue to build out additional manufacturing sites that could bring Moderna's capacity up to 1 billion shots per year, the drugmakers said.

"This long-term strategic collaboration agreement will enable Moderna to accelerate, by 10 times, our manufacturing capacity for mRNA-1273 and additional products in Moderna's large clinical portfolio," Moderna CEO Stphane Bancel said in a release. "Lonza's global presence and expertise are critical as we scale at unprecedented speed."
amercer
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ElephantRider said:

What are "grade 3 systemic symptoms"?


Bad full body rash?

There are rules about how you list and repot side effects, but without more details it's hard to know for sure.
74Ag1
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amercer said:

My biggest question for Moderna is how much they can scale manufacturing. They've been around for a while, but they've never really brought a drug to market. I don't think anyone in the world has manufactured RNA on the scale that will be required.

Should get some kind of Government tax breaks or no interest loan to expand capacity.

Or maybe they could Contract/JV with other companies

This is great news
amercer
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Windy City Ag said:


https://www.fiercepharma.com/manufacturing/moderna-aims-for-a-billion-covid-19-shots-a-year-lonza-manufacturing-tie-up

Quote:

Moderna aims for a billion COVID-19 shots a year with Lonza manufacturing tie-up

If all goes to plan, the partners will continue to build out additional manufacturing sites that could bring Moderna's capacity up to 1 billion shots per year, the drugmakers said.

"This long-term strategic collaboration agreement will enable Moderna to accelerate, by 10 times, our manufacturing capacity for mRNA-1273 and additional products in Moderna's large clinical portfolio," Moderna CEO Stphane Bancel said in a release. "Lonza's global presence and expertise are critical as we scale at unprecedented speed."



I've worked with Lonza. They do have a lot of capacity.

I think it's really important for people to know that "fast" means vastly different things to people in lockdown than to biomanufacturing.

Getting a vaccine to market in 3 years would be incredibly fast. So what people are talking about here is borderline physically impossible. My guess is that anything available by the end of the year is probably in the tens of thousands of doses which will go to healthcare workers.
Not a Bot
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ElephantRider said:

What are "grade 3 systemic symptoms"?


https://www.jacionline.org/article/S0091-6749%2809%2901638-8/fulltext

Looks like Grade 1 is the mildest, Grade 5 is death.

Apparently grade 3 symptoms are pretty rough.
fightingfarmer09
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So 1.2% of pre selected healthy folks had some pretty rough symptoms after their vaccine, for a disease that in the vast majority of folks will be asymptomatic or extremely mild.

Success!
94chem
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Quote:

sending the company's shares surging 35% in premarket trading.


...and a few congressmen just got a lot richer.
Learned2Code
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Here is Moderna's press release.

https://investors.modernatx.com/news-releases/news-release-details/moderna-announces-positive-interim-phase-1-data-its-mrna-vaccine/

Quote:

mRNA-1273 was generally safe and well tolerated, with a safety profile consistent with that seen in prior Moderna infectious disease vaccine clinical studies. The sole incidence of a grade 3 adverse event in the 25 g and 100 g dose cohorts was a single participant at 100 g who experienced grade 3 erythema (redness) around the injection site. To date, the most notable adverse events were seen at the 250 g dose level, comprising three participants with grade 3 systemic symptoms, only following the second dose. All adverse events have been transient and self-resolving. No grade 4 adverse events or serious adverse events have been reported.
Premium
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fightingfarmer09 said:

So 1.2% of pre selected healthy folks had some pretty rough symptoms after their vaccine, for a disease that in the vast majority of folks will be asymptomatic or extremely mild.

Success!


That's pretty funny and sad - an interesting way to look at it for sure. Sounds like they literally got the Coronavirus and naturally produced antibodies. Guessing if someone 70+ yo got these "grade 3 symptoms" they might be more like grade 4 on a vent.
slacker00
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Keegan99 said:

The vaccine also produced neutralizing antibodies against Covid-19 in at least eight participants, the company said.
Isn't this is the critical part? Perhaps not enough time has gone along for them to develop and/or the data hasn't been collected yet, but if that percentage doesn't grow (8 out of 45) this seems less than useful. I know that's not the goal of a Phase I study, but they are collecting data and reporting.

Maybe my perspective is be skewed. Rolling with PCR tests that yield 30% false negatives seems like a failure to me, but it seems to be good enough. The medical world is a strange creature.
Keegan99
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slacker00 said:

Keegan99 said:

The vaccine also produced neutralizing antibodies against Covid-19 in at least eight participants, the company said.
Isn't this is the critical part? Perhaps not enough time has gone along for them to develop and/or the data hasn't been collected yet, but if that percentage doesn't grow (8 out of 45) this seems less than useful. I know that's not the goal of a Phase I study, but they are collecting data and reporting.


Binding antibodies mark the virus for targeting by the immune system. That is extremely useful.
Learned2Code
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The press release says all participants produced antibodies after two doses.

Quote:

After two doses all participants evaluated to date across the 25 g and 100 g dose cohorts seroconverted with binding antibody levels at or above levels seen in convalescent sera
Aggie95
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fightingfarmer09 said:

So 1.2% of pre selected healthy folks had some pretty rough symptoms after their vaccine, for a disease that in the vast majority of folks will be asymptomatic or extremely mild.

Success!


didn't read article but perhaps those negative reactions occured with the 100 or 250 microgram doses? If the 25 microgram dose is enough to be effective and not cause bad sad effects that would be great. All in all, still positive news.
KlinkerAg11
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Who gets the vaccine if it's approved for emergency use?

I'm assuming health care professionals?
John Francis Donaghy
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Aggie95 said:

fightingfarmer09 said:

So 1.2% of pre selected healthy folks had some pretty rough symptoms after their vaccine, for a disease that in the vast majority of folks will be asymptomatic or extremely mild.

Success!


didn't read article but perhaps those negative reactions occured with the 100 or 250 microgram doses? If the 25 microgram dose is enough to be effective and not cause bad sad effects that would be great. All in all, still positive news.


Mostly the 250 group, one in the 100 group. Sounds like 25 is just as effective and harmless according the research so far. Good news for manufacturing speed also. Smaller amount per dose means more doses per each batch manufactured. Good news all around.
fightingfarmer09
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I'm curious if we are going to see a repeat of 1976 swine flu response where the vaccine was widely viewed as more harmful to people than the actual flu.

https://en.m.wikipedia.org/wiki/1976_swine_flu_outbreak
amercer
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I hope we've learned things in the last 40 years, but stuff goes wrong when you rush.
Fitch
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This will be interesting to watch. Phase 2 testing is how long / many people?
BigRobSA
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fightingfarmer09 said:

I'm curious if we are going to see a repeat of 1976 swine flu response where the vaccine was widely viewed as more harmful to people than the actual flu.

https://en.m.wikipedia.org/wiki/1976_swine_flu_outbreak


Same thing with SARS, IIRC
"The Declaration of Independence and the US Constitution was never designed to restrain the people. It was designed to restrain the government."
plain_o_llama
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And after the market closed.....

https://www.businesswire.com/news/home/20200518005724/en/Moderna-Announces-Proposed-Public-Offering-Shares-Common

CAMBRIDGE, Mass.--(BUSINESS WIRE)--Moderna, Inc. (Nasdaq: MRNA), a clinical stage biotechnology company pioneering messenger RNA (mRNA) therapeutics and vaccines to create a new generation of transformative medicines for patients, today announced that it has commenced an underwritten public offering of $1.25 billion in shares of common stock. In addition, Moderna expects to grant the underwriters a 30-day option to purchase up to an additional $187.5 million in shares of common stock in connection with the public offering. All shares of common stock will be offered by Moderna.
John Francis Donaghy
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plain_o_llama said:

And after the market closed.....

https://www.businesswire.com/news/home/20200518005724/en/Moderna-Announces-Proposed-Public-Offering-Shares-Common

CAMBRIDGE, Mass.--(BUSINESS WIRE)--Moderna, Inc. (Nasdaq: MRNA), a clinical stage biotechnology company pioneering messenger RNA (mRNA) therapeutics and vaccines to create a new generation of transformative medicines for patients, today announced that it has commenced an underwritten public offering of $1.25 billion in shares of common stock. In addition, Moderna expects to grant the underwriters a 30-day option to purchase up to an additional $187.5 million in shares of common stock in connection with the public offering. All shares of common stock will be offered by Moderna.



Good. They're going to need cash to keep this moving forward fast and mass produced. Let the market work.
NorthFultonAg07
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I dont know about y'all but I'm thinking I trust my body to naturally fight this off way more than some rushed vaccine that has great financial incentive behind it. This virus is not the killer that ( sadly it seems ) many people have hoped for.
MemorialTXAg
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NorthFultonAg07
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Definetly whatever helps get us back to normal quickly is best. But i think we should just go back to normal now with the exception of nursing homes and long term care facilities. Cause i would hate to put hope in this only to find out that it isn't going to work.
TXAggie2011
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No Pressure said:

NorthFultonAg07 said:

I dont know about y'all but I'm thinking I trust my body to naturally fight this off way more than some rushed vaccine that has great financial incentive behind it. This virus is not the killer that ( sadly it seems ) many people have hoped for.
I don't know about you, but at this point I will take anything that will make the masses return back to life ASAP. If it's a rushed vaccine, so be it.
We don't need anything happening with a Covid-19 vaccine to give the American public more reasons to push against vaccines, science, etc.
Enrico Pallazzo
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Being a healthy 45 year old, I'm good taking my chances with the real deal virus. But I'm hopeful the work on this one will be fruitful for the real nasty one that China will surely produce at some point. The one capable of killing 15-20% of us is coming. Just a matter of when
Harry Stone
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amercer said:

My biggest question for Moderna is how much they can scale manufacturing. They've been around for a while, but they've never really brought a drug to market. I don't think anyone in the world has manufactured RNA on the scale that will be required.


the cost is enormous as well. a 30k base sequence may cost upwards of $40,000,000 per 10 gms, which could treat 200,000 patients if they go with 2
25 mcg doses.
Seven Costanza
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Bingo Bango Bongo said:

Being a healthy 45 year old, I'm good taking my chances with the real deal virus. But I'm hopeful the work on this one will be fruitful for the real nasty one that China will surely produce at some point. The one capable of killing 15-20% of us is coming. Just a matter of when
This would be like a drug dealer killing off 20% of its clients. The current setup (pre-COVID) was amazing for Chinese elites. Get filthy rich using slave labor to sell crap to the rest of the world. Why mess that up?
eric76
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3 of the 15 taking the 250 mcg dose is 20%

4 of all 45 being tested is 11.25%
lazuras_dc
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Seven Costanza said:

Bingo Bango Bongo said:

Being a healthy 45 year old, I'm good taking my chances with the real deal virus. But I'm hopeful the work on this one will be fruitful for the real nasty one that China will surely produce at some point. The one capable of killing 15-20% of us is coming. Just a matter of when
This would be like a drug dealer killing off 20% of its clients. The current setup (pre-COVID) was amazing for Chinese elites. Get filthy rich using slave labor to sell crap to the rest of the world. Why mess that up?


I don't think he means produce on purpose...
Enrico Pallazzo
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Seven Costanza said:

Bingo Bango Bongo said:

Being a healthy 45 year old, I'm good taking my chances with the real deal virus. But I'm hopeful the work on this one will be fruitful for the real nasty one that China will surely produce at some point. The one capable of killing 15-20% of us is coming. Just a matter of when
This would be like a drug dealer killing off 20% of its clients. The current setup (pre-COVID) was amazing for Chinese elites. Get filthy rich using slave labor to sell crap to the rest of the world. Why mess that up?
I'm not saying it will necessarily be intentional. Their wet markets are a novel zoonotic disease factory, so it may very well happen on its own vs. intentional. Or it could be an accidental release of a weaponized virus. I don't trust the chinese to be stand-up, clean, or competent. So there are any number of ways they could **** a good portion of the world's population with a wicked virus, accidental or intentional.
GE
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amercer said:

My biggest question for Moderna is how much they can scale manufacturing. They've been around for a while, but they've never really brought a drug to market. I don't think anyone in the world has manufactured RNA on the scale that will be required.
What scale are we talking about here? Hopefully enough for people at higher risk for a seriously bad illness
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