截止10月13日为止,全世界共有39款疫苗进入3期或者2/3期联合试验阶段。
德国和法国放弃两款mRNA 疫苗;
1. 德国的CureVac于去年12月已经进入3期试验,今年6月三期试验仅达到48%的防感染率,对于18-60岁志愿者效果稍好,达到53%,住院和死亡的保护率达到100%。三期试验结果虽然不理想,这款疫苗仍然在欧盟申请用于60岁以下人群的紧急批准,但未获欧盟加速审理,今天这款疫苗撤出申请,宣布放弃。
CureVac 现在正在致力于英国的GSK合作研发新一代新冠疫苗。
2. 9月28日,法国Sanofi 和美国Translate Bio 合作的mRNA 疫苗,今年3月进行了1/2期试验,因为辉瑞和莫德纳疫苗已经广泛使用,Sannofi 宣布放弃这款疫苗。
Sanofi 现在正在致力于一款作为加强剂的protein - based 疫苗的三期试验。
3. 中国两款疫苗进入第三期试验。
4. 伊朗紧急授权批准澳大利亚Spikogen疫苗。
5. 韩国Genexine 的DNA疫苗于10月在印尼开始2/3期联合试验。
New additions and recent updates | |
Oct. 13 香港大学和厦门大学鼻喷型疫苗9月22日进入3期试验。 | The University of Hong Kong and Xiamen University move to Phase 3. |
Oct. 13 中逸安科生物、辽宁茂康源生物和军事医学科学院联合研发的疫苗9月5日进入第三期试验 | China’s Zhongyianke Biotech moves to Phase 3. |
Oct. 12 伊朗紧急授权批准并生产澳大利亚Vaxine的Spikogen 疫苗,8月13日开始第三期试验,结果将于年底公布。 | Iran authorizes Spikogen, a vaccine by the Australian company Vaxine. |
Oct. 12 德国放弃第三期试验未达标的mRNA 疫苗 | Germany’s CureVac abandons its Phase 3 vaccine, CVnCoV. |
Oct. 7 韩国Genexine 的DNA疫苗于10月在印尼开始2/3期联合试验 | South Korea’s Genexine moves to Phase 2/3. |
Oct. 7 | The San Francisco company Vaxart moves to Phase 2. |
Oct. 6 | Norway’s Vaccibody enters Phase 1/2. |
Sept. 30 | Korea’s Eyegene enters Phase 1/2. |
Sept. 28 法国Sanofi 放弃今年3月进入1/2期试验的mRNA疫苗 | France’s Sanofi abandons its mRNA Covid-19 vaccine program. |
Sept. 22 美国FDA 授权为 65 岁及以上的人群和其他高危人群接种第三针辉瑞 BioNTech 疫苗。 | The F.D.A. authorizes a third shot of the Pfizer-BioNTech vaccine for people age 65 and older, and other populations at high risk. |
Sept. 22 华盛顿大学和 印度Bharat Biotech 的鼻喷雾疫苗进入第 2/3 阶段。 | A nasal spray vaccine by Washington University and Bharat Biotech moves to Phase 2/3. |
Sept. 22 | A vaccine developed at the Icahn School of Medicine at Mount Sinai moves to Phase 2. |
Sept. 22 | Clover Biopharmaceuticals announces vaccine efficacy results against the Delta variant. |
PHASE 3
In 2019, researchers at the
University of Hong Kong and
Xiamen University created a nasal-spray vaccine for the flu based on a genetically weakened form of the influenza virus. In early 2020, they engineered the vaccine to produce part of the coronavirus spike protein as well. On Sept. 9, they received
approval to start clinical trials in partnership with
Beijing Wantai Biological Pharmacy. They
registered a Phase 1 trial on March 22, 2021. At a June 11 press conference, a researcher for the Chinese Center for Disease Control and Prevention said that this vaccine has
completed Phase 2 trials. And on Sept. 22, the researchers registered a
Phase 3 trial. The researchers are receiving
$5.4 million in support from CEPI, the Coalition for Epidemic Preparedness Innovations.
Updated Oct. 13
PHASE 3
Researchers at
Zhongyianke Biotech,
Liaoning Maokangyuan Biotech and the
Academy of Military Medical Sciences are using Chinese hamster ovary cells to help create immunity in humans. They registered a
Phase 1 trial in China last November. On March 24, they
advanced the vaccine to Phase 2. The researchers registered a
Phase 3 trial on Sept. 5.
Updated Oct. 13
PHASE 3 EMERGENCY USE IN IRAN
The Australian company
Vaxine developed a vaccine that combines viral proteins with an adjuvant that stimulates the immune system. A
Phase 1 trial began in June 2020, and the company
announced promising results in April 2021. In June, 2021, Vaxine
launched a
Phase 2 trial in Iran, followed by a
Phase 3 trial, registered Aug. 13. In October, Iran issued an
emergency authorization for Spikogen, to be
produced by the Iranian company CinnaGen. Results of the Phase 3 trial are
expected by the end of the year.
EMERGENCY USE IN:
Iran.
Updated Oct. 12
ABANDONED
VACCINE NAME: CVnCoV
EFFICACY:
48%
DOSE: 2 doses, 4 weeks apart
TYPE: Muscle injection
STORAGE: Stable at least 3 months at 36–46°F (2–8°C)
The German company
CureVac generated a lot of hope for its mRNA vaccine for Covid-19 in 2020, only to see it deliver disappointing results in clinical trials the following year.
The company, founded in 2001, had years of experience developing experimental mRNA vaccines for a host of diseases. In early 2020, they began work on a Covid-19 vaccine, called CVnCoV. In March, the Trump administration unsuccessfully tried to entice
CureVac to
move its research on their mRNA vaccine from Germany to the United States.
The company
plowed ahead with its work in Germany, seeing responses to the vaccine
in mice and
monkeys before launching clinical trials in July. CVnCoV showed promise in several respects: it could remain stable in a refrigerator rather than a freezer, and preliminary studies suggested it would work well at a low dose, reducing its cost.
In December, CureVac launched
a Phase 3 trial, recruiting up to 36,500 volunteers in Germany. The European Union began a
rolling review in February, intended to speed up approval if the Phase 3 trial delivers positive results.
Meanwhile, CureVac prepared for mass production of the vaccine. The company negotiated a deal to provide the European Union with
up to 400 million doses of their vaccine. They projected manufacturing
up to 300 million doses in 2021 and up to
a billion doses the following year. Starting in January 2021, CureVac forged a series of partnerships with pharmaceutical giants
Bayer,
Celonic,
GSK, and
Novartis, to support the production of their vaccine and develop new ones against
coronavirus variants.
In June 2021, CureVac reported
disappointing results from their Phase 3 trial.
Overall, CVnCoV had an efficacy of just 48 percent against Covid-19. It proved somewhat better for younger volunteers: For those between the ages of 18 and 60, the efficacy rose to 53 percent. In that group, the researchers also found the vaccine provided 100 percent protection against hospitalization and death. Researchers later
pointed to the vaccine dosage along with the rise of new variants as potential reasons for the low efficacy. On Sept. 14, CureVac
announced that it had cancelled its manufacturing deals with Celonic and German company Wacker, citing a decline in demand for CVnCoV.
Despite the disappointing results, the company moved ahead with preparing an application to the European Union for emergency authorization for the use of the vaccine in people 60 and under. But European regulators gave no indication they would continue speeding along their review. As a result, on Oct. 12, CureVac
announced that it would withdraw CVnCoV from the regulatory approval process.
Instead, CureVac is focusing its efforts on a next-generation vaccine for Covid-19, called CV2CoV, that it is developing with GSK. In an experiment on monkeys, researchers found that it
generates a stronger immune response in animals compared to the original CVnCoV vaccine. In October 2021, CureVac indicated that it planned to start a Phase 1 trial on CV2CoV by the end of the year.
Updated Oct. 13
PHASE 2 PHASE 3 COMBINED PHASES
The South Korean company
Genexine started testing the safety of a DNA-based vaccine in June 2020. In December, the Korea Biomedical Review
reported that Genexine got disappointing results from their initial formulation and decided to restart their trials with a modified vaccine. On Jan. 20, 2021, the company
registered a Phase 1/2 trial, and in June they registered a
Phase 1 trial for elderly volunteers.
The Indonesian pharmaceutical company Kalbe Farma
pledged in April to buy 10 million doses of Genexine’s vaccine if it is proven to be safe and effective. In July, Indonesian regulators gave
the green light for a late-stage clinical trial. Genexine registered
a Phase 2/3 clinical trial in October to test their vaccine as a booster for other vaccines.
Updated Oct. 7
ABANDONED
The French pharmaceutical company
Sanofi collaborated with Massachusetts-based
Translate Bio to develop an mRNA vaccine for Covid-19. In 2020, they reported that the vaccine, MRT5500, produced
a strong antibody response in mice and monkeys, and
protected hamsters against coronavirus infections. They followed up on that research with a Phase 1/2 trial in March 2021. Over the summer, Sanofi acquired Translate Bio for $3 billion. On Sept. 28, the company
announced that the trial had yielded encouraging results. By then, however, Pfizer-BioNTech and Moderna vaccines were widely available, and so Sanofi decided to
pull the plug on its own mRNA Covid-19 vaccine program. Meanwhile, it is continuing a Phase 3 trial on a protein-based vaccine that could serve as a booster against Covid-19.
Updated Sept. 28