Healthcare

Moderna’s mRNA-1469 Recommended for Conditional Phase 2/3 Ebola Vaccine Study

Moderna said mRNA-1469 has been recommended for inclusion in the Phase 2/3 Tumaini efficacy study in the Democratic Republic of the Congo, subject to regulatory approval.

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Moderna, Inc. (NASDAQ:MRNA) said its investigational mRNA-1469 vaccine candidate has been recommended for inclusion in a Phase 2/3 efficacy study targeting Bundibugyo ebolavirus (BDBV). The proposed evaluation in the Democratic Republic of the Congo (DRC) remains subject to regulatory approval.

#WHO advisory group supports further evaluation

The recommendation followed an October 22 review of available evidence by the World Health Organization’s Technical Advisory Group on Candidate Vaccine Prioritization. Moderna said the evidence included preclinical findings and interim results from a Phase 1 clinical trial.

If regulatory approval is granted, mRNA-1469 will be evaluated in the Phase 2/3 Tumaini study. The study is being conducted as part of the DRC government’s response to the Bundibugyo virus disease outbreak.

#Phase 1 findings in Canada

Moderna reported interim results from a first-in-human Phase 1 study involving healthy adults ages 18 to 65 in Canada. The company said the candidate was generally well tolerated across all doses tested.

According to Moderna, a single dose produced robust BDBV-specific binding antibody responses. The company also cited preclinical research showing protective responses in relevant preclinical models.

#Design and oversight of the Tumaini study

Tumaini is planned as a randomized, blinded, active-controlled adaptive platform trial using a ring-vaccination approach. It is intended to assess multiple vaccine candidates, including mRNA-1469, among contacts of confirmed Bundibugyo virus disease cases.

The study is co-sponsored by the Institut National de Recherche Biomédicale and the University of Antwerp. The DRC Ministry of Health provides national leadership and oversight.

#CEPI funding and Moderna’s role

Moderna is developing mRNA-1469 through an expanded strategic collaboration with the Coalition for Epidemic Preparedness Innovations (CEPI). CEPI has committed up to US$58.5 million to Moderna for preclinical testing, Phase 1 trials in Canada and Uganda, and the manufacture of additional clinical trial doses for Tumaini.

CEPI is also providing separate funding for the Tumaini study. Moderna said it will supply mRNA-1469 and support its clinical evaluation as part of the trial.

#Access depends on efficacy and authorization

Moderna said it is working with CEPI, Gavi, the Vaccine Alliance, and other global health partners on procurement and supply mechanisms intended to support rapid and equitable access to mRNA-1469. Any rapid deployment to affected populations would depend on the vaccine demonstrating efficacy and receiving authorization from relevant health authorities.

Bundibugyo virus is one of four orthoebolaviruses known to cause disease in humans. Moderna said there is currently no licensed vaccine specifically indicated for the prevention of Bundibugyo virus disease.

#Key Takeaways

  • Moderna said mRNA-1469 was recommended for inclusion in the Phase 2/3 Tumaini efficacy study.
  • The proposed DRC study remains subject to regulatory approval.
  • Phase 1 results in healthy adults ages 18 to 65 in Canada showed the candidate was generally well tolerated across all doses tested.
  • CEPI has committed up to US$58.5 million for specified development and manufacturing activities, while also funding the Tumaini study separately.
  • Potential deployment would require demonstrated efficacy and authorization from relevant health authorities.

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