|Articles|April 19, 2022

Moderna Reports Superiority Against Variants With Investigational Booster

The company says its first bivalent investigational vaccine, mRNA-1273.211, was efficacious against the Beta, Delta, and Omicron strains. They have identified another bivalent booster, mRNA-1273.214, which the company sees as its leading candidate for a fall 2022 scheduled dosing.


Moderna announced today its investigational bivalent vaccine candidate, mRNA-1273.211, was shown to be superior compared to its mRNA-1273 booster against the Beta, Delta, and Omicron strains 1 month after administration of its single 50 µg booster dose. And the superiority continued 6 months after administration for the Beta and Omicron variants.

The company said there was a 2.20-fold (95% CI: 1.74, 2.79) and 2.15-fold (95% CI: 1.66, 2.78) increase in the neutralizing antibody titers against Omicron with the mRNA-1273.211 booster dose compared to the mRNA-1273 booster dose at 1 month and 6 months, respectively.

“The results indicate that mRNA-1273.211 at the 50 µg dose level induced higher antibody responses than the 50 µg mRNA-1273 booster, even when additional variants of concern were not included in the booster vaccine," Moderna CEO Stéphane Bancel, said in a statement.

The company reported the vaccine was generally well tolerated. Specifically, the mRNA-1273.211 vaccine was administered to 300 participants at the 50 µg dose and 595 participants received the 100 µg dose. The former booster dosage had a similar incidence profile of solicited adverse reactions and unsolicited adverse events with the authorized mRNA-1273 booster (50 µg). 

Moderna is also studying another bivalent booster candidate, mRNA-1273.214, which combines the FDA authorized COVID-19 booster with their Omicron-specific booster candidate, and the company has identified this vaccine as its leading candidate for the fall 2022 northern hemisphere booster.

"We look forward to sharing initial data on mRNA-1273.214 later in the second quarter. We believe that a bivalent booster vaccine, if authorized, would create a new tool as we continue to respond to emerging variants," Bancel said.

The company posted some of its data in a preprint on Research Gate.


Related to this article

Drawing Borders Around a Borderless Specialty
Editor-in-Chief Jason Gallagher, PharmD, FCCP, FIDP, FIDSA, BCPS, discusses the proposed OMB rule restricting federal grants for international research collaboration, and how it threatens infectious disease medicine's inherently borderless surveillance networks, publication access, and knowledge-sharing systems.
GSK's mRNA Influenza Vaccine Moves to Phase 3 Trial
GSK will advance its investigational mRNA seasonal flu vaccine candidate, which targets both hemagglutinin and neuraminidase, into a phase 3 trial in September 2026 after the shot outperformed licensed flu vaccines in a phase 2 study.