Safety, efficacy, and immunogenicity of the NVX-CoV2373 vaccine

Introduction The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in significant morbidity and mortality worldwide. As SARS-CoV-2 moves into endemic status, vaccination remains a key element in protecting the health of...

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Main Authors: Eddie Underwood, Lisa M. Dunkle, Shabir A. Madhi, Cynthia L. Gay, Paul T. Heath, Karen L. Kotloff, Katherine Smith, Gordon Chau, Shirley Galbiati, Alice McGarry, Wayne Woo, Iksung Cho, Katia Alves, Germán Áñez, Chijioke Bennett, Vivek Shinde, Louis Fries, Raburn M. Mallory, Gregory M. Glenn, Seth Toback
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Expert Review of Vaccines
Subjects:
Online Access:http://dx.doi.org/10.1080/14760584.2023.2218913
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author Eddie Underwood
Lisa M. Dunkle
Shabir A. Madhi
Cynthia L. Gay
Paul T. Heath
Karen L. Kotloff
Katherine Smith
Gordon Chau
Shirley Galbiati
Alice McGarry
Wayne Woo
Iksung Cho
Katia Alves
Germán Áñez
Chijioke Bennett
Vivek Shinde
Louis Fries
Raburn M. Mallory
Gregory M. Glenn
Seth Toback
author_facet Eddie Underwood
Lisa M. Dunkle
Shabir A. Madhi
Cynthia L. Gay
Paul T. Heath
Karen L. Kotloff
Katherine Smith
Gordon Chau
Shirley Galbiati
Alice McGarry
Wayne Woo
Iksung Cho
Katia Alves
Germán Áñez
Chijioke Bennett
Vivek Shinde
Louis Fries
Raburn M. Mallory
Gregory M. Glenn
Seth Toback
author_sort Eddie Underwood
collection DOAJ
description Introduction The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in significant morbidity and mortality worldwide. As SARS-CoV-2 moves into endemic status, vaccination remains a key element in protecting the health of individuals, societies, and economies worldwide. Areas covered NVX-CoV2373 (Novavax, Gaithersburg, MD) is a recombinant protein vaccine composed of SARS-CoV-2 spike trimer nanoparticles formulated with saponin-based Matrix-M™ adjuvant (Novavax, Gaithersburg, MD). NVX-CoV2373 is authorized for emergency use in adults and adolescents aged ≥12 years in the United States and numerous other countries. Expert opinion In clinical trials, NVX-CoV2373 showed tolerable reactogenicity and favorable safety profiles characterized by mostly mild-to-moderate adverse events of short duration and by low rates of severe and serious adverse events comparable to those seen with placebo. The two-dose primary vaccination series resulted in robust increases in anti-spike protein immunoglobulin G, neutralizing antibody titers, and cellular immune responses. NVX-CoV2373 vaccination was associated with complete protection against severe disease and a high (90%) rate of protection against symptomatic disease in adults, including symptomatic disease caused by SARS-CoV-2 variants. Additionally, the NVX-CoV2373 adjuvanted recombinant protein platform offers a means to address issues of COVID-19 vaccination hesitancy and global vaccine equity.
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spelling doaj.art-63a46f7f41f7419791219c14242672d72023-09-20T10:33:44ZengTaylor & Francis GroupExpert Review of Vaccines1476-05841744-83952023-12-0122150151710.1080/14760584.2023.22189132218913Safety, efficacy, and immunogenicity of the NVX-CoV2373 vaccineEddie Underwood0Lisa M. Dunkle1Shabir A. Madhi2Cynthia L. Gay3Paul T. Heath4Karen L. Kotloff5Katherine Smith6Gordon Chau7Shirley Galbiati8Alice McGarry9Wayne Woo10Iksung Cho11Katia Alves12Germán Áñez13Chijioke Bennett14Vivek Shinde15Louis Fries16Raburn M. Mallory17Gregory M. Glenn18Seth Toback19Novavax, IncNovavax, IncUniversity of the WitwatersrandUniversity of North Carolina School of MedicineUniversity of London and St George’s University Hospitals NHS; Foundation TrustUniversity of Maryland School of MedicineNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncNovavax, IncIntroduction The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in significant morbidity and mortality worldwide. As SARS-CoV-2 moves into endemic status, vaccination remains a key element in protecting the health of individuals, societies, and economies worldwide. Areas covered NVX-CoV2373 (Novavax, Gaithersburg, MD) is a recombinant protein vaccine composed of SARS-CoV-2 spike trimer nanoparticles formulated with saponin-based Matrix-M™ adjuvant (Novavax, Gaithersburg, MD). NVX-CoV2373 is authorized for emergency use in adults and adolescents aged ≥12 years in the United States and numerous other countries. Expert opinion In clinical trials, NVX-CoV2373 showed tolerable reactogenicity and favorable safety profiles characterized by mostly mild-to-moderate adverse events of short duration and by low rates of severe and serious adverse events comparable to those seen with placebo. The two-dose primary vaccination series resulted in robust increases in anti-spike protein immunoglobulin G, neutralizing antibody titers, and cellular immune responses. NVX-CoV2373 vaccination was associated with complete protection against severe disease and a high (90%) rate of protection against symptomatic disease in adults, including symptomatic disease caused by SARS-CoV-2 variants. Additionally, the NVX-CoV2373 adjuvanted recombinant protein platform offers a means to address issues of COVID-19 vaccination hesitancy and global vaccine equity.http://dx.doi.org/10.1080/14760584.2023.2218913clinical trialcoronaviruscovid-19, matrix-m adjuvantpreventionprotein-based vaccinesars-cov-2vaccinationnvx-cov2373
spellingShingle Eddie Underwood
Lisa M. Dunkle
Shabir A. Madhi
Cynthia L. Gay
Paul T. Heath
Karen L. Kotloff
Katherine Smith
Gordon Chau
Shirley Galbiati
Alice McGarry
Wayne Woo
Iksung Cho
Katia Alves
Germán Áñez
Chijioke Bennett
Vivek Shinde
Louis Fries
Raburn M. Mallory
Gregory M. Glenn
Seth Toback
Safety, efficacy, and immunogenicity of the NVX-CoV2373 vaccine
Expert Review of Vaccines
clinical trial
coronavirus
covid-19, matrix-m adjuvant
prevention
protein-based vaccine
sars-cov-2
vaccination
nvx-cov2373
title Safety, efficacy, and immunogenicity of the NVX-CoV2373 vaccine
title_full Safety, efficacy, and immunogenicity of the NVX-CoV2373 vaccine
title_fullStr Safety, efficacy, and immunogenicity of the NVX-CoV2373 vaccine
title_full_unstemmed Safety, efficacy, and immunogenicity of the NVX-CoV2373 vaccine
title_short Safety, efficacy, and immunogenicity of the NVX-CoV2373 vaccine
title_sort safety efficacy and immunogenicity of the nvx cov2373 vaccine
topic clinical trial
coronavirus
covid-19, matrix-m adjuvant
prevention
protein-based vaccine
sars-cov-2
vaccination
nvx-cov2373
url http://dx.doi.org/10.1080/14760584.2023.2218913
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