Focusing warp speed on vaccine may cause shortchanging in antibody treatment


Trump received treatment under a special program access program offered by Regeneran. To develop this type of drug it is far from the drug manufacturer and Eli Lilly Bay.

The idea is to roll out treatments more widely under the FDA’s emergency authorization and use them as a bridge to vaccinations. Even if a vaccine is approved later this year, it will take months to get it Millions of Americans and millions of people around the world.

But Vap Speed ​​has so far spent less than 1 1 billion to support the development and production of three monoclonal antibody treatments, about 10 10 billion on six vaccines. That selection may slow down late-stage testing and production of antibodies produced by the laboratory fighting Covid-19. And once monoclonal antibodies are approved, there could be a shortage, experts, including one of the drug manufacturers, said.

The production of antibody treatments, which are administered as an infusion, is a complex and expensive procedure that requires specialized skills and features. The essence of time and money is to increase production.

Longtime senior FDA official Janet Woodcock, who is now the therapeutic head of Warp Speed, said in an interview that the government’s program plans to invest in more than the first three monoclonal antibody treatments. If the clinical trial results are strong, the government will also buy the dose and provide it to Americans free of charge, taking the same approach with speed-speed vaccines, he said.

Two candidate antibodies that are far away – Regenron and Ally Lilly – are evaluated in final-stage trials for treatment in both outpatient and hospital settings. Researchers are also exploring whether high-risk populations such as nursing homes and meatpacking plants prevent infection.

Both companies have seen hesitations in enrolling people in their clinical trials, but preliminary data are now beginning to surface. No company has yet published its data in a peer-reviewed journal.

Lily released preliminary data showing that her antibody treatment in September reduced the amount of virus in patients and reduced hospital admissions rates. Lilly CEO David Ricks said in an interview that the data may be enough to get emergency approval from the FDA, but he did not discuss the timing. Green will prepare more than 100,000 doses by the end of the year, but there will be a shortage, he said.

Regeneron also released promising data on his antibody cocktail in late September. A high dose of the treatment tested in the late-stage trial was given to Trump on Friday after his Covid-19 diagnosis.

Preliminary data on 275 people outside the hospital showed how the treatment helped reduce the viral load and symptoms. But it is not clear whether that information will be sufficient for emergency authorization as the FDA may wait for data on hospitalized patients, where treatment is easier to administer, says Geoffrey Porges, an analyst at investment bank SVB Lynch.

If the motivation is given in a hospital setting, it won’t be a problem, Woodcock confirmed.

But if monoclonal antibodies – MABS, for shorthand – are administered on an outpatient basis, the speed of the vortex is still working carefully through the various scenes where this infusion will take place. Rope Speed ​​Covid-19 does not want to join cancer treatment centers in treatment. And they cannot be given in a setting like a retail pharmacy; It must be a more specialized center.

The FDA may issue emergency use rights for antibody treatment, from a few weeks to a month or two from now, HHS Secretary Alex Azar said at a House committee hearing on Friday. But even with the EUA, there will be people diagnosed with Covid-19 who need antibody treatment that they won’t be able to get – either because of their high price tag or because the supply is thin.

Lane Schliefer, CEO of Regeneron, said production capacity for monoclonal antibodies did not match potential requirements. Rope Speed ​​provided Regeneron with approximately 50 50,450 million worth of treatments, ranging from 70 70,000,000 to, 300,000, which came before the end of the year.

More information from the late-stage Regeneron trial is expected before the end of the year, but many remain unaware of how and where antibody treatment will be given and who will get them first.

“It is safe to say that the vaccine was given priority, perhaps for good reason. It is also difficult to say whether the scavenger has had any effect on antibody therapy, said Jacqueline Wolfram, director of MIT’s Biomanufacturing Research Program.

The initial delay in registering participants in the Lily and Regeneron trials also raised concerns among experts that the federal government did not provide adequate funding as soon as possible.

However, Regeneron now says it has enrolled 2,000 patients in five late-phase trials, with early recruitment delays forcing Woodcock and NIH director Francis Collins to also send letters to Convincant Plasma Trials working on the Regeneron treatment site.