“The findings were considered consistent with immune system stimulation consequent to administration of an active adjuvant, and comprised: local injection site inflammation, reversible enlargement of the lymph nodes draining the injection sites (but not elsewhere), and chemical markers of inflammation (i.e., CRP, fibrinogen, and globulin).”
No biodistribution data at approval; mouse biodistribution study of Matrix-M1 adjuvant planned
“As the Matrix-M1 adjuvant is not currently marketed in a human vaccine in the EU market, Novavax is planning to conduct a biodistribution study in mice to evaluate the Matrix-M1 adjuvant, which may be of value in further understanding the mode of action of the adjuvant.”
Vaccine-induced enhanced disease: none seen after SARS-CoV-2 challenge in animals given low (0.01-1 µg) antigen doses
“In animals vaccinated with low doses (i.e., 0.01 µg, 0.1 µg or 1 µg) of Wuhan rS prior to challenge with SARS-CoV-2, no evidence of exacerbation of disease was found in necropsy and histopathology, thus alleviating earlier concerns about potential occurrence of vaccine-induced enhanced disease in vaccine recipients after a subsequent exposure to SARS-CoV-2.”
✓ VerifiedFDA summary basis for approval, p. 17Source ↗
Anti-drug antibodies: animals
High anti-S IgG titers in rabbits, enhanced by Matrix-M1, confirming exposure
“SARS-CoV-2 rS vaccine was administered on day 1, 8, 15, and 36 and induced high anti-S IgG titers. Addition of Matrix-M1 adjuvant significantly enhanced anti-S IgG responses.”
Two-dose schedule produced seroconversion in almost all participants
“Clinical phase 3 data confirm that the vaccine is immunogenic and the studied two dose schedule resulted in seroconversion in almost all participants.”