French pharmaceutical firm Valneva – whose UK contract for vaccines was cancelled last month – has reported positive results from its Covid-19 trial.
Last month, the UK Government scrapped a deal for Valneva’s Covid-19 vaccine, with the firm saying the UK Government had served notice over allegations of a breach of the agreement, which Valneva “strenuously” denied.
The UK had about 100 million doses on order and Prime Minister Boris Johnson visited Valneva’s Scottish manufacturing site in Livingston in January.
In new phase three results reported on Monday, the Valneva vaccine showed around 40% higher neutralising antibody titer levels compared with the vaccine from AstraZeneca in a head-to-head trial, and had fewer side-effects.
The company also said its vaccine – VLA2001 – induced broad T-cell responses, a part of the immune system believed to be involved in long-term immunity.
Adam Finn, professor of paediatrics at the University of Bristol and trial chief investigator, told a briefing that the figure for the vaccine’s efficacy would come when the jab is used in the population.
He said the Valneva jab is expected to be “at least as effective as, and potentially more effective than” the Oxford-AstraZeneca jab.
But he said “the efficacy of a vaccine is not proportional to the antibody titers that it generates”, and there tended to be a threshold above which people were protected against infection or serious illness.
“Enough antibody is what you need and more antibody may not be any better,” he added.
The phase three trial recruited 4,012 people across 26 trial sites in the UK, including around 3,000 who took part in the comparison with AstraZeneca.
The number of Covid-19 cases was similar between those given AstraZeneca and those given Valneva, the firm said.
It added that the complete absence of any severe Covid-19 cases may suggest that both vaccines used in the study prevented severe symptoms caused by circulating variants, mainly the Delta variant.
— Valneva (@valnevaSE) October 18, 2021
Prof Finn said: “The low levels of reactogenicity and high functional antibody responses alongside broad T-cell responses seen with this adjuvanted inactivated whole-virus vaccine are both impressive and extremely encouraging.
“This is a much more traditional approach to vaccine manufacture than the vaccines so far deployed in the UK, Europe and North America, and these results suggest this vaccine candidate is on track to play an important role in overcoming the pandemic.”
He told the briefing that it was unclear how the current vaccines would perform in the future and so more vaccines and more vaccine platforms could only be a good thing.
Thomas Lingelbach, chief executive officer of Valneva, said: “These results confirm the advantages often associated with inactivated whole-virus vaccines.
“We are committed to bringing our differentiated vaccine candidate to licensure as quickly as possible and continue to believe that we will be able to make an important contribution to the global fight against the Covid-19 pandemic.”
Valneva started commercially manufacturing VLA2001 at its Livingston site, which it describes as a “globally qualified manufacturing site for viral vaccines”, in January this year and will continue to do so.
It expects to finalise its submission to the Medicines and Healthcare products Regulatory Agency (MHRA) for regulatory approval in November, with the hope the vaccine will be approved by the end of the year.
Valneva hopes to initially get the jab approved for those aged 18 to 55 owing to the age range of people in the trial.
The company’s site in Solna, Sweden, provides full “fill and finish” operations for VLA2001.
Professor Penny Ward, a pharmaceutical expert at King’s College London, said of the new study: “As we know, the UK Government is in dispute with Valneva, having cancelled the UK’s order of up to 100 million doses, placed by the Vaccines Taskforce in 2020, in September.
“The results today suggest that this decision might yet be regretted, but because of it Valneva might be able to provide an immediate supply of this vaccine for other countries struggling with the freezer shipping requirements of other, more expensive, vaccines.
“Good news for Covax and countries still awaiting supplies.”