Blocking Flu Shots

Started at the end rather than the beginning . . .

Blocking Flu shots does not make much sense as Flu Shots are nothing new. The big issue is whether they chose the right vaccine for what will happen each year.

“The Journal notes Moderna was one of nine companies to have received a surprise rejection from Vinay Prasad and his team. The unpredictability of an approval is raising fears about the industry’s ability to obtain investments and innovate. Best of my knowledge flu vaccines are adjusted from year to year to match what they believe the flu type will be. Sometimes they are a little off and it appears they are never 100%. Maybe our inhouse expert (Joel) will offer up some information?

Blood cancer specialist Vinay Prasad (who has no expertise or experience in vaccine regulation) is also facing internal problems at the agency. His management style has created an environment ‘rife with mistrust and paranoia,’ Stat. The Journal reports that several complaints have been filed against him, including some involving sexual harassment, retaliation against subordinates, and verbally berating staff.”

“Trump official overruled FDA scientists to reject Moderna’s flu shot”

Beth Mole.

Prasad’s objection was not based on any potential problem with Moderna’s experimental mRNA vaccine; rather, it was with the existing licensed vaccine Moderna used for a comparison in a Phase 3 clinical trial that enrolled nearly 41,000 adults aged 50 and older. The FDA reviewed Moderna’s trial plans on multiple occasions prior to the company’s submission, without objection.

While Moderna acknowledged that FDA scientists had suggested using a different vaccine comparator for trial participants aged 65 years and older (who are eligible for a high-dose flu shot) they highlight that the agency concluded that Moderna’s plan was “acceptable.”

Moderna’s original plan was to use a standard dose for all participants. Moderna did alter its plans based on the feedback by adding a comparison of a high-dose vaccine to some older participants. In the end Moderna provided the FDA with an additional analysis.

According to some resources, this “wasn’t enough for Prasad, who, according to the Journal’s sources, told FDA staff that he wants to send more such refusal letters that appear to blindside drug developers.” Which makes no sense. “Review staff pushed back, noting that such moves break with the agency’s practices and could open it up to being sued. Prasad reportedly dismissed concern over possible litigation. Trump’s FDA Commissioner Marty Makary seemed similarly unconcerned, suggesting on Fox News that Moderna’s trial may be ‘unethical.’”

A senior FDA official suggested to Stat, meanwhile, the door might not be entirely closed for Moderna’s flu vaccine. The official said that the company could toss the data for the 65 and up participants and, perhaps, grovel.

“It is entirely feasible that if they come back, maybe even show some humility and say, ‘Yes, we didn’t follow your recommendation. Just take a look at the 50 to 65 group, where there’s a little more equipoise,’” the official told Stat. “Then the review team could say, ‘We’ll consider that cohort.’”

The Journal notes that Moderna is at least the ninth company to have received a surprise rejection from Prasad and his team. The unpredictability is raising fears about the industry’s ability to obtain investments and innovate.

Prasad, a blood cancer specialist who has no expertise or experience in vaccine regulation, is also facing internal problems at the agency. His management style has created an environment “rife with mistrust and paranoia,” according to Stat. The Journal reports that several complaints have been filed against him, including some involving sexual harassment, retaliation against subordinates, and verbally berating staff.

Sounds more like management messing around on the shop floor when they know little about how the product is made and the process to make it. Nothing new there, This issue is about your health. Not something to mess around with if you do not know the process.