FDA Not Delaying Pediatric Covid Vaccines: Marks

Share

CBER director Peter Marks briefed the House Select Subcommittee on the Coronavirus Crisis 5/6 and denied news reports the agency was planning to delay authorizing Moderna’s Covid-19 vaccine for children under five years old so that it can be considered at the same time as Pfizer’s vaccine. However, he acknowledged that if the vaccine reviews end up being completed within a short time—such as a week—then they may be considered by FDA’s advisory committee together, according to a subcommittee summary of the briefing.

 

Marks emphasized that reviewing vaccines for young children involves more “complexity” than the review of adult vaccines, and the agency’s review process may require more time due to this. He stated that FDA has to take a “very close look” at the vaccines’ side effect profile in young children because common side effects from vaccinations—such as fevers—that are not typically associated with adverse outcomes in adults can, in rare cases, cause severe conditions in young children, according to the summary. Having to deal with new variants circulating has also made the reviews more complex, Marks said.

 

Unlike the original vaccines that were reviewed in 2020 in adults and demonstrated greater than 90% effectiveness, Marks said for children under five the agency will likely allow a vaccine that has a lower than 50% efficacy because current vaccine efficacy has waned substantially due to the variants. He said that if the vaccines “seem to be mirroring efficacy in adults and just seem to be less effective against Omicron like they are for adults, we will probably still authorize.” He further stated that FDA would “look carefully at all data” when assessing the vaccines—including the efficacy against severe disease — and made clear that “the goal here is to get some protection in sooner rather than later.”

Read more