FDA to Convene Panel on Moderna’s mRNA Flu Vaccine

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FDA is announcing a 6/18 advisory committee meeting to review Moderna’s mRNA-based seasonal influenza vaccine. The Vaccines and Related Biological Products Advisory Committee is scheduled to review Moderna’s MFLUSIVA (influenza vaccine, mRNA) for preventing influenza disease caused by influenza virus subtypes A and B represented in the vaccine in persons 50 years of age and older.

Moderna’s application faced a setback earlier this year when FDA initially rejected the filing over concerns that the company’s Phase 3 trial used an inadequate control group to demonstrate efficacy. The agency determined that Moderna should have compared its vaccine to a high-dose influenza shot in older adults rather than a standard-dose comparator used across all age groups in the trial.

The decision marked a reversal from prior regulatory alignment. During an End-of-Phase 2 meeting in 2024, FDA officials had agreed that a standard-dose flu vaccine would be an acceptable comparator for the Phase 3 study. Only after reviewing the late-stage data did the agency conclude that the control arm was insufficient.

That ruling landed in a politically charged environment surrounding mRNA-based vaccines, a technology that became widely known during the Covid-19 pandemic. While many scientists view mRNA as a platform with transformative potential, it has also become a lightning rod in partisan debates over vaccine mandates, pandemic policy and federal health authority, critics argue.

FDA quickly reversed its filing rejection, agreeing to review Moderna’s vaccine following what media reports described as an unusual, high-level meeting between agency leadership and the vaccine maker (see earlier story).

Earlier this month, Moderna reported that its flu vaccine outperformed conventional influenza vaccines in a late-stage international study involving more than 40,000 adults age 50 and older. If approved, the vaccine would become the first seasonal influenza shot in the U.S. developed using messenger RNA technology, the same platform used in Moderna’s Covid-19 vaccine.

An FDA regulatory decision is expected by 8/5.

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