Vaxart to Test Cross-Reactivity of its COVID-19 Oral Tablet Vaccine Against Omicron

Vaxart, Inc. plans to test the cross-reactivity of its oral tablet COVID-19 vaccine candidate against the Omicron SARS-CoV-2 variant in two different studies expected to begin next month.

In the first study, Vaxart will test the activity of its Phase II COVID-19 oral vaccine candidate against Omicron by analyzing mucosal and serum samples from subjects to whom the vaccine was administered in Vaxart’s current COVID-19 vaccine Phase II trials, Dr. Sean Tucker, Vaxart’s Chief Scientific Officer and founder, said.

In the second study, Vaxart will conduct an animal Omicron challenge study to assess how its current Phase II COVID-19 vaccine candidate performs in comparison to an Omicron-specific vaccine candidate that Vaxart is developing, Dr. Tucker said.

Vaxart deliberately engineered its COVID-19 vaccine candidate to be cross-reactive against emerging variants based on Vaxart scientists’ early recognition of the risk of emerging variants of SARS-CoV-2. In May 2021, the Company announced Phase I clinical test results demonstrating that its vaccine candidate, VXA-CoV2-1, produced broad cross-reactive T cell and IgA responses against other, non-COVID coronaviruses.

“We expect that our COVID-19 vaccine candidates would be less affected by mutations in the receptor-binding domain of the S protein than vaccines that rely on a serum IgG response,” Dr. Tucker said.

Dr. Tucker also said that results from Vaxart’s Phase I clinical testing and earlier preclinical testing support Vaxart’s belief that its vaccine candidates should be reactive against Omicron.

“Our Phase I vaccine candidate was highly cross-reactive in human subjects against coronaviruses much more divergent than SARS-CoV-2 variants, and our preclinical research showed that our current Phase II vaccine candidate induced substantial cross-reactivity against multiple SARS-CoV-2 variants,” he said. “As a result, we expect that this vaccine candidate should also be able to respond to the Omicron variant.”

“As new variants have emerged it has become clear that we cannot win the fight against this pandemic with only the current generation injectable vaccines,” said Vaxart Chief Executive Officer Andrei Floroiu. “To win this fight we need better, next-generation vaccines that provide broader, cross-variant protection, which our vaccine has the potential to do by leveraging the power of mucosal immunity.”

Injectable vaccines primarily stimulate serum IgG responses, but Vaxart’s COVID-19 vaccine candidate has been shown to trigger mucosal IgA in the nose, mouth and lungs, where SARS-CoV-2 infection occurs.

“We believe these differences in immunogenicity profile may provide cross-protection against SARS-CoV-2 variants as they emerge,” Dr. Tucker said. Mucosal IgA antibodies contain four or more antigen-binding sites, while IgG antibodies contain only two.

“This multimeric binding allows IgA to functionally attack viruses in different ways such as by immune exclusion and by steric hindrance, rather than relying on direct neutralization. These mechanisms should make it more difficult for viral variants to escape an IgA-mediated immune response compared to an IgG response,” he added.