Corbevax
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Corbevax is a
protein subunit In structural biology, a protein subunit is a polypeptide chain or single protein molecule that assembles (or "''coassembles''") with others to form a protein complex. Large assemblies of proteins such as viruses often use a small number of t ...
COVID-19 vaccine A COVID19 vaccine is a vaccine intended to provide acquired immunity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 ( COVID19). Knowledge about the structure and fun ...
developed by
Texas Children's Hospital Texas Children's Hospital is an acute care women's and children's hospital located in Houston, Texas. With 973 beds, it is the primary pediatric teaching hospital affiliated with Baylor College of Medicine and is located within the Texas Medical ...
Center for Vaccine Development and
Baylor College of Medicine The Baylor College of Medicine (BCM) is a private medical school in Houston, Texas, United States. Originally as the Baylor University College of Medicine from 1903 to 1969, the college became independent with the current name and has been se ...
in
Houston, Texas Houston ( ) is the List of cities in Texas by population, most populous city in the U.S. state of Texas and in the Southern United States. Located in Southeast Texas near Galveston Bay and the Gulf of Mexico, it is the county seat, seat of ...
and Dynavax technologies based in Emeryville, California. It is licensed to Indian biopharmaceutical firm Biological E. Limited (BioE) for development and production.


Technology

The vaccine consists of a version of the receptor binding domain (RBD) of the
SARS‑CoV‑2 Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is a strain of coronavirus that causes COVID-19, the respiratory illness responsible for the COVID-19 pandemic. The virus previously had the provisional name 2019 novel coro ...
spike protein In virology, a spike protein or peplomer protein is a protein that forms a large structure known as a spike or peplomer projecting from the surface of an viral envelope, enveloped virus. as cited in The proteins are usually glycoproteins that ...
, together with the
adjuvants In pharmacology, an adjuvant is a drug or other substance, or a combination of substances, that is used to increase the efficacy or potency of certain drugs. Specifically, the term can refer to: * Adjuvant therapy in cancer management * Analge ...
aluminium hydroxide Aluminium hydroxide, , is found as the mineral gibbsite (also known as hydrargillite) and its three much rarer polymorphs: bayerite, doyleite, and nordstrandite. Aluminium hydroxide is amphoteric, i.e., it has both basic and acidic propert ...
gel and CpG 1018. As the RBD protein is poorly immunogenic alone, adjuvantation is essential for a RBD-based vaccine immunogenicity. Researchers at the Precision Vaccine Program at
Boston Children's Hospital Boston Children's Hospital (formerly known as Children's Hospital Boston until 2013) is the main pediatric training and research hospital of Harvard Medical School, Harvard University. It is a nationally ranked, freestanding acute care children ...
and
Harvard Medical School Harvard Medical School (HMS) is the medical school of Harvard University and is located in the Longwood Medical and Academic Area, Longwood Medical Area in Boston, Massachusetts. Founded in 1782, HMS is the third oldest medical school in the Un ...
, in
Boston, Massachusetts Boston is the capital and most populous city in the Commonwealth (U.S. state), Commonwealth of Massachusetts in the United States. The city serves as the cultural and Financial centre, financial center of New England, a region of the Northeas ...
, in collaboration with
Texas Children's Hospital Texas Children's Hospital is an acute care women's and children's hospital located in Houston, Texas. With 973 beds, it is the primary pediatric teaching hospital affiliated with Baylor College of Medicine and is located within the Texas Medical ...
Center for Vaccine Development and
Baylor College of Medicine The Baylor College of Medicine (BCM) is a private medical school in Houston, Texas, United States. Originally as the Baylor University College of Medicine from 1903 to 1969, the college became independent with the current name and has been se ...
in
Houston, Texas Houston ( ) is the List of cities in Texas by population, most populous city in the U.S. state of Texas and in the Southern United States. Located in Southeast Texas near Galveston Bay and the Gulf of Mexico, it is the county seat, seat of ...
, undertook a screening process that compared multiple molecules head-to-head in different combinations. Two adjuvants — aluminum hydroxide and CpG—proved to be the most successful combination when added to the RBD protein, especially in models of older populations. The protein is produced by the
yeast Yeasts are eukaryotic, single-celled microorganisms classified as members of the fungus kingdom (biology), kingdom. The first yeast originated hundreds of millions of years ago, and at least 1,500 species are currently recognized. They are est ...
Pichia pastoris ''Komagataella'' is a methylotrophic yeast within the order Saccharomycetales. It was found in the 1960s as ''Pichia pastoris'', with its feature of using methanol as a source of carbon and energy. In 1995, ''P. pastoris'' was reassigned into t ...
; the process is similar to that of existing
Hepatitis B vaccine Hepatitis B vaccine is a vaccine that prevents hepatitis B. The first dose is recommended within 24 hours of birth with either two or three more doses given after that. This includes those with poor immune function such as from HIV/AIDS and ...
s.


Manufacturing

In April 2021, the U.S. International Development Finance Corporation (DFC) announced that it would fund the expansion of Biological E's manufacturing capabilities, so that it could produce at least 1 billion doses by the end of 2022.


History


Clinical trials

A phase I clinical trial was carried out to evaluate the safety and immunogenicity of the vaccine candidate in about 360 participants. The phase II concluded in April 2021. In April 2021, the
Drugs Controller General of India A drug is any chemical substance other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect. Consumption of drugs can be via inhalation, injection, smoking, ingestion ...
permitted the vaccine candidate to start phase III clinical trials. A total of 1,268 healthy participants between the age of 18 and 80 years to be selected from 15 sites across India for the trial and intended to be part of a larger global Phase III study. On 3 June 2021, India's
Ministry of Health and Family Welfare The Ministry of Health and Family Welfare (MoHFW) is an Government of India, Indian government Ministry (government department), ministry charged with health policy in India. It is also responsible for all government programs relating to family ...
pre-ordered 300 million doses. As of December 2021, Biological E announced positive results, but some experts criticized the lack of public data from phase III trials. The developer specifically claimed the vaccine appeared to be over 90% effective against the original variant based on antibody levels. On 28 December 2021, India approved the vaccine for emergency use.


2022

In January 2022, the developers declared that no G7 countries had funded the project and reiterated their plea for funding for mass production and distribution, arguing that
Moderna Moderna, Inc. ( ) is an American pharmaceutical and biotechnology company based in Cambridge, Massachusetts, that focuses on RNA therapeutics, primarily mRNA vaccines. These vaccines use a copy of a molecule called messenger RNA (mRNA) to carry inst ...
had received much more support. As of August, 70 million doses had been administered to adolescents in India. It was also approved by the Botswana Medicines Regulator Authority. A study reported that the heterologous (Corbevax plus
Zycov-D ZyCoV-D is a DNA plasmid-based COVID-19 vaccine developed by Indian pharmaceutical company Cadila Healthcare, with support from the Biotechnology Industry Research Assistance Council. It is approved for emergency use in India. Technolo ...
) vaccine was effective against
Omicron Omicron (, ; uppercase Ο, lowercase ο, ) is the fifteenth letter of the Greek alphabet. This letter is derived from the Phoenician letter ayin: . In classical Greek, omicron represented the close-mid back rounded vowel in contrast to '' o ...
in India.


Financing

Vaccine development was partly financed with $7 million from mostly private investors, including a $1 million donation by Tito's Vodka. The vaccine technology, for antigen production and use, is given patent-free to manufacturers, although Baylor College receives a fee. The evaluation of adjuvant components for use in a RBD based vaccine was partially enabled by NIH funding along with prior funding to support development of the CpG adjvuant for use in vaccines. The BioE company planned to priced the shot at ₹250 (around $3) per dose.


Licensing

The vaccine is not patented and is planned to be openly licensed under
COVAX COVID-19 Vaccines Global Access, abbreviated as COVAX, is a worldwide initiative aimed at equitable access to COVID-19 vaccines directed by the GAVI vaccine alliance, the Coalition for Epidemic Preparedness Innovations (CEPI), and the World He ...
.


See also

* Sanofi–GSK COVID-19 vaccine


References


External links

* * {{Portal bar , Medicine , Viruses , COVID-19 Indian COVID-19 vaccines Science and technology in India Protein subunit vaccines Products introduced in 2021