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US FDA concerned over potential heart inflammation after Novavax Covid-19 shot

Insufficient evidence to establish causal relationship, normal to see natural background events of myocarditis in large database, company says

Updated 4 years ago · Published on 04 Jun 2022 9:30AM

US FDA concerned over potential heart inflammation after Novavax Covid-19 shot
Novavax stock drops 20% percent on the New York Stock Exchange, shortly after the US FDA published a lengthy document yesterday analysing results of myocarditis being potentially linked to the Novavax Covid-19 vaccine. – Screen grab, June 4, 2022

WASHINGTON – The Food and Drug Administration (FDA) voiced concern yesterday about myocarditis being potentially linked to the Novavax Covid-19 vaccine, just as experts are to weigh its use in the United States.

The Novavax vaccine is already authorised in other countries, particularly in Europe. In the United States, an independent committee convened at the request of the FDA is to meet Tuesday to evaluate data from the clinical trials of Novavax and give its recommendation.

In advance of that, the agency published a lengthy document yesterday analysing these results, as it had done for the three other vaccines already authorised in the country.

Shortly afterwards, Novavax stock dropped 20% percent on the New York Stock Exchange.

Novavax’s vaccine was found to be 90% effective against symptomatic cases of the disease, in trials conducted before the appearance of the Omicron variant, according to the FDA.

But six cases of myocarditis, an inflammation of the heart muscle, were detected in the group that received the vaccine, against one case in the placebo group, the agency pointed out.

Five cases occurred within two weeks of vaccination.

“Identification of multiple potential vaccine-associated cases” out of 40,000 clinical trial participants “raises concern that if causally associated, the risk of myocarditis following” the Novavax shot “could be higher than reported” on other vaccines such as Pfizer or Moderna, the FDA said.

A small risk of myocarditis had in fact been identified after Pfizer or Moderna vaccinations, which are based on Messenger-RNA, particularly in young men and adolescent boys.

But the FDA noted that during clinical trials of these vaccines, no cases had yet been detected, and the agency appears concerned that the risk is higher with Novavax.

The company issued a statement in response to the FDA report yesterday, saying “we believe there is insufficient evidence to establish a causal relationship”, adding that it is normal “to see natural background events of myocarditis in any sufficiently large database”. – AFP, June 4, 2022

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