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  3. The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

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modernamrnavaccines
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  • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

    @Mikal

    A vaccine manufacturer would normally apply for approval in many jurisdictions.

    But for some back-of-the-envelope calculations: new vaccines are generally introduced to more affluent countries first, especially for diseases that aren't immediately fatal. The market for vaccines against EBV, HSV, and VZV would be in this category.

    EU: 450M people
    Canada: 40M
    US: 350M

    Without US, the market is AT LEAST 40% smaller. Is it still worth it do to the studies?

    fedops@fosstodon.orgF This user is from outside of this forum
    fedops@fosstodon.orgF This user is from outside of this forum
    fedops@fosstodon.org
    schrieb zuletzt editiert von
    #39

    @jeneralist but how many US citizens would even be able to afford it?
    @Mikal

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    • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

      The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

      Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

      A lot of people with herpes would be angry if they found out.

      A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

      angiebaby@mas.toA This user is from outside of this forum
      angiebaby@mas.toA This user is from outside of this forum
      angiebaby@mas.to
      schrieb zuletzt editiert von
      #40

      @jeneralist

      Eugenics is the plan.

      1 Antwort Letzte Antwort
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      • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

        The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

        Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

        A lot of people with herpes would be angry if they found out.

        A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

        photo55@mastodon.socialP This user is from outside of this forum
        photo55@mastodon.socialP This user is from outside of this forum
        photo55@mastodon.social
        schrieb zuletzt editiert von
        #41

        @jeneralist
        We shall need a different model then.
        Which might include States (eg those of Europe) not buying vaccines, but developing them and owning the result.
        Perhaps some clever Americans might like to come and help.

        #vaccines #Europe #braindrain

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        • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

          @ariaflame @ujay68

          Moderna has shareholders. It's on the NASDAQ, stock symbol MRNA.

          ariaflame@masto.aiA This user is from outside of this forum
          ariaflame@masto.aiA This user is from outside of this forum
          ariaflame@masto.ai
          schrieb zuletzt editiert von
          #42

          @jeneralist @ujay68 So basically it's confirming that people in the USA are paying far too much for their medication. And the Pharmaceutical companies don't care too much, because if the people survive to old age they will make bank on them.

          hosford42@techhub.socialH 1 Antwort Letzte Antwort
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          • mikal@sfba.socialM mikal@sfba.social

            @jeneralist

            Is there any reason they couldn't apply for approval in Europe or Canada or some other place that hasn't lost his mind?

            stacky@hulvr.comS This user is from outside of this forum
            stacky@hulvr.comS This user is from outside of this forum
            stacky@hulvr.com
            schrieb zuletzt editiert von
            #43

            @Mikal @jeneralist generally speaking, vaccines are not profitable. Losing a huge market makes them even less so.

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            • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

              The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

              Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

              A lot of people with herpes would be angry if they found out.

              A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

              kkarhan@infosec.spaceK This user is from outside of this forum
              kkarhan@infosec.spaceK This user is from outside of this forum
              kkarhan@infosec.space
              schrieb zuletzt editiert von
              #44

              @jeneralist at this point I hope everyone in the #USA is doing a #ClassAction against the #FDA and that people in the #EU will do the same since #Modena refusing to do R&D despite the EU having an entirely different approval process than the #FDA.

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              • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

                The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

                Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

                A lot of people with herpes would be angry if they found out.

                A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

                lemgandi@mastodon.socialL This user is from outside of this forum
                lemgandi@mastodon.socialL This user is from outside of this forum
                lemgandi@mastodon.social
                schrieb zuletzt editiert von
                #45

                @jeneralist

                Some of us WITHOUT herpes are pretty mad too. I got vaxxed absolutely as soon as I was able. Watched my father in law suffer greatly for years from this disease.

                I'm not sure I'd wish it on RFK junior. It's that bad.

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                • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

                  The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

                  Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

                  A lot of people with herpes would be angry if they found out.

                  A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

                  C This user is from outside of this forum
                  C This user is from outside of this forum
                  cresssalad@mastodon.social
                  schrieb zuletzt editiert von
                  #46

                  @jeneralist I read a significant body of evidence related to brain decay and herpes, somethin easily escalated within the body, something easily contracted. Good work MAGA for population decline, pain and suffering.

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                  • ujay68@mastodon.worldU ujay68@mastodon.world

                    @jeneralist Understandable. However, it doesn’t seem impossible to me to produce, at a profit, vaccines for the world’s population minus the US population. Not a really negligible target group. I’m no industry specialist, but there might also be … let’s say … other factors behind such a decision?

                    mirth@mastodon.sdf.orgM This user is from outside of this forum
                    mirth@mastodon.sdf.orgM This user is from outside of this forum
                    mirth@mastodon.sdf.org
                    schrieb zuletzt editiert von
                    #47

                    @ujay68 @jeneralist I agree it's dysfunctional but I think it's about as simple as the CEO says. In pharma development and trials are very expensive, and most candidates don't pass for one reason or another (don't work well enough, bad side effects, etc). If it costs an average US$100M (rough guess) to develop and bring a drug through trials, and 9/10 fail, what do they need to make from the one that works? It itself may only cost $100M but the other $900M needs to come from somewhere.

                    mirth@mastodon.sdf.orgM drwho@masto.hackers.townD 2 Antworten Letzte Antwort
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                    • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

                      The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

                      Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

                      A lot of people with herpes would be angry if they found out.

                      A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

                      pa27@mastodon.socialP This user is from outside of this forum
                      pa27@mastodon.socialP This user is from outside of this forum
                      pa27@mastodon.social
                      schrieb zuletzt editiert von
                      #48

                      @jeneralist This is where the EU should step in to fund it. Then charge the US premium prices to recoup the investment.

                      regordane@mastodon.me.ukR 1 Antwort Letzte Antwort
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                      • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

                        The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

                        Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

                        A lot of people with herpes would be angry if they found out.

                        A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

                        starlajohn@pouet.chapril.orgS This user is from outside of this forum
                        starlajohn@pouet.chapril.orgS This user is from outside of this forum
                        starlajohn@pouet.chapril.org
                        schrieb zuletzt editiert von
                        #49

                        @jeneralist yes

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                        • mirth@mastodon.sdf.orgM mirth@mastodon.sdf.org

                          @ujay68 @jeneralist I agree it's dysfunctional but I think it's about as simple as the CEO says. In pharma development and trials are very expensive, and most candidates don't pass for one reason or another (don't work well enough, bad side effects, etc). If it costs an average US$100M (rough guess) to develop and bring a drug through trials, and 9/10 fail, what do they need to make from the one that works? It itself may only cost $100M but the other $900M needs to come from somewhere.

                          mirth@mastodon.sdf.orgM This user is from outside of this forum
                          mirth@mastodon.sdf.orgM This user is from outside of this forum
                          mirth@mastodon.sdf.org
                          schrieb zuletzt editiert von
                          #50

                          @ujay68 @jeneralist The consequence of that is the direct cost of manufacturing and delivering a drug could be $1 but that $900M plus some interest on debt or return to investors needs to get spread across whatever it is that they can sell (about $0.10 per dose if you could give it to every person in the world). One way to reduce the overhead of this whole system is to shift more fundamental research to government-funded labs, but of course the US in the process of gutting those as well.

                          mirth@mastodon.sdf.orgM drwho@masto.hackers.townD 2 Antworten Letzte Antwort
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                          • mirth@mastodon.sdf.orgM mirth@mastodon.sdf.org

                            @ujay68 @jeneralist The consequence of that is the direct cost of manufacturing and delivering a drug could be $1 but that $900M plus some interest on debt or return to investors needs to get spread across whatever it is that they can sell (about $0.10 per dose if you could give it to every person in the world). One way to reduce the overhead of this whole system is to shift more fundamental research to government-funded labs, but of course the US in the process of gutting those as well.

                            mirth@mastodon.sdf.orgM This user is from outside of this forum
                            mirth@mastodon.sdf.orgM This user is from outside of this forum
                            mirth@mastodon.sdf.org
                            schrieb zuletzt editiert von
                            #51

                            @ujay68 @jeneralist In any case, if the US stops vaccinating people (sigh) that doesn't make development any cheaper, it just means everyone else has to figure out how to make the math work or go without.

                            mirth@mastodon.sdf.orgM 1 Antwort Letzte Antwort
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                            • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

                              The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

                              Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

                              A lot of people with herpes would be angry if they found out.

                              A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

                              ancientsounds@mastodonapp.ukA This user is from outside of this forum
                              ancientsounds@mastodonapp.ukA This user is from outside of this forum
                              ancientsounds@mastodonapp.uk
                              schrieb zuletzt editiert von
                              #52

                              @jeneralist
                              An opportunity for Moderna's German competitor, BioNTech (which also develops mRNA vaccines), perhaps

                              drwho@masto.hackers.townD 1 Antwort Letzte Antwort
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                              • sassinake@mastodon.socialS sassinake@mastodon.social

                                @jeneralist

                                I mean... rich people will still get them.

                                regordane@mastodon.me.ukR This user is from outside of this forum
                                regordane@mastodon.me.ukR This user is from outside of this forum
                                regordane@mastodon.me.uk
                                schrieb zuletzt editiert von
                                #53

                                @Sassinake @jeneralist

                                Only by leaving the USA.

                                This isn't about whether RNA vaccines get recommended for use in the USA (meaning insurers might have to fund them), it's about whether they get LICENSED for use in the USA.

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                                • pa27@mastodon.socialP pa27@mastodon.social

                                  @jeneralist This is where the EU should step in to fund it. Then charge the US premium prices to recoup the investment.

                                  regordane@mastodon.me.ukR This user is from outside of this forum
                                  regordane@mastodon.me.ukR This user is from outside of this forum
                                  regordane@mastodon.me.uk
                                  schrieb zuletzt editiert von
                                  #54

                                  @pa27 @jeneralist

                                  The US won't buy if the FDA won't license, regardless of where the product is developed and made

                                  tessarakt@mastodon.socialT 1 Antwort Letzte Antwort
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                                  • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

                                    The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

                                    Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

                                    A lot of people with herpes would be angry if they found out.

                                    A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

                                    knutson_brain@sfba.socialK This user is from outside of this forum
                                    knutson_brain@sfba.socialK This user is from outside of this forum
                                    knutson_brain@sfba.social
                                    schrieb zuletzt editiert von
                                    #55

                                    @jeneralist
                                    Siri, what is the opposite of capitalism?

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                                    • mirth@mastodon.sdf.orgM mirth@mastodon.sdf.org

                                      @ujay68 @jeneralist In any case, if the US stops vaccinating people (sigh) that doesn't make development any cheaper, it just means everyone else has to figure out how to make the math work or go without.

                                      mirth@mastodon.sdf.orgM This user is from outside of this forum
                                      mirth@mastodon.sdf.orgM This user is from outside of this forum
                                      mirth@mastodon.sdf.org
                                      schrieb zuletzt editiert von
                                      #56

                                      @ujay68 @jeneralist As an addendum to address the "but there must be another way", yes, probably, with bigger systemic fixes. Lots of people who work on stuff like this don't care to make as much money as possible, but still have children and need schooling, medical care, a place to live, and so forth, and wow that is expensive in most places. Improving any of these improves all of them.

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                                      • jeneralist@med-mastodon.comJ jeneralist@med-mastodon.com

                                        The FDA decided not to even review Moderna's mRNA flu vaccines for approval, even though the studies the FDA would be reviewing were conducted the way the FDA told Moderna to do them.

                                        Now #Moderna expects that none of its other #mRNA #vaccines will be reviewed, and has halted studies on vaccines for EBV, HSV, and shingles.

                                        A lot of people with herpes would be angry if they found out.

                                        A lot of people who have family members with #MS -- now thought to be caused in part by EBV -- will be livid.

                                        adventure_tense@mapstodon.spaceA This user is from outside of this forum
                                        adventure_tense@mapstodon.spaceA This user is from outside of this forum
                                        adventure_tense@mapstodon.space
                                        schrieb zuletzt editiert von
                                        #57

                                        @jeneralist Since Moderna is a multinational company, they should just wind down all operations in the US, and refocus their research in Canada and/or Europe.

                                        And maybe that is what they are quietly doing already.

                                        michael_w_busch@mastodon.onlineM 1 Antwort Letzte Antwort
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                                        • c0dec0dec0de@hachyderm.ioC c0dec0dec0de@hachyderm.io

                                          @jeneralist @Mikal the US overpays for meds, so that 40% probably accounts for a majority of their profit. I’d be surprised if they truly wouldn’t make a profit, but I can’t rule it out with certainty.

                                          drwho@masto.hackers.townD This user is from outside of this forum
                                          drwho@masto.hackers.townD This user is from outside of this forum
                                          drwho@masto.hackers.town
                                          schrieb zuletzt editiert von
                                          #58

                                          @c0dec0dec0de @jeneralist @Mikal Former pharma here - that sounds about right.

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