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The CEPI rescue of Moderna's H5 vaccine is a bigger deal than it seems on the surface. When federal pandemic prep funding becomes politically unreliable, you need distributed backup systems, and CEPI stepping in shows that model working in practice. The 20% capacity reservation for LMIC supply is smart policy engineering, because the whole point of pandemic prep is avoiding the vaccine nationalism mess we saw early in COVID. One thing I'm curious about: does CEPI funding change Moderna's timeline or trial design compared to what the BARDA contract would've looked like, or is it basically a straight subsitution? The Takeda zasocitinib data looks solid too, especially with oral dosing in a space dominated by injectables, though convincing derms to switch from proven biologics to a neworal TYK2 will probaby be an uphill battle initially.

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