WGc-043 is the first and only vaccine approved for this use.
Editor's note: An earlier version of this story incorrectly stated that the FDA had approved WGc-043. The FDA has approved the Investigational New Drug (IND) application for the vaccine.
The FDA has approved the IND for WGc-043, the first and only Epstein-Barr virus-related mRNA cancer vaccine.1
This approval “represents a significant advance in cancer treatment, offering new hope to patients with advanced [Epstein-Barr virus-related cancers,” noted a company press release.1 Epstein-Barr virus, a type of herpes virus that causes infectious mononucleosis, increases an individual’s risk of developing several types of cancers, including nasopharyngeal cancer, natural killer T-cell lymphoma, esophageal cancer, breast cancer, cervical cancer, and stomach cancer. It is also associated with autoimmune conditions such as multiple sclerosis and systemic lupus erythematosus.2
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The vaccine has demonstrated positive efficacy, low toxicity, and broad applicability; it has also been shown to be cost effective. Investigator-initiated trials of the WGc-043 vaccine in nasopharyngeal cancer and natural killer T-cell lymphoma showed “superior safety and efficacy compared to other publicly available mRNA therapeutic cancer vaccines.”1
Epstein-Barr infection is lifelong, although symptoms typically abate after the first few weeks. The virus infects B lymphocites and stays present in these cells. Approximately 90% of people in the US are infected with Epstein-Barr virus by age 35.1,3
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Currently, there are no treatments or preventive vaccines for Epstien-Barr virus. However, Moderna is currently investigating mRNA-1189, an mRNA vaccine for Epistein-Barr virus.3 The phase 1 Eclipse clinical trial (NCT05164049) is specifically evaluating the safety and immune response of this vaccine. Participants include healthy volunteers aged 12 to 30 years who will receive 3 injections of either mRNA-1189 or placebo. The trial is anticipated to continue through June 2025.
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