EC Approves CSL/Arcturus' Self-Amplifying mRNA COVID-19 Vaccine Kostaive

26 February 2025
The European Commission (EC) has granted its approval for a new COVID-19 vaccine named Kostaive (ARCT-154), developed by CSL and Arcturus Therapeutics. This vaccine is intended for use in individuals aged 18 and above. The EC's decision follows a recommendation from the European Medicines Agency's human medicines committee, marking a significant milestone as Kostaive becomes the first self-amplifying messenger RNA (mRNA) COVID-19 vaccine to receive approval within the European Union.

Messenger RNA (mRNA) is a type of genetic material that conveys instructions to cells, enabling them to produce a protein or a fragment of it using the body's natural processes. The COVID-19 pandemic has highlighted the potential of this technology, leading to the widespread use of mRNA vaccines globally to combat the virus. Kostaive, however, is distinct from traditional mRNA vaccines. Its self-amplifying mRNA technology enables the body to produce more mRNA and protein, thereby enhancing the immune response.

The approval by the EC is supported by data from an integrated phase 1/2/3 clinical study that demonstrated the vaccine's efficacy and tolerability. Additionally, results from later-stage booster trials for COVID-19 showed that Kostaive achieved higher levels of immunogenicity compared to standard mRNA COVID-19 vaccines. The vaccine also displayed superior immunogenicity and sustained antibody levels for up to one year following vaccination against multiple strains of SARS-CoV-2, in both younger and older adults, when compared to a traditional mRNA counterpart.

Jonathan Edelman, who serves as the senior vice president of CSL's vaccines innovation unit, expressed that the approval represents a crucial achievement in the development of Kostaive. He emphasized that the partners are diligently working to enhance the vaccine's formulation to better cater to the requirements of both healthcare professionals and their patients.

From Arcturus Therapeutics' perspective, the company's chief executive officer remarked that Kostaive, along with its self-amplifying mRNA technology, signifies a noteworthy advancement in the field of vaccine innovation. This innovation offers the potential for more comprehensive and longer-lasting protection. The approval, according to the CEO, underscores the clinical potential of Kostaive and its capacity to provide protection against the continuously evolving COVID-19 virus.

The collaboration between CSL and Arcturus began with a strategic agreement at the end of 2022. This partnership aims to develop and commercialize self-amplifying mRNA vaccines, not only for COVID-19 but also for influenza and three other significant respiratory infectious diseases that are prevalent worldwide. This collaboration signifies a forward-looking effort to address global health challenges by leveraging cutting-edge vaccine technology.

In summary, the EC's approval of Kostaive marks an important advancement in the fight against COVID-19. As the first self-amplifying mRNA vaccine to be approved in the EU, it offers a promising new tool for enhancing immune responses and providing enduring protection against the virus. With ongoing efforts to optimize its formulation, Kostaive could play a crucial role in future vaccination strategies.

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