The meeting will now include voting decisions on infant and maternal respiratory syncytial virus prophylactics, plus influenza vaccines, as well as non-voting discussions on COVID, chikungunya, anthrax and measles, mumps, varicella and Rubella vaccines.
In the wake of Robert F. Kennedy Jr.’s abrupt revamp of the CDC’s Advisory Committee on Immunization Practices, details from the panel’s planned meeting next week are confirming many industry watcher’s concerns about potential vaccine meddling by the Trump administration.Kennedy appears to be sending the overhauled panel—which now boasts many personal appointees—after a common vaccine ingredient that has been erroneously linked to safety concerns and conditions like autism, several analysts and publications have warned.A new draft agenda (PDF) for the ACIP meeting slated for June 25-26 reveals that the committee is skipping over several highly anticipated vaccine votes and regurgitating discussions on what some experts have referred to as “settled science” around immunization safety, Bloomberg reported late Wednesday.The meeting will now include voting decisions on infant and maternal respiratory syncytial virus (RSV) prophylactics, plus influenza vaccines, as well as non-voting discussions on COVID, chikungunya, anthrax and measles, mumps, varicella and Rubella (MMRV) vaccines.The panel will defer votes planned for COVID vaccine recommendations, adult protection against RSV and vaccination dose schedule reduction for human papillomavirus (HPV) shots, analysts at Leerink Partners highlighted in a Wednesday note to clients.The updated agenda “extends uncertainty on the more controversial vaccine recommendation votes,” analysts at Leerink Partners wrote in a note to clients this week, referring to vaccines that have had their votes delayed from the likes of BioNTech, Merck & Co., Pfizer, Sanofi, Novavax and Moderna. In another unsettling development, the panel’s vote on flu vaccines will zero in on shots containing thimerosal, in a move that would likely take a toll on multidose immunizations from Sanofi and CSL Seqirus, the Leerink team pointed out.Thimerosal—a mercury-containing preservative used in certain adult flu vaccines—has been incorrectly linked to the development of autism in the past. The ingredient was removed from most childhood vaccines in the early 2000s and has never actually been found to be unsafe, Bloomberg explained in its report.Kennedy, who now heads up the Department of Health and Human Services (HHS), is a noted vaccine skeptic who has previously linked childhood immunizations to the development of autism spectrum disorder (ASD).Back in April, Kennedy set the goal to root out the cause of the United State’s “autism epidemic” by September as part of a sweeping research push under the HHS. He also singled out thimerosal in a 2014 book calling for the ingredient’s immediate removal from vaccines, Bloomberg noted.In turn, the talks around thimerosal at next week’s meeting “could give early insight into the new ACIP’s perspective on autism and vaccination,” the Leerink analysts wrote.Though not on the docket for next week’s discussions and votes, Kennedy is reportedly eyeing the use of aluminum ingredients in vaccines, too, Bloomberg reported, citing a person close to the matter.Aluminum is commonly used as an adjuvant—or an ingredient meant to boost the body’s immune response—in vaccines and can be found in at least two dozen shots from drugmakers like GSK, Merck, Pfizer and Sanofi, Bloomberg noted.Analysts at Mizuho Securities agreed with the publication’s skepticism, highlighting that aluminum adjuvants have been a popular vaccine component since roughly 1930 and are included in multiple vaccines recommended by the Centers for Disease Control and Prevention (CDC) for kids and babies.“We see the preponderance of evidence as supporting the use of aluminum adjuvants in vaccines, and believe that review, if done, of licensed vaccines containing aluminum adjuvant will prove this out,” the Mizuho team wrote.Potentially meddling with common ingredients like aluminum and thimerosal not only resurfaces settled debates over vaccine safety but also runs the risk of presenting logistical challenges for flu shot makers who must work fast to get their updated products out in time for each immunization season.“If the committee votes to remove thimerosal from vaccines, manufacturers will have to create and ship single doses, which some manufacturers may not be able to do,” Tina Tan, president of the Infectious Disease Society of America, told Bloomberg.An HHS representative did not provide a formal statement on the agenda changes when reached by Fierce Pharma for comment.Details of the meeting shift come amid a whirlwind two weeks for vaccines makers and the future of immunization policy in the U.S.Last Monday, Kennedy rattled the biopharma industry by abruptly sacking all 17 sitting members of ACIP in a bid to help restore “public trust” in the committee beyond “any specific pro- or anti-vaccine agenda.” In rationalizing the seismic move, Kennedy asserted that public trust in federal health agencies had been greatly eroded. The HHS chief also suggested that ACIP has suffered from chronic conflict-of-interest issues. Earlier this week, the 17 fired ACIP panelists struck back against Kennedy, warning in a JAMA editorial that the HHS’ chief’s “destabilizing decisions” could “roll back the achievements of U.S. immunization policy, impact people’s access to lifesaving vaccines, and ultimately put U.S. families at risk of dangerous and preventable illness.”Since cleaning house at ACIP, Kennedy has appointed several new members to the panel, including individuals with ties to vaccine litigation and the spread of mRNA misinformation.The CDC has been working to catch the new panelists up ahead of next week’s meeting, which has been abbreviated to account for their very recent selection, STAT News reported earlier this week, citing comments made at a CDC all-staff meeting on Tuesday.