A Seattle biotech trying to take on one of the world’s biggest vaccines has nabbed a megaround. It also named former Operation Warp Speed chief scientific advisor Moncef Slaoui as its board chair and added Moderna’s ex-chief medical officer Tal Zaks to its board.
The startup, Curevo Vaccine, reeled in a $110 million Series B Monday morning to fund a large extension to a Phase 2 trial of its shingles vaccine. Curevo thinks its shot, codenamed amezosvatein, can be as efficacious as GSK’s blockbuster vaccine Shingrix. Importantly, the startup thinks its shot will carry less baggage on the safety front than the nearly decade-old incumbent, which continues to show
long-term efficacy
.
The decision to extend the existing Phase 2 — which
already cleared
the co-primary efficacy and safety endpoints when it pitted the vaccine against Shingrix — means the Pacific Northwest upstart has fallen more than a year behind its original clinical development timelines.
But the move could make for improved chances of success for amezosvatein in a multinational pivotal program, CEO George Simeon said in an interview.
Curevo will need all odds in its favor to take on Shingrix, which garnered
$4.3 billion
for GSK last year. The 40-employee startup will include another 640 people in its trial extension, which will kick off midyear, so it can get data from adults over the age of 70.
The new chair is quite familiar with Shingrix. Slaoui was a decadeslong GSK leader who helmed their vaccine work, including that of Shingrix. He’s also on the boards of Arcturus, Abzena, Vicebio and others.
Shingrix “has only, over a period of 10 years, penetrated 40% of the target population here in the US and only 10% in Europe,” Slaoui said in an interview. “In part because while it’s exceptionally efficacious, it’s highly reactogenic. It’s safe, but it’s reactogenic.” That includes injection site pain, chills, fever, headache and myalgia (muscle pain), he said.
Curevo’s adjuvanted subunit vaccine is quite similar to Shingrix, but the company says it uses an improved version of the TLR4 agonist. Slaoui said he could see amezosvatein becoming a booster shot for the very elderly as well.
Once the company has that new batch of Phase 2 data next year, it could explore a variety of additional funding options, be it a Series C, crossover or initial public offering, Simeon said. The company has enough capital now to take it through an end-of-Phase 2 meeting with regulators and prepare for the broad Phase 3 program. It’s already held some discussions with the FDA and European regulatory agencies on its Phase 3 ambitions, Simeon said.
There’s also the chance of getting bought out by one of the large vaccine companies. In shingles, Curevo is competing with vaccines in development from Pfizer-partnered BioNTech, Moderna and Dynavax.
“I would be surprised if there isn’t an interest from some of the big players,” Slaoui said. “Obviously I’m very connected to all the big players, but at the same time because it’s a very clear Phase 3 plan, very clear path, very low risk, it can also be a highly attractive public market opportunity in the next 18 months or so or less.”
The company works with external CDMOs. Manufacturing, and CMC more broadly, is one of the key components involved in vaccine development.
While Curevo collects new data on its adult vaccine, the health regulatory oversight in the US is drastically changing.
“There is noise in the air for vaccines, but we think this is some short-term disturbance,” said Medicxi partner and co-founder Giovanni Mariggi, who is also joining Curevo’s board. “We are still big believers in these products for the good that they can do for the world. Hopefully, this is not the last vaccine deal you see us do.”
Medicxi led the Series B. It also bankrolled another vaccine company last year,
Vicebio
, that is attempting to take on GSK and other companies in RSV and other respiratory viruses.
Mariggi noted the term sheet for Curevo came together just before Christmas and the syndicate was completed shortly after, meaning the bulk of the financing discussions occurred after the US presidential election. Other investors in the round include OrbiMed, HBM Healthcare Investments and Sanofi Ventures. Existing backers RA Capital, Janus Henderson Investors, Adjuvant Capital and founding investor GC Biopharma also took part.
Much of the vaccine conversations lately have focused on younger populations, Slaoui noted. Shingles can lead to annoying and painful rashes for multiple weeks, but in some cases also leads to long-term nerve pain, damage to the eyes or other serious outcomes.
“The foundational rules are not going to change and elderly vaccines are needed,” Slaoui said. “In this case, there’s nothing you can do. You can diet, you can run, you can do anything you want. You have varicella inside. You’re stuck with it, and it will reactivate because, I hope, it means you’re aging and that’s what everybody would like to do.”