| US FDA approves Moderna's next-generation COVID vaccine for adults 65 or  older 
 REUTERS  12:58 AM ET 5/31/2025
 
 
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 * Moderna COVID vaccine approved for those 12-64 with risk factors
 
 * Moderna (MRNA) expects  mNEXSPIKE to be ready for 2025-2026 season
 
 * Vaccine easier to distribute in developing countries
 
 (Adds background in paragraphs 10, 16-19)
 
 By Chandni Shah, Mariam Sunny and Christy  Santhosh
 
 May 31 (Reuters) - The U.S. Food and Drug  Administration has approved Moderna's(MRNA) next-generation COVID-19 vaccine  for everyone aged 65 and above, the company said on Saturday, the first  endorsement since the regulator tightened requirements.
 
 The vaccine has also been approved for people aged 12 to 64 with at least one  or more underlying risk factors defined by the Centers for Disease Control  and Prevention, Moderna(MRNA) said in a statement.
 
 The company said it expects to have the vaccine, called mNEXSPIKE, available  for the 2025-2026 respiratory virus season.
 
 "The FDA approval of our third product, mNEXSPIKE, adds an  important new tool to help protect people at high risk of severe disease from  COVID-19," CEO Stephane Bancel said in the statement.
 
 The Department of Health and Human Services, under the leadership  of long-time vaccine skeptic Robert F. Kennedy Jr., is  tightening regulatory scrutiny on vaccines.
 
 The FDA said on May 20 it planned to require  drugmakers to test their COVID booster shots against an inert placebo in healthy  adults under 65 for approval, effectively limiting them to older adults and  those at risk of developing severe illness.
 
 The Moderna(MRNA)  vaccine can be stored in refrigerators rather than freezers, to offer longer  shelf life and make distribution easier, especially in developing countries  where supply-chain issues could hamper vaccination drives.
 
 The Centers for Disease Control and Prevention, which Kennedy also  oversees, said on Thursday that COVID vaccines remain an option for healthy  children when parents and doctors agree that it is needed, stopping short of  Kennedy's announcement days earlier that the agency would remove the shots from  its immunization schedule.
 
 The CDC announcement eases investor concern to some extent, analysts say, as  it keeps the existing framework for older adults and at-risk people who  generally seek out the shots.
 
 FDA leaders have said 100 million to 200 million Americans would  still be eligible for annual shots.
 
 Moderna (MRNA) is  betting on its newer messenger RNA vaccines as it grapples with waning demand  for its original COVID vaccine Spikevax and lower-than-expected uptake of its  respiratory syncytial virus vaccine.
 
 The approval for mNEXSPIKE was based on late-stage trial data, which showed  the shot was not inferior in efficacy compared to Spikevax in individuals aged  12 years and older.
 
 The shot also showed superior efficacy compared to Spikevax in adults 18  years of age and older in the study.
 
 Kennedy has kickstarted a major overhaul of health departments, laying off  thousands of employees to align with President Donald Trump's  goal of dramatically shrinking the federal government. This has further ignited  worries about potential disruptions to the regulatory review of treatments and  vaccines.
 
 The CDC's outside panel of vaccine experts in April discussed recommending  the booster shots only for populations at risk of severe COVID-19 for the  upcoming immunization campaign.
 
 The FDA approved Novavax's COVID vaccine Nuvaxovid this month,  limiting its use to older adults and people over the age of 12 with conditions  that put them at risk due to the illness.
 
 Conditions that constitute additional risk range from illnesses such as  diabetes and heart disease to behaviors like physical inactivity and substance  abuse, according to the CDC.
 
 While Moderna's(MRNA)  shots, as well as Pfizer-BioNTech's Comirnaty, are mRNA-based, Novavax's vaccine  is protein-based and takes longer to manufacture.
 
 Moderna (MRNA) this  month withdrew an application seeking approval for its flu-and-COVID combination  vaccine candidate to wait for efficacy data from a late-stage trial of its  influenza shot. (Reporting by Chandni Shah, Mariam Sunny and  Christy Santhosh in Bengaluru; Editing by Sriraj Kalluvila,  Clarence Fernandez and William  Mallard)
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