Healthcare & Laboratory News

HHS Plans To Stop Recommending Routine COVID-19 Vaccines For Pregnant Women, Teens, And Children

The Wall Street Journal (5/15, Essley Whyte, Subscription Publication) reports that HHS is planning to stop recommending routine COVID-19 vaccines for pregnant women, teens, and children. Reuters (5/15, Santhosh), citing the Wall Street Journal, reports, “It was not clear if the” CDC “is planning to remove the recommendation entirely for those groups or just suggest that patients talk with their doctors about risks and benefits.”

Researchers Use CRISPR To Create Personalized Treatment For Infant With Rare Genetic Disease

The AP (5/15, Ungar) reports that a “baby born with a rare and dangerous genetic disease is growing and thriving after getting an experimental gene editing treatment made just for him.” In a study published in The New England Journal of Medicine, researchers said the child is “among the first to be successfully treated with a custom therapy that seeks to fix a tiny but critical error in his genetic code that kills half of affected infants.” The infant, KJ Muldoon, was “diagnosed shortly after birth with severe CPS1 deficiency, estimated by some experts to affect around one in a million babies. Those infants lack an enzyme needed to help remove ammonia from the body, so it can build up in their blood and become toxic.” Researchers at the Children’s Hospital of Philadelphia and Penn Medicine “created a therapy designed to correct KJ’s faulty gene. They used CRISPR, the gene editing tool that won its inventors the Nobel Prize in 2020.” The New York Times (5/15, Kolata) reports researchers believe the “implications of the treatment go far beyond treating KJ.” More than 30 million people in the US “have one of more than 7,000 rare genetic diseases.” KJ’s treatment “offers a new path for companies to develop personalized treatments without going through years of expensive development and testing.” While KJ’s treatment was “customized so CRISPR found just his mutation, the same sort of method could be adapted and used over and over again to fix mutations in other places on a person’s DNA.” The Washington Post (5/15, Y. Johnson) adds that while it is still “very early days...KJ – now nearly 10 months old – is showing signs of clinical benefit from his personalized treatment.”

FDA To Release New Vaccine Approval Framework Amid Questions Over COVID-19 Shots

The Washington Post (5/15, Roubein) reports FDA Commissioner Marty Makary “said the agency will soon unveil a new framework detailing what companies must do to seek approval of vaccines.” Makary said Thursday during a conference of the Food and Drug Law Institute, “We want to create a framework for vaccine makers that they can use so they have a predictable FDA where they don’t have to worry how is this going to be received.” HHS recently said “that all new vaccines will be required to undergo placebo testing.” Earlier this year, the Trump Administration “sought for drug manufacturer Novavax to commit to conducting a new clinical trial on its coronavirus vaccine after it gets approved.” Makary’s comments come a week ahead of the FDA’s Advisory Committee on Immunization Practices meeting “to make recommendations on selecting the formula vaccine makers should use to update their shots to target the strain of the virus currently circulating in the country.”

Risk For Major Bleeding In Patients With HIV Infection And Atrial Fibrillation On ART Is Higher With Use Of Warfarin And Rivaroxaban Than With Apixaban, Research Indicates

Infectious Disease Advisor (5/14, Nye) reports, “The risk for major bleeding in patients with HIV infection and atrial fibrillation (AF) on antiretroviral therapy is higher with the use of warfarin and rivaroxaban than with apixaban, highlighting the superior safety profile of apixaban in high-risk HIV populations.” Investigators came to this conclusion after evaluating “patients aged 50 years and older with HIV and AF who initiated anticoagulant therapy with warfarin, rivaroxaban, or apixaban between 2013 and 2020 for major bleeding-associated hospitalization.” The findings were published in JAMA Internal Medicine.

South Africa’s HIV Patient Testing Fell Following US Aid Cuts, Data Show

Reuters (5/14, Peyton) reports new data from South Africa’s National Health Laboratory Service (NHLS) indicate that “testing and monitoring of HIV patients across South Africa have fallen since the United States cut aid that funded health workers and clinics, with pregnant women, infants and youth the most affected.” Prior to the Trump Administration slashing aid earlier this year, the US “was funding 17% of the country’s HIV budget.” NHLS data showed “that viral load testing fell by up to 21% among key groups in the last two months, which four HIV experts said appeared to be due to the loss of U.S. funding.” Furthermore, “the number of viral load tests conducted for people aged 15-24 fell by 17.2% in April compared to April last year, after dropping 7.8% year-on-year in March. Total population testing was down 11.4% in April.” HIV experts added “that diagnostic testing was likely impacted by the funding cuts too, though that data was not available.”

Jarisch-Herxheimer Reaction Is Common But Transient Immune Response Following Benzathine Penicillin G Treatment For Early Syphilis, Analysis Finds

Infectious Disease Advisor (5/14, Kuhns) reports that researchers have found that “the Jarisch-Herxheimer reaction (JHR) is a common but transient immune response following benzathine penicillin G treatment for early syphilis, particularly among individuals with secondary syphilis.” The investigators came to this conclusion after conducting “a prespecified secondary analysis of a randomized phase 4 clinical trial...to prospectively assess the incidence of JHR symptoms in adults with early syphilis following standard antibiotic therapy with benzathine penicillin G.” The findings were published in JAMA Network Open.