Moderna’s researchers measured levels of antibodies — the body’s first line of defense in warding off infection from the coronavirus. Other immune responses that also defend against Covid-19 disease were not measured; those tests are far more complex and expensive to conduct.
But while antibody levels provide only a partial picture of the immune system’s responses, “we are still are thinking that keeping antibody levels high is important,” Dr. John Beigel, the clinical research director overseeing N.I.H. vaccine trials, said in a recent interview.
The sprint to update the vaccines involves small clinical trials paired with laboratory tests. First, vaccines are designed to target a variant — either alone or in combination with the original prototype of the virus or another variant.
A small group of volunteers receive the reconstituted vaccine. Then researchers at a laboratory test their blood samples for neutralizing antibodies against the whole array of variants — not just the one or two the vaccine was designed to attack.
Dr. Beigel said antibodies created by the coronavirus vaccine decayed at different rates, depending on the variant at play. “That is why we need six months’ worth” of data, ideally, to assess how well any updated vaccine would work, he said.
Some researchers suggest that a protein-based vaccine, perhaps like the one developed by the companies Sanofi and GSK, might prove to be a better booster than new versions of the Moderna or Pfizer-BioNTech vaccines used to vaccinate about 250 million Americans.
Dr. Burton said Moderna’s results on its Beta bivalent vaccine were “very reassuring” both in terms of safety and the immune response. But he said the company was eager for results by June from its bivalent vaccine aimed at the Omicron variant. Stéphane Bancel, Moderna’s chief executive, said that vaccine “remains our lead candidate” for a booster this fall.