Thursday, May 23, 2024

Moderna’s long Covid plan

The ideas and innovators shaping health care
May 23, 2024 View in browser
 
Future Pulse

By Daniel Payne, Ruth Reader, Carmen Paun and Erin Schumaker

INNOVATORS

Moderna sign

Moderna is considering how it can help long Covid patients.

Moderna is eyeing a new target: long Covid.

The pharmaceutical company that became a household name when it developed a Covid-19 vaccine now wants to treat the disease’s lingering effects, which have afflicted tens of millions of people by some estimates.

“We see this as an opportunity for Moderna to repeat our leadership and our expertise,” Bishoy Rizkalla, the company’s vice president of long Covid, told Daniel.

Even so: Rizkalla said Moderna has no cure in the offing. He said the company is waiting for the science to develop around how the condition works before it begins “active research into solutions.”

For now, Moderna is engaging with patients with long Covid and studying efforts to treat the syndrome — as well as talking with public officials.

Why it matters: The large and growing population of long Covid patients has for years pushed governments and health systems for more efforts to understand and treat their ailments.

What’s next? Rizkalla said he sees some promise in antiviral treatments, which may clear residual virus after an infection, or vaccines, perhaps to further train an immune response to the virus.

Rizkalla declined to offer any timeline for Moderna’s development efforts.

 

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CHECKUP

A bar graph showing rising use of weight loss drugs by young people.

Young people are increasing their use of the new class of weight-loss drugs, like Ozempic and Wegovy.

Though still small overall, the number of people ages 12-25 using the drugs has risen nearly 600 percent since 2020, according to a new analysis published in JAMA. The study drew on data from more than 90 percent of retail pharmacies in the U.S.

How so? Women led the way. In January 2020, about 4,900 in the 12-25 age range were getting the drugs, which reduce appetite by mimicking the GLP-1 hormone released in the gastrointestinal tract when we eat. They have been used to treat type 2 diabetes for years. The number of young women using the drugs surged to 37,100 by the end of 2023. For young men, the numbers grew from 2,200 to nearly 12,700.

Just under half of the adolescents and young adults taking the medication lived in the South.

Even so: The researchers noted that more research is needed on the drugs' effects plus their cost-effectiveness, since they’re expensive and often not covered by insurance.

 

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FORWARD THINKING

Psilocybin facilitator students sit with eye masks on while listening to music during an experiential activity at a training session near Damascus, Ore., on Dec. 2, 2022. They are being trained in how to accompany patients tripping on psilocybin as Oregon prepares to become the first state in America to offer controlled use of the psychedelic mushroom to the public. (AP Photo/Andrew Selsky)

Psychedelic treatments for mental illness typically involve therapy. | AP

Fluence, a company that trains mental health therapists to oversee treatment with psychedelics, has teamed up with the Texas firm Metamorph AI to develop a chatbot to assist them.

“They can practice and then get feedback,” Ingmar Gorman, Fluence’s CEO, told Ruth.

The backstory: Last fall, when ChatGPT, Open AI’s groundbreaking chatbot that can answer questions like a human, was released, Gorman tested how it would respond to a therapy session.

This experiment became the basis for the tool Fluence has built with Metamorph AI. Fluence trains students on the protocol, and they then role-play as therapists and patients. Transcripts from the practice sessions are uploaded into a specialized ChatGPT, which gives feedback on how the therapists performed.

For now, Fluence is offering this feedback as part of training for therapists preparing to participate in clinical trials.

Gorman says that companies will soon be able to use the tool during trials to ensure therapists adhere to protocol. The company is building out the safety and privacy framework needed to do that.

Why it matters: Biotech companies developing new psychedelic treatments need a workforce capable of administering them. Psychedelic drugs used to treat mental illness are typically paired with therapy.

What’s next? An FDA advisory committee is scheduled to meet in June to discuss Lykos Therapeutics’ plan to use MDMA, often known as ecstasy, alongside therapy, to treat post-traumatic stress disorder.

FDA approval would provide a significant boost to psychedelic therapy and likely prompt more firms to move ahead.

 

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