๐ฆ Norovirus Vaccine Tracker Dashboard
Tracking norovirus vaccine development to prevent acute gastroenteritis. Norovirus causes 685 million cases and 200,000 deaths annually worldwide, with no licensed vaccine available yet. Leading candidates include Takeda's bivalent VLP vaccine in Phase 3, Valneva's VLA1554 in Phase 2, and Moderna's mRNA-1403. This tracker monitors all norovirus vaccine candidates targeting GI and GII genogroups.
Norovirus Vaccines by Development Phase
685M
Annual Cases Globally
๐ฌ Phase 3 Clinical Trials
Technology
Bivalent VLP (GI.1/GII.4)
Phase 3 Efficacy
Target: >50% prevention
Details: TAK-214 is a bivalent intramuscular vaccine containing virus-like particles (VLPs) from GI.1 and GII.4 norovirus strains, which cause ~90% of norovirus outbreaks. Phase 2b trial (NCT03897933) in 4,712 healthy adults showed 66% efficacy against moderate-to-severe acute gastroenteritis caused by vaccine-matched strains and 52% efficacy against all norovirus gastroenteritis. The ongoing Phase 3 NOVA trial is enrolling ~25,000 participants globally. Vaccine targets high-risk populations including healthcare workers, food handlers, military personnel, and travelers.
Current Status: Phase 3 enrollment ongoing. If successful, could be first licensed norovirus vaccine, potentially available by 2025-2026. Takeda has invested over $200 million in norovirus vaccine development since acquiring LigoCyte in 2011.
๐งฌ Phase 2 Clinical Trials
Technology
Bivalent VLP
Phase 2 Results
Strong immunogenicity
Description: VLA1554 demonstrated strong immunogenicity with high seroconversion rates (>95%) against both GI.1 and GII.4 strains in Phase 2 trials. Well-tolerated with mostly mild-to-moderate adverse events. Valneva is exploring pediatric populations and different dosing regimens.
Technology
mRNA (LNP delivery)
Target
Multiple norovirus strains
Description: Moderna's mRNA platform leveraging COVID-19 vaccine technology for norovirus prevention. mRNA-1403 encodes norovirus capsid proteins from multiple genotypes. Early-phase data showed robust antibody responses. Moderna announced Phase 2 initiation in 2023, exploring efficacy in controlled human infection models.
๐งช Phase 1 Clinical Trials
Technology
Intranasal VLP delivery
Advantage
Mucosal IgA response
Description: Intranasal delivery targets mucosal immunity at primary infection site. Early Phase 1 safety trials assessing tolerability and IgA responses. May provide superior protection against GI infection compared to IM vaccines.
Technology
P particle subunit
Coverage
Multiple GI/GII strains
Description: P particle vaccines contain the protruding (P) domain of norovirus capsid protein, which binds host receptors. Smaller and more stable than full VLPs. Early trials assess safety and immunogenicity across diverse norovirus genotypes.
Technology
Replication-deficient adenovirus
Target
Strong T cell responses
Description: Adenovirus vector expressing norovirus capsid proteins. Aims to induce both humoral and cellular immunity. Phase 1 safety and immunogenicity studies ongoing.
๐ฌ Preclinical Development
Description: Self-amplifying RNA (saRNA) and circular RNA platforms promise enhanced immunogenicity with lower doses. Preclinical studies in animal models show robust antibody and T cell responses. Could enable pan-norovirus coverage with single vaccine.
Description: Ferritin-based and other nanoparticle scaffolds displaying norovirus antigens. Improved stability and immunogenicity compared to traditional VLPs. Animal studies demonstrate cross-reactive antibodies against diverse norovirus strains.
Description: Oral norovirus vaccines targeting intestinal immunity. Enteric-coated formulations protect VLPs from gastric acid. Preclinical studies show strong mucosal IgA responses in GI tract.
Description: Combining broadly neutralizing monoclonal antibodies with VLP vaccines for immediate and long-term protection. Targets immunocompromised populations and outbreak response. Animal models show synergistic protective effects.
Description: DNA vaccines with electroporation or adjuvants to enhance immunogenicity. Stable, easy to manufacture, and capable of inducing cellular immunity. Preclinical data in non-human primates show protective antibody titers.
Description: Using plant-based expression systems (tobacco plants) for rapid, scalable VLP production. Cost-effective manufacturing for global deployment. Preclinical immunogenicity studies demonstrate comparable responses to insect cell-derived VLPs.