The Eu­ro­pean Com­mis­sion said Mon­day that it’s tak­ing le­gal ac­tion against As­traZeneca for fail­ing to pro­vide a suf­fi­cient num­ber of vac­cine dos­es as out­lined in its con­tract.

Our pri­or­i­ty is to en­sure #COVID19 vac­cine de­liv­er­ies take place to pro­tect the health of 🇪🇺.

This is why @EU_Com­mis­sion has de­cid­ed joint­ly with all Mem­ber States to bring le­gal pro­ceed­ings against #As­traZeneca.

Every vac­cine dose counts. Every vac­cine dose saves lives.

— Stel­la Kyr­i­akides (@SKyr­i­akidesEU) April 26, 2021

As­traZeneca’s con­tract with the EU al­lowed for the pur­chase of 300 mil­lion dos­es, with an op­tion for 100 mil­lion more. But on­ly 30 mil­lion dos­es were de­liv­ered in the first quar­ter of 2021, ac­cord­ing to the AP, and the com­pa­ny says it can pro­vide 70 mil­lion in the sec­ond quar­ter, rather than the 180 mil­lion it had promised.

As­traZeneca said in a state­ment Mon­day that it is about to de­liv­er al­most 50 mil­lion dos­es to the EU by the end of April, “in line with our fore­cast. As­traZeneca has ful­ly com­plied with the Ad­vance Pur­chase Agree­ment with the Eu­ro­pean Com­mis­sion and will strong­ly de­fend it­self in court. We be­lieve any lit­i­ga­tion is with­out mer­it and we wel­come this op­por­tu­ni­ty to re­solve this dis­pute as soon as pos­si­ble.” — Zachary Bren­nan

South Africa re­sumes J&J vac­cine tri­al

As the US lifts its pause on the roll­out of John­son & John­son’s Covid-19 vac­cine, South Africa is al­so re­sum­ing a study that had been paused over con­cerns of rare blood clots, ac­cord­ing to Reuters. 

“It is much bet­ter to have the vac­cine than to avoid tak­ing it for fear of get­ting a blood clot,” Health Min­is­ter Zweli Mkhize said, per the out­let.

A con­cern­ing vari­ant emerged in South Africa months ago, which now has the high­est Covid-19 case count on the con­ti­nent. Ear­li­er this month, of­fi­cials halt­ed the roll­out of As­traZeneca and Ox­ford Uni­ver­si­ty’s vac­cine af­ter a study showed it didn’t pro­tect against mild-to-mod­er­ate cas­es caused by the B.1.351 vari­ant, which is now wide­spread in South Africa. The coun­try has since sold its re­main­ing dos­es of the jab to the African Union, Reuters re­port­ed.

Just less than two weeks ago, the US slammed the brakes on roll­out of J&J’s jab over con­cerns about rare but some­times fa­tal blood clots in women be­tween the ages of 18 and 49. But the FDA and CDC de­cid­ed on Fri­day that the vac­cine’s known and po­ten­tial ben­e­fits still out­weigh the risks.

The FDA has up­dat­ed the fact sheets for vac­cine re­cip­i­ents and providers to note the risk of blood clots and low lev­els of platelets, known as throm­bo­sis with throm­bo­cy­tope­nia syn­drome (TTS). The CDC said it has record­ed 15 cas­es of TTS, among about 8 mil­lion re­ceiv­ing the vac­cine. Among those cas­es are three deaths, sev­en peo­ple hos­pi­tal­ized, four of whom are in in­ten­sive care, and five peo­ple dis­charged.

South African au­thor­i­ties promised “in­ten­si­fied pre-vac­ci­na­tion as­sess­ment and post-vac­ci­na­tion mon­i­tor­ing” ac­cord­ing to Reuters. So far, 290,000 health­care work­ers have re­ceived the shot as part of the study, which seeks to en­roll 500,000 peo­ple, the news agency said. — Nicole De­Feud­is

Biden ad­min­is­tra­tion al­lows ex­port of raw vac­cine ma­te­ri­als to In­dia 

In an ef­fort to help In­dia through what’s shap­ing up to be the world’s worst Covid-19 surge yet, the Biden ad­min­is­tra­tion said it would par­tial­ly lift an em­bar­go on raw vac­cine ma­te­ri­als and send vi­tal sup­plies like test kits, ther­a­peu­tics and ven­ti­la­tors to the strug­gling coun­try.

In­dia has long held the world’s sec­ond-high­est Covid-19 case count, be­hind on­ly the US. How­ev­er, the coun­try re­port­ed 2,767 deaths in the last 24 hours, as op­posed to 868 in the US.

On Thurs­day, the coun­try record­ed 314,000 new in­fec­tions — the world’s high­est ever sin­gle-day jump, ac­cord­ing to the Wall Street Jour­nal. And cas­es have on­ly gone up since.

Emi­ly Horne, a spokes­woman for the Na­tion­al Se­cu­ri­ty Coun­cil, said in a state­ment that the US has iden­ti­fied sources of raw ma­te­r­i­al to be used for the man­u­fac­tur­ing of Co­v­ishield, In­dia’s ver­sion of the As­traZeneca/Ox­ford vac­cine. It has promised to send ther­a­peu­tics, rapid di­ag­nos­tic test kits, ven­ti­la­tors and per­son­al pro­tec­tive equip­ment, and fund an ex­pan­sion at vac­cine man­u­fac­tur­er BioE that would en­able it to pro­duce at least a bil­lion dos­es by the end of 2022. Plus, the ad­min­is­tra­tion is send­ing a team of pub­lic health ad­vi­sors from the CDC.

“Just as In­dia sent as­sis­tance to the Unit­ed States as our hos­pi­tals were strained ear­ly in the pan­dem­ic, the Unit­ed States is de­ter­mined to help In­dia in its time of need,” Horne said in the email state­ment.

Un­til now, the Biden ad­min­is­tra­tion has avoid­ed lift­ing an em­bar­go on raw vac­cine ma­te­ri­als, ac­cord­ing to the New York Times. Just last week, State De­part­ment spokesman Ned Price told re­porters the coun­try is “first and fore­most is en­gaged in an am­bi­tious and ef­fec­tive and, so far, suc­cess­ful ef­fort to vac­ci­nate the Amer­i­can peo­ple.”

De­spite lift­ing the em­bar­go, the ad­min­is­tra­tion has blocked re­quests made by In­dia and South Africa for a tem­po­rary waiv­er to an in­tel­lec­tu­al prop­er­ty agree­ment that would pave the way for gener­ic ver­sions of vac­cines and treat­ments, the Times re­port­ed. — Nicole De­Feud­is

South Ko­rea pres­i­dent to meet with No­vavax about ac­cel­er­at­ed ap­proval of vac­cine — re­port

South Ko­rea pres­i­dent Moon Jae-in is re­port­ed­ly in talks with No­vavax CEO Stan­ley Er­ck about ex­pand­ing pro­duc­tion of the drug­mak­er’s Covid-19 vac­cine — and po­ten­tial­ly ap­prov­ing it ear­li­er.

The pres­i­dent will meet with Er­ck face-to-face to “ex­change opin­ions on the ex­pan­sion of the vac­cine pro­duc­tion part­ner­ship with No­vavax and dis­cuss ways to ad­vance the adop­tion, in­clud­ing an ear­li­er reg­u­la­to­ry ap­proval,” spokesper­son Park Kyung-mee said, per the Ko­rea Her­ald.

The vac­cine sub­sidiary of Ko­rea’s SK Group ex­pand­ed on its orig­i­nal man­u­fac­tur­ing pact with No­vavax back in Feb­ru­ary, giv­ing it a li­cense to man­u­fac­ture and com­mer­cial­ize NVX-CoV2373. SK con­cur­rent­ly struck an agree­ment to sup­ply the Ko­re­an gov­ern­ment with 40 mil­lion dos­es of the vac­cine. — Nicole De­Feud­is

*A pre­vi­ous ver­sion of this ar­ti­cle in­cor­rect­ly stat­ed that there is a surge of Covid-19 cas­es in South Africa. A cor­rec­tion has been made to re­flect that the coun­try is not cur­rent­ly in a surge, but has the high­est case count on the con­ti­nent. 

For a look at all End­points News coro­n­avirus sto­ries, check out our spe­cial news chan­nel.

Operation Warp Speed, perhaps the greatest achievement of the former Trump administration, promptly delivered Covid-19 vaccine supplies nationwide when they became available, thanks to collaborations between HHS and the Department of Defense, while helping to fund and aid the manufacture of billions of doses.

But since the Biden administration took over a year ago, acting FDA commissioner Janet Woodcock transitioned out of her role as the therapeutics lead in Warp Speed, which has been converted into a new operation without the fancy name (now known as the “HHS-DOD COVID-19 Countermeasures Acceleration Group”), and as of the start of 2022, the Department of Defense is no longer helping HHS on the program.

Gilead recently decided to pull two indications for its cancer drug Zydelig — in relapsed follicular B-cell non-Hodgkin lymphoma (FL) and relapsed small lymphocytic leukemia (SLL) — after failing to complete the confirmatory trials required as part of the accelerated approvals from 2014.

“As the treatment landscape for FL and SLL has evolved, enrollment into the confirmatory study has been an ongoing challenge,” Gilead said in a statement, noting it formally notified the FDA of its decision to voluntarily withdraw these indications.