Overview
- The FDA approved mFlusiva on Wednesday for people aged 50 and older, granting traditional approval for ages 50–64 and accelerated approval for ages 65 and up with a required post‑licensure (Phase 4) trial for the older group.
- Regulatory approval was based on a late‑stage trial of more than 40,000 adults that showed about a 26.6–27% higher efficacy versus a licensed standard‑dose flu vaccine in people 50 and older.
- Trial data showed higher rates of short‑term side effects with mFlusiva, including injection‑site pain, fatigue and headache, and a small number of serious events are being reviewed.
- Moderna says it expects some doses for the 2026–2027 season, but the CDC’s Advisory Committee on Immunization Practices cannot meet because of a federal court block, which could delay formal CDC recommendations and insurer coverage.
- The approval caps an unusual regulatory fight that included an early refusal‑to‑file, a later agency reversal and leadership turnover, and it signals wider potential for faster mRNA flu production and quicker strain updates in future seasons.