European Medicines Agency Grants Full Approval for HIPRA's COVID-19 Vaccine, Bimervax

Protein Recombination Technology Enters the Market
The European Medicines Agency (EMA) has officially approved Bimervax, the COVID-19 vaccine developed by Spanish pharmaceutical company HIPRA, for use as a booster dose in individuals aged 16 and older. This vaccine utilizes a classical platform based on recombinant technology, directly introducing antigen proteins into the body to induce an immune response, rather than the mRNA approach. Specifically, it targets a dimeric protein that combines the receptor-binding domain (RBD) of the spike proteins from the Alpha and Beta variants of SARS-CoV-2. This approval holds significant clinical importance as it diversifies the vaccine supply chain, which has been largely dominated by Pfizer and Moderna's mRNA-based vaccines, and provides an alternative option based on protein recombination.
Efficacy Verified Through Immunobridging Studies
The Phase 2b/3 clinical trial (HIPRA-HH-2) for Bimervax, which served as a Phase 3 trial, involved a comparative evaluation conducted on 765 adults who had previously received an mRNA vaccine. To compare the efficacy with existing vaccines, an immunobridging approach was used to indirectly demonstrate effectiveness by measuring antibody formation levels. The clinical results showed that, compared to a booster dose of Pfizer's Comirnaty, the neutralizing antibody titers against the original Wuhan strain were lower. However, significantly higher neutralizing antibody titers were observed against the Beta and Omicron (BA.1) variants. Furthermore, it demonstrated comparable neutralizing ability against the Delta variant, proving its broad protective ability against various variants.
Enhanced Cold Chain Storage Efficiency and Logistics Advantages
Bimervax, a traditional protein recombination vaccine, significantly enhances its market competitiveness in terms of distribution and storage convenience. Unlike mRNA vaccines, which require ultra-low temperature storage at -70°C, Bimervax can be stored and distributed for extended periods at a standard refrigerated temperature of 2°C to 8°C. This feature greatly improves access to vaccination in low- and middle-income countries and rural areas with limited ultra-cold chain infrastructure, potentially addressing healthcare inequalities. Ultimately, it reduces storage costs in healthcare settings, extends the shelf life, and significantly lowers vaccine wastage.
Commercialization Strategy Focused on Public Procurement Markets
Bimervax is entering the market primarily through public procurement channels, such as the European Union's Health Emergency Response Authority (HERA), rather than through general commercial pharmacies. In 2022, it signed a joint procurement framework contract for the supply of up to 250 million doses to 14 member states. More recently, it secured an additional contract for 4 million doses of a vaccine targeting the latest circulating variant, LP.8.1. The Spanish government has invested approximately €31 million (approximately $34 million) to pre-purchase 3.2 million doses, demonstrating its price competitiveness at approximately €9.69 per dose. This is expected to lead to increased competition with similar vaccines, such as Novavax's Nuvaxovid.
The EMA approval of Bimervax signifies the commercial launch of a recombinant protein alternative vaccine in the COVID-19 vaccine market, which has been dominated by Pfizer (PFE) and Moderna (MRNA) due to its advantages in distribution and cost. Data from the Phase 2b/3 trial (HIPRA-HH-2) involving 765 adults, which demonstrated superior neutralizing antibody responses against the Omicron variant, supports the scientific competitiveness of the vaccine and serves as a benchmark for the rapid approval of future variant-adapted vaccines (e.g., LP.8.1). With its ability to be stored at 2-8°C, Bimervax diversifies the market, particularly in countries where maintaining the cold chain infrastructure is expensive. The framework agreement with the EU HERA for up to 250 million doses and the €31 million supply contract with the Spanish government ensure stable cash flow. This allows for securing market share within the EU in the short term and, in the medium to long term, contributes to breaking the mRNA-centric monopoly in global infectious disease response and expanding the production and logistics ecosystem for recombinant protein vaccines.
Source: EMA (ema)