How BioNTech Used Cancer Research To Create Its Covid Vaccine - YouTube

Channel: CNBC

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It was January 24 2020, BioNTech CEO Ugur Sahin knew
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that Covid-19 was likely to become a global pandemic.
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I did some calculations and calculated how many people were
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infected. How many weeks how many people could have traveled,
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how many people could be as symptomatic and every
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calculation that I made clearly demonstrated. This is not any
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more original outbreak, but the virus has already spread
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worldwide.
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Though it was over a month and a half before the World Health
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Organization officially declared a pandemic, Sahin met with his
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wife, BioNTech鈥檚 co-founder and chief medical officer 脰zlem
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T眉reci, and together they agreed to redirect most of the
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company鈥檚 resources to developing a vaccine.
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It was immediately clear to both of us that the technology we
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had, which we had already clinically developed, could help
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to ensure a rapid response.
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Up until that point, BioNTech was primarily focused on
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developing novel cancer treatments. The company was
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little known internationally and had never brought a product to
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market. They were still
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a small, relatively unknown biotech company really working
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on this cutting edge science.
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The founders were confident in the potential of their mRNA
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technology, which they knew could trigger a powerful immune
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response. That confidence wasn't necessarily shared by the
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broader medical community. No mRNA vaccine or treatment had
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ever been approved before. But the couple's timely breakthrough
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was actually decades in the making.
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We understood that we would need to invest some time and it would
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need innovations on different levels in order to make it
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really work for vaccines and beyond. But the potential was
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already clear there.
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Sahin and Tureci, whose families both immigrated to Germany from
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Turkey, met in the early 1990s, when they were working in the
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cancer ward at a hospital in southwest Germany. Neither
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envisioned a career in business.
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During my time at medical faculties studying medicine, I
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also started to do my PhD, which meant work in a laboratory. And
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that actually caused a clash in my perception.
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Tureci and Sahin both realized that while there was a little
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they could offer terminal cancer patients in the ward, in the lab
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they saw lots of potential for new treatments.
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I was doing my lab work and understood that the immune
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system could be a powerful weapon to fight cancer. And at a
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certain time point, I realized that it's not only laboratory
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work, but you have really to develop the therapies and you
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need funding for that.
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Out of desperation, I become became an entrepreneur and
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founder companies because I understood that if you want to
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use innovative research to develop medicines, you have to
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do it yourself.
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The couple had been studying messenger RNA or mRNA since the
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late 1990s. The function of mRNA is essentially to teach
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ourselves how to make specific proteins. But because mRNA is
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very unstable and quickly degrades in the body, they knew
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there was still a long way to go before it was ready for use in a
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vaccine.
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And at that time point, mRNA was used by a very small community.
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So it was like a talent you see a young talent, you know all the
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weaknesses and you know that you have to invest a lot of years to
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make the technology mature.
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So in the meantime, they co-founded their first company
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Ganymed Pharmaceuticals in 2001. Ganymed used a more established
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technology, monoclonal antibodies to treat stomach
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cancer, and the couple sold the company for 1.4 billion in 2016.
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It was Germany's biggest biotech deal ever. By that point, Sahin
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and Tureci were already eigh years into their second ventur
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BioNTech. When they founded th company in 2008, the couple fel
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that they had improved th stability of mRNA enough t
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focus on developin individualized cancer vaccine
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So the biggest challenge in cancer treatment is that every
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cancer is different, personalized or individualized.
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Cancer vaccines are based on on getting the tumor off of the
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patient and analyzing that tumor, then making a vaccine
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which is tailored to the profile to the genetic profile of the of
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the patient's tumor.
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Unlike traditional vaccines, mRNA vaccines don't introduce a
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weakened version of the virus into your body. Instead, the
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mRNA instructs the body to make a specific virus protein that
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will trigger an immune response and produce antibodies, which
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can be used to fight off a cancer that's already growing,
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or to protect against future COVID-19 infections. And while
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traditional vaccines require scientists to collect and grow
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large quantities of a virus, a process that can take months,
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mRNA vaccines are much faster to produce. That's because they're
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made from a DNA template in the lab, the sequence for which can
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be shared electronically in an instant.
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It's the most ancient information technology, which
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means that the organism is prepared and has all the tools
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to understand what you want to convey in terms of messages with
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mRNA.
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The vision and the scientific know how we're in place, but by
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the beginning of 2020, BioNTech had still not gotten any of its
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mRNA cancer vaccines approved for use in humans. The company
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had never turned a profit. And when it IPO in 2019, it raised
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about 100 million less than it had hoped for.
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They were still a small, relatively unknown biotech
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company, really working on this cutting edge science.
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But the world was on the verge of changing. On the day when
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Sahin realized that COVID-19 had already spread around the world,
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few others were concerned. Europe had just reported its
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first few Coronavirus cases, and Germany had not reported any
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yet. But after Sahin and Tureci talked that morning in late
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January, they immediately jumped into action.
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On the weekend, we started to decide the vaccine sequences.
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And on Monday, we met our teams explained them, this could
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become a global outbreak and that we have the obligation to
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do the best that we can do to come up with vaccine candidates.
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And already on Tuesday, we had the full commitment of the whole
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team to start the development of a new vaccine.
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We are like in a military operation. The teams were
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redirected. We never put our cancer programs at hold. So they
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went on while those parts of our company who could really help
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with COVID-19 project started step by step to pick up pace and
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work on a project litespeed.
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BioNTech knew that to successfully produce tests and
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manufacture a Covid vaccine on a global scale, it would need a
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bigger partner. The company had already partnered with Pfizer,
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having worked with him since 2018, to develop an mRNA based
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flu vaccine, which is currently in clinical trials. And so
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naturally BioNTech turn to them.
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We approach Pfizer in early February, which was very early
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because no one really believed that there was a pandemic. And
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as everyone else, our Pfizer colleagues did not really
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believe that a pandemic vaccine would be needed.
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And the response to that point from Pfizer was no. And I talked
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with Pfizer CEO about this. And he was saying essentially at
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that point early on, he was really focused on Pfizer's
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operations in China, Pfizer's people in China, and he wasn't
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yet thinking about developing a vaccine.
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Undeterred, BioNTech initially went at it alone, developing not
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just one but for vaccine candidates. The company started
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preparing for phase one clinical trials in Germany, which would
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test the vaccine in humans. By this time, others were starting
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to catch on.
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COVID-19 can be characterized as a pandemic. Dow is now down more
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than 1100 points as moments ago, the who has formally declared
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the Coronavirus, a global pandemic.
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And now the extreme new measures in the US. Large events banned
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in Washington State and San Francisco. As U.S. cases rise
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over 1000. Less
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than a week after the pandemic was declared Pfizer agreed to
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work with BioNTech to help them scale up their clinical trials
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production and distribution.
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We had our first patient in on on April 23. It was the first
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volunteer and in July, we started phase three clinical
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trial. This was already in partnership with Pfizer, which
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allowed us to move fast from the early stage of clinical
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development to the to the latest stage of development.
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So as they were starting phase one they were designing and
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figuring out phase two as they were getting into phase two,
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they were figuring out these massive phase three clinical
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trials that they managed to start in the summer, and the FDA
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and regulators globally were working on being incredibly
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flexible.
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Over 43,000 participants were enrolled in the company's phase
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three trials, which measured how many vaccinated participants
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contracted Covid compared to the unvaccinated placebo group.
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Sahin and Tureci we're by no means certain that the vaccine
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would work at all.
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We knew that vaccine is able to activate the immune system, but
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it didn't know whether the immune system is able to control
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the virus. So as a scientist, my expectation was it would be
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great if we have 70% efficacy. But I was also aware that if the
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immune system is not able to control we might have just a
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negative result and getting the call on Sunday evening and
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hearing that we have 95% efficacy. This was
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extraordinary, of course high much higher than than we had
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expected.
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And it brought this just amazing hope that we would be able to
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start fighting back against this virus. And I think everybody who
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got that news felt like their lives changed.
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Over 1.75 billion doses of the Pfizer-BioNTech vaccine have
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been delivered worldwide. And perhaps obviously BioNTech is
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finally making money. With a market cap of nearly 60 billion,
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the company made over $4.5 billion in profit in the first
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two quarters of 2021. As the United States and European
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Commission governments have entered into massive contracts
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to buy hundreds of millions of doses. And BioNTech's stock has
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seen a rise of over 500% since January of 2020.
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In the second quarter alone, they brought in more than 5
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billion euros in revenue. That compares to just about 40
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million that they took it in the second quarter of last year. So
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this has been a transformative year for BioNTech.
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In August, the Pfizer-b vaccine became the first to gain full
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FDA-approval, helping pave the way for a return to normal life.
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But there's still a long way to go. Over half of the world
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remains unvaccinated. And the virus is mutating into new, more
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infectious variants like the Delta strain, which is ripping
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through communities worldwide.
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Our work on Covid is still a large part of our activities in
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the company, obviously, because there is still a long path to go
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until we have manufactured sufficient supply to ensure that
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all those who want to be vaccinated and need to be
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vaccinated get the vaccine.
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In September, Pfizer submitted data to the FDA demonstrating
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that a booster given six months after the second shot restores
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immunity to 95%. Currently, the FDA has authorized boosters of
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the Pfizer-BioNTech vaccine for certain vulnerable populations
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such as those over 65.
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My personal opinion is that we can't control the pandemic. And
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we can't control this virus, if we don't enable that, that the
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vast majority of the population stays immune.
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And then there's the issue of kids. Currently, the
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Pfizer-BioNTech vaccine is the only one authorized by the FDA
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for use in children 12 and over though the two companies have
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requested emergency authorization for ages five
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through 11, after clinical trials showed positive results
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when kids were given 1/3 of the normal dosage. But amidst their
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ongoing Covid efforts, biontech has still found the time to
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advance its oncology work.
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Even during the pandemic, we have been able to initiate
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multiple phase one clinical trials which meant bringing new
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concepts, not only mRNA vaccines, but also other immune
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therapies for the first time in human testing in cancer
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patients. And we have also initiated advanced trials with
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our cancer vaccines where we compare against standard of care
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treatments.
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We are of course excited to get the data and it could be as
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exciting as COVID-19 efficacy data.
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Sahin and Tureci emphasize that developing therapeutic cancer
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vaccines which are administered after a patient has already been
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diagnosed, are bound to be a much lengthier process and
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developing the Covid vaccine. That's because of the time it
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takes to recruit cancer patients for clinical trials and monitor
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their condition over a number of years. Still, though they say
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there's much to be learned from the rapid response to the
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coronavirus pandemic.
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Namely that it's important also on the regulator side to have
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sufficient resources in order to enable very efficient work on
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receivers for clinical trials approvals of drug approvals
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processes, which could be much leaner and much faster.
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The question is can be can we use that model also for other
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severe diseases, and I believe we have to consider how to use
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it. Because if you take for example cancer in the in the
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time between 2020 beginning 2020 and now more patients die with
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this cancer patients died by by COVID-19. So it is not a
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pandemic, but it's an endemic.
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Sahin and Tureci are modest about their success. They ride
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their bikes to work and don't own a car or TV. And while their
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company has grown from about 1300 employees at the beginning
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of 2020 to around 2500 today, it's still minuscule compared to
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the likes of Pfizer, which employs about 78,000 people
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worldwide. But what the influx of money and attention will
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change is the level to which BioNTech can invest in and
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accelerate its other endeavors.
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We have now the chance to invest to accelerate our cancer
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immunotherapies. We have the chance to make it bolder. We
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have the chance to go in other fields.
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It's also very valuable to acquire technologies or assets
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which we otherwise would need to develop ourselves, which means
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saving time and being faster to bring medicines to patients.
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In July, BioNTech acquired Kite Pharma cell therapy platform as
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well as its Maryland based manufacturing facility. Kite is
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also focused on developing cancer immunotherapy products.
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And Sahin said in a statement that the acquisition will
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accelerate BioNTech's development of novel cell
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therapies in the US. And the company is expanding beyond the
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oncology space too.
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In the next years, we will certainly see that we will enter
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into clinical development for infectious disease vaccines like
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malaria, tuberculosis, HIV continue to work in the cancer
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field, start projects in the autoimmune fear stat projects
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for treatment of inflammatory diseases, and have also projects
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in the field of regenerative medicine.
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Since the pandemic began, companies developing mRNA
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technologies have raised billions of dollars combined.
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And according to roots analysis, and India base biopharma
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research firm, there are over 150 mRNA based vaccines and
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therapies in development.
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The Covid-19 pandemic provided this incredible proof of concept
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for messenger RNA. It showed it really works as a vaccine
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against this Coronavirus. Now the question is, will this
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really work as a vaccine against flu? Will this really work as a
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drug for cancer? Those questions are not yet answered.
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For their part, Sahin and Tureci say the Covid vaccine is just
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the beginning.
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I believe that mRNA as a technology will be
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transformative for the biopharma space mRNA can be used not only
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for vaccines for all sorts of pharmaceuticals, and yet,
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biotech, we are actually already doing it.
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I expect that in about 15 years, about 30% of new products
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develop they'll be based on mRNA therapies and that will not only
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include products which are copying existing products or
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replacing them, but very completely new type of medicines
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which are made possible only because this technology is now
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available. And this is of course exciting, to become part of this
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future and to drive the development of new medicines
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this this this type of technology.