The recent decision by the Food and Drug Administration to reject Moderna’s experimental flu vaccine has introduced significant turbulence into the company’s stock, which had previously been on an upward trajectory. The FDA’s issuance of a refuse-to-file letter implies that the agency will not move forward with reviewing Moderna’s application for approval. Vinay Prasad, who leads the FDA’s Center for Biologics Evaluation and Research, signed this letter, raising questions about the adequacy of the clinical study supporting Moderna’s request.
Prasad indicated that the study did not meet the necessary standards and noted that the control vaccine used in the trial did not represent the best available standard for care. Interestingly, while the letter did not highlight any safety or efficacy concerns regarding the vaccine, it did contradict earlier communications between Moderna and the FDA. Moderna responded by emphasizing that this determination was unexpected, given previous guidance that had supported their study design.
Following the announcement, Moderna’s stock took a hit, dropping approximately 6.4% in after-hours trading. This decline comes in the context of a broader trend for the company, which has seen shares surge nearly 148% between late November and January, largely due to promising results from its mRNA-based cancer vaccine in partnership with Merck. However, the recent reversal highlights the volatility of biotech stocks, particularly when regulatory approvals are in question.
Moderna pointed out that it had previously aligned with the FDA on the design of its Phase 3 study for the flu vaccine. The agency had recommended that Moderna utilize a high-dose flu vaccine in trials involving older adults, yet inconsistencies appear to have arisen regarding the type of vaccine used in the study.
In light of the FDA’s refusal, Moderna has opted to request a meeting with the agency to clarify the reasoning behind their decision. Despite setbacks in the U.S., it’s worth noting that the flu vaccine has already been accepted for review in European and Australian markets, reflecting a potential pathway for future commercial success.
Moderna’s CEO, Stephane Bancel, expressed concern that the decision does not align with the broader goal of fostering innovation in medical development. Analysts had previously projected significant sales growth for the vaccine, with expectations of reaching $931 million by 2030. This rejection raises doubts about those forecasts and the company’s future profitability in the competitive vaccine landscape.
As Moderna navigates this challenge, the overall biotech sector remains highly dynamic, with companies exploring new technologies and therapies amidst the complexities of regulatory scrutiny.



