Detailed Narrative
2024 Financial Performance & Cost Efficiency
Moderna reported $3.2 billion in revenue for FY24, with a net loss of $3.6 billion. The company significantly reduced operating expenses by $2.6 billion (27%) compared to 2023, driven by manufacturing footprint resizing, pricing renegotiations, R&D prioritization, and increased use of digital tools. Cash and investments ended the year at $9.5 billion, exceeding the $9 billion anticipation, primarily due to accounts receivable collections.
Pipeline Progress & Diversification
In 2024, Moderna became a multiproduct company with the approval of mRESVIA. The company filed for FDA approval for three respiratory vaccines: next-gen COVID (mRNA-1283), RSV for high-risk adults (18-59), and a flu+COVID combination vaccine. Positive Phase III results were reported for four respiratory vaccine programs, and positive 3-year data for the INT adjuvant melanoma Phase II trial was presented. The company is focused on 10 high-value programs for which it expects financial approvals over the next three years, targeting a total addressable market of over $30 billion.
Norovirus Clinical Hold
The Norovirus vaccine Phase III study is on FDA clinical hold following a single case of Guillain-Barré syndrome (GBS). Enrollment for the Northern Hemisphere season was completed prior to the hold, and the company does not expect an impact on timelines for efficacy readout, which is case-driven. The FDA is reviewing submitted documents, and Moderna is being prudent and transparent, prioritizing patient safety.
CMV Vaccine Update
The Phase III study for the CMV vaccine did not meet early efficacy criteria at an interim analysis, but the Data and Safety Monitoring Board recommended continuing to final analysis. The company remains blinded and expects final results later in 2025, noting that the interim analysis was not fully powered for high confidence. Case accrual continues steadily, and the final analysis will be fully powered.
INT Oncology Program
The Phase III trial for INT (mRNA-4157) in combination with KEYTRUDA for adjuvant melanoma is fully enrolled. Additional Phase III studies are underway in non-small cell lung cancer, and two randomized Phase II trials are ongoing in high-risk muscle-invasive bladder cancer and adjuvant renal cell carcinoma. The timing of📎 readouts for these event-driven trials will depend on event accrual rates.
Rare Disease Programs
The registrational study for propionic acidemia (PA) is ongoing, showing a substantial decrease in metabolic decompensation events (MDEs), which is expected to be the pivotal endpoint. For methylmalonic acidemia (MMA), the pivotal study design has been agreed with the FDA, with the study expected to start in 2025. Early safety and clinical data have been positive for both programs.