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**CX-046684 + CX-051869** is a two-component mRNA COVID-19 vaccine substance presentation associated with Moderna's updated Spikevax formulations. The components are distinct mRNA active substances encoding prefusion-stabilized SARS-CoV-2 spike antigens from different Omicron-lineage variants: CX-046684 encodes a KP.2 spike antigen and CX-051869 encodes an LP.8.1 spike antigen. Public labeling shows these as ingredient-level substances used in successive seasonal Spikevax formulations rather than as a distinct, co-formulated branded product with its own separate nonproprietary name. As an mRNA vaccine, its pharmacology is based on intracellular expression of viral spike antigen after intramuscular administration, inducing neutralizing antibody and cellular immune responses for prevention of COVID-19.
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