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**MV-014-212** is an investigational, adjuvant-free intranasal live-attenuated recombinant viral-vector vaccine developed by Meissa Vaccines for prevention of COVID-19. The vaccine uses an attenuated human respiratory syncytial virus vector in which the RSV F and G surface glycoproteins are replaced by a chimeric SARS-CoV-2 spike glycoprotein, making spike the vector's only viral envelope protein. Intranasal administration is intended to induce SARS-CoV-2 spike-specific mucosal immunity, including nasal immunoglobulin A responses, alongside systemic immune responses. MV-014-212 entered a Phase 1 adult trial under NCT04798001. ([clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04798001))
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