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Morning Briefing

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Tuesday, Jun 16 2020

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An Ethical Quandary: In Vaccine Trials, Is It Worth The Risk To Infect Healthy People?

Trials using healthy volunteers would speed up the development of a safe vaccine for everyone else. But scientists and ethicists are still debating where that falls on the ethical spectrum of risk and benefits. In other news: how super antibodies could lead to a vaccine; Moderna projects a fall release of efficacy data; and more.

Lehua Gray, a 32-year-old product manager in Austin, wants to risk her life for a coronavirus vaccine. A cloud of potentially deadly microbes would be spritzed up her nose 鈥 if she鈥檚 allowed to participate in what鈥檚 called a human challenge trial. It鈥檚 built on a deceptively simple premise: Researchers inject healthy volunteers with an experimental vaccine and then expose them to a pathogen. If the vaccine prevents volunteers from getting sick, the study can accelerate development of a promising formula. This approach has been used to test malaria and cholera vaccines 鈥 and now, in laboratories and conference rooms, preliminary discussions are unfolding about the feasibility of employing it in the quest to find a weapon against the novel coronavirus. (Guarino and Johnson, 6/15)

The discovery of antibodies that block the most infectious elements of the coronavirus is helping Bay Area scientists unlock the many mysteries of human immunity, and could be crucial in the development of a vaccine. Epidemiologists have found 鈥渘eutralizing antibodies鈥 in fewer than 5% of COVID-19 patients, but the ones they are now attempting to isolate are unique in their ability to prevent SARS-CoV-2 鈥 the specific coronavirus that causes the illness 鈥 from entering human cells. (Fimrite, 6/15)

Moderna Inc. Chief Executive Officer Stephane Bancel said efficacy data for its Covid-19 vaccine could be available by as soon as Thanksgiving if everything goes right. Moderna鈥檚 coronavirus vaccine is in second-stage trials, with final-stage trials set to begin next month on 30,000 people. In an interview on Bloomberg Television on Monday with David Rubenstein, Bancel said in a best-case scenario 鈥渨e could have efficacy data by Thanksgiving. This is the best time line.鈥 While the U.S. Food and Drug Administration would decide what to do next, 鈥渢hey might decide to give us emergency use approval for people at very high risk,鈥 while the agency more carefully reviews the data before granting approval for a broader population, Bancel said. (Langreth, 6/15)

A deal between AstraZeneca and four European countries for COVID-19 vaccines involves doses being shared by European Union members on a pro rata basis based on population, a source at the French President鈥檚 office said on Monday. (Rose and Blenkinsop, 6/15)

About 1 in 15 US parents (6.1%) is hesitant about routine childhood vaccines, and more than 1 in 4 (26%) are unsure about flu vaccines, according to a study published today in Pediatrics. Researchers surveyed 2,176 parents in February 2019 using an online panel and a modified five-point Vaccine Hesitancy Scale found that 12% strongly agreed, and 27% somewhat agreed, that they worried about perceived serious side effects of childhood and flu vaccines. And while 70% strongly agreed that routine childhood vaccines are effective, only 26% said they thought the same about flu vaccines. (Van Beusekom, 6/15)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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