Oxford-AstraZeneca vaccine could halt coronavirus in its tracks

SOURCE: BBC

– A coro­n­avirus vac­cine de­vel­oped by the Uni­ver­si­ty of Ox­ford stops 70% of peo­ple from de­vel­op­ing symp­toms, a large-scale tri­al shows

– Oth­er vac­cines (de­vel­oped by Pfiz­er and Mod­er­na) showed 95% pro­tec­tion, but the Ox­ford jab is cheap­er and much eas­i­er to store and dis­trib­ute

– There have been more than 58.6 mil­lion virus cas­es and 1.3 mil­lion Covid-19 deaths across the globe, ac­cord­ing to da­ta from Johns Hop­kins Uni­ver­si­ty

Ox­ford vac­cine could ‘halt virus in its tracks’

Re­sults from the Ox­ford coro­n­avirus vac­cine tri­al sug­gest it may be able to “halt the virus in its tracks”, the tri­al’s lead in­ves­ti­ga­tor has said.

Prof An­drew Pol­lard said he was “re­al­ly pleased” with the re­sults, which showed the vac­cine stopped 70% of peo­ple de­vel­op­ing Covid symp­toms.

He told BBC Ra­dio 4’s To­day pro­gramme it was al­so sig­nif­i­cant that no-one who re­ceived the vac­cine had re­quired hos­pi­tal treat­ment for Covid-19.

He added that if peo­ple were giv­en a low dose first, fol­lowed by a high dose a month lat­er, pro­tec­tion rose to 90%.

Pol­lard added there was “a hint in the da­ta” that this dose regime “was al­so able to re­duce asymp­to­matic in­fec­tion”.

“If that is right, we might be able to halt the virus in its tracks and stop trans­mit­ting be­tween peo­ple,” he said.

Covid-19: Ox­ford Uni­ver­si­ty vac­cine is high­ly ef­fec­tive

By James Gal­lagher, BBC Health and Sci­ence Cor­re­spon­dent

The Oxford/AstraZeneca vaccine is currently in the final stages of testing. Image copyright: OXFORD UNIVERSITY/JOHN CAIRNS

The Oxford/AstraZeneca vaccine is currently in the final stages of testing. Image copyright: OXFORD UNIVERSITY/JOHN CAIRNS

The coro­n­avirus vac­cine de­vel­oped by the Uni­ver­si­ty of Ox­ford is high­ly ef­fec­tive at stop­ping peo­ple de­vel­op­ing Covid-19 symp­toms, a large tri­al shows.

Over­all re­sults showed 70% pro­tec­tion, but the re­searchers say the fig­ure may be as high as 90% by tweak­ing the dose.

The re­sults will be seen as a tri­umph, but al­so come off the back of Pfiz­er and Mod­er­na show­ing 95% pro­tec­tion.

How­ev­er, the Ox­ford jab is far cheap­er, and is eas­i­er to store and get to every cor­ner of the world than the oth­er two.

So the vac­cine will play a sig­nif­i­cant role in tack­ling the pan­dem­ic, if it is ap­proved for use by reg­u­la­tors.

“The an­nounce­ment to­day takes us an­oth­er step clos­er to the time when we can use vac­cines to bring an end to the dev­as­ta­tion caused by [the virus],” said the vac­cine’s ar­chi­tect Prof Sarah Gilbert.

The UK gov­ern­ment has pre-or­dered 100 mil­lion dos­es of the Ox­ford vac­cine and As­traZeneca says it will make three bil­lion dos­es for the world next year.

Prime Min­is­ter Boris John­son said it was “in­cred­i­bly ex­cit­ing news” and that while there were still safe­ty checks to come, “these are fan­tas­tic re­sults”.

The vac­cine has been de­vel­oped in around 10 months, a process that nor­mal­ly takes a decade.

What did the tri­al show?

More than 20,000 vol­un­teers were in­volved, half in the UK, the rest in Brazil.

There were 30 cas­es of Covid in peo­ple who had two dos­es of the vac­cine and 101 cas­es in peo­ple who re­ceived a dum­my in­jec­tion.

The re­searchers said it works out at 70% pro­tec­tion.

When vol­un­teers were giv­en two “high” dos­es the pro­tec­tion was 62%, but this rose to 90% when peo­ple were giv­en a “low” dose fol­lowed by a high one. It’s not clear why there is a dif­fer­ence.

“We’re re­al­ly pleased with these re­sults,” Prof An­drew Pol­lard, the tri­al’s lead in­ves­ti­ga­tor, told the BBC.

He said the 90% ef­fec­tive­ness da­ta was “in­trigu­ing” and would mean “we would have a lot more dos­es to dis­trib­ute.”

There were al­so low­er lev­els of asymp­to­matic in­fec­tion in the low-fol­lowed-by-high-dose group which “means we might be able to halt the virus in its tracks,” Prof Pol­lard said.

When will I get it?

In the UK there are four mil­lion dos­es ready to go, with an­oth­er 96 mil­lion to be de­liv­ered.

But noth­ing can hap­pen un­til the vac­cine has been ap­proved by reg­u­la­tors who will as­sess the vac­cine’s safe­ty, ef­fec­tive­ness, and that it is man­u­fac­tured to high stan­dard. This process will hap­pen in the com­ing weeks.

How­ev­er, the UK is ready to press the go but­ton on an un­prece­dent­ed mass im­mu­ni­sa­tion cam­paign that dwarfs ei­ther the an­nu­al flu or child­hood vac­ci­na­tion pro­grammes.

Care home res­i­dents and staff will be first in the queue, fol­lowed by health­care work­ers and the over-80s. The plan is to then to work down through the age groups.

 

How does it work?

The vac­cine is a ge­net­i­cal­ly mod­i­fied com­mon cold virus that used to in­fect chim­panzees.

It has been al­tered to stop it caus­ing an in­fec­tion in peo­ple and to car­ry the blue­prints for part of the coro­n­avirus, known as the spike pro­tein.

Once these blue­prints are in­side the body they start the pro­duc­ing the coro­n­avirus’ spike pro­tein, which the im­mune sys­tem rec­og­nizes as a threat and tries to squash it.

When the immune system comes into contact with the virus for real, it now knows what to do. IMAGE COPYRIGHT AFP

When the immune system comes into contact with the virus for real, it now knows what to do. IMAGE COPYRIGHT AFP

How the coro­n­avirus vac­cine works: The vac­cine is made from a weak­ened ver­sion of a com­mon cold virus (known as an ade­n­ovirus) from chim­panzees that has been mod­i­fied so it can­not grow in hu­mans. Sci­en­tists then added genes for the spike sur­face pro­tein of the coro­n­avirus. This should prompt the im­mune sys­tem to pro­duce neu­tral­is­ing an­ti­bod­ies, which would recog­nise and pre­vent any fu­ture coro­n­avirus in­fec­tion.

 

Are the re­sults dis­ap­point­ing?

Af­ter Pfiz­er and Mod­er­na both pro­duced vac­cines de­liv­er­ing 95% pro­tec­tion from Covid-19, a fig­ure of 70% will be seen by some as rel­a­tive­ly dis­ap­point­ing.

How­ev­er, any­thing above 50% would have been con­sid­ered a tri­umph just a month ago and 70% is com­fort­ably bet­ter than the sea­son­al flu jab.

This is still a vac­cine that can save lives from Covid-19.

It al­so has cru­cial ad­van­tages that make it eas­i­er to use. It can be stored at fridge tem­per­a­ture, which means it can be dis­trib­uted to every cor­ner of the world, un­like the Pfiz­er/BioN­Tech and Mod­er­na vac­cines, which need to be stored at much cold­er tem­per­a­tures.

Ox­ford’s man­u­fac­tur­ing part­ner, As­traZeneca, is prepar­ing to make three bil­lion dos­es world­wide.

The Ox­ford vac­cine, at a price of around £3, al­so costs far less than Pfiz­er’s (around £15) or Mod­er­na’s (£25) vac­cines.

What dif­fer­ence will this make to my life?

A vac­cine is what we’ve spent the year wait­ing for and what lock­downs have bought time for.

How­ev­er, pro­duc­ing enough vac­cine and then im­mu­nis­ing tens of mil­lions of peo­ple in the UK, and bil­lions around the world, is still a gar­gan­tu­an chal­lenge.

Life will not re­turn to nor­mal to­mor­row, but the sit­u­a­tion could im­prove dra­mat­i­cal­ly as those most at risk are pro­tect­ed.

Health Sec­re­tary Matt Han­cock told BBC Break­fast we would be “some­thing clos­er to nor­mal” by the sum­mer but “un­til we can get that vac­cine rolled out, we all need to look af­ter each oth­er”.

What’s the re­ac­tion been?

Prof Pe­ter Hor­by, from the Uni­ver­si­ty of Ox­ford by not in­volved in the tri­al, said: “This is very wel­come news, we can clear­ly see the end of tun­nel now. There were no Covid hos­pi­tal­i­sa­tions or deaths in peo­ple who got the Ox­ford vac­cine.”

Dr Stephen Grif­fin, from the Uni­ver­si­ty of Leeds, said: “This is yet more ex­cel­lent news and should be con­sid­ered tremen­dous­ly ex­cit­ing. It has great po­ten­tial to be de­liv­ered across the globe, achiev­ing huge pub­lic health ben­e­fits.

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