The news: AstraZeneca has paused its global Phase 3 covid-19 vaccine trial after a UK participant fell seriously ill. It’s unclear if the suspected “serious adverse reaction” was a result of receiving the vaccine or coincidental, but the person affected is expected to recover, according to STAT. We also don’t know how long the trial pause will last. In the meantime, the company will review all safety data collected so far, and researchers running the nine other Phase 3 coronavirus vaccine trials will comb through their data to look for similar cases of adverse reactions.
Don’t panic: It is standard practice for clinical trials to be paused in this scenario, with enrolment of new participants and dosing of existing ones placed on hold. While it’s a setback, it may just be a temporary one. Arguably, it’s reassuring that standard safety practices continue to apply despite the political pressure being exerted on the timeline and outcome of these trials. President Trump is keen to be able to unveil a vaccine before the election on November 3, but has received significant pushback not only from his opponent Joe Biden but also from the pharmaceutical community. The CEOs of all the nine companies with vaccines in late-stage trials signed a pledge yesterday to “stand with science,” make the safety and wellbeing of vaccinated individuals the top priority, and only submit vaccines for approval after demonstrating they are safe and effective in a Phase 3 study.
A bit more about the vaccine: AstraZeneca’s candidate is a frontrunner in the global hunt for a vaccine and has previously said it hopes to have one ready by the end of the year. It uses a modified chimpanzee adenovirus, altered to make it harmless to people, that carries a gene for one of the proteins in SARS-CoV-2, the virus that causes covid-19. The adenovirus is designed to provoke the immune system to create a protective response against the coronavirus. An earlier trial of the vaccine reported that 60% of the 1,000 participants experienced side effects, including fever, headaches, and muscle pain, but they were all mild and subsided shortly after. Charlie Weller, Head of Vaccines Programme at UK research charity Wellcome, said: “Safety is the most important consideration when developing any vaccine, and it is right for the trial to be paused while an investigation takes place.”