Blueprints for Covid-19 vaccine trials revealed by Moderna and Pfizer

Secret blueprints for Covid-19 vaccine trials revealed by Moderna and Pfizer as the companies race to win back public trust on the studies

  • Moderna and Pfizer revealed their complete blueprints for the late stages of clinical trials for a Covid-19 vaccine on Thursday
  • The move added pressure for the other companies developing a vaccine to do the same
  •  In its 135-page document, Moderna estimated they could find a successful vaccine by the end of the year
  • The secret blueprints were released in the hopes that the companies will win the trust of the public
  • Concerns have been raised that the quick discovery of a vaccine has become too much of a political issue to be deemed safe

US biotech firm Moderna, one of nine companies in the late stages of clinical trials for a Covid-19 vaccine, became the first to publish the complete blueprints of its study following calls for greater transparency.

Pfizer, the other American company currently carrying out Phase 3 trials in the US, followed suit a short time later and there is now added pressure for the remainder to do the same.

Only Moderna laid out a likely timetable within which a successful vaccine could be discovered, estimating it will be before the end of the year. 

Yet President Trump claimed on Tuesday that there could be one as early as four weeks time, before his November re-election attempt.  

 US biotech firm Moderna, one of nine companies in the late stages of clinical trials for a Covid-19 vaccine, became the first to publish the complete blueprints of its study on Thursday

He even forced Dr. Robert Redfield, the director of the Centers for Disease Control and Prevention, to walk back testimony to the Senate that masks work better than a vaccine on Wednesday after blasting the comments as ‘mistaken’. 

The president said he had called Redfield to set the record straight and said the CDC boss had agreed he ‘answered that question incorrectly’ about the masks. 

The secret blueprints were released in the hopes that the companies will win the trust of the public and scientists anxious about the safety of an early vaccine. 

The details are generally kept under wraps but Moderna and Pfizer bowed to public pressure amid concerns from Americans that the quick discovery of a vaccine has become too much of a political issue to be deemed safe. 

Phase 3 is the final stage before approval, in which a vaccine and a placebo are tested on thousands of participants to verify the medicine is safe and effective. 

Both companies blueprints detailed the comprehensive road map for the trials, as well as details on how participants are being tested and monitored. 

The plans also layout the conditions under which problems would stop a trial early and how evidence is being used to determine whether those who receive the vaccine are being protected from Covid-19. 

Moderna’s CEO Stephane Bancel said on Thursday his company would know whether their vaccine works by November. October is possible but unlikely, he told CNBC.

Final analysis may not take place until the spring of next year, however.  

The trial protocol published Thursday, which runs to 135 pages and is marked ‘confidential,’ fixes the parameters of the experiment.

The most important of these is how it will judge whether results are conclusive.

The reality of an immunization trial is that it’s necessary to wait until a certain number of volunteers become naturally infected, in order to compare outcomes in the placebo group against the group given the vaccine.

So the decline in the rate of infection in the US could theoretically delay the results, possibly until December, said Bancel.

Pictured, a sign is pictured outside Pfizer Headquarters in New York

A sign marks the headquarters of Moderna Therapeutics, which is developing a vaccine against the coronavirus disease (COVID-19), in Cambridge, Massachusetts

As of Thursday, Moderna had recruited 25,296 volunteers. Among them, 10,025 had received their second dose, 28 days after the first.

It’ll take a few more weeks to recruit the full quotient of 30,000 participants and for them to receive their second doses.

Only Covid-19 infections recorded two weeks or more after the second dose are counted, to give the vaccine sufficient time to take effect.

Interim analyses by a committee of independent experts are planned over the course of the trial to verify whether a high statistical threshold of effectiveness has been reached, and to monitor for serious side effects.

The Food and Drug Administration (FDA) has stated its bar for approval is a vaccine that reduces the risk of falling sick with Covid-19 by 50 percent.

The Moderna trial protocol ‘has the key information (for) stopping rules, interim analyses and efficacy assumptions. Applaud their transparency,’ Eric Topol, director of the Scripps Research Institute and one of the critics leading the charge against possible political interference, told AFP.

Moderna also said that 28 percent of its participants were from racial minority groups.

Having sufficient participants among black and Hispanic people in particular is crucial in obtaining statistically representative results for these communities that have been disproportionately hit by the pandemic.

The decision by Moderna, which has received $2.5billion in US government money, left a spotlight on Pfizer, whose CEO has repeatedly said the company will have its results by the end of October, which is in line with Trump’s wishes.

Moderna should have enough data from its late-stage trial to know whether its coronavirus vaccine works in November, CEO Stephane Bancel said on CNBC

Tony Potts, a 69-year-old retiree living in Ormond Beach, has his temperature checked by Clinical Research Coordinator Angela Hammerle before receiving his first injection as a participant in a Phase 3 COVID-19 vaccine clinical trial sponsored by Moderna

A spokeswoman told AFP Pfizer has traditionally not shared the full in-depth study protocol, but ‘the Covid-19 pandemic is a unique circumstance and the need for transparency is clear’.

‘As a result, the company is making the full protocol for its self-funded Covid-19 vaccine pivotal study available to reinforce Pfizer’s longstanding commitment to scientific and regulatory rigor that benefits patients.’

The other frontrunner is AstraZeneca, which has co-developed a vaccine with the University of Oxford.

The medicine’s global trials were suspended last week after a participant had an unexplained illness, but were later restarted in the UK, Brazil, and South Africa. 

The US remains the exception for reasons that aren’t yet known.

A spokesperson told the New York Times that the company intended to publish its protocol shortly. 

At least one expert has raised questions about the currently released blueprints already, according to the New York Times. 

‘I want to acknowledge a good deed done,’ said Peter Doshi, a faculty member at the University of Maryland School of Pharmacy in Baltimore. 

‘They have opened up, for the first time, the ability for researchers not involved in the trial to form their own independent judgment about the design of this study.’

The vaccine race has become deeply politicized in the US in the run-up to the presidential election in November, as President Donald Trump touts a quick vaccine in response to criticism of his handling of the pandemic. 

Trump repeated on Wednesday that the first vaccine would be approved by October, increasing concerns that the White House will place pressure on the approval body, the FDA.

‘I don’t trust Donald Trump,’ his rival from the Democratic party Joe Biden said.

Experts and officials in the Trump administration agree that it’s not possible to predict the results of the trials that are underway, and it’s highly unlikely to have strong data before the end of 2020. 

Vaccine doses will be initially very limited, according to health authorities.

The timeline laid out by Moderna lines up with that suggested by Dr. Redfield. 

He told senators on Wednesday that a vaccine would not be widely available until the middle of next year. Hours later, Trump said that his comments were a ‘mistake’.  

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