COVID-19 vaccine
A COVID-19 vaccine is a hypothetical vaccine against coronavirus disease 2019 (COVID-19). Although no vaccine has completed clinical trials, there are multiple attempts in progress to develop such a vaccine. In late February 2020, the World Health Organization (WHO) said it did not expect a vaccine against SARS-CoV-2, the causative virus, to become available in less than 18 months.[1] By early March 2020, some 30 vaccine candidates were in development.
Previous coronavirus vaccine efforts
Vaccines have been produced against several diseases caused by coronaviruses for animal use, including for infectious bronchitis virus in birds, canine coronavirus and feline coronavirus.[2]
Previous efforts to develop vaccines for viruses in the family Coronaviridae that affect humans have been aimed at severe acute respiratory syndrome coronavirus (SARS) and Middle East respiratory syndrome (MERS). Vaccines against SARS[3] and MERS[4] have been tested in non-human animal models. As of 2020, there is no cure or protective vaccine for SARS that has been shown to be both safe and effective in humans.[5][6] According to research papers published in 2005 and 2006, the identification and development of novel vaccines and medicines to treat SARS is a priority for governments and public health agencies around the world.[7][8][9]
There is also no proven vaccine against MERS.[10] When MERS became prevalent, it was believed that existing SARS research may provide a useful template for developing vaccines and therapeutics against a MERS-CoV infection.[5][11] As of March 2020, there was one (DNA based) MERS vaccine which completed phase I clinical trials in humans,[12] and three others in progress, all of which are viral vectored vaccines, two adenoviral-vectored (ChAdOx1-MERS, BVRS-GamVac), and one MVA-vectored (MVA-MERS-S).[13]
2020 efforts
SARS-CoV-2 was identified in late 2019 as the cause of what would later be named COVID-19.[14] A major outbreak spread around the world in 2020, leading to considerable investment and research activity to develop a vaccine.[14][15] Many organizations are using published genomes to develop possible vaccines against SARS-CoV-2.[14][16][17][18] About 35 companies and academic institutions are involved,[19] with three of them receiving support from the Coalition for Epidemic Preparedness Innovations (CEPI), including projects by the biotechnology companies Moderna,[20] and Inovio Pharmaceuticals, and the University of Queensland.[21] Some 300 clinical studies are in progress, as of March 2020.[22]
The difficulty with vaccine development is that older people who are most vulnerable to infection are poorly vaccinated due to age-related degradation of the thymus. Therefore, along with the development of a vaccine, it is necessary to develop ways to increase immunity in these people. One of these methods can be treatment with recombinant interleukin 7. Interleukin 7 plays an extremely important role in the maturation and reproduction of lymphoid cells. Therefore, it makes sense, along with vaccines, to develop methods for restoring the immune function in the elderly, for example, by improving it using treatment with recombinant interleukin 7[23][24].
Clinical trials in progress
- The US National Institute of Allergy and Infectious Disease (NIAID) collaborated with Moderna to develop an RNA vaccine matching a spike of the coronavirus surface.[16] In February 2020, NIAID registered a Phase 1 safety clinical trial of the vaccine, called mRNA-1273, open for recruitment in Seattle, WA.[25] On 16 March 2020, the human study began.[25][20]
Preclinical research
- In Australia, the University of Queensland is investigating the potential of a molecular clamp vaccine that would genetically modify viral proteins in order to stimulate an immune reaction.[21]
- In Canada, the International Vaccine Centre (VIDO-InterVac), University of Saskatchewan, received federal funding to work on a vaccine, aiming to start non-human animal testing in March 2020 and human testing in 2021.[26][27]
- The Chinese Center for Disease Control and Prevention[28]
- University of Hong Kong[29]
- Around 29 January 2020, Janssen Pharmaceutical Companies began work on developing a vaccine.[30] Janssen is codeveloping an oral vaccine with its biotechnology partner, Vaxart.[31] On 18 March 2020, Emergent BioSolutions announced a manufacturing partnership with Vaxart to develop the vaccine.[32]
- Inovio Pharmaceuticals is developing a DNA-based vaccination in collaboration with a Chinese firm, planning human clinical trials in the summer of the Northern Hemisphere of 2020.[33]
- The Jenner Institute of the University of Oxford developed a vaccine candidate based on a chimp adenovirus vector and signed a manufacturing contract with Advent[34][35]. They plan to start animal trials at Porton Down in March 2020 and human safety trials the following month.[36]
- Washington University in St. Louis[37]
- On 5 March 2020, the United States Army Medical Research and Materiel Command at Fort Detrick and the Walter Reed Army Institute of Research in Silver Spring, both in western Maryland, announced they were working on a vaccine.[38]
- University of Copenhagen, with funding from the European Commission[39]
- Emergent Biosolutions teamed with Novavax Inc. in the development and manufacture of a vaccine. The partners plan on preclinical testing and a Phase I clinical trial by July 2020.[40]
- On 10 March 2020, the Oak Ridge National Laboratory and the University of Tennessee announced they had used the supercomputer Summit to investigate a model of the virus' spike protein and identify 77 drug compounds that could be used in vaccine candidates.[41] On 19 March, CNN reported that the researchers are in the process of updating the model.[42]
- On 12 March 2020, India's Health Ministry announced they are working with 11 isolates and that even on a fast track it would take at least around one-and-a-half to two years to develop a vaccine.[43]
- On 16 March 2020, the European Commission offered an €80 million investment in CureVac, a German biotechnology company, to develop a mRNA vaccine.[44]
- On 17 March 2020, American pharmaceutical company Pfizer announced a partnership with German company BioNTech to jointly develop a mRNA-based vaccine.[45]
Rumors and misinformation
Social media posts have promoted a conspiracy theory claiming the virus behind COVID-19 was known and that a vaccine was already available. The patents cited by various social media posts reference existing patents for genetic sequences and vaccines for other strains of coronavirus such as the SARS coronavirus.[46][47]
See also
- 2019–20 coronavirus pandemic
- Coronavirus disease 2019
- 2019–20 coronavirus outbreak
- Severe acute respiratory syndrome-related coronavirus
- 2009 flu pandemic vaccine
- Respiratory disease
- Phases of clinical research
References
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External links
- DRAFT landscape of COVID-19 candidate vaccines – 4 March 2020