Science

First participant in US coronavirus vaccine trial to be given dose


The first participant in a clinical trial for a vaccine against Covid-19 will receive an experimental dose on Monday, according to a US government official.

The trial, taking place at the Kaiser Permanente Washington Health Research Institute in Seattle, will involve 45 young, healthy volunteers who will be given shots of the vaccine.

The official who disclosed plans for the first participant spoke on condition of anonymity to Associated Press. The move has not been publicly announced.

The World Health Organization is recommending that people take simple precautions to reduce exposure to and transmission of the coronavirus, for which there is no specific cure or vaccine.

The UN agency advises people to:

  • Frequently wash their hands with an alcohol-based hand rub or warm water and soap
  • Cover their mouth and nose with a flexed elbow or tissue when sneezing or coughing
  • Avoid close contact with anyone who has a fever or cough
  • Seek early medical help if they have a fever, cough and difficulty breathing, and share their travel history with healthcare providers
  • Avoid direct, unprotected contact with live animals and surfaces in contact with animals when visiting live markets in affected areas
  • Avoid eating raw or undercooked animal products and exercise care when handling raw meat, milk or animal organs to avoid cross-contamination with uncooked foods.

Despite a surge in sales of face masks in the aftermath of the coronavirus outbreak, experts are divided over whether they can prevent transmission and infection. There is some evidence to suggest that masks can help prevent hand-to-mouth transmissions, given the large number of times people touch their faces. The consensus appears to be that wearing a mask can limit – but not eliminate – the risks, provided it is used correctly.

Justin McCurry

The vaccine was developed by the company Moderna and the National Institutes of Health, which is also funding the trial. The goal is to examine whether the vaccine shows any concerning side-effects, setting the stage for larger trials this year that will assess its efficacy. It is expected to take a year to 18 months to fully validate any potential vaccine.

Participants cannot become infected from the shots because they do not contain the virus – or even an attenuated version of it in the way traditional vaccines such as MMR do.

Explainer for vaccine

Instead, the vaccine uses clever genetic engineering to harness the body’s cells to produce little pieces of virus that are then recognised by the immune system. The shot carries a specific stretch of messenger RNA that contains the instructions to build the receptor on the virus’ surface that allows the immune system to target it.

In theory, if this synthetic RNA is injected into a person, it should enter their cells and programme their inner machinery to churn out proteins that look exactly like the receptor on the surface of the virus. These floating receptors would then trigger the immune system without causing illness.

Even if initial safety tests go well, “you’re talking about a year to a year and a half” before any vaccine could be ready for widespread use, according to Anthony Fauci, the director of NIH’s National Institute of Allergy and Infectious Diseases.

Moderna is one of several teams funded by the Coalition for Epidemic Preparedness Innovations (Cepi), which was set up three years ago after the Ebola epidemic, which killed 11,000 people.

Biotech firm Moderna developed the vaccine.



Biotech firm Moderna developed the vaccine. Photograph: Cj Gunther/EPA

Despite an Ebola vaccine (later shown to be almost 100% effective) having been in development for a decade, it was not deployed until more than a year into the epidemic.

You and your household should stay at home for 14 days if you have either:

  • a high temperature
  • a new continuous cough

This will help to protect others in your community while you are infectious.

Do not go to a GP surgery, pharmacy or hospital.

You do not need to contact NHS 111 to tell them you’re staying at home.

People who are self-isolating with mild symptoms will not be tested.

Source: NHS England

This time, things have moved far more quickly. Inovio Pharmaceuticals, also supported by Cepi, aims to begin safety tests of its vaccine candidate next month in a few dozen volunteers at the University of Pennsylvania and a testing centre in Kansas City, Missouri, followed by a similar study in China and South Korea.

The coalition is also funding at team at the University of Queensland, Australia, and CureVac, the German company that was reportedly offered “large sums of money” by Donald Trump for exclusive rights the vaccine.



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