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Coronavirus: Oxford vaccine triggers immune response

415 pointsby ceocoderalmost 5 years ago

22 comments

djsumdogalmost 5 years ago
It seems like they tested for antibodies, but this article makes no mention of challenges to the real virus.<p>It&#x27;s important to remember that vaccines for previous coronaviruses (SARS&#x2F;MERS) had reports of generating anitbodies, but also causing immunopathic responses or immune enhancement syndrome:<p><a href="https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC3335060&#x2F;" rel="nofollow">https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC3335060&#x2F;</a><p><a href="https:&#x2F;&#x2F;www.pnas.org&#x2F;content&#x2F;117&#x2F;15&#x2F;8218" rel="nofollow">https:&#x2F;&#x2F;www.pnas.org&#x2F;content&#x2F;117&#x2F;15&#x2F;8218</a><p>&gt;Is it safe?<p>It&#x27;s really really to early to say yes or no, and the fact that the article tries to make a claim either way, is worrying. Vaccines for new families of viruses traditionally take years or decades to develop. We still don&#x27;t have vaccines for retroviruses like HIV&#x2F;Herpes (and it may not be possible due to the nature of those viruses).<p>I&#x27;ve had all my vaccinations; I&#x27;m not an anti-vaxer. But I do have concerns on trying to push out any novel vaccine in less than two years without adequate testing.<p>Although this virus has killed many, the risk factor for it is nowhere near high enough to warrant an emergency vaccine. There are trials underway for inhaled steroids that look very promising, and there&#x27;s a good chance this virus will burn out in our population long before a truly safe vaccine comes to market.<p>Having a viable treatment option seems much more valuable and safer than vaccinations in this particular case.
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amlutoalmost 5 years ago
The actual paper:<p><a href="https:&#x2F;&#x2F;marlin-prod.literatumonline.com&#x2F;pb-assets&#x2F;Lancet&#x2F;pdfs&#x2F;S0140673620316044.pdf" rel="nofollow">https:&#x2F;&#x2F;marlin-prod.literatumonline.com&#x2F;pb-assets&#x2F;Lancet&#x2F;pdf...</a>
adrianmonkalmost 5 years ago
&gt; <i>ChAdOx1 nCoV-19</i><p>If I didn&#x27;t have the context of 2020 and this article, I would swear that was an auto-generated random password.
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oxfordmalealmost 5 years ago
It is good preliminary news. The real question if this vaccine prevents you spreading the disease or effectively turns you into an asymptomatic spreader. There also outstanding questions if this works well for elderly people, as vaccination are generally less effective if you are older. Basically news worth a small cheer, not an exuberant celebration quite yet.
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blackbear_almost 5 years ago
Good, but the real question is whether the immune system will &quot;remember&quot; the vaccine for long enough. From [1]:<p>&gt; Although the magnitude of neutralizing antibody (nAb) responses correlated with disease severity, there was a rapid decline in nAb titres in most patients within 3 months after onset of symptoms. [...] However, the consequences on secondary immune responses and their ability to prevent reinfection remain to be determined.<p>[1]: <a href="https:&#x2F;&#x2F;www.nature.com&#x2F;articles&#x2F;s41577-020-0405-3" rel="nofollow">https:&#x2F;&#x2F;www.nature.com&#x2F;articles&#x2F;s41577-020-0405-3</a>
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dharma1almost 5 years ago
I&#x27;m curious why the share price slide after the mainstream news.<p>Sure, there have been rumours about the Lancet paper for a few days, maybe these were priced in already - and AstraZeneca has promised to manufacture it at cost or near cost. Still weird the market reacted this way<p><a href="https:&#x2F;&#x2F;markets.businessinsider.com&#x2F;news&#x2F;stocks&#x2F;astrazeneca-stock-price-reaction-oxford-covid19-trial-positive-results-2020-7-1029410447" rel="nofollow">https:&#x2F;&#x2F;markets.businessinsider.com&#x2F;news&#x2F;stocks&#x2F;astrazeneca-...</a>
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justforfunherealmost 5 years ago
Oxford vaccine is among the front runners. This is really good news. They plan to finish their final trials before October this year.<p>If all goes well, we should be looking at major relief by this year&#x27;s end.
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hatsunearualmost 5 years ago
<a href="https:&#x2F;&#x2F;www.thelancet.com&#x2F;journals&#x2F;lancet&#x2F;article&#x2F;PIIS0140-6736(20)31604-4&#x2F;fulltext" rel="nofollow">https:&#x2F;&#x2F;www.thelancet.com&#x2F;journals&#x2F;lancet&#x2F;article&#x2F;PIIS0140-6...</a><p>The paper (I&#x27;m sure it&#x27;s been posted somewhere in thread). Surprisingly readable (if you have a basic understanding of immunology and Google), go check it out.<p>The TL;DR is they administered the vaccine to many people and compared the immune response, as measured by various immunology assays, and it elicited a noticeable response for every assay very close to the same responses from actual COVID patients. There were plenty of mild to moderate side effects, but they were reduced quite a bit using paracetamol (Tylenol, basically)
ceocoderalmost 5 years ago
<i>” Levels of T cells peaked 14 days after vaccination and antibody levels peaked after 28 days. The study has not run for long enough to understand what long-term immunity may look like.”</i><p><i>”Is it safe?<p>Yes, but there are side-effects. There were no dangerous side-effects from taking the vaccine, however, 70% of people on the trial developed either fever or headache. The researchers say this could be managed with paracetamol.”</i><p>This sounds like really good news, anyone with medical background disseminate this further?<p>Edit: here is the lancet article posted on &#x2F;r&#x2F;COVID19 sub and extract<p><a href="https:&#x2F;&#x2F;www.thelancet.com&#x2F;lancet&#x2F;article&#x2F;s0140-6736(20)31604-4" rel="nofollow">https:&#x2F;&#x2F;www.thelancet.com&#x2F;lancet&#x2F;article&#x2F;s0140-6736(20)31604...</a><p>Background:<p>The pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) might be curtailed by vaccination. We assessed the safety, reactogenicity, and immunogenicity of a viral vectored coronavirus vaccine that expresses the spike protein of SARS-CoV-2.<p>Methods<p>We did a phase 1&#x2F;2, single-blind, randomised controlled trial in five trial sites in the UK of a chimpanzee adenovirus-vectored vaccine (ChAdOx1 nCoV-19) expressing the SARS-CoV-2 spike protein compared with a meningococcal conjugate vaccine (MenACWY) as control. Healthy adults aged 18–55 years with no history of laboratory confirmed SARS-CoV-2 infection or of COVID-19-like symptoms were randomly assigned (1:1) to receive ChAdOx1 nCoV-19 at a dose of 5×10¹⁰ viral particles or MenACWY as a single intramuscular injection. A protocol amendment in two of the five sites allowed prophylactic paracetamol to be administered before vaccination. Ten participants assigned to a non-randomised, unblinded ChAdOx1 nCoV-19 prime-boost group received a two-dose schedule, with the booster vaccine administered 28 days after the first dose. Humoral responses at baseline and following vaccination were assessed using a standardised total IgG ELISA against trimeric SARS-CoV-2 spike protein, a muliplexed immunoassay, three live SARS-CoV-2 neutralisation assays (a 50% plaque reduction neutralisation assay [PRNT50]; a microneutralisation assay [MNA50, MNA80, and MNA90]; and Marburg VN), and a pseudovirus neutralisation assay. Cellular responses were assessed using an ex-vivo interferon-γ enzyme-linked immunospot assay. The co-primary outcomes are to assess efficacy, as measured by cases of symptomatic virologically confirmed COVID-19, and safety, as measured by the occurrence of serious adverse events. Analyses were done by group allocation in participants who received the vaccine. Safety was assessed over 28 days after vaccination. Here, we report the preliminary findings on safety, reactogenicity, and cellular and humoral immune responses. The study is ongoing, and was registered at ISRCTN, 15281137, and ClinicalTrials.gov, NCT04324606.<p>Findings<p>Between April 23 and May 21, 2020, 1077 participants were enrolled and assigned to receive either ChAdOx1 nCoV-19 (n=543) or MenACWY (n=534), ten of whom were enrolled in the non-randomised ChAdOx1 nCoV-19 prime-boost group. Local and systemic reactions were more common in the ChAdOx1 nCoV-19 group and many were reduced by use of prophylactic paracetamol, including pain, feeling feverish, chills, muscle ache, headache, and malaise (all p&lt;0·05). There were no serious adverse events related to ChAdOx1 nCoV-19. In the ChAdOx1 nCoV-19 group, spike-specific T-cell responses peaked on day 14 (median 856 spot-forming cells per million peripheral blood mononuclear cells, IQR 493–1802; n=43). Anti-spike IgG responses rose by day 28 (median 157 ELISA units [EU], 96–317; n=127), and were boosted following a second dose (639 EU, 360–792; n=10). Neutralising antibody responses against SARS-CoV-2 were detected in 32 (91%) of 35 participants after a single dose when measured in MNA80 and in 35 (100%) participants when measured in PRNT50. After a booster dose, all participants had neutralising activity (nine of nine in MNA80 at day 42 and ten of ten in Marburg VN on day 56). Neutralising antibody responses correlated strongly with antibody levels measured by ELISA (R²=0·67 by Marburg VN; p&lt;0·001).<p>Interpretation<p>ChAdOx1 nCoV-19 showed an acceptable safety profile, and homologous boosting increased antibody responses. These results, together with the induction of both humoral and cellular immune responses, support largescale evaluation of this candidate vaccine in an ongoing phase 3 programme.
hank_zalmost 5 years ago
I am wondering how the vaccine genetically impacts on these people who are already recovered from Covid-19.
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kyriakosalmost 5 years ago
question about this and vaccines in general... would this be beneficial to someone who already contracted the disease? at the early stages at least? would it help that person recover faster or lessen the effects of the disease?
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Roonerellialmost 5 years ago
one thing about the Oxford vaccine is that when vaccinated you are still able to pass on the virus , despite having the anti-bodies to fight it. It&#x27;s excellent news nonetheless<p>edited with some references<p><a href="https:&#x2F;&#x2F;www.telegraph.co.uk&#x2F;global-health&#x2F;science-and-disease&#x2F;doubts-oxford-vaccine-fails-stop-coronavirus-animal-trials&#x2F;" rel="nofollow">https:&#x2F;&#x2F;www.telegraph.co.uk&#x2F;global-health&#x2F;science-and-diseas...</a><p><a href="https:&#x2F;&#x2F;www.independent.co.uk&#x2F;news&#x2F;health&#x2F;coronavirus-vaccine-oxford-trials-concerns-transmission-astrazeneca-latest-a9521241.html" rel="nofollow">https:&#x2F;&#x2F;www.independent.co.uk&#x2F;news&#x2F;health&#x2F;coronavirus-vaccin...</a>
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premkalmost 5 years ago
Prof Sarah Gilbert, from the University of Oxford, UK, says: &quot;There is still much work to be done before we can confirm if our vaccine will help manage the Covid-19 pandemic, but these early results hold promise.&quot;
walterbellalmost 5 years ago
This article text should be much earlier.<p><i>&gt; However, all these approaches are at the absolute boundary of science and have not been proven to work before. More traditional methods of vaccine development are also being investigated. The company Valneva is taking the whole coronavirus, inactivating it and then inject it.</i><p>One name for approaches &quot;at the absolute boundary of science&quot; is <i>research</i>. Only one company is named as developing an actual vaccine. We need new category names for the many competing treatments which are still in research phases, including those which utilize genetic engineering.
torgianalmost 5 years ago
It&#x27;s a little worrying that the UK already ordered 100 million doses of the vaccine, even though it hasn&#x27;t passed trials yet.<p>I understand that tons of resources are being poured into making a vaccine, which will make developing this vaccine a lot faster.<p>However, this still makes me worry that the media ( and the UK government in part ) is showing false potential false hopes to people that read this article. Yes, we might get a vaccine next year, but we might never get a vaccine either.
heidaralmost 5 years ago
At this point I&#x27;m becoming more worried about distribution rather than finding a working vaccine.<p>One in six people (in the UK) said they&#x27;d refuse a vaccine if it became available, and another one in six weren&#x27;t sure. (YouGov poll)<p>It might make distribution to reach herd immunity difficult.
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praveen9920almost 5 years ago
Call me cynical.<p>1. This vaccine race seems like &quot;first one gets eternal glory&quot; scenario, which might pressurise scientists to take shortcuts, which may be bad.<p>2. Even with successful vaccine trials, wouldn&#x27;t take atleast an year to setup supply chain capable of distribution?<p>3. Virus mutates very fast, is it possible that all these early vaccine trials resulting in super virus which can&#x27;t be killed by any kind of immune system.
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stxalmost 5 years ago
From what I am hearing the antibodies that you get from having the actual virus do not provide protection from re-infection for very long. I cant find the source but I think it was a Medcram lecture. Would antibodies be from a vaccine be more effective at preventing infection then getting the actual infection? I thought usually it was the other way around.
meddlepalalmost 5 years ago
We will never eradicate this disease due to the large number of anti-vaccine folks.
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aaisolaalmost 5 years ago
My understanding is that with the flu shot scientists and epidemiologists essentially make an educated guess as to which strains are going to be prevalent in a particular year.<p>Why is COVID-19 different where the expectation is that one vaccine will prove a panacea. The virus has already shown that it can mutate similar to the flu vaccine.
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kashyapcalmost 5 years ago
Also notice this trade-off [edit: I&#x27;m saying this with a neutral tone, and not implying anything, so that a more informed person can elaborate on it]:<p>[quote]<p><i>Is it safe?</i><p><i>Yes, but there are side-effects.</i><p><i>There were no dangerous side-effects from taking the vaccine, however, 70% of people on the trial developed either fever or headache.</i><p><i>The researchers say this could be managed with paracetamol.</i><p>[&#x2F;quote]<p>Unrelated PS: What&#x27;s the deal with these one-sentence &quot;paragraphs&quot;, BBC? I think I know the answer: it is the &quot;modern medicine&quot; for lack of attention spans. (What about the side effects to <i>this</i>...)<p>Unrelated PS-2: I didn&#x27;t notice that someone else here has already quoted the above part. Sorry for the duplication.
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axegon_almost 5 years ago
At 1077, this is indeed a promising result. I genuinely hope this isn&#x27;t yet another marketing stunt(of which we&#x27;ve seen a lot lately). Mind you,<p>&gt; The vaccine - called ChAdOx1 nCoV-19 - is being developed at unprecedented speed.<p>Seriously? Did they ask a 9 year old to pick a nickname?
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