SARS-CoV-2 Vaccine Update

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In this episode, we review what we know, as of November 29, 2020, about the major SARS-CoV-2 vaccine candidates – their mechanisms of action and preliminary data. Be aware that most of the data is preliminary and exact numbers may change (and long-term data is not yet available)

Moderna vaccine data

Phase I dose-escalation trial (Jackson et al NEJM 2020) and small 40 patient study of immunogenicity in older adults (Anderson et al NEJM 2020). (phase III study protocol )

Phase III trial results (Baden et al, NEJM)

  • >30,000 participants within the US
    • 37% from racial/ethnic minority groups (>6000 Hispanic participants, >3000 African American participants)
    • 22% healthcare workers
    • >14,000 female
    • >7000 >65 years old

Pfizer/BioNTech vaccine data

Data from the FDA Emergency Use Authorization Briefing and Polack et al in NEJM

About 19,000 participants were followed for ≥2 months

  • Looked at common side effects in 8,000 of the participants. Fatigue 3.7% after 2nd dose, headache 2%

Distribution fact sheet

AstraZeneca vaccine data

Phase I/II safety/immunogenicity study (Folegatti et al Lancet 2020)

Press Release data (11/23/20) from an interim (phase III trial protocol)

Lancet manuscript Phase 2/3 trial results

Johnson & Johnson vaccine data

Phase I/IIa safety/immunogenicity study (Sadoff et al MedRxiv.org [pre-print])

Novavax vaccine data

Phase I/II safety/immunogenicity trial

Phase III information (US trial not yet underway)