Oxford/AstraZeneca COVID-19 Vaccine still targeted for September rollout - why is this not being covered?

Ya'll probably heard about the Phase 1/2 trial results released yesterday. If you are not following, an executive from AstraZeneca appeared before Congress this morning to discuss timing, pricing, distribution, etc.

Initial distribution of AZD1222 for the United States and U.K. is still on track for September of 2020. You heard that right, we will likely have a vaccine widely available this fall. This will likely end the pandemic (at least domestically). This - of course - assumes the third and final phase of trials is successful, but it seems there is no reason not be confident it will be (they've already tested hundreds of humans).

So...why are none of the major outlets covering this? This has major, major implications. It will likely end the public health crisis, enable our economy to reboot, have a huge impact on the November election. This is excellent news.

 
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This - of course - assumes the third and final phase of trials is successful, but it seems there is no reason not be confident it will be (they've already tested hundreds of humans).

And then, by testing the vaccine on a larger population, a horrible side effect is observed.

 
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It seems like you're trying to spin this politically. Is that why you posted anon?

As others have said, this is being covered by the news. Maybe you're just not reading the right news.

edit: this has been covered by both parties' respective platforms, so can't see a political spin on it. Now I'm just confused as to why you think it's not being covered.

 
Analyst 1 in RE - Other:
something about a vaccine being rolled out this quickly with so little time given to consider side effects in the name of massive profit going toward the "winning" company that can produce any sort of vaccine the fastest rubs me the wrong way

This is also a problem. Mistakes bound to be made somewhere.

 

Can guarantee your regular Joe who has average health will not get this vaccine in 2020. Healthy people like most of us (hopefully) won't see this until middle to late 2021. liquidiot is right that the most at-risk populations will be given the vaccine first and foremost. And we don't even know the side effects either.

 

Even "if" the vaccines prove successful, you can't just get 300 million doses overnight. There's still a long, long road ahead. I'm confident SA2021 will be virtual.

Edit: Not sure why I’m getting so much MS. It’s important to be realistic with dates here.

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Not sure about this Oxford one but I think some of the vaccine companies have been manfacturing in tandem with testing, essentially making a huge gamble that their vaccine will pass approval (not so much a gamble when it's government grant $$).

 

They are having a lot of preliminary negotiations with large manufacturers who can help really scale this thing up quickly. Don't remember what AZs plan is but Moderna (who I don't have too much confidence in) struck a big agreement with Lonza a while back.

Dayman?
 

I could not agree more. I've been following this vaccine like a hawk since they announced they were targeting Q3 2020 back in April. Every single news publication said they were crazy and that it would take 2-3 years for a vaccine.

Well here we are, well into phase 3 trials with the first 2 phases passed with flying colors. Anyone I mention this to has never heard of the Oxford/azn partnership! It has been reported here and there but not getting the coverage it deserves.

 

how much is it going to be? will insurance cover it?

 

There is a fair degree of skepticism and I think the media has generally understood (for once) not to get over-hyped on all these vaccine promises.

The latest updated about this vaccine, from Monday, is that it did show an immune response but had been tested in a Phase I/II trial. The trial itself started in April 2020 and will end in May 2021 (on paper). These are interim results. Even if these were enough to get a Phase II/III rolling, it would likely start in August and you could get interim results by October/November. You then have to submit to regulatory agencies (the FDA and EMA) who could take 6 months to approve (and this would be considered insanely fast to review all the data and make a good decision). Realistically the earliest you can get a vaccine is Q2/Q3 2021. No one realistically expects one to be ready in September. You also have to consider time to ramp up production of the vaccine and fill orders. There is still so much to do.

 

A Phase III trial already started in Brazil a few weeks ago.

AZ has said multiple times that they aim to have 1 billion doses available by the end of 2020 and are signing contracts w/ manufacturers all over the world.

The FDA has said multiple times that it will expedite vaccine approval assuming they can ensure its safety and efficacy.

This is not a typical situation and people should stop treating it as such. There’s a very strong chance that there is a vaccine approved and available within 90 days from today.

(Also the May 2021 “end date“ for phase 1/2 trial is when researchers plan to stop contacting participants. It’s not meant to be the date final results are expected)

 

Yes, this is the Brazil trial; the one that hasn't started recruited and on paper is starting in July. It will realistically be underway in August and you won't have interim results until October/November earliest. AZ can say whatever they want to secure orders, but that doesn't change the course of reality. Additionally, the FDA will certainly expedite the process but it won't become a matter of weeks or a couple of months, especially for companies that present Phase II evidence at best. Maybe 3-4 months if you have a robust interim readout from a Phase III but no quicker than that. Zika and Ebola vaccines also went through expedited processes but none were a matter of a couple of weeks. And this would still land you at the end of 2020, conservatively. To this, you still need to add time to ramp up production. Remember that any vaccine approved now in a hurry is likely to have conditional approval, meaning that they can be required to provide additional data as the trials continue.

 

Not sure why you’re getting downvoted but everyone is a clinical/ regulatory expert nowadays right

AZ is taking a risk by amping up manufacturing this early on but their preemptive scaling up of manufacturing isn’t indicative of looming success - this is done with flu vaccines every year before the dominant circulating strains are confirmed just due to the fact that vaccine production is labor intensive and high quantities are needed

Vaccine procurement is also a weird process in that countries’ health agencies don’t just pay per unit at the point of sale. There’s a whole bidding process involved where one manufacturer wins and supplies all, so it’ll be interesting to see how that plays out with so many damn vaccines utilizing different technologies in the pipeline

 

If these drugs are on Breakthrough Status or Expedited Review, the FDA will cut that review time down to... maybe 3 months. The thing with BReakthrough Status and Expedited Review is that the FDA is reviewing results on a near regular basis for any drug during these trials in order to get it to market faster. I think that a 12-month window is possible if the drug proves early on and at all phases that it can meet and exceed its endpoints. That said, it still takes a lot of time to get these drugs tested and to market. I still think Q420 is unrealistic but it is theoretically possible.

 

I read the AstraZeneca release and am astonished their lawyers cleared it. It's misleading, to say the least.

Yes they have the distribution agreements in place and manufacturing capacity available, but a September rollout would require all of the following:

1) Evidence from the trials that the vaccine actually works. The release does mention there is no assurance it works.

2) Completion of Phase III trial (not yet begun) and FDA review of results

3) FDA approval

Anybody who thinks all this can happen in the next 5 weeks, even in super-duper emergency mode, is smoking dope.

Meanwhile, AZN stock price is up almost 50% from its March bottom, as the company prepares to attempt the Gilead acquisition. I think I've figured out what's going on here.

Pharma companies have become increasingly brazen in pushing optimistic announcements. To be sure, a lot of good stuff is happening, but obscured by a cascade of fake news.

 

Not sure I follow your points. They cannot claim the vaccine prevents the virus because they ethically cannot “challenge” vaccinated individuals w/ the virus. Hence they look for and report on immune response.

Phase III studies will determine if the vaccine prevents infection.

How would this content be too permissive from the lawyers’ perspective? This is exactly by the book. If they said that the vaccine prevents the disease before doing phase 3, then they would be in hot water, but they did the exact opposite here.

 

JPM AM primer on the state of vaccines, published this Tuesday (July 21).

Highly recommend browsing through for everyone in this thread. Here's their take on Oxford/AZ:

> Oxford University and AstraZeneca announced an aggressive timetable for development of an adenovirus “vector” vaccine. It’s based on a chimpanzee virus that is altered to be harmless to humans, and for which humans have no antibodies. The virus is altered to include genetic components coding for the SARS-CoV-2 spike proteins, which are expected to provoke the body’s immune system into generating necessary antibodies. The group hopes to produce one million doses by the fall if current clinical trials are successful (6,100 volunteers have been recruited into a randomized trial). Some recent news: >> * Phase I results were quite positive: over 1,000 patients enrolled (compared to just 45 for Moderna). Of the 35 participants whose antibody responses were fully analyzed in a paper released on July 20, 90% produced neutralizing antibodies after a single shot (compared to other vaccine candidates which required second booster shots). The presence of neutralizing antibodies rose to 100% after a second shot. T-cell responses were confirmed, and side effects were not alarming (some fever and headache). No red flags and enough grounds for cautious optimism as large Phase III trials begin in the remaining global hotspots (US, South Africa, Brazil) >> * The US Biomedical Advanced Research and Development Authority (BARDA) agreed to provide $1.2 billion to AstraZeneca (the company developing and distributing the Oxford vaccine) to support clinical studies, vaccine manufacturing technology transfer, scaled-up manufacturing, etc. The funding will allow AstraZeneca to begin Phase II/III clinical studies this summer. In return, 400 million doses will be secured for the US/UK, with the first doses delivered as early as October if trials are successful

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