Hindustan Times (Delhi)

THE FRONT RUNNERS

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In the World Health Organizati­on April 4 report on the “draft landscape” for Covid-19 vaccine candidates, there are two in the clinical trials phase, while about 60 others are in more preliminar­y evaluation stage.

CANSINO

BIOLOGICAL INC BEIJING INSTITUTE OF BIOTECHNOL­OGY

Phase 1 trials

PARTICIPAN­TS: 108 (divided in three groups of 36)

This vaccine will use the adenovirus type 5 – a pathogen that commonly infects people and leads to mild conditions. Cansino has used the same technology to create an Ebola vaccine, which was the first such shot approved anywhere based on the strain behind the deadly epidemic

This is a stage of research that focuses on the safety of a drug. This stage is usually conducted with healthy volunteers, and the goal is to determine the drug's most frequent and serious side effects and, often, how the drug is broken down and excreted by the body. These trials usually involve a small number of participan­ts.

This is the first of multiple steps in the clinical trial process for evaluating the potential benefit of a vaccine.

NEXT PHASE OF TRIALS

Phase 1 trials are carried out by small groups of healthy individual­s. The subsequent phases (II and III) will involve larger groups as well as patients. These will give crucial informatio­n on the efficacy and safety of the vaccines

To help speed up this aspect, billionair­e philanthro­pist and former Microsoft boss Bill Gates announced his foundation will fund production of 7 vaccine candidates even before they are cleared. "Even though we'll end up picking at most two of them, we're going to fund all seven so we don't waste time…"

MANUFACTUR­ING

The vaccine will ideally need to be shipped across the world to its nearly 7.5 bn population. Production usually begins after regulators clear the vaccine – a process that could take months as it involves analysis of all data from the trials

LICENSING

The vaccine will also include the question of who gets to sell it and the sharing of proprietar­y informatio­n. The heads of WHO and Unitaid, a Un-backed group, last week backed a proposal by Costa Rica for companies to pool their intellectu­al property rights

"It'll be a few

billion dollars we'll waste on manufactur­ing for the constructs that don't get picked because something else is better. But a few billion in this situation we're in, where there's trillions of dollars being lost economical­ly, is worth it," he said

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