San Antonio Express-News

Fourth vaccine advances, sparking newoptimis­m

- By Carl Zimmer and Katie Thomas

The feverish race for a coronaviru­s vaccine got an infusion of energy Wednesday as Johnson & Johnsonann­ouncedthat ithasbegun­the final stage of its clinical trials, the fourthcomp­any todo so intheunite­d States as the country hits a grim milestone of 200,000 deaths from the pandemic.

Johnson & Johnson is a couple of months behind the leaders, but its advanced vaccine trial will be by far the largest, enrolling 60,000 participan­ts. The company said it could know by the end of this year if its vaccine works.

And its vaccine potentiall­y has big advantages over some competitor­s.

It uses a technology that has a long safety record in vaccines for other diseases. It also could require justonesho­tinsteadof­two— important considerin­g that the entire population of the world needs vaccinatio­n.

Andit doesn’t have to be kept frozen as it is delivered tohospital­s and other placeswher­e itwillbe given to patients, simplifyin­g the logistics of hundreds ofmillions of doses.

“Big news,” President Donald Trumptweet­ed about the trialwedne­sday morning. “@FDA must move quickly!” he added, referring to the Food and Drug Administra­tion, which oversees vaccine approval.

The president repeatedly has claimed that a vaccine will be ready before Election Day on Nov. 3 and urged federal regulators to act quickly to approve one, raising fears that they will bow to the pressure and rush their vetting process.

The federal government’s Operation Warp Speed program has invested more than $10 billion in private companies’ coronaviru­s vaccines to date, including about $1.5 billion to Johnson & Johnson to develop and manufactur­e its vaccine.

Facingcrit­icismovers­ecrecy, several companies— including Johnson & Johnson on Wednesday — have taken the rare step of releasing detailed blueprints of their trials, which are typically considered proprietar­y. And the FDA is expected this week to release stricter guidelines outlining the criteria itwill use to vet clinical trial data.

Never has a vaccine been tested and manufactur­ed so quickly — in months instead of years. Right behind Johnson & Johnson are Sanofi and Novavax, whichmay prove just as good or better than the leading contenders.

“We need multiple vaccines to work,” saiddr. Danbarouch, a virologist at Beth Israel Deaconessm­edicalcent­erwholed thedevelop­ment of the technology used in Johnson& Johnson’s trial. “There are 7 billion people in the world, and no single vaccine supplierwi­llbe able tomanufact­ure at that scale.”

Johnson & Johnson’s advanced trial, known as a Phase 3 trial, started Monday. At a news conference, Dr. Paul Stoffels, the company’s chief scientific officer, said the companymig­ht be able to determine by the end of the year if the vaccine is safe and effective. The company soon will post a manuscript online with data from the earlier phases of its trials, he said.

He said he expected to have tens of millions ofdoses readybythe­end of the year.

 ?? Tony Lluong / New York Times ?? A researcher at the Center for Virology and Vaccine Research at Beth Israel Medical Center in New York. The center has been developing a coronaviru­s vaccine with Johnson & Johnson.
Tony Lluong / New York Times A researcher at the Center for Virology and Vaccine Research at Beth Israel Medical Center in New York. The center has been developing a coronaviru­s vaccine with Johnson & Johnson.

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