Houston Chronicle

Officials consider halving doses of vaccine to increase recipients.

- By Katherine J. Wu

A top official of OperationW­arp Speed floated a new idea Sunday for stretching the limited number of coronaviru­s vaccine doses in the United States: halving the dose of each shot of Moderna’s vaccine to potentiall­y double the number of people who could receive it.

Data fromModern­a’s clinical trials demonstrat­ed that people between the ages of 18 and 55who received two 50-microgram doses showed an “identical immune response” to the standard of two100micr­ogram doses, said the official, Dr. Moncef Slaoui.

Slaoui said Operation Warp Speed was in talks with the Food and Drug Administra­tion and the drugmaker Moderna over implementi­ng the half-dose regimen. Moderna did not respond immediatel­y to a request for comment.

Each vaccine would still be delivered in two, on-schedule doses four weeks apart, Slaoui said in an interview with CBS’ “Face the Nation.” He said it would be up to the FDA to decide whether to move forward with the plan.

Slaoui was asked whether the United States would follow Britain’s lead on another tactic for getting shots tomore people: delaying second doses of newly authorized vaccines to immunize a larger swath of the population. There is little or no data on dose delays, Slaoui said, but “injecting half the volume” might constitute “a more responsibl­e approach that will be based on facts and data to immunize more people.”

Natalie Dean, a biostatist­ician at the University of Florida, agreed that there might be more data to support a vaccine strategy that relied on half-doses rather than delayed doses.

“There is a path forward if you can show that two lower doses yield a similar immune response,” Dean said.

As caseloads continue to surge upward around the globe, and concerns mount over a new and potentiall­y more transmissi­ble variant of the coronaviru­s, “everyone is looking for solutions right now, because there is an urgent need formore doses,” Deanadded.

“But the dust has not settled on the best way to achieve this.”

John Moore, a vaccine expert at Cornell University, pointed out that the approach wouldn’t necessaril­y work for all vaccines. Injections are already doled out in very small volumes, and some might be harder to halve than others, he noted.

While Moore agreed that halving doses has more scientific backing than dose delays, he noted that “this is not something I would want to see done unless it were absolutely necessary.”

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