Fri, October 15, 2021

in-focus

Oxford-AstraZeneca coronavirus vaccine may help prevent transmission, study finds


LONDON - The developers of the Oxford-AstraZeneca coronavirus vaccine report that it may help keep people from spreading the virus, offering a hopeful but uncertain answer to one of the great remaining questions of the pandemic.

Vaccines have produced evidence that they are effective at reducing the number of people who experience symptoms or suffer severe illness or die, but much less is known about whether any of the available vaccines can prevent asymptomatic infections that can pass from one person to another - thereby reducing the need for social distancing and allowing a return to more normal life.

In a preprint of an article under review at the Lancet medical journal, the Oxford University vaccine developers report that based on follow-up studies of their clinical trials, which found the vaccine safe and effective, there is also "the potential for the vaccine to reduce transmission of the virus."

The study found that after people received two doses of the vaccine, they were 54% less likely to have an infection confirmed by a nasal swab, regardless of whether they had symptoms.

In addition, the researchers said a single dose of the vaccine was 76% effective against symptomatic virus infection, for up to three months.

Independent scientists who were not involved in the Oxford study called the data intriguing but incomplete. They warned that results were preliminary, that the sample size was too small to make bold claims, and that there could be alternative explanations for the findings, such as that the group receiving a single dose included more women, younger people and health workers.

But British officials on Wednesday hailed the report on the homegrown vaccine. They promoted the findings as a vindication for their controversial decision to delay second doses - from four weeks to 12 weeks - while trying to get first shots to as many people as possible.

British Health Secretary Matt Hancock said the research results were "absolutely superb."

"It categorically supports the strategy we've been taking on having a 12-week gap between the doses," Hancock told Sky News.

Pfizer-BioNTech scientists have warned that they do not have evidence to support the British dosing strategy for their vaccine, also in wide use in Britain.

Paul Hunter, a professor of medicine at the University of East Anglia, said the report by the Oxford researchers seemed to support the idea that efficacy of the vaccine was improved by having a long stretch between first and second doses.

"Taking all this evidence together, the 12-week gap between first and second dose is clearly the better strategy, as more people can be protected more quickly and the ultimate protective effect is greater," Hunter said.

Hunter noted, however, that the Oxford vaccine seemed "quite poor at preventing asymptomatic infection."

Andrew Pollard, the chief investigator of the Oxford vaccine trial, said the results support the British government's decision to give one dose followed by a second booster shot 12 weeks later. Pollard called it "an optimal approach" that "reassures us that people are protected from 22 days after a single dose of the vaccine."

Pollard also told the BBC on Wednesday: "We found that there was a big reduction in people being infected with coronavirus and, because they were not infected, they can't go on and transmit to other people. That is really important in potentially curbing the pandemic."

Natalie Dean, a biostatistics expert at the University of Florida, said: "If you think about the way that vaccines work, they can work in two major ways: one is by preventing infection entirely and the other by taking someone who is infected and preventing them from getting symptoms."

The data suggest that "there were some infections that were prevented, but there were some that were bumped down in severity," Dean said.

Oxford is eager to further establish the credibility of its vaccine after inconsistent dosing in its clinical trials muddied assessments of its effectiveness and a lack of data on the efficacy in people 65 and older has given some public health officials pause.

The European Union's regulator of medicines has authorized the vaccine for use in all adults, but officials in France, Germany, Italy, Poland, Sweden and Belgium have cautioned against using it in older populations. Switzerland on Wednesday rejected the vaccine, saying it wanted to see more data. The United States, too, is waiting for more clinical trial data before an authorization decision.

French President Emmanuel Macron last week criticized the Oxford vaccine for use among those older than 65. Macron told the news media that the British vaccine "doesn't work the way we were expecting to."

European Commission President Ursula von der Leyen, defending the European Union's regulatory approach, implied that Britain may have cut corners in its coronavirus vaccine rollout.

She told Le Monde that the bloc "agreed not to compromise with the safety and efficacy requirements linked to the authorization of a vaccine."

Britain, von der Leyen said, was able to start its mass inoculation program earlier because it had taken "emergency, 24-hour marketing authorization procedures."

A spokesman for the British prime minister's office responded that all of the vaccines approved for use in the United Kingdom - Oxford-AstraZeneca, Pfizer-BioNTech and Moderna - are "safe and effective."

Britain has one of the highest per capita coronavirus death tolls in the world. More than 108,000 people have died after being diagnosed with virus, with a more contagious variant propelling the latest wave.

The vaccine manufacturers have said their formulas are effective against the variant.

Published : February 04, 2021

By : The Washington Post · Karla Adam, William Booth, Carolyn Y. Johnson