Today was a day that vaccine researchers had been hoping for and dreading all year, ever since—back on January 10—scientists started designing coronavirus vaccines. Why? A thread! https://www.nytimes.com/2020/07/17/health/coronavirus-vaccine-johnson-janssen.html 1/
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They were hoping that it would be possible to create and test a vaccine in record time. The previous record for vaccine development was four years, for mumps. Typically vaccines take a decade or more. Not good in a pandemic! https://www.nytimes.com/2020/05/02/us/politics/vaccines-coronavirus-research.html 2/13
By the summer, late-stage clinical trials were underway, which was astonishing. Right now there are 11 Phase 3 trials going on worldwide, and 52 clinical trials in total. That’s bonkers. https://www.nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.html 3/13
But here’s the catch: no one has ever made an approved vaccine for a coronavirus before. Lots of reasons why--see my 2015 piece on the “valley of death.” https://www.nytimes.com/2015/08/11/science/for-vaccines-needed-in-an-epidemic-timing-is-everything.html 4/13
Adding to the uncertainty, a lot of this year's coronavirus vaccines were designed using technologies that have remained experimental till recently—such as the RNA-based platform that BioNTech and Pfizer chose. https://www.nytimes.com/2020/07/27/health/moderna-vaccine-covid.html?searchResultPosition=3 5/13
Some glimmers of hope came from studies on mice and monkeys, showing that vaccines could protect them. But we aren’t animals, so it was hard to know how the vaccines would work on us. https://www.nytimes.com/2020/05/20/health/coronavirus-vaccine-harvard.html 6/13
Early clinical trials showed that the vaccines could make some antibodies and T cells that could recognize the coronavirus. Encouraging—but not evidence that the vaccines could protect people. https://www.nytimes.com/2020/08/04/health/covid-19-vaccine-novavax.html 7/13
Now we have evidence—preliminary!—that the Pfizer/BioNTech vaccine provides protection. And not just a little protection. They estimate over 90% efficacy. https://www.nytimes.com/2020/11/09/health/covid-vaccine-pfizer.html 8/13
That should encourage other RNA vaccine makers. And it should *also* encourage other teams whose vaccines hit the same target (the spike protein) and have produced comparable or better levels of antibodies. 9/13
We may expect other vaccines to reach this moment in the months to come. Some may fail. But if today is any guide, others may succeed. 10/13
And any additional successes could open the way to better vaccines, cheaper vaccines, more vaccines. https://www.nytimes.com/2020/08/27/health/covid-19-vaccines.html 11/13
BUT: we still need to see the rest of the data from Pfizer/BioNTech’s trial—not just to ensure it’s really as effective as it seems, but that it’s definitely safe. Still, this is the kind of first data that makes vaccine experts happy. 12/13
Anyway—for more questions and answers about this history-making day, check out this explainer from @katie_thomas and me https://nyti.ms/3pcNX3f 13/13