The expert committee of CDSCO met on 30/12, 01/01 and 02/01 to deliberate on accelerated approval of vaccines. Recommendations made on each day have been officially published.

📣 In this thread, we take a look at the timeline of events that lead to the approval. Must read.

1/n
30th December:
#Covaxin: Bharat Biotech presents status of Phase 3 trials and updated safety data.
📣 Committee recommends that updated safety and EFFICACY data of Phase 3 trials have to be presented for further consideration.

2/n
30th December:
#Covishield: SII presents safety and efficacy data of Phase 2/3 trials from UK, Brazil, SA along with data from ongoing Indian trials. SII mentions that UK has provided EUA.

📣 Committee asks for complete details of UK approval to be submitted.

3/n
1st January:
#Covaxin: Bharat Biotech presents data from Phase 1,2 trials as well as ongoing Phase 3. Efficacy yet to be demonstrated.

📣 Committee asks for Phase 3 recruitment to be expedited and present Phase 3 efficacy data for consideration for emergency use approval.

4/n
1st January:
#Covishield: SII presents details of UK approval.
📣 Committee reviews data and notes that the safety/immunogenicity data of India trials is comparable to overseas trials.
Decides to recommend for restricted emergency use.

5/n
Conditions of #Covishield restricted approval:
✅ Approved for >= 18 years of age.
✅ 2 doses, 4 to 6 weeks apart.
✅ SII should submit details of of ongoing Phase 3 studies.
✅ Safety data to be submitted every 15 days for first 2 months.
✅ Submit risk management plan.

6/n
2nd January:
#Covaxin: Bharat Biotech presents data. Requests for approval in light of new mutated strain.
📣 Committee recommends for emergency use in clinical trial mode as a precaution, to have more vaccine options in light of mutant strains.

Phase 3 to continue.

7/n
In summary:
✅ Approval for Covishield provided on 01/01 after reviewing UK approval and trial data globally and in India.
✅ #Covaxin: In the meetings held on 30/12 and 01/01, SEC had asked for Phase 3 efficacy data to be presented for approval considerations.

8/n
In the meeting on 02/01, SEC decides to recommend Covaxin for emergency approval in clinical trial mode, without efficacy data from Ph 3 trials.
Reason given being to have more vaccine options in light of mutated strains. Clarification of clinical trial mode not provided.

9/n
The detailed recommendation documents of SEC by date can be found here:
https://cdsco.gov.in/opencms/opencms/en/Committees/SEC/

n/n
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