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COVID-19 vaccine | Phase-III trials for Bharat Biotech’s Covaxin see 70-80% refusal rate from volunteers: Report

Dr Sanjay Rai, Professor of Community Medicine at AIIMS and a principal investigator for the Covaxin trial says motivation to participate is lost as people feel that a vaccine has already been found.

December 17, 2020 / 03:26 PM IST
Phase III trials for Covaxin are hoped to be completed by December-end (File Image: Covaxin - Bharat Biotech)

Phase III trials for Covaxin are hoped to be completed by December-end (File Image: Covaxin - Bharat Biotech)

Phase-III trials for Bharat Biotech’s COVID-19 vaccine candidate Covaxin are facing a shortage of volunteers with a participant refusal rate of up to 70-80 percent, a senior doctor with the All India Institute of Medical Sciences (AIIMS) in Delhi told ANI on December 16.

Dr Sanjay Rai, Professor of Community Medicine at AIIMS and a principal investigator for the Covaxin trial said motivation to participate has been lost as people feel that a vaccine has already been found, the report said. He added that Phase I and II of the trials had zero refusal rate.

Explaining the dwindling interest, Dr Rai said Phase I had 4,500 applicants for 100 volunteer spots, Phase II had 4,000 volunteers for 50 spots, while Phase III which requires 1,500-2,000 participants managed to recruit only 200 participants.

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“This is happening because people are thinking ‘why to volunteer when a vaccine is coming for everyone soon?’,” he added. He said that excitement has shifted from clinical trials towards the vaccine.

COVID-19 Vaccine

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How does a vaccine work?

A vaccine works by mimicking a natural infection. A vaccine not only induces immune response to protect people from any future COVID-19 infection, but also helps quickly build herd immunity to put an end to the pandemic. Herd immunity occurs when a sufficient percentage of a population becomes immune to a disease, making the spread of disease from person to person unlikely. The good news is that SARS-CoV-2 virus has been fairly stable, which increases the viability of a vaccine.

How many types of vaccines are there?

There are broadly four types of vaccine — one, a vaccine based on the whole virus (this could be either inactivated, or an attenuated [weakened] virus vaccine); two, a non-replicating viral vector vaccine that uses a benign virus as vector that carries the antigen of SARS-CoV; three, nucleic-acid vaccines that have genetic material like DNA and RNA of antigens like spike protein given to a person, helping human cells decode genetic material and produce the vaccine; and four, protein subunit vaccine wherein the recombinant proteins of SARS-COV-2 along with an adjuvant (booster) is given as a vaccine.

What does it take to develop a vaccine of this kind?

Vaccine development is a long, complex process. Unlike drugs that are given to people with a diseased, vaccines are given to healthy people and also vulnerable sections such as children, pregnant women and the elderly. So rigorous tests are compulsory. History says that the fastest time it took to develop a vaccine is five years, but it usually takes double or sometimes triple that time.

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"As per the central government’s guidelines, vaccines will only be administered to priority groups in the first phase. Fact is that, even if a vaccine comes, it'll be given to healthcare providers, frontline workers, elderly and those with co-morbidities first. But people think they will get vaccine soon," he pointed out.

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Another reason for refusal, Dr Rai said, was that participants were reluctant because half of them would be administered placebo and won't know whether they are part of the vaccine group or placebo group.

“Most participants refuse after listening to this saying that a vaccine is coming soon. We are now planning to create awareness among people through ads, email and telephone. It’s important for people to participate in the clinical trial to get a safe and efficient vaccine," he stated.

He added that they hope to complete Phase III trials by December-end.

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Moneycontrol News
first published: Dec 17, 2020 02:52 pm

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