U.S.
health body questions AstraZeneca's COVID-19 vaccine
trial data
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[March 23, 2021]
By Miyoung Kim
(Reuters) -AstraZeneca may have used
"outdated information" in the results of a large-scale COVID-19 vaccine
trial, a U.S. health agency said on Tuesday, casting fresh doubt on the
shot, its potential U.S. rollout and plunging its developers, once
again, into controversy.
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The highly unusual rebuke from federal health officials comes just
one day after interim data from the drugmaker showed
better-than-expected results from the U.S. trial which had been seen
as a scientific counter to concerns that have dogged the shot since
late last year.
The vaccine developed with partner Oxford University was 79%
effective in preventing symptomatic illness in the large trial that
also took place in Chile and Peru, according to the data. It was
also 100% effective against severe or critical forms of the disease
and hospitalisation, and posed no increased risk of blood clots.
The Data Safety Monitoring Board (DSMB), an independent committee
overseeing the trial, has "expressed concern that AstraZeneca may
have included outdated information from that trial, which may have
provided an incomplete view of the efficacy data," the U.S. National
Institute of Allergy and Infectious Diseases (NIAID) said in a
statement https://bit.ly/3scE3ji released after midnight in the
United States.
"We urge the company to work with the DSMB to review the efficacy
data and ensure the most accurate, up-to-date efficacy data be made
public as quickly as possible," it said, adding that the DSMB had
informed AstraZeneca of its concerns.
AstraZeneca did not immediately respond to a Reuters request for
comment.
Its shares were down 1% in early morning trade.
NIAID is headed by U.S. infectious diseases expert Anthony Fauci and
is part of the National Institutes of Health. The DSMB is organised
by NIAID, according to a document outlining the trial design. The
board's role is to provide study oversight and evaluate clinical
data to ensure safe and ethical conduct of the study.
Authorization and guidelines for use of the vaccine in the United
States will be determined after thorough review of the data by
independent advisory committees, the statement added.
DOUBTS RAISED
Although hailed as a milestone in the fight against the COVID-19
pandemic when it emerged as a vaccine contender last year, the
AstraZeneca shot has seen a steady stream of questions raised about
its efficacy, dosing regimen and possible side effects.
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More than a dozen European
countries halted use of the vaccine earlier this
month after reports linked it to a rare blood
clotting disorder in a very small number of
people. Germany and France
resumed inoculations after the EU's drug regulator said last week it
was safe but an opinion poll on Monday showed Europeans remained
sceptical about its safety.
Fauci, who also serves as chief medical advisor to U.S. President
Joe Biden, said on Monday the U.S. trial found no indication at all
of the rare blood clots.
Before the blood clot concerns, there were also earlier separate
late-stage studies, run by partner Oxford University, that had
raised questions about its dosing regimen and the lack of data about
its efficacy for elderly people. The latest data,
which has yet to be reviewed by independent researchers, was based
on 141 infections among 32,449 participants.
Analysts had also noted AstraZeneca's achievement of producing
strong trial data against a backdrop of more infectious variants
spreading in the United States and other countries.
The AstraZeneca vaccine, which is already widely used outside the
United States, is seen as crucial in tackling the spread of COVID-19
across the globe because it is easier and cheaper to transport than
rival shots.
It has been granted conditional marketing or emergency use
authorisation in more than 70 countries. Many countries are relying
heavily on it to end the pandemic, and several state leaders have
taken the shot to boost confidence in the vaccine including South
Korea's President Moon Jae-in who received it on Tuesday.
The shot has also been at the centre of a growing conflict between
Brussels and London over so-called vaccine nationalism after a
string of supply setbacks in Europe.
(Reporting by Miyoung Kim in Singapore; Additional reporting by
Shubham Kalia in Bengaluru and Ludwig Burger in Frankfurt; Editing
by Edwina Gibbs and Josephine Mason)
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