by m1 on 11/16/20, 12:03 PM with 1328 comments
by chakintosh on 11/16/20, 12:51 PM
by Roonerelli on 11/16/20, 12:28 PM
https://www.cdc.gov/vaccines/vpd/mmr/public/index.html#:~:te...
"One dose of MMR vaccine is 93% effective against measles, 78% effective against mumps, and 97% effective against rubella.
Two doses of MMR vaccine are 97% effective against measles and 88% effective against mumps."
by yread on 11/16/20, 12:33 PM
> In Moderna's trial, 15,000 study participants were given a placebo, which is a shot of saline that has no effect. Over several months, 90 of them developed Covid-19, with 11 developing severe forms of the disease.
> Another 15,000 participants were given the vaccine, and only five of them developed Covid-19. None of the five became severely ill.
https://edition.cnn.com/2020/11/16/health/moderna-vaccine-re...
by basicallydan on 11/16/20, 1:29 PM
by gravypod on 11/16/20, 12:59 PM
Is there some tool that has been used here that hasn't been available in the past? I know the FDA said they would allow skipping some preliminary testing to fast track a drug. Was that a huge help?
by Taniwha on 11/16/20, 10:15 PM
What I'm really asking of course is are they complementary? or essentially the same thing? will it make sense having both? how fast will the virus mutate once these vaccines are ubiquitous?
by acqq on 11/16/20, 1:20 PM
"A vaccine that prevents infection entirely provides indirect protection to others. If I can't get infected, I can't infect you. But it is possible to have a vaccine that prevents disease but individuals can still be infectious." (1)
In that case, those at risk are only protected when they receive a vaccine, but still aren't when just those who they are in contact with received it.
"Most Phase 3 trials are measuring efficacy to prevent disease as the primary analysis" (2)
Not infection.
The whole thread with more details, already written in September, before both announcements:
https://twitter.com/nataliexdean/status/1310613702476017666
by: "Natalie E. Dean, PhD, Assistant Professor of Biostatistics at @UF specializing in emerging infectious diseases and vaccine study design. @HarvardBiostats PhD." (3)
1) https://twitter.com/nataliexdean/status/1310613711808278528
2) https://twitter.com/nataliexdean/status/1310613708557692928
by CapriciousCptl on 11/16/20, 2:55 PM
Original article-- https://www.nejm.org/doi/full/10.1056/nejmoa2022483
by fasteo on 11/17/20, 9:58 AM
"while it takes one woman nine months to make one baby, nine women can't make a baby in one month". [1]
Are we missing something in this fast-paced vaccine development ? Are we taking more risks ? Nobody seems to be talking about this and less so now that we have entered into the "mine is better" PR war.
by ttul on 11/16/20, 5:46 PM
by benzible on 11/16/20, 7:14 PM
Excerpt:
> [With] these early efficacy results, we may be measuring the effects of an impressive front line army that spins up in response to the vaccine - but then we should be careful not to assume the same efficacy persists to hold that line after most of the troops disappear! [...] Only time and careful follow up will tell how much the >90% efficacy of the two vaccines holds after the early vaccine responses fade away.
by Unklejoe on 11/16/20, 3:36 PM
I know I can look this up on my own but there's so much conflicting info out there and things are changing so fast.
by CodeGlitch on 11/16/20, 1:15 PM
Pretty exciting stuff in any case.
by gtirloni on 11/16/20, 12:54 PM
by Bharath_MG12 on 11/16/20, 1:29 PM
by fabian2k on 11/16/20, 12:36 PM
by victor106 on 11/16/20, 7:54 PM
Slightly off topic but its interesting that Moderna's market cap is $38bn and Zoom's market cap is $113bn. Obviously Moderna's vaccination directly saves life's and has much more impact than Zoom. A sign of the times/market we live in.
by bionhoward on 11/16/20, 5:28 PM
by Ensorceled on 11/16/20, 2:53 PM
My former colleagues in the viral research space (the HIV team above) basically flagged this type of vaccine as our best hope for an 2021 vaccine. No one I know from this space thought a 2020 vaccine was ever in the cards.
by fallingfrog on 11/16/20, 1:23 PM
by yread on 11/16/20, 2:00 PM
by tehjoker on 11/16/20, 7:32 PM
by refurb on 11/16/20, 12:47 PM
"Moderna had previously said their vaccines could ship at -20 degrees, refrigerated for up to 7 days, and kept at room temperature for up to 12 hours. Now, the company says they’ve devised a formulation that can stay refrigerated for up to 30 days and kept at room temperature for up to 24 hours."
https://endpts.com/moderna-says-its-vaccine-is-94-5-effectiv...
by marwan-nwh on 11/16/20, 2:37 PM
by dredmorbius on 11/16/20, 12:30 PM
https://www.nytimes.com/2020/11/16/health/Covid-moderna-vacc...
https://www.bbc.co.uk/news/health-54902908
https://www.reuters.com/article/us-health-coronavirus-vaccin...
by geland on 11/16/20, 9:39 PM
They only evaluated ~90 of their 30000 test group, and out of that tiny sliver of the data there were more in the placebo group that got covid than the vaccinated group. My questions would be:
Does their small subset have the same number of vaccinated vs placebo? Are the ~90 evaluated cases representative of the whole group, or are they only from one area or health profile? How long have they followed this group?
It still seems like this early on in the study you could cherry pick the data to show any amount of effectiveness that you want.
Did I miss something here?
by leoplct on 11/17/20, 1:38 PM
Correct me if I am wrong. Supposing a random person has a 5-10% chance of contracting the virus (according to average cases/testing worldwide), should the efficacy be 5-10% * 95% = 0.7%-0.5%?
by cacois on 11/16/20, 5:53 PM
Is it just me, or is this language very irresponsible? They are just talking about having small side effects, like headache and fatigue - just like the flu vaccine has. Likening this to "safety" seems incredibly dangerous to me, as it will give people already predisposed to dislike vaccines more ammunition to speak out against them and refuse them.
by jakozaur on 11/16/20, 1:29 PM
+ ~94.5% of individuals achieve immunity. Better than Pfizer, though we need more data to be sure.
+ no significant side-effects.
+ no special deep freezing. -20C is good for 6 month storage, -2 to -9 for 30 days comparing to Pfizer -70C all the time.
Not so good:
- two doses needed, 4 weeks apart, immunity after one and a half month from first dose. Slow rollout. Pfizer results were after one month.
Still long-term immunity is a question for every vaccine. Luckily, if two vaccines works then likely other attempts will be successful.
by sudhirj on 11/16/20, 1:46 PM
by at_a_remove on 11/16/20, 7:14 PM
by westwing on 11/16/20, 12:37 PM
What are the assessments of the HN crowd?
by DSingularity on 11/16/20, 7:01 PM
by cblconfederate on 11/16/20, 12:26 PM
I wonder what will be the consensus after other types of vaccines release their results.
by mensetmanusman on 11/17/20, 12:19 PM
by rwcarlsen on 11/16/20, 4:15 PM
by lumberingjack on 11/17/20, 10:20 AM
by 01100011 on 11/16/20, 3:28 PM
by mlang23 on 11/16/20, 2:21 PM
by BurningFrog on 11/16/20, 2:50 PM
With some luck, this is the start of a new era of fast and safe vaccines for most any virus.
by exabrial on 11/16/20, 2:01 PM
by throwawaysea on 11/16/20, 4:38 PM
by jonplackett on 11/16/20, 1:08 PM
by thecleaner on 11/16/20, 6:36 PM
by generalizations on 11/16/20, 9:13 PM
by tibbydudeza on 11/16/20, 4:28 PM
If it was up to these ignorant people we would still have kids getting polio in 2020.
by afjl on 11/16/20, 3:05 PM
I currently have coronavirus. I'm a young male in my 20s (don't want to divulge too much info), 6'1", 170 lbs, non-smoker, rarely drink, pretty healthy. Waiting on test results.
Started off about 2 weeks ago, rash on my chest, lots of night sweats and chills. Didn't think it was covid at first. given the weird symptoms. I did not feel too sick, in general. Slight fever, slight cough and sore throat. For most of the time, it felt mild. Still have the rash, night sweats, and sore throat at the moment.
However, 4 days ago I started having issues breathing. I felt out of breath multiple times throughout the day, and at times it was hard to even suck in air (like my diaphragm was calcified or something). I woke up a few times at night, trying to suck in air. Today was better but the difficulty breathing is still there. I realized today, that even though it's not as bad as the worst flu I've had, it involved a symptom (difficulty breathing in air) that I have never experienced. Not with strep, not with the flu. This is something to note for everyone, in my opinion.
I think it's both milder AND worse than people think it is - I'm a healthy young male who exercises and eats well, and yet I'm having trouble breathing. This is a symptom that has continued for multiple days, and while it hasn't gotten worse, it's not getting much better. The rash is still there, my throat's still sore. If you are part of the obese/overweight American population (35% of us, including my family), and are a chronic smoker/drinker, and have chronic conditions (diabetes, hypertension, mental health conditions), I think you should still be careful.
Unless you have a respirator, there isn't anything you can take to resolve "difficulty breathing". It's not like fever/sweats/nausea - where you can just take a Nyquil and it's all gone. Not to mention, we have antibiotics and antivirals to attack the flu/cold/strep infections as well. Covid's a bit different - difficulty breathing can only currently be helped by equipment that's located in hospitals. There isn't some magic pill that will get your diaphragm pumping up and down again. This is something to note, in my opinion.
I'm not sure how much longer my symptoms will continue. The initial symptoms started 2 weeks ago, but the breathing related ones only started recently. I hope it gets resolved soon - I may provide a comment as an update.
Please wash your hands, avoid touching your face/eyes with your hands, socially distance if you can, and wear a mask when in public. Having trouble breathing is no joke.
by gizmondo on 11/16/20, 2:44 PM
by known on 11/16/20, 3:29 PM
by ilrwbwrkhv on 11/16/20, 2:59 PM
by xwdv on 11/16/20, 1:04 PM
by petre on 11/16/20, 2:28 PM
by wskinner on 11/16/20, 3:16 PM
Why is the trial so small?
by dry_soup on 11/16/20, 2:19 PM
by mandeepj on 11/16/20, 3:00 PM
Edit - grammatical fix
by fasteddie31003 on 11/16/20, 3:19 PM
by tboyd47 on 11/16/20, 4:03 PM
by m0zg on 11/16/20, 12:34 PM
by beezle on 11/16/20, 5:15 PM
I really don't know how this is made to be some great news if it is the former and not the latter.
by tinus_hn on 11/16/20, 12:41 PM
So now it’s time to stop delaying and start distributing these vaccines.
by Wintamute on 11/16/20, 2:40 PM
But you don't need to be anti-vax to understand the game theory implications of neither vaccine undergoing a normal longitudinal study (waiting >1 years for side effects to develop), and both being based on new mRNA vaccine tech. Better for you and your family not to take the vaccine in the short term, and benefit from people around you taking it. I understand that is anti-social, but the logic cannot be denied if you're interested in optimising risk for you and yours.
Taking a vaccine that no trial volunteers have lived with for more than a year is a _substantial_ risk whichever way you slice it.
by nickgrosvenor on 11/16/20, 3:31 PM
by caeril on 11/16/20, 2:14 PM
I understand that bog-standard protein vaccines don't protect much beyond 3-6 months, but why didn't we pump out tons of S1/S2, N, and E protein vaccines the second this virus was sequenced? At least it would have been better than nothing, and the safety issues are very well known.
I'm not anti-vax, by any means. Just trying to understand why we chose this path rather than tried-and-true. I'm sure plenty of people would be a lot less conspiracy-minded if the vaccine was just a run of the mill recombinant protein particle one, even if we needed boosters 2-3x a year.
by moralsupply on 11/16/20, 1:48 PM
> The analysis was based on the first 95 to develop Covid-19 symptoms.
> Only five of the Covid cases were in people given the vaccine, 90 were in those given the dummy treatment. The company says the vaccine is protecting 94.5% of people.
Aren't those numbers way too small to make any statistically significant claims?
by bryanlarsen on 11/16/20, 12:53 PM
When the vaccine is close you should be taking fewer risks. The potential cost to those risks stays the same, you can still kill your elderly relations and/or develop "long COVID" yourself. But the benefit is much less. Going back to normal life now only nets you a few weeks of normal life with the vaccine in sight vs an indefinite time without.
Also, the hope of a vaccine helps immensely with the mental stress of isolation.
The end is in sight! Hang in there folks, keep being careful!
1: https://www.thetimes.co.uk/edition/scotland/coronavirus-in-s...
by perardi on 11/16/20, 3:11 PM
It’s a type of vaccine that has never been approved and deployed past the research phase before, and it’s going to be super easy to wrap “modified RNA vaccine” in scare quotes like I guess I just did there. “It’s genetically modified?!” I can imagine my neighborhood Facebook group blowing up already.
Me? Get it in my veins, I’m disappointed I was not selected for the trial. But I think the political climate may be toxic for this.
by gpmcadam on 11/16/20, 2:31 PM
0-19: 99.997%
20-49: 99.98%
50-69: 99.5%
70+: 94.6%
What would be the benefit for people 70 years or under taking vaccine that has "95% protection". Can anyone elaborate on what that figure actually means?For example, of the <1% of people who would die with the virus, is a vaccine that is 95% effective going to save 95% of them? Or is this just about reducing severity for the few who have more than mild symptoms?
by bboygravity on 11/16/20, 1:59 PM
But...
How long does the immunity last? We now know 6 months, but what about after that?
What are the long term side effects?
Does it prevent spreading (read: keep wearing masks after vaccination) or does it "only" prevent symptoms? If you don't get what I'm talking about: look up asymptomatic shedding. Kids do it all the time with SARS-CoV2 [0].
Answer: we don't know. Let's not rush this.
Also interesting to note: so we can develop and approve vaccines for new diseases within months? It doesn't have to take 10 years if we really want to eradicate a disease badly enough? My conclusion: we're under-funding research in microbiology. "We" as in: the entire world. In general.
The Moderna press release: https://investors.modernatx.com/news-releases/news-release-d...
The best source for all things microbiology and Covid (not just SARS-CoV2) that I know of: https://microbe.tv/twiv
[0] 6-Fold Higher SARS-CoV-2 Exposure Rate than Reported Cases in Children: https://www.cell.com/med/pdf/S2666-6340(20)30020-9.pdf?_retu...
by zaroth on 11/16/20, 1:56 PM
Similarly, Pfizer received $1.95 billion to make 100 million doses whether it was approved or not. (EDIT: Pfizer’s agreement is an advance purchase but unlike Moderna’s it is contingent on FDA approval.)
Warp Speed provided ~$5 billion in guaranteed prepayments which meant the companies could ramp up manufacturing without waiting for approval first in order to have a large number of doses ready by the end of the year.
That’s never been done before, but the bet has certainly paid off spectacularly so far.
Novavax got $1.6 billion and GSK got $2 billion for another 100 million doses each.
Assuming all 4 companies produce highly effective vaccines, the US has prepaid for 400mm doses / 200mm courses of vaccine. This will save a lot of lives not just in the US but worldwide as well, because it shifts the manufacturing curve sooner until the point where several billion doses have been made.
by ne4f on 11/16/20, 8:38 PM
After the 737-Max debacle, I am less inclined to trust US regulators (is the FDA less prone to regulatory capture than the FAA?). Or, perhaps I should say, I'd be wary of a vaccine that was cleared by a single regulator, especially given the economic pressure to find a vaccine.
I'll probably go with the one that has had the most oversight, from the most agencies around the world. Is that information available anywhere?
by fasteddie31003 on 11/16/20, 2:42 PM
I strongly feel that the FDA should have used challenge trials where they deliberately infect healthy people with the virus after vaccinating them. The approach the FDA chose to use was maybe easier ethically for them to swallow where they just let people in experiment get sick naturally in their every day lives. Using challenge trials we would have gotten these results back weeks faster and with less error bars. Weeks with COVID-19 cost 10,000 of lives.
The FDA still has not approved this vaccine. Everyday that the FDA does not approve this vaccine after results like this is SOME blood on the hands of the FDA.
by jmnicolas on 11/16/20, 2:16 PM
> Only five of the Covid cases were in people given the vaccine, 90 were in those given the dummy treatment. The company says the vaccine is protecting 94.5% of people.
Is it me or it's incredibly light to shout victory yet and to announce any number? Unless you literally expose people to the virus in a laboratory setting you can't guarantee that both groups had equal exposure to the virus.
by sul_tasto on 11/16/20, 2:26 PM
by rs999gti on 11/16/20, 2:24 PM
by unnouinceput on 11/16/20, 2:02 PM
by anonunivgrad on 11/16/20, 2:16 PM
DNA vaccines have never been deployed because of serious concerns about the patient’s genes being modified by the vaccine. Scientists are saying they’re “sure” that mRNA vaccines can’t do that, but that seems overly sanguine. There is still so much we don’t know about genetics. How can you possibly have that certainty when observed epigenetic effects, for example, challenge many of our preconceived notions about the body’s genetic machinery but are so poorly understood. It seems that at least some processes currently thought to be “one-way” are actually not.