Johnson & Johnson single-dose COVID-19 vaccine is seen in September, 2020.Cheryl Gerber/The Associated Press
Johnson & Johnson on Wednesday began a 60,000-person trial of an experimental single-shot COVID-19 vaccine that, if proven effective, could simplify distribution of millions of doses compared with leading rivals requiring two doses.
The company expects results of the Phase III trial by year end or early next year, Dr. Paul Stoffels, J&J’s chief scientific officer, said in a joint news conference with officials from the National Institutes of Health and the Trump administration.
J&J plans to manufacture as many as 1 billion doses in 2021, and more after that, Stoffels said.
Rival vaccines from Moderna Inc, Pfizer Inc and AstraZeneca all require two shots separated by several weeks, which make them more difficult to administer and means twice as much vaccine is needed to inoculate the same number of people.
“The benefits of a single-shot vaccine are potentially profound in terms of mass immunization campaigns and global pandemic control,” Dr. Dan Barouch, a Harvard vaccine researcher who helped design J&J’s COVID-19 vaccine, said in a telephone interview.
The J&J vaccine also does not need to be stored at extremely cold temperatures, Barouch noted, another advantage over some rival vaccine candidates.
J&J shares were up 1.2%.
“Big news. Numerous great companies are seeing fantastic results. FDA (Food and Drug Administration) must move quickly,” U.S. President Donald Trump said in a tweet.
J&J published a detailed study protocol for its Phase III trial on Wednesday on the company’s website, joining the three other vaccine makers that have made these details available in recent weeks after calls for increased transparency in the trials.
PROTECTION ‘FOR A LONG TIME’
Stoffels said J&J started the late-stage study after seeing positive results in its combined Phase I/II trial in the United States and Belgium. The company plans to release those results imminently.
Stoffels said the safety and level of protection demonstrated in the earlier trial were on par with what was seen in the company’s animal studies. The results showed a single dose could offer sufficient protection “for a long time,” he said.
J&J’s late-stage trial will be conducted at as many as 215 sites in the United States, South Africa, Argentina, Brazil, Chile, Colombia, Mexico and Peru.
The trial will assess whether the vaccine can prevent moderate to severe COVID-19 after a single dose. It will also seek to detect if the vaccine can prevent serious disease requiring medical intervention and whether it can prevent milder cases of the virus.
Stoffels said it likely will take six weeks to two months to fully enroll the trial.
J&J plans to manufacture doses before approval, so it will be ready to start distribution soon after an FDA green light.
The trial will be overseen by an independent Data and Safety Monitoring Board (DSMB) that will review vaccine safety and effectiveness at pre-set intervals.
Dr. Francis Collins, director of the National Institutes of Health, said all three vaccines being supported by the federal government’s Operation Warp Speed - J&J’s, Moderna’s and AstraZeneca’s - share a common DSMB. Pfizer is running its own trial and has a separate DSMB, Collins said.
J&J’s trial would be considered a success if it proves to be 60% effective, with a study protocol that could have an efficacy answer after 154 people became infected with the virus.
Stoffels said the company will start counting COVID-19 infections within the study population 15 days after individuals are vaccinated.
The DSMB will take its first look at the vaccine’s efficacy after 20 trial participants have become infected.
Collins said the DSMB does not include any government employees and is made up of “very highly experienced” scientists and statistical experts.
“Until they are convinced that there’s something there that looks promising, nothing is unblinded and sent to the FDA. So everybody should feel pretty reassured,” Collins said.
His comments follow concerns that government scientists may be pressured to rush the vaccine testing process to boost U.S. President Donald Trump’s re-election bid.
In August, J&J signed an agreement with the British government on a global Phase III clinical trial to study a two-dose version of its vaccine, which will run in parallel with the single-dose trial.
Stoffels, in the briefing, said the single-dose version would be “very important for emergency use.” The company will later test a booster dose that could produce even greater immunity to the virus, he added.
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