Coronavirus Updates

March 25, 2021

AstraZeneca says vaccine 76% effective in updated US trial data

Uganda will import five million doses of AstraZeneca vaccines next month after the discovery of new COVID-19 variants in the country, President Yoweri Museveni has said. In a televised address to the nation late Friday, Museveni said the vaccines will be used to vaccinate at least 80 per cent of the 5.5 million elderly. People below 50 years, with underlying medical conditions that are at high risk of contracting the novel coronavirus, will also be vaccinated. Uganda targets to vaccinate more than 21.9 million people who face the highest risk of the infection, including the health workers, teachers, social workers and security personnel, elderly and those with underlying medical conditions. “The government is working hard to ensure we bring another five million doses of AstraZeneca vaccine before the end of May to complete the threshold vaccination and ensure that those vaccinated before getting the second booster dose,’’ said Museveni. “Vaccines are the most effective intervention we have against COVID-19. “The government and partners are working hard to bring vaccines to most adult Ugandans to protect them and to support us to reopen the economy and get back all our children to school.’’ Henry Mwebesa, Director-General of Health Services, last week said Uganda is scheduled to receive some two million more doses of the AstraZeneca COVID-19 vaccines in May through the COVAX facility. Uganda has so far received 964,000 doses of AstraZeneca vaccines from the COVAX vaccine sharing programme and the Indian government. As of April 16, a total of 220,893 people had been inoculated with the first jab of AstraZeneca vaccine against COVID-19, according to the Ministry of Health statistics. The country has reported the emergence of the highly transmissible COVID-19 variants which were first reported in Britain, South Africa and Nigeria. The ministry’s data showed that as of April 16, Uganda had registered a cumulative total of 41,340 confirmed COVID-19 cases, with 40,898 recoveries and 338 deaths.

British-Swedish drugmaker AstraZeneca on Wednesday revised down by three percentage points the effectiveness of its Covid vaccine after American authorities raised concerns that results reported from its US trial were outdated.

The company now says its vaccine is 76 rather than 79 percent effective at preventing any kind of symptomatic Covid.

It remains 100 percent effective against severe Covid, it added.

The move came after an independent panel of experts appointed to supervise the trial expressed concern that AstraZeneca had failed to include updated data in its initially released figure.

The US National Institutes of Health then issued a highly unusual statement asking AstraZeneca to work with the panel and issue a new press release.

“We look forward to filing our regulatory submission for Emergency Use Authorization in the US and preparing for the rollout of millions of doses across America,” said Mene Pangalos executive vice president of biopharmaceuticals research and development.

The new figure is based on 190 people who fell sick among 32,449 trial participants across the United States, Peru and Chile, two-thirds of whom received the vaccine while the rest received a placebo.

The previous figure was based on 141 cases, with a cut-off in mid-February.

The company added there are 14 additional or probable Covid cases left to be adjudicated.

– Bumpy rollout –

Depending on whether these occurred in the vaccine or placebo group, the final efficacy figure could go up or down a few percentage points.

The company added the vaccine efficacy in people 65-years-old and over was 85 percent, but the statistical range for this figure — anywhere between 58 and 95 percent — make it less meaningful and the sample size was not mentioned.

Eight cases of severe Covid occurred — all in the placebo group.

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AstraZeneca was an early frontrunner in the global race to develop a Covid vaccine, and was heavily favored by the United States, which ordered 300 million doses — more than its first orders for Moderna’s and Pfizer’s shots.

But a series of communications blunders eroded US agencies’ confidence.

The US now has three authorized vaccines — Moderna, Pfizer and Johnson & Johnson — and should have enough supply to more than cover the adult population by the end of May.

However, authorization by the Food and Drug Administration — considered the gold standard regulator — would go a long way to calm global doubts over the AstraZeneca vaccine.

Several European countries paused rollout of the shot over potential blood clot risks before later resuming its use.

The European Medicines Agency deemed the vaccine safe and said it was not associated with blood clotting generally — but added it could not rule out a link to two highly rare forms of clotting, and suggested these risks be mentioned on a warning label.

The AstraZeneca vaccine is still seen as vital to vaccinating the world because of its low price and the fact it can be stored long term at fridge temperatures.

It uses an adenovirus that causes colds in chimpanzees, modified so it can’t replicate, to carry the gene for a key protein of the coronavirus into human cells.

The cells then produce that protein on their surface, training the immune system should it encounter the real virus.

[AFP]

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