Why continuing uncertainties are no reason to postpone challenge trials for coronavirus vaccines

Robert Steel1, Lara Buchak2, Nir Eyal3

  • 1Center for Population-Level Bioethics and Department of Philosophy, Rutgers University, New Brunswick, New Jersey, USA.

Insights

Controlled human infection trials can accelerate severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine development. This study defends the ethical and scientific viability of these SARS-CoV-2 challenge studies despite existing uncertainties.

Area of Science:

  • Infectious Diseases
  • Vaccinology
  • Bioethics

Background:

  • The COVID-19 pandemic necessitates rapid vaccine development.
  • Controlled human infection (challenge) trials are proposed as an accelerated pathway.
  • Ethical considerations regarding participant risk in challenge trials require careful examination.

Purpose of the Study:

  • To advocate for the responsible implementation of SARS-CoV-2 challenge trials.
  • To address concerns about the uncertainties surrounding COVID-19 risks in trial design.

Main Methods:

  • Ethical and scientific defense of controlled human infection models.
  • Analysis of existing data on SARS-CoV-2 infection and disease progression in young, healthy individuals.
  • Risk-benefit assessment for volunteer participants.

Main Results:

  • Controlled human infection trials offer a faster route to vaccine efficacy data.
  • The risks associated with SARS-CoV-2 in specific volunteer populations are sufficiently understood for ethical trial conduct.
  • Potential benefits of accelerated vaccine availability outweigh the calculated risks.

Conclusions:

  • SARS-CoV-2 challenge trials are a scientifically sound and ethically justifiable method for rapid vaccine development.
  • Further research and stringent protocols can ensure participant safety.
  • Accelerated vaccine deployment through challenge trials can mitigate pandemic impact.

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