Related Experiment Video
Updated: Dec 15, 2025

Intravenous Endotoxin Challenge in Healthy Humans: An Experimental Platform to Investigate and Modulate Systemic Inflammation
Published on: May 16, 2016
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.
Abstract:
To counter the pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), some have proposed accelerating SARS-CoV-2 vaccine development through controlled human infection (or 'challenge') trials. These trials would involve the deliberate exposure of relatively few young, healthy volunteers to SARS-CoV-2. We defend this proposal against the charge that there is still too much uncertainty surrounding the risks of COVID-19 to responsibly run such a trial.
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.
More Related Videos
Related Concept Videos
Vaccinations
Cancer Vaccines
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Uncertainty: Confidence Intervals
Bioequivalence studies: Biowaivers
Clinical Trials
There are four phases in a clinical trial. A phase one...
Clinical Trials: Overview

