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Warp Speed for Coronavirus Disease 2019 (COVID-19) Vaccines: Why Are Children Stuck in Neutral?
Evan J Anderson1,2,3, James D Campbell4, C Buddy Creech5
1Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Insights
Pediatric coronavirus disease 2019 (COVID-19) vaccine trials are crucial. Starting phase 2 trials now will accelerate recovery and mitigate the impact of COVID-19 on children.
Area of Science:
- Immunology
- Pediatrics
- Infectious Diseases
Background:
- Adult COVID-19 vaccine trials are advanced, but pediatric trials lag in the US.
- Children experience significant direct COVID-19 impacts and play an underappreciated role in SARS-CoV-2 transmission.
- Existing pediatric vaccines demonstrate the importance of child-specific immunizations.
Purpose of the Study:
- To advocate for the immediate initiation of Phase 2 clinical trials for COVID-19 vaccines in children.
- To highlight the necessity of pediatric vaccine development for public health and children's well-being.
Main Methods:
- The abstract discusses the rationale for pediatric vaccine trials based on existing knowledge of COVID-19 impact and transmission.
- It emphasizes the adequacy of Phase 2 trials for assessing vaccine safety in pediatric populations.
Main Results:
- The abstract does not present results from conducted trials but argues for their necessity.
Conclusions:
- Delaying pediatric COVID-19 vaccine trials hinders national recovery and prolongs negative impacts on children's health, education, and development.
- Implementing Phase 2 trials is essential for realizing the direct and indirect benefits of pediatric vaccination.
Abstract:
While adult clinical trials of coronavirus disease 2019 (COVID-19) vaccines have moved quickly into phase 3 clinical trials, clinical trials have not started in children in the United States. The direct COVID-19 impact upon children is greater than that observed for a number of other pathogens for which we now have effective pediatric vaccines. Additionally, the role of children in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission has clearly been underappreciated. Carefully conducted phase 2 clinical trials can adequately address potential COVID-19 vaccine safety concerns. Delaying phase 2 vaccine clinical trials in children will delay our recovery from COVID-19 and unnecessarily prolong its impact upon children's education, health, and emotional well-being, and equitable access to opportunities for development and social success. Given the potential direct and indirect benefits of pediatric vaccination, implementation of phase 2 clinical trials for COVID-19 vaccines should begin now.
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