Astra-Zeneca Covid vaccine trial explanation

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SUMMARY

The AstraZeneca COVID-19 vaccine trial, utilizing the ChAdOx1 nCoV-19 vaccine (AZD1222), reported efficacy rates of 64% and 90% based on symptomatic COVID-19 illness, as detailed in their interim analysis published in The Lancet. The trial involved two separate studies conducted in the UK and Brazil, which lacked standardized dosing schemes and control injections, complicating the evaluation of efficacy claims. The primary endpoint focused on symptomatic cases, while frequent RT-qPCR testing was employed to detect asymptomatic infections. The data release raised concerns due to the combination of results from different trials, indicating potential inconsistencies in the findings.

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  • Familiarity with RT-qPCR testing methods
  • Knowledge of vaccine efficacy metrics
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  • Research the methodology of Phase II/III clinical trials
  • Learn about the implications of combining data from multiple studies
  • Explore the differences in vaccine efficacy reporting between AstraZeneca, Pfizer, and Moderna
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Healthcare professionals, researchers in vaccine development, and individuals interested in understanding the complexities of COVID-19 vaccine trials and efficacy reporting.

jim mcnamara
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Links for some of the science are included - this presentation is based on press releases. The peer reviewed data will be available shortly.



Some things to note - results show both 64% and 90% effective,the video explains this one
The tests looked for positive Covid tests in volunteers, not simply symptoms. This is different from Moderna, for example.

There are two aspects of vaccination -
1. reducing/preventing infection
2. reducing/preventing symptoms
 
Biology news on Phys.org
jim mcnamara said:
The tests looked for positive Covid tests in volunteers, not simply symptoms.

While the trial involved frequent RT-qPCR testing of trial participants to detect asymptomatic COVID-19 cases, the published trial protocols specify that the primary endpoint of the trial is symptomatic COVID-19 illness, and the AstraZeneca press release is reporting efficacy based on the primary endpoint.

The actual data released in the press release appear to be somewhat of a mess, combining data from two separate studies, so it's hard to evaluate their claims without a more full reporting of the data:
The problems start with the fact that Monday’s announcement did not present results from a single, large-scale, Phase 3 clinical trial, as was the case for earlier bulletins about the BNT-Pfizer and Moderna vaccines. Instead, Oxford-AstraZeneca’s data came out of two separate studies: one in the UK that began in May, and another in Brazil, which got started at the end of June. These two studies were substantially different from one another: They didn’t have standardized dosing schemes across the trials, for one thing, nor did they provide the same “control” injections to volunteers who were not getting the experimental Covid vaccine. The fact that they may have had to combine data from two trials in order to get a strong enough result raises the first red flag.
https://www.wired.com/story/the-astrazeneca-covid-vaccine-data-isnt-up-to-snuff/

See my post here for more discussion: https://www.physicsforums.com/threads/coronovirus-vaccine-progress.992484/post-6421572
 
@Ygggdrasil
thanks for the correction. :) See what you think of the statements in the video - it is not that long.
 
The Oxford-AstraZeneca team has published the interim analysis of their Phase II/III trial in the peer-reviewed medical journal, The Lancet:

Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32661-1/fulltext

Commentary from The Lancet: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32623-4/fulltext
Popular press coverage:
https://www.statnews.com/2020/12/08...vid-19-vaccine-show-it-has-moderate-efficacy/
https://blogs.sciencemag.org/pipeli.../the-oxford-astrazeneca-vaccine-efficacy-data
 

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