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大流行疫苗测试:常规研究与挑战研究相结合。

Pandemic vaccine testing: Combining conventional and challenge studies.

机构信息

Center for Pharmacoepidemiology and Treatment Science, Rutgers University, New Brunswick, New Jersey, USA.

Ernest Mario School of Pharmacy, Rutgers University, Piscataway, New Jersey, USA.

出版信息

Pharmacoepidemiol Drug Saf. 2022 Jun;31(6):710-715. doi: 10.1002/pds.5429. Epub 2022 Mar 31.

DOI:10.1002/pds.5429
PMID:35297119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9313872/
Abstract

Early into COVID, human challenge trials were considered, but usually as alternatives to conventional randomized controlled trials. Instead, assessment of authorized COVID vaccines, of further COVID vaccines, and of vaccines against future pandemics should combine both designs, in five different ways, including a wholly novel one that we elaborate, Viz., combining data from both designs to answer a single question.

摘要

在 COVID 早期,人们考虑进行人体挑战试验,但通常将其作为传统随机对照试验的替代方法。相反,对已授权的 COVID 疫苗、进一步的 COVID 疫苗以及针对未来大流行的疫苗的评估应该结合这两种设计,以五种不同的方式进行,包括我们详细阐述的一种全新方式,即结合来自这两种设计的数据来回答一个单一的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e95d/9313872/dda4cddb9717/PDS-31-710-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e95d/9313872/dda4cddb9717/PDS-31-710-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e95d/9313872/dda4cddb9717/PDS-31-710-g001.jpg

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本文引用的文献

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The Ethics of Human Challenge Trials Using Emerging Severe Acute Respiratory Syndrome 2 Variants.使用新型严重急性呼吸综合征2变种进行人体挑战试验的伦理问题。
J Infect Dis. 2022 Mar 15;225(6):934-937. doi: 10.1093/infdis/jiab488.
2
Current COVID-19 vaccine trials in high-income countries: are placebo-controlled trials ethical?当前高收入国家的新冠疫苗试验:安慰剂对照试验是否符合伦理道德?
Clin Microbiol Infect. 2021 Nov;27(11):1565-1567. doi: 10.1016/j.cmi.2021.08.005. Epub 2021 Aug 8.
3
SARS-CoV-2 Human Challenge Studies - Establishing the Model during an Evolving Pandemic.
严重急性呼吸综合征冠状病毒2型人体挑战研究——在不断演变的大流行期间建立模型
N Engl J Med. 2021 Sep 9;385(11):961-964. doi: 10.1056/NEJMp2106970. Epub 2021 Jul 21.
4
Do coronavirus vaccine challenge trials have a distinctive generalisability problem?新冠病毒疫苗挑战试验是否存在独特的可推广性问题?
J Med Ethics. 2022 Sep;48(9):586-589. doi: 10.1136/medethics-2020-107109. Epub 2021 Jun 7.
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Strengthening and accelerating SARS-CoV-2 vaccine safety surveillance through registered pre-approval rollout after challenge tests.通过在挑战试验后进行注册前批准推出,加强和加速新型冠状病毒2疫苗的安全性监测。
Vaccine. 2021 Jun 11;39(26):3455-3458. doi: 10.1016/j.vaccine.2021.04.056. Epub 2021 Apr 30.
6
How to Test Severe Acute Respiratory Syndrome Coronavirus 2 Vaccines Ethically Even After One Is Available.如何在有疫苗可用的情况下,仍以合乎道德的方式测试严重急性呼吸综合征冠状病毒 2 型疫苗。
Clin Infect Dis. 2021 Dec 16;73(12):2332-2334. doi: 10.1093/cid/ciab182.
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Prioritizing second-generation SARS-CoV-2 vaccines through low-dosage challenge studies.通过低剂量挑战研究优先考虑第二代 SARS-CoV-2 疫苗。
Int J Infect Dis. 2021 Apr;105:307-311. doi: 10.1016/j.ijid.2021.02.038. Epub 2021 Feb 13.
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Key criteria for the ethical acceptability of COVID-19 human challenge studies: Report of a WHO Working Group.COVID-19 人体挑战研究的伦理可接受性的关键标准:世卫组织工作组的报告。
Vaccine. 2021 Jan 22;39(4):633-640. doi: 10.1016/j.vaccine.2020.10.075. Epub 2020 Oct 28.
9
COVID-19 vaccine trial ethics once we have efficacious vaccines.一旦我们有了有效的新冠疫苗,新冠疫苗试验伦理。
Science. 2020 Dec 11;370(6522):1277-1279. doi: 10.1126/science.abf5084. Epub 2020 Dec 3.
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Opinion: For now, it's unethical to use human challenge studies for SARS-CoV-2 vaccine development.观点:目前,将人体挑战试验用于新冠病毒疫苗研发是不道德的。
Proc Natl Acad Sci U S A. 2020 Nov 17;117(46):28538-28542. doi: 10.1073/pnas.2021189117. Epub 2020 Oct 29.