Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Mail stop E3-300, Seattle, WA 98109, USA.
Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Mail stop E3-300, Seattle, WA 98109, USA.
Curr Opin Immunol. 2022 Jun;76:102206. doi: 10.1016/j.coi.2022.102206. Epub 2022 Apr 20.
The remarkable success of the US government-backed COVID-19 vaccine development in 2020 offers several lessons on how to effectively foster rapid vaccine discovery and development. Conceptually, the formation of a public-private partnership that included innovative government and academic involvement at all levels of the program was instrumental in promulgating and overseeing the effort. Decades of NIH-sponsored research on vaccine backbones, immunogen design, and clinical trial operations enabled evaluation of vaccine candidates within months of pathogen discovery. Operation Warp Speed fostered industry participation, permitted accelerated movement from preclinical/early phase to efficacy trials, and developed structured clinical trial testing that allowed independent assessment of, yet reasonable comparison between, each vaccine platform by harmonizing protocols, endpoints, laboratories, and statistical analytical criteria for efficacy. This coordinated effort by the US government, pharmaceutical companies, regulators, and academic research institutions resulted in the streamlined, safe, and transparent development and deployment of multiple COVID-19 vaccines in under a year. Lessons learned from this collaborative endeavor should be used to advance additional vaccines of public health importance.
2020 年美国政府支持的 COVID-19 疫苗开发取得了显著成功,为如何有效促进快速疫苗发现和开发提供了一些经验教训。从概念上讲,形成了一个公私合作伙伴关系,包括各级政府和学术界的创新参与,这对于宣传和监督这项工作起到了重要作用。几十年来,美国国立卫生研究院(NIH)资助的疫苗骨干、免疫原设计和临床试验操作研究,使疫苗候选物能够在病原体发现后的几个月内进行评估。“神速行动”(Operation Warp Speed)促进了业界的参与,允许从临床前/早期阶段加速进入疗效试验,并制定了结构化的临床试验测试,通过协调方案、终点、实验室和统计分析标准,对每个疫苗平台进行独立评估,同时对每个疫苗平台进行合理比较,以实现疗效。美国政府、制药公司、监管机构和学术研究机构的这种协调努力,使得多种 COVID-19 疫苗在不到一年的时间内得以精简、安全和透明地开发和部署。从这种合作努力中吸取的经验教训,应被用于推进其他具有公共卫生重要性的疫苗。