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Clinical human trials begin for COVID-19 vaccine in China

A Chinese oral COVID-19 nucleoside drug, VV116, has commenced global trials in moderate and severe COVID-19 patients after having proven to be safe and well-tolerated in the tests of healthy people. https://bit.ly/3Jmi0yW
A report on the therapeutic effect of China’s first COVID-19 oral drug VV116 was released Tuesday.

It concluded that confirmed patients receiving the drug within five days of their first positive test saw better treatment results. https://bit.ly/39wad4K
 

Abstract​

The SARS-CoV-2 Omicron variant has become the dominant SARS-CoV-2 variant around the world and exhibits immune escape to current COVID-19 vaccines to some extent due to its numerous spike mutations. Here, we evaluated the immune responses to booster vaccination with intramuscular adenovirus-vectored vaccine (Ad5-nCoV), aerosolized Ad5-nCoV, a recombinant protein subunit vaccine (ZF2001) or homologous inactivated vaccine (CoronaVac) in those who received two doses of inactivated COVID-19 vaccines 6 months prior. We found that the Ad5-nCoV booster induced potent neutralizing activity against the wild-type virus and Omicron variant, while aerosolized Ad5-nCoV generated the greatest neutralizing antibody responses against the Omicron variant at day 28 after booster vaccination, at 14.1-fold that of CoronaVac, 5.6-fold that of ZF2001 and 2.0-fold that of intramuscular Ad5-nCoV. Similarly, the aerosolized Ad5-nCoV booster produced the greatest IFNγ T-cell response at day 14 after booster vaccination. The IFNγ T-cell response to aerosolized Ad5-nCoV was 12.8-fold for CoronaVac, 16.5-fold for ZF2001, and 5.0-fold for intramuscular Ad5-nCoV. Aerosolized Ad5-nCoV booster also produced the greatest spike-specific B cell response. Our findings suggest that inactivated vaccine recipients should consider adenovirus-vectored vaccine boosters in China and that aerosolized Ad5-nCoV may provide a more efficient alternative in response to the spread of the Omicron variant.​
CanSino’s orally aerosolized Ad5-nCoV vaccine may become a preferable choice as it can produce more antibodies than the intramuscular injection with only 1/5 to 2/5 of the dosage, the Chinese vaccine maker said in an article published on The Lancet Respiratory Medicine.
 

Trials show China's intranasal COVID-19 vaccine effective

Source: Xinhua Editor: huaxia
2022-06-01 14:02:45

BEIJING, June 1 (Xinhua) -- A China-developed intranasal vaccine against COVID-19 has shown to be safe and effective in early-stage human trials, according to a new study published in the journal The Lancet Respiratory Medicine.

Compared with currently available COVID-19 vaccines that are administered by intramuscular injection, the new drug, coded dNS1-RBD, is a two-dose, live-attenuated influenza vaccine given through the nose. It was jointly developed by Xiamen University, the University of Hong Kong and Beijing Wantai Biological Pharmacy Enterprise.

Researchers conducted phase-1 and phase-2 trials at hospitals in east China's Jiangsu Province from September 2020 to July 2021. More than 1,000 healthy adults aged between 18 and 86 were enrolled in the trials, which were randomized, double-blind and placebo-controlled.

According to the study, one month after the second dose, the immune responses were observed in the vaccine recipients. The proportion of responders was 40 percent, which was, significantly higher than that in the placebo group.

The study also highlighted that the needle-free vaccine was well tolerated by all participants. Its efficacy in older adults (aged 60 and above) was similar to that in younger recipients (aged between 18 and 59).

Most adverse reactions were mild or moderate flu-like symptoms, such as rhinorrhoea, fever, and fatigue. No serious adverse events were reported after vaccination.

The phase-3 trials with more participants are currently underway in the Philippines, South Africa, Vietnam and Colombia to test the efficacy of the Chinese vaccine, said the study.

The vaccine candidate is introduced to a cold-adapted influenza strain, into which receptor-binding domain genes from SARS-CoV-2 are inserted by gene reassortment.

In the preclinical study, the vaccine showed rapid, long-lasting, and broad protection against the SARS-CoV-2 challenge in mice. According to vaccine makers, nine months after two doses of dNS1-RBD, the protective effect against the SARS-CoV-2 beta variant remained as good as that against the original strain of the virus.



NEW Research—Live-attenuated flu virus vector-based #SARSCoV2 vax (dNS1-RBD) well tolerated in adults. Weak T-cell immunity in peripheral blood + weak humoral & mucosal immune responses against SARS-CoV-2 detected in recipients Study from Fengcai Zhu & co
Wantai dns1-rbd vaccine is an intranasally vaccine candidate based on a LAIV vector, it is unique for offering very rapid and prolonged protection against SARS-CoV-2 infection by inducing comprehensive local immune responses in the respiratory tract.
 
"Chinese mRNA booster fights Omicron 4 times better than inactivated Covid-19 vaccines, researchers say"

“AWcorna vaccine produced 4.4 times more Omicron antibodies than Sinovac booster, scientists behind clinical trial write in Cell Research journal ...”

The paper in "Cell Research" the above "SCMP" story refers to:

('AWcorna' vaccine was originally termed 'ARCoV')

“Safety and superior immunogenicity of heterologous boosting with an RBD-based SARS-CoV-2 mRNA vaccine in Chinese adults”
 
↑ ↑ ↑
China’s first COVID-19 antibody drug cuts hospitalizations, deaths 80%
By Liu Caiyu and Zhao Juecheng
Published: Dec 09, 2021 07:43 PM

Photo: Zhao Juecheng/GT

Photo: Zhao Juecheng/GT​

China’s first home-developed anti-COVID-19 drug using “antibody cocktail therapy” has been approved for marketing, after being found to be effective in reducing the risk of hospitalization or death among high-risk COVID-19 patients by 80 percent. It also retains its neutralizing activity against the Omicron variant.

The drug shows excellent safety and protection effects in international multi-center trials, and it is the only antibody drug in the world to have evaluated the efficacy of the treatment of patients with mutant strains and obtained the best results, Zhang Linqi, the professor who leads the research and development of the drug at Tsinghua University’s School of Medicine, told the Global Times on Thursday at the university.

Studies showed that the drug could retain neutralizing activity against numerous variants including Alpha, Delta and Omicron. In the next step, Zhang’s team will investigate the preventive effect of this “antibody cocktail therapy” among high-risk and immunocompromised people, said the professor.

With one shot, the antibody cocktail can persist in the human body for about nine to 12 months. Besides the therapeutic efficacy shown in the clinical trials, it can also be used for epidemic prevention. “Antibody drugs and vaccines complement each other. If people who have underlying or immune diseases cannot take vaccines, they could choose to take this drug instead to get antibodies against COVID-19,” Zhang said.

The antibody cocktail contains two monoclonal antibodies – Brii-196 and Brii-198 – which received emergency approval from China’s top medicine regulator, the National Medical Products Administration, on Wednesday. Its approval signifies that China has the first fully domestically developed and proven anti-COVID-19 drug that has undergone strict randomized, double-blind and placebo-controlled trials.

The therapy was jointly developed by Tsinghua University, the Third People's Hospital of Shenzhen and Brii Biosciences.

The main mechanism of the drug neutralizes the novel coronavirus, preventing the virus from being absorbed to susceptible cells and thus preventing the virus or its genetic materials from entering cells to proliferate.

Photo: Zhao Juecheng/GT

Photo: Zhao Juecheng/GT​

The study was conducted at multiple clinical trial centers around the world, including the US, Brazil, South Africa, Mexico, Argentina and the Philippines. The clinical trial results showed that the “antibody cocktail therapy” reduces the risk of hospitalization and death among high-risk COVID-19 patients by 80 percent. Nine deaths were seen in the placebo group while there were zero deaths in the treatment group.

Since June, Brii Biosciences has been working with government agencies and hospitals to donate about 3,000 doses, which helped treat about 900 COVID-19 patients across the country, including those from Guangdong, Yunnan and Inner Mongolia.

The team submitted an application for the emergency use approval to the US Food and Drug Administration in October, which means that it is likely to be the first medication to receive emergency use authorization in a developed country.
 
No thanks.
People are already suffering due to side effects from vaccines.
I’ll take my chances with natural immunity system.
The plan to kill/injure everyone thru vaccines is in full swing in sime countries, while main media is kept silent.
Trying to be Gods. May the wrath of Allah be upon all these who’re killing ppl !!
 
No thanks.
People are already suffering due to side effects from vaccines.
I’ll take my chances with natural immunity system.
The plan to kill/injure everyone thru vaccines is in full swing in sime countries, while main media is kept silent.
Trying to be Gods. May the wrath of Allah be upon all these who’re killing ppl !!
What's the vaccination scenario in Pakistan?

I heard a lot of Pakistani folks are anti vaxxers due to religious beliefs. And others are buying fake vaccination certificates.
 

Friday, 18 February 2022, 14:37 HKT/SGT

V-01 as a Sequential Booster Can Produce Good Protection against Omicron ---- Latest Phase III Data of COVID-19 Vaccine by Livzon Pharma​


HONG KONG, Feb 18, 2022 - (ACN Newswire) - Global pandemic control is still facing enormous challenges after more than two years since the outbreak of the COVID-19. Following the Delta and Beta variants, Omicron variant emerged at the end of 2021, and its enhanced infectivity has cast a shadow over the global COVID-19 control. Recently, Omicron quickly spread in Japan and South Korea, and the number of newly confirmed cases in South Korea has exceeded 90,000 for two consecutive days. Although COVID-19 vaccine booster shots have been administered across the globe since 3Q2021, vaccine efficacy is shown to vary among vaccine products, and it is crucial to find and apply a vaccine with stronger protection against Omicron.

Livzon Pharmaceutical Group Inc. ("Livzon"), a long-established pharmaceutical company dedicated to research and development of innovative product, has developed a recombinant protein COVID-19 vaccine (the "V-01 vaccine") leveraging their recombinant protein technology platform since 2021.

It is reported that the V-01 vaccine is a COVID-19 recombinant protein vaccine jointly developed by Livzon MabPharm Inc. ("Livzon MAB") and the Institute of Biophysics, Chinese Academy of Sciences (the "Institute"). To date, Livzon MAB has conducted two global Phase III clinical trials in multiple countries, including (1) two doses of V-01 as basic immunization scheme, and (2) V-01 as a sequential booster for people who have received two doses of inactivated vaccine 3 to 6 months earlier. This is the only global Phase III clinical trial of sequential boosting immunization of the COVID-19 vaccine that have been approved by the regulatory authorities of multiple countries.

On February 16, Livzon has completed the interim analysis of the Phase III clinical trial for the sequential booster protocol, and released key data from this trial. According to the results disclosed, the person-year incidence rates of the V-01 sequential booster (after two doses of inactivated vaccine) group vs. the group who have only received two doses of inactivated vaccine were 6.73% and 12.80%, respectively, which showed a significant statistical difference (P=0.0012); and the absolute vaccine efficacy of the V-01 sequential booster was 61.35%, which is also shown to be significantly superior. The absolute vaccine efficacy after V-01 sequential booster has met World Health Organization's (WHO) standards.

Sixty valid genotype sequencing samples in this trial were confirmed to be Omicron using first-generation genotype sequencing of SARS-CoV-2 virus (the rest of samples are in the process of second-generation sequencing), indicating that V-01 sequential booster can produce good protection against Omicron infection. This is the first COVID-19 vaccine in the world of which the Phase III trial interim results have been disclosed since the Omicron outbreak.

Additionally, the Phase II trial results showed that V-01 had excellent immunogenicity and safety; and the overall incidence of adverse events was lower in the elder group than that of the younger adult group in comparison.

According to the company, the manufacturing of V-01 is well established in China with stable raw material supply and adequate reserves, ready to provide for global market once launched. The production line of Livzon MAB has been approved by the Guangdong Food and Drug Administration, and the vaccine production license has been granted. It is also disclosed that a workshop with an annual bulk product capacity of 3.5 billion doses is up and running at Livzon MAB, and the annual production capacity of formulated product has reached 1.5 billion doses.

With 71.32 million confirmed infected cases and 5.85 million cumulative deaths worldwide, the development and application of a safe and effective COVID-19 vaccine is urgent as the virus is spreading and mutating rapidly. Livzon, as a member of the Chinese Vaccine Research and Development Team, is in the process of obtaining EUA (Emergency Use Authorization) and conditional marketing approval for V-01 vaccine domestically and abroad, so as to provide a more robust and clinical-proven option for continuous immunization boosting for general public and to contribute to the global pandemic control efforts
 

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