How to Test Severe Acute Respiratory Syndrome Coronavirus 2 Vaccines Ethically Even After One Is Available

Author:

Eyal Nir12ORCID,Lipsitch Marc3

Affiliation:

1. Center for Population-Level Bioethics and Department of Philosophy, Rutgers University, New Brunswick, New Jersey, USA

2. Department of Health Behavior, Society and Policy, Rutgers School of Public Health, Piscataway, New Jersey, USA

3. Center for Communicable Disease Dynamics, Department of Epidemiology, and Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA

Abstract

Abstract Although vaccines against severe acute respiratory syndrome coronavirus 2 have now been found safe and efficacious, there remains an urgent global health need to test both these vaccines and additional vaccines against the same virus. Under variable conditions, either standard or unusual designs would for both familiar and often-missed reasons make continued testing possible and ethical.

Funder

National Science Foundation

Wellcome Trust

NIH/NIAID

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference18 articles.

1. Clinical endpoints for evaluating efficacy in COVID-19 vaccine trials;Mehrotra;Ann Intern Med,2021

2. Placebo-controlled trials of covid-19 vaccines—why we still need them;WHO Ad Hoc Expert Group on the Next Steps for Covid-19 Vaccine Evaluation;N Engl J Med,2020

3. The ethics of continuing placebo in SARS-CoV-2 vaccine trials;Rid;JAMA,202

4. Ethical considerations for epidemic vaccine trials;Monrad;J Med Ethics,2020

5. Early approval of a COVID-19 vaccine could stymie the hunt for better ones;Cohen;Science,2020

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