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Covid Vaccine- How close are we?

Covid Vaccine: Why did the need arise?

In December 2019, reports flocked out of central city in Wuhan, China that a new coronavirus is causing a cluster of pneumonia cases in the city. On March 11, 2020, WHO declared the coronavirus as a pandemic and since then things have changed drastically. The deadly virus has affected more than 188 countries around the globe and has taken a toll over human lives.

Coronavirus (COVID-19) has affected more than 11 million (as of 3 July, 2020) people around the world. According to the Worldometer data, more than 6 million have recovered, yet 524,581 have succumbed to the virus. Hence, researchers are pushing forward with their efforts to develop the treatments and vaccines to slow down the pandemic and lessen the disease’s impact, as soon as possible.

As the countries go into lockdown, various industries have been facing plethora of  challenges to continue serving customers and ensuring profits. The COVID-19 pandemic is much more than a health crisis and is affecting livelihoods and econ­omies at their core. While the impact of the pandemic varies from country to country, it has increase unemployment, poverty and inequalities at a global scale. The global economies are decreasing day by day and therefore, there is a need to scale up the research, so that we can get an answer to this unprecedented situation as soon as possible.

Top Affected Countries

Country

Total Cases

Deaths

United States2,837,237131,485
Brazil1,501,35361,990
Russia667,8839,859
India628,205

18,241

 

The search for COVID- 19 vaccine began in January 2020 with the deciphering of the SARS-CoV-2 genome. The first vaccine human safety trials were started in March 2020, but the road ahead remains uncertain.

There are currently more than 140 projects around the world focused on the development of a COVID-19 vaccine.

covid vaccine

Figure 1: Number of Covid vaccines under development in different phases

Types of Covid Vaccine Developed till Date

covid vaccine

Figure 2: Types of Covid vaccine under development

 

CandidateDeveloperStage
ChAdOx1-SUniversity of Oxford/AstraZenecaPhase 3
Adenovirus Type 5 VectorBeijing Institute of Biotechnology, CanSino BiologicalPhase 2
LNP- encapsulated mRNAModerna/NIAIDPhase 2
InactivatedWuhan Institute of Biological Products/SinopharmPhase 1/2
InactivatedBeijing Institute of Biological Products/SinopharmPhase 1/2
Inactivated + alumSinovacPhase 1/2
Full length recombinant SARS CoV-2 glycoprotein nanoparticle vaccine adjuvanted with Matrix MNovavaxPhase 1/2
3 LNP-mRNAsBioNTech, Fosun Pharma, PfizerPhase 1/2
InactivatedInstitute of Medical Biology , Chinese Academy of Medical SciencesPhase 1
DNA plasmid vaccine with electroporationInovio PharmaceuticalsPhase 1
DNA Vaccine (GX-19)Genexine ConsortiumPhase 1
Adeno-basedGamaleya Research InstitutePhase 1
Native like Trimeric subunit Spike Protein vaccineClover Biopharmaceuticals Inc./GSK/DynavaxPhase 1
Adjuvanted recombinant proteinAnhui Zhifei Longcom Biopharmaceutical, Institute of Microbiology & Chinese Academy of SciencesPhase 1
LNP-nCoVsaRNA vaccineImperial College LondonPhase 1
mRNACurevacPhase 1
mRNAPeople’s Liberation Army, Academy of Military Sciences, Walvax Biotech.Phase 1
Recombinant spike protein with Advax™ adjuvant

 

Medytox / Vaxine Pty Ltd

 

Phase 1

 

Table 1: Covid 19 vaccine under clinical development stage

Latest Development in Covid Vaccine

1. DCGI gives approval for India’s first Covid-19 vaccine candidate for human clinical trials

  • A prominent vaccine manufacturer Bharat Biotech, in collaboration with the National Institute of Virology (NIV), has been given permission by the Drug Controller General of India (DCGI) to commence the Phase I&II human clinical trials for India’s first indigenous vaccine candidate against COVID-19 ‘Covaxin’.
  • The vaccine was developed and manufactured at the company’s BSL -III high containment facility at Genome Valley in Hyderabad.
  • The human clinical trials will initiate across India in July, 2020. Results expected to be out by October 2020, following which further clinical trials will be conducted.

2. Biontech and Pfizer’s Coronavirus vaccines has shown potential in human trials

  • Pfizer and BioNTech have announced positive preliminary results from the ongoing BNT162b1’s Phase I/II clinical trials, a potential COVID-19 vaccine.
  • It is the most advanced among the four COVID-19 vaccine candidates being evaluated as part of ‘Pfizer and BioNTech’s BNT162 mRNA-based vaccine programme’.
  • They revealed that the preliminary data demonstrated that BNT162b1 could be administered in a well-tolerated dose and it also generated dose-dependent immunogenicity,”
  • These results, along with additional data i.e. preclinical and clinical data, is expected to aid in establishing a dose level and select among various other vaccine candidates to proceed to a larger, global Phase IIb/III trial planned for the coming month.

3. Oxford University- AstraZeneca vaccine leading the race

  • The vaccine candidate, developed by Oxford University- AstraZeneca, has emerged as a frontrunner in the COVID-19 vaccine race.
  • It has already started conducting phase III clinical trials of its AZD1222 vaccine candidate.
  • The developers have signed a deal with Brazil at $127 million to locally produce the Oxford-AstraZeneca vaccine in the country.

4. Inovio Pharmaceuticals Corona Virus vaccine status

  • Inovio Pharmaceuticals, a US based company, part of the Operation Warp Speed program, recently announced that their experimental Covid-19 vaccine had shown significant results in preliminary clinical trials.
  • The firm revealed that INO-4800, a DNA vaccine, triggered an immune response in 94% volunteers who successfully completed the phase 1 clinical trial.
  • It now plans to start a combined Phase 2/3 trial to assess the vaccine’s efficacy.

5. Cansino Biologics Corona virus approved for limited use

  • The vaccine candidate, developed by Cansino Biologics, has been approved for China’s military use after human trials proved it was safe and somewhat efficient.
  • An approval to use the vaccine for the military purpose was given by Central Military Commission of China, on June 25 for an year period.
  • The Phase 1 and Phase 2 clinical trials revealed that the candidate had the potential to prevent disease caused by coronavirus.

6. Moderna Corona virus vaccine

  • Moderna, an American biotech company, which has recently begun its phase II trials for their vaccine candidate, mRNA-1273, has collaborated with Catalent Inc to manufacture 100 million doses of the vaccine. The process will commence in the third quarter of 2020.
  • Final stage clinical trials of the Moderna vaccine are all set to start in July, with tests \ to be conducted on 30,000 people.

Covid Vaccine Tracker

Platform

Type of Candidate vaccine Developer 
DNADNA plasmid vaccine S,S1,S2,RBD &NNational Research Centre, Egypt
DNADNA with electroporationKarolinska Institute / Cobra Biologics
(OPENCORONA Project)
DNADNA with electroporationChula Vaccine Research Center
DNADNA plasmid vaccineOsaka University/ AnGes/ Takara
Bio
DNADNATakis/Applied DNA
Sciences/Evvivax
DNAPlasmid DNA, Needle-
Free Delivery
Immunomic Therapeutics,
Inc./EpiVax, Inc./PharmaJet
DNADNA plasmid vaccineZydus Cadila
DNADNA vaccineBioNet Asia
DNADNA vaccineUniversity of Waterloo
DNADNA vaccineEntos Pharmaceuticals
DNAbacTRL-SpikeSymvivo
InactivatedInactivated whole
virus
National Research Centre, Egypt
InactivatedInactivatedBeijing Minhai Biotechnology Co.,
Ltd.
InactivatedTBDOsaka University/ BIKEN/ NIBIOHN
InactivatedInactivated + CpG
1018
Sinovac/Dynavax
InactivatedInactivated + CpG
1018
Valneva/Dynavax
InactivatedInactivatedResearch Institute for Biological
Safety Problems, Rep of Kazakhstan
Live Attenuated
Virus
Codon deoptimized live attenuated
vaccines
Codagenix/Serum Institute of India
Live Attenuated
Virus
Codon deoptimized live attenuated
vaccines
Indian Immunologicals Ltd/Griffith University
Non- Replicating
Viral Vector
Adeno-associated virus vector
(AAVCOVID)
Massachusetts Eye and Ear/Massachusetts General
Hospital/AveXis
Non- Replicating
Viral Vector
MVA encoded VLPGeoVax/BravoVax
Non- Replicating
Viral Vector
Ad26Janssen Pharmaceutical Companies
Non- Replicating Viral VectorSimian Adenovirus (GRAd) i.e. replication defective encoding
SARS-CoV-2 S
ReiThera/LEUKOCARE/Univercells
Non- replicating
viral vector
MVA-S encodedDZIF – German Center for Infection Research/IDT Biologika GmbH
Non- replicating
viral vector
MVA-SIDIBAPS-Hospital Clinic, Spain
Non- Replicating Viral VectorNasoVAX adenovirus-based expressing SARS2-CoV spike
protein
Altimmune
Non- Replicating
Viral Vector
[E1-, E2b-, E3-] hAd5- COVID19-
Spike/Nucleocapsid
ImmunityBio, Inc. & NantKwest, Inc.
Non- Replicating
Viral Vector
Ad5 S (GREVAX™
platform)
Greffex
Non- Replicating
Viral Vector
Oral Ad5 SStabilitech Biopharma Ltd
Non- Replicating
Viral Vector
adenovirus-based  + HLA-matched
peptides
Valo Therapeutics Ltd
Non- Replicating Viral VectorOral Vaccine platformVaxart
Non- Replicating
Viral Vector
MVA expressing structural proteinsCentro Nacional Biotecnología (CNB-CSIC), Spain
Non- Replicating
Viral Vector
Dendritic cell-based vaccineUniversity of Manitoba
Non- Replicating Viral Vectorparainfluenza virus 5 (PIV5)-based vaccine expressing the spike
protein
University of Georgia/University of Iowa
Non- Replicating
Viral Vector
Recombinant deactivated rabies
virus containing S1
Bharat Biotech/Thomas Jefferson University
Non- Replicating
Viral Vector
Influenza A H1N1 vectorNational Research Centre, Egypt
Non- Replicating
Viral Vector
Inactivated Flu-based SARS-CoV2 vaccine +
Adjuvant
National Center for Genetic Engineering and Biotechnology
(BIOTEC) /GPO, Thailand
Protein SubunitSubunitOgbomoso & Trinity Immonoefficient Laboratory,
Ogbomoso, Oyo State, Nigeria, Helix Biogen Consult,
Protein
Subunit
Protein Subunit
S,N,M&S1 protein
National Research Centre, Egypt
Protein
Subunit
Protein SubunitUniversity of San Martin and
CONICET, Argentina
Protein
Subunit
RBD protein fused
with Fc of IgG + Adj.
Chulalongkorn University/GPO,
Thailand
Protein
Subunit
Capsid-like ParticleAdaptVac (PREVENT-nCoV
consortium)
Protein SubunitDrosophila S2 insect cell expression system
VLPs
ExpreS2ion
Protein
Subunit
Peptide antigens
formulated in LNP
IMV Inc
Protein
Subunit
S proteinWRAIR/USAMRIID
Protein
Subunit
S protein +AdjuvantNational Institute of Infectious
Disease, Japan
Protein SubunitVLP-recombinant protein + AdjuvantOsaka University/ BIKEN/  National Institutes of Biomedical Innovation,
Japan
Protein
Subunit
microneedle arrays S1
subunit
Univ. of Pittsburgh
Protein
Subunit
PeptideVaxil Bio
Protein
Subunit
Adjuvanted protein
subunit (RBD)
Biological E Ltd
Protein SubunitPeptideFlow Pharma Inc
Protein
Subunit
S proteinAJ Vaccines
Protein
Subunit
Ii-Key peptideGenerex/EpiVax
Protein
Subunit
S proteinEpiVax/Univ. of Georgia
Protein
Subunit
Protein Subunit EPV-
CoV-19
EpiVax
Protein
Subunit
S protein (baculovirus
production)
Sanofi Pasteur/GSK
Protein
Subunit
gp-96 backboneHeat Biologics/Univ. Of Miami
Protein SubunitMolecular clamp stabilized Spike
protein
University of Queensland/GSK/Dynavax
Protein
Subunit
Peptide vaccineFBRI SRC VB VECTOR,
Rospotrebnadzor, Koltsovo
Protein
Subunit
Subunit vaccineFBRI SRC VB VECTOR,
Rospotrebnadzor, Koltsovo
Protein
Subunit
S1 or RBD proteinBaylor College of Medicine
Protein
Subunit
Subunit protein, plant
produced
iBio/CC-Pharming
Protein SubunitRecombinant protein, nanoparticles (based on S-protein and
other epitopes)
Saint-Petersburg scientific research institute of vaccines and serums
Protein SubunitCOVID-19 XWG-03
truncated S (spike)
proteins
Innovax/Xiamen Univ./GSK
Protein
Subunit
Adjuvanted
microsphere peptide
VIDO-InterVac, University of
Saskatchewan
Protein SubunitSynthetic Long Peptide Vaccine candidate for S and M
proteins
OncoGen
Protein SubunitOral  E. coli-based protein expression system of S and N
proteins
MIGAL Galilee Research Institute
Protein
Subunit
Nanoparticle vaccineLakePharma, Inc.
Protein
Subunit
Plant-based subunit
(RBD-Fc + Adjuvant)
Baiya Phytopharm/ Chula Vaccine
Research Center
Protein
Subunit
OMV-based vaccineQuadram Institute Biosciences
Protein
Subunit
OMV-based vaccineBiOMViS Srl/Univ. of Trento
Protein subunitstructurally modified spherical particles of the tobacco mosaic
virus (TMV)
Lomonosov Moscow State University
Protein
Subunit
Spike-basedUniversity of Alberta
Protein
Subunit
Recombinant S1-Fc
fusion protein
AnyGo Technology
Protein
Subunit
Recombinant proteinYisheng Biopharma
Protein
Subunit
Recombinant S
protein in IC-BEVS
Vabiotech
Protein
Subunit
Orally delivered, heat
stable subunit
Applied Biotechnology Institute,
Inc.
Protein
Subunit
S-2P protein + CpG
1018
Medigen Vaccine Biologics
Corporation/NIAID/Dynavax
Protein
Subunit
Peptides derived from
Spike protein
Axon Neuroscience SE
Protein
Subunit
Protein SubunitMOGAM Institute for Biomedical
Research, GC Pharma
Protein
Subunit
RBD-basedNeovii/Tel Aviv University
Protein
Subunit
RBD-basedKentucky Bioprocessing, Inc
Protein SubunitOuter Membrane Vesicle (OMV)-
subunit
Intravacc/Epivax
Protein
Subunit
Outer Membrane
Vesicle(OMV)-peptide
Intravacc/Epivax
Protein
Subunit
Spike-based (epitope
screening)
ImmunoPrecise/LiteVax BV
Replicating
Viral Vector
YF17D VectorKU Leuven
Replicating
Viral Vector
Measles VectorZydus Cadila
Replicating Viral VectorMeasles VectorInstitute Pasteur/Themis/Univ. of Pittsburg Center for Vaccine
Research/Merck
Replicating
Viral Vector
Measles VectorFBRI SRC VB VECTOR,
Rospotrebnadzor, Koltsovo
Replicating
Viral Vector
Measles Virus (S, N
targets)
DZIF – German Center for Infection
Research/CanVirex AG
Replicating
Viral Vector
Horsepox vector
expressing S protein
Tonix Pharma/Southern Research
Replicating Viral VectorLive viral vectored vaccine based on attenuated influenza virus backbone
(intranasal)
BiOCAD and IEM
Replicating Viral VectorRecombinant vaccine based on Influenza A virus, for the prevention of COVID-
19 (intranasal)
FBRI SRC VB VECTOR,
Rospotrebnadzor, Koltsovo
Replicating Viral VectorAttenuated Influenza expressing
an antigenic portion
of the Spike protein
Fundação Oswaldo Cruz and Instituto Buntantan
Replicating
Viral Vector
Influenza vector
expressing RBD
University of Hong Kong
Replicating Viral VectorReplication- competent VSV chimeric virus
technology (VSVΔG) delivering the SARS- CoV-2 Spike (S)
glycoprotein.
IAVI/Merck
Replicating
Viral Vector
VSV-SUniversity of Western Ontario
Replicating
Viral Vector
VSV vectorFBRI SRC VB VECTOR,
Rospotrebnadzor, Koltsovo
Replicating Viral VectorVSV-SIsrael Institute for Biological Research/Weizmann Institute of
Science
Replicating Viral VectorM2-deficient single replication (M2SR)
influenza vector
UW–Madison/FluGen/Bharat Biotech
Replicating Viral VectorNewcastle disease virus vector (NDV-
SARS-CoV-2/Spike)
Intravacc/ Wageningen Bioveterinary Research/Utrecht
Univ.
Replicating
Viral Vector
Avian paramyxovirus
vector (APMV)
The Lancaster University, UK
RNALNP-mRNATranslate Bio/Sanofi Pasteur
RNALNP-mRNACanSino Biologics/Precision
NanoSystems
RNALNP-encapsulated mRNA  cocktail
encoding VLP
Shanghai JiaoTong University/RNACure
Biopharma / Fudan University
RNALNP-encapsulated mRNA encoding RBDShanghai JiaoTong University/RNACure
Biopharma/ Fudan University
RNAReplicating Defective SARS-CoV-2 derived
RNAs
Centro Nacional Biotecnología (CNB-CSIC), Spain
RNALNP-encapsulated
mRNA
University of Tokyo/ Daiichi-Sankyo
RNALiposome-
encapsulated mRNA
BIOCAD
RNASeveral mRNA
candidates
RNAimmune, Inc.
RNAmRNAFBRI SRC VB VECTOR,
Rospotrebnadzor, Koltsovo
RNAmRNAChina CDC/Tongji
University/Stermina
RNAmRNAArcturus/Duke-NUS
RNALNP-mRNAChula Vaccine Research Center/University of Pennsylvania
RNAmRNA in an intranasal
delivery system
eTheRNA
RNAmRNAGreenlight Biosciences
RNAmRNAIDIBAPS-Hospital Clinic, Spain
VLPEnveloped Virus-Like
Particle (eVLP)
VBI Vaccines Inc.
VLPS protein integrated in HIV VLPsIRTA- CReSA/Barcelona Supercomputing
Centre/Grifols/ IrsiCaixa AIDS Research
VLPVLP + AdjuvantMahidol University/ The Government Pharmaceutical
Organization (GPO)/Siriraj Hospital
VLPVirus-like particles, lentivirus and
baculovirus vehicles
Navarrabiomed, Oncoimmunology group
VLPVirus-like particle,
based on RBD
Saiba GmbH
displayed on virus-like
particles
VLPPlant-derived VLPMedicago Inc./ Université Laval
VLPADDomerTM
multiepitope display
Imophoron Ltd and Bristol
University’s Max Planck Centre
VLPUnknownDoherty Institute
VLPVLPOSIVAX
VLPeVLPARTES Biotechnology
VLPVLPs peptides/whole
virus
Univ. of Sao Paulo
UnknownUnknownTulane University

Table 2: Vaccines under pre-clinical development

Conclusion

  • We all are aware that the COVID-19pandemic has caused a huge amount of financial and social burden.
  • The vaccine research have accelerated, but most of it Is still in infancy and will require a lot more time and funds to translate into approved treatment of SARS Cov 2 virus.
  • However, there is still a hope and a vision to fight against this pandemic as soon as possible. And, in fact, across the world countries have united to fight this challenge as soon as possible.
  • As a citizen, our obligation is to abide to all official advisories, wear masks, practice social distancing and not believe in myths.

References 

 

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