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10.1016/S0140-6736(20)31208-3

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suck abstract from ncbi


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pmid32450106
      Lancet 2020 ; 395 (10240 ): 1845-1854
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  • Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial #MMPMID32450106
  • Zhu FC ; Li YH ; Guan XH ; Hou LH ; Wang WJ ; Li JX ; Wu SP ; Wang BS ; Wang Z ; Wang L ; Jia SY ; Jiang HD ; Wang L ; Jiang T ; Hu Y ; Gou JB ; Xu SB ; Xu JJ ; Wang XW ; Wang W ; Chen W
  • Lancet 2020[Jun]; 395 (10240 ): 1845-1854 PMID32450106 show ga
  • BACKGROUND: A vaccine to protect against COVID-19 is urgently needed. We aimed to assess the safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 (Ad5) vectored COVID-19 vaccine expressing the spike glycoprotein of a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) strain. METHODS: We did a dose-escalation, single-centre, open-label, non-randomised, phase 1 trial of an Ad5 vectored COVID-19 vaccine in Wuhan, China. Healthy adults aged between 18 and 60 years were sequentially enrolled and allocated to one of three dose groups (5?×?10(10), 1?×?10(11), and 1·5?×?10(11) viral particles) to receive an intramuscular injection of vaccine. The primary outcome was adverse events in the 7 days post-vaccination. Safety was assessed over 28 days post-vaccination. Specific antibodies were measured with ELISA, and the neutralising antibody responses induced by vaccination were detected with SARS-CoV-2 virus neutralisation and pseudovirus neutralisation tests. T-cell responses were assessed by enzyme-linked immunospot and flow-cytometry assays. This study is registered with ClinicalTrials.gov, NCT04313127. FINDINGS: Between March 16 and March 27, 2020, we screened 195 individuals for eligibility. Of them, 108 participants (51% male, 49% female; mean age 36·3 years) were recruited and received the low dose (n=36), middle dose (n=36), or high dose (n=36) of the vaccine. All enrolled participants were included in the analysis. At least one adverse reaction within the first 7 days after the vaccination was reported in 30 (83%) participants in the low dose group, 30 (83%) participants in the middle dose group, and 27 (75%) participants in the high dose group. The most common injection site adverse reaction was pain, which was reported in 58 (54%) vaccine recipients, and the most commonly reported systematic adverse reactions were fever (50 [46%]), fatigue (47 [44%]), headache (42 [39%]), and muscle pain (18 [17%]. Most adverse reactions that were reported in all dose groups were mild or moderate in severity. No serious adverse event was noted within 28 days post-vaccination. ELISA antibodies and neutralising antibodies increased significantly at day 14, and peaked 28 days post-vaccination. Specific T-cell response peaked at day 14 post-vaccination. INTERPRETATION: The Ad5 vectored COVID-19 vaccine is tolerable and immunogenic at 28 days post-vaccination. Humoral responses against SARS-CoV-2 peaked at day 28 post-vaccination in healthy adults, and rapid specific T-cell responses were noted from day 14 post-vaccination. Our findings suggest that the Ad5 vectored COVID-19 vaccine warrants further investigation. FUNDING: National Key R&D Program of China, National Science and Technology Major Project, and CanSino Biologics.
  • |Adenoviridae [MESH]
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Antibodies, Neutralizing/blood [MESH]
  • |Antibodies, Viral/blood [MESH]
  • |Betacoronavirus [MESH]
  • |COVID-19 [MESH]
  • |COVID-19 Vaccines [MESH]
  • |China [MESH]
  • |Coronavirus Infections/*prevention & control [MESH]
  • |Enzyme-Linked Immunosorbent Assay [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunity, Cellular [MESH]
  • |Immunity, Humoral [MESH]
  • |Injections, Intramuscular [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Pandemics/*prevention & control [MESH]
  • |Pneumonia, Viral/*prevention & control [MESH]
  • |SARS-CoV-2 [MESH]
  • |T-Lymphocytes/immunology [MESH]
  • |Vaccines, Synthetic/administration & dosage/adverse effects/therapeutic use [MESH]
  • |Viral Vaccines/*administration & dosage/adverse effects/therapeutic use [MESH]


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