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Medicine

India Approves World's First DNA Covid Vaccine (bbc.com) 136

An anonymous reader quotes a report from the BBC: India's drug regulator has approved the world's first DNA vaccine against Covid-19 for emergency use. The three-dose ZyCoV-D vaccine prevented symptomatic disease in 66% of those vaccinated, according to an interim study quoted by the vaccine maker Cadila Healthcare. The firm plans to make up to 120 million doses of India's second home-grown vaccine every year. Previous DNA vaccines have worked well in animals but not humans. Cadila Healthcare said it had conducted the largest clinical trial for the vaccine in India so far, involving 28,000 volunteers in more than 50 centers. This is also the first time, the firm claimed, a Covid-19 vaccine had been tested in young people in India -- 1,000 people belonging to the 12-18 age group. The jab was found to be "safe and very well tolerated" in this age group.

DNA and RNA are building blocks of life. They are molecules that carry that genetic information which are passed on from parents to children. Like other vaccines, a DNA vaccine, once administered, teaches the body's immune system to fight the real virus. ZyCoV-D uses plasmids or small rings of DNA, that contain genetic information, to deliver the jab between two layers of the skin. The plasmids carry information to the cells to make the "spike protein," which the virus uses to latch on and enter human cells.

ZyCov-D is also India's first needle-free Covid-19 jab. It is administered with a disposable needle-free injector, which uses a narrow stream of the fluid to penetrate the skin and deliver the jab to the proper tissue. Scientists say DNA vaccines are relatively cheap, safe and stable. They can also be stored at higher temperatures -- 2 to 8C. Cadila Healthcare claims that their vaccine had shown "good stability" at 25C for at least three months -- this would help the vaccine to be transported and stored easily.

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India Approves World's First DNA Covid Vaccine

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  • Where are all the business bros who said India couldn't make a genetic vaccine now? That they were 15-20 years behind?
    • Re: (Score:3, Informative)

      by iggymanz ( 596061 )

      Who said that? India makes 20 percent the globe's pharmeceuticals and it's no surprise they're getting into genetic pharmy

      • Like the Russians, India even tried and failed to land on the moon for the first time. They just want to play the big children of the world...
        • Right, like the U.S. space program hasn't had colossal failures of rockets and probes along the way, including body count to get to the moon.

          Russians had the first soft landing on the moon.

          India will pass up the USA in GDP by 2030.

    • Where are all the business bros who said India couldn't make a genetic vaccine now? That they were 15-20 years behind?

      They're in 2001, obviously.

  • Benefit? (Score:4, Interesting)

    by Vanyle ( 5553318 ) on Friday August 20, 2021 @11:32PM (#61713805)
    What good is this if it requires 3 shots for 66% effectiveness? Or is this more a proof-of-concept type of thing?
    • Blame the West (Score:1, Insightful)

      by Anonymous Coward
      They need to be waiving patents for countries like India to quickly manufacture vaccines that's highly effective. Instead of spending money on less effective vaccines they can manufacture for cheap. We aren't in this together. It is every country for themselves.
      • by Tablizer ( 95088 )

        Pfizer and Moderna are not easy to distribute. I don't think patents are the bottleneck.

        • by aitikin ( 909209 )

          They're not being enforced already. Moderna has gone on record in October [statnews.com] that they won't enforce their patent for the duration of the pandemic. At least as of May it seems that no one had copied it. These RNAs aren't easy to copy from my understanding.

      • by jrumney ( 197329 )

        The WTO gives rights for countries to force compulsory licensing of patented pharmaceuticals for a government set fair rate. The patents aren't the blocker here, as others have said it is more likely the storage requirements preventing wider use of the RNA vaccines in developing countries.

        • The WTO gives rights for countries to force compulsory licensing of patented pharmaceuticals for a government set fair rate. The patents aren't the blocker here, as others have said it is more likely the storage requirements preventing wider use of the RNA vaccines in developing countries.

          Doesn't that use of force also involve liability waivers? IIRC there was a kerfuffle about some countries that wanted forced licensing, but wanted to be able to sue if there were problems.

          • Sounds logical, if you force licensing then you carry the burden in case there is any problem. That sounds like how everything works.
            • Re:Blame the West (Score:4, Informative)

              by Ol Olsoc ( 1175323 ) on Saturday August 21, 2021 @09:38AM (#61714699)

              Sounds logical, if you force licensing then you carry the burden in case there is any problem. That sounds like how everything works.

              Certainly how it should work. Here's a nice pdf regarding some of the issues. https://administrativestate.gm... [gmu.edu]

              There are issues for the makers, and the users. India even got in on some of this when it started diverting it's vaccines internally, instead of exporting them. That really pissed some other countries off https://www.reuters.com/busine... [reuters.com] https://thewire.in/health/covi... [thewire.in]

              Logic does not apply. These other countries insist that Indians die so their people can get the Covid 19 vaccine ( they do not say it in those words, but the effect is exact whatever words they use.

              Overall, the very people who develop these vaccines are hated because they don't give them to the poorest countries.

              Now I'll probably have triggered a lot of people with that last, but it's simply how things work. Countries are working on as widespread vaccination as they can, but the hatred generated by some is a bit over the top. What is the solution? Not creating vaccines is kind of a bad solution, although that would avoid the rich country/poor country problem. Have the poor countries develop the vaccine? Not enough resources.

              Hoomuns are friggin idiots.

      • Re: (Score:2, Interesting)

        Something odd is going on with those patents. The patent for the AstraZeneca vaccine was going to be released so that anyone could produce it without paying license fees. But they changed their minds, prompted by the Bill and Melinda Gates foundation [khn.org] of all people. So much for saving the world, there's profit to be had. Not the first and last time this happened either; after the Netherlands, Germany, France and Italy jointly concluded a deal for the Oxford vaccine, Melinda Gates was on the phone with th
        • Speculating here, but most likely Oxford University could not carry the high costs of performing the Phase I-III trials and needed someone with manufacturing facilities in the scale of hundreds of millions of doses per year. Then Bill and Melinda comes in with funding and points to AstraZenica as a good partner but that AstraZeneca then requires exclusive rights to the patents.

          AFAIK the profit margins of vaccines are so low (since the price have to be low in have enough people consider it for the vaccine to

        • It's always more complicated than the simple "evil gates foundation" angle you're buying into. Specifically in this case a very large overriding challenge was that the companies *capable* of producing the vaccine weren't interested in doing it for lack of profit. Hell there's a reason for the 80% reduction in companies producing vaccines over the past 30 years. In addition to actual capability there's also a very real expense of complex clinical trials and certification of facilities that comes into the equ

          • It had more to do with the difficulty of producing the stuff; at worst, the patent waiver would have been be a symbolic gesture. And I can well believe that some companies would take a stance of: "We only want to produce the stuff if we can reap the obscene profits that come with a monopoly, not if we can only make a token profit from a patent-free formula that comes with a bunch of conditions". I also have no doubt that the Gates Foundation understands how these companies function. But it still surprise
            • But it still surprises me that they would defend it, and do so vehemently. Same for some of the EU leaders.

              For the greater good. As it is with the massive power and resources of big pharma we struggled to roll out the vaccine in the west, and the 3rd world has seen f-all to date. Imagine having even less production.

              The local corner shop may build you a custom PC, but Dell is only interested in a design it will sell to thousands of people. Same thing applies. We'd be fools to pen the hopes of the species on the altruism of a major pharmaceutical company. This is after all an industry where aside from COVID-19 all

      • by ghoul ( 157158 )
        India govt is willing to buy Pfizer and Moderna. Both have been approved but Pfizer and Moderna are not shipping to India. They want Indian govt to indemnify them against any side efeects. India govt has refused to do so as they are not doing that for the Astrazeneca, Johnson and Johnson and Covaxin vaccines currently being administered. Thats why no rna vaccines are being administered in India not due to patent issues.
    • by Tablizer ( 95088 )

      The hospitalization and death rate prevention percentage are higher.

    • Call it version 1. It still has major advantages in the storage and transport chain and in the amount of disposable equipment per dose, vs. something that'd require 2 billion individually packaged disposable syringes for giving every Indian a jab of the high-tech mRNA vaccine.

    • Here's [ajpmonline.org] a simulation which says this is close to what's needed...

      > Results: Simulation experiments revealed that to prevent an epidemic (reduce the peak by >99%),
      the vaccine efficacy has to be at least 60% when vaccination coverage is 100% (reproduction number=2.53.5)...

      > Conclusions: This study found that the vaccine has to have an efficacy of at least 70% to prevent
      an epidemic and of at least 80% to largely extinguish an epidemic without any other measures (e.g.,
      social distancing).

    • by hey! ( 33014 )

      That's enough to offer both significant protection and significant reduction in transmission. I'm guessing one of the advantages may be storage, which would be a big thing when you're vaccinating a billion people, some two hundred million are below the poverty line.

      mRNA is supposed to be an ephemeral molecule; it is produced when a protein is needed and degrades almost immediately. That's why you need cryogenic storage. DNA is supposed to be stable for decades. Samples of DNA are stable at ambient tempe

    • 66% against symptomatic disease, and an overall reduction in severity. So everything shifts. Severity is a big problem as health care systems get overwhelmed and can't provide adequate care. Not only for Covid, but the many other illnesses people have.
    • by dryeo ( 100693 )

      Well, before the current vaccines were finished, there was hope that they'd be at least 50% effective. We were lucky and they ended up with over 90% effectiveness but the goal was only over 50% which is still a lot better then 0%

    • You don't make these things knowing ahead of time how effective they'll be. You make it, then you find out from testing how effective it is.

      After it's made and tested, if it's better than nothing, and cheaper or more available than more effective alternatives, then it's still worth using. Even if it's not the most effective solution out there. "Better" is not solely a function of effectiveness. It's a function of effectiveness, cost, ease of production, ease of distribution, number of shots needed, peop
  • Good on India. However the mindset has not sunk in - if Covid is not eliminated in poor parts of the world, especially where new variants sprung up from China(Alpha) Kent(UK) and India(Delta) and re-infect your neighborhood.. transcontinental seeding, and more jabs, more lockdowns, more masks etc. Local production is best, when the problem is not going away, and probably find arms. Like it or not, like measles, the flu, the common cold - it is here to stay and will mutate enough, The next hurdle is drug-res
  • 66%? Is that a joke?
    We already have vaccines with over 90% effectiveness.

    And they aren't even preventing "asymptomatic disease", which is code for the Typhoid^WCovid Marys still being possible, aka the disease still being able to freely spread, aka "we made sure we will make a fuckton of money because it doesn't actually stop the pandemic from spreading to unvaccinated people who haven't given us protection money yet, mwahahahahaha!"
    Granted, I don't think that is how they actually talkeds, or even that it w

    • WE have it yes, India doesn't and that is the difference.
      • by ghoul ( 157158 )
        India does have Covaxin which is 90% effective against the original strain. This 66% is for effectiveness against Delta strain as the tests were done when India was going through Delta. Pfizer and Moderna are only around 50-70% effective against Delta a per various data sets being shared. Delta is a new beast.

        BTW many of the vaccines we take like Flu vaccine are only about 50% effective. The FDA bar for approving vaccines is 50%. 90% effectiveness is very rare.

        BTW India is approving any vaccine with mo
        • by dgatwood ( 11270 )

          India does have Covaxin which is 90% effective against the original strain. This 66% is for effectiveness against Delta strain as the tests were done when India was going through Delta. Pfizer and Moderna are only around 50-70% effective against Delta a per various data sets being shared. Delta is a new beast.

          For a direct comparison, Covaxin is 65% effective against the delta variant, assuming current dosing (two doses four weeks apart). So this is about as effective as Covaxin. This may be an indication that they need to update it for the new strains, or it may just be an indication that two doses aren't enough.

          • by ghoul ( 157158 )
            Most vaccines are around 60-70% effective. The mrna vaccines were very closely tailored for the original strain giving them high effectiveness but may have given up some effectiveness against variants. 60-70% effectiveness is enough to control a disease if we can get universal vaccination.
  • by e3m4n ( 947977 )
    We know that coronavirus is an RNA virus. Why did India decide to go with a DNA vaccine to fight an RNA virus? If its only 66% effective after 3 shots it doesnt seem like the right tool for the job. Is this a case of some company already workin on DNA vaccines and wanting a name for themselves? J&J got to 60% in one shot and they werent RNA or DNA vaccines. Is this one of those 'when all you do is hammer things, your tool bag is nothing but a bag of hammers' approaches?
    • by dgatwood ( 11270 )

      See my previous comment. It's 66% effective against the delta strain, which is comparable to the effectiveness of Covaxin against the delta strain. AFAIK, only the Moderna vaccine is definitively doing better than that at two doses. Pfizer *might* be, according to some studies, though other studies show it being much less effective.

  • by macwhiz ( 134202 ) on Saturday August 21, 2021 @08:27AM (#61714439)

    ZyCoV-D uses plasmids or small rings of DNA, that contain genetic information, to deliver the jab between two layers of the skin. The plasmids carry information to the cells to make the "spike protein," which the virus uses to latch on and enter human cells.

    Would you kindly get vaccinated?

  • by ByTor-2112 ( 313205 ) on Saturday August 21, 2021 @09:15AM (#61714609)
    Why has no one pointed out that this is the first vaccine delivered by hypospray. Can we get Gates McFadden to do the injection?
  • We will vaccinate you with a gene-manipulated DNA vaccine, much better than last year's RNA model vaccine, you just have to get 3 doses because the tiny chips to be injected are so many, Bill Gates can't do them smaller yet.

    PS. 'Made in India' as additional bonus.

    I can already imagine their enthusiasm.

  • Production of plasmid DNA is cheap and easy (yahoo), but there's really NO information here about how the vaccine DNA migrates across the cell membrane and then the nuclear membrane. Pfizer and Moderna encapsulate mRNA in polyethylene micelles, which permeabilize the cell membrane and allow the mRNA to enter the cytoplasm. Nothing like that is suggested here for the plasmids--and that's just to get into the cytoplasm, not counting the nucleus. This vaccine won't do anything unless/until it reaches the nucle
    • correction: polyethylene glycol (or PEG) micelles. PEG has been used for many decades to transfect DNA into mammalian cells.

Every nonzero finite dimensional inner product space has an orthonormal basis. It makes sense, when you don't think about it.

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