How the Oxford coronavirus vaccine works and what's next

Preliminary data shows the vaccine is safe and induced a strong antibody response in all vaccinated volunteers.

Published 22 Jul, 2020 09:59am

A vaccine against Covid-19 is urgently needed if we’re to stop the virus spreading and prevent potentially millions of further deaths. We’re now one step closer to that goal.

On Monday, we published early results from our clinical trial of the vaccine Chadox1 nCov-19, also known as AZD1222, designed by the University of Oxford and developed in partnership with AstraZeneca. The preliminary data shows that it is safe and induced a strong antibody response in all vaccinated volunteers, suggesting that an effective vaccine could be within reach.

This trial was the first time that the vaccine had been given to humans: 543 healthy adults aged 18-55 were vaccinated with a single dose of Chadox1 nCov-19. A further 534 people were given a control vaccine that gives similar minor reactions, including injection site redness and mild pain. Volunteers are having their immune response — both antibodies and T cell levels — monitored for at least 12 months, and will also be observed to see whether or not they develop Covid-19.

The preliminary data from the trial clearly demonstrates that the vaccine induces an antibody response within 28 days. This response is in a similar range to that in individuals who have recovered from Covid-19, providing encouragement that the vaccine will be able to protect the majority of people against infection.

Ten volunteers were also given a second "booster" dose of the vaccine. This increased the antibody response to even higher levels, and 100 per cent of blood samples from this group showed neutralising activity against Covid-19 infection in a laboratory setting.

The vaccine also induced T cells that specifically recognise Sars-Cov-2, the virus that causes Covid-19. It’s encouraging to see both antibody and T cell responses, as together this is the right kind of immune response that could lead to protection against the virus. Importantly, the vaccine demonstrates an acceptable safety profile, with no vaccine-induced severe adverse events — that is, no major side-effects.

We were confident testing the vaccine in humans after encouraging trials with mice and rhesus macaque monkeys. These had shown that the vaccine was safe and induced a robust immune response. Significantly, the vaccinated monkeys were protected from severe disease after they were challenged with a much higher dose of Sars-Cov-2 than humans would encounter through natural exposure.

How does this vaccine work?

Vaccines work by training the immune system to recognise and fight off infectious agents or pathogens, such as bacteria and viruses. Vaccines do this by presenting the immune system with a readily identifiable part of a pathogen, which the immune system remembers so that it can quickly respond should it encounter that same pathogen in the future.

Most vaccines in development for Sars-Cov-2 — including this one — focus on presenting the spike protein that decorates the surface of the virus. It's this protein that allows the virus into human cells by binding to a molecule on their surface called Ace2.

There is a broad range of approaches to vaccine design; Chadox1 nCov-19 is what’s known as a viral vector vaccine. To make this vaccine, particles of a different, harmless virus called Chadox1 are loaded with the portion of Sars-Cov-2 DNA that instructs cells how to build the spike protein.

When these Chadox1 particles infect human cells, the coronavirus DNA is then "expressed", building the spike protein for the immune system to respond to. Importantly for vaccine safety, the viral vector can’t replicate and cause an ongoing infection.

The Chadox1 viral vector has been used to make eight vaccines already in clinical trials for other human diseases, including the Middle Eastern respiratory syndrome or Mers, a coronavirus that is related to Sars-Cov-2.

What happens now?

Crucially, we need to demonstrate that the vaccine is effective — that it results in significantly lower, ideally zero, cases of Covid-19 in the Chadox1 nCov-19 vaccinated group versus the control group. Falling infection rates in the United Kingdom are an excellent outcome for the health of the nation, but may compromise the ability to show this.

If there are no cases of Covid-19 in the group receiving the control vaccine, comparing that group to the vaccinated group would be meaningless. Deliberately infecting people with the virus may be possible in future after careful consideration of the ethical implications, but is not currently allowed.

For this reason, a second trial has been launched in approximately 10,000 UK individuals, focusing on health workers, and further trials are being conducted in Brazil and South Africa, where infection rates are much higher. The expanded UK trial will include children and older adults to estimate vaccine efficacy in these age groups. Immune responses in people over 70 are often lower than those in younger adults.

It’s essential to follow the vaccine-induced immune response over a period of at least one year, to estimate whether booster injections will be required, and if so how often. My personal prediction — based on decreases in antibody levels in individuals infected with other types of coronavirus, rather than data from the current vaccine trial — is that we’re likely to need yearly boosters, similar to annual flu jabs.

Finally, if the vaccine proves effective, rapid manufacture of potentially billions of doses would be required to supply the world. To facilitate this, AstraZeneca has already initiated a large-scale vaccine manufacturing programme, aiming to have hundreds of millions of doses with delivery starting by the end of 2020. Agreements are in place to provide the vaccine to low-income and middle-income countries and also to the UK, Europe and the US.

This article first appeared in The Conversation and has been reproduced with permission.


Author Image

Rebecca Ashfield is Senior Project Manager at University of Oxford's Jenner Institute with 20 years of experience in immunotherapy research, spanning academia and industry. She worked for 12 years at Immunocore Ltd developing immunotherapeutics for cancer, and in 2013 returned to the University of Oxford to work at the Jenner Institute, managing translational vaccine projects.

The views expressed by this writer and commenters below do not necessarily reflect the views and policies of the Dawn Media Group.

Comments (20) Closed

Nazir Gilani
Jul 22, 2020 10:26am
Finally the world is working together.
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Dr. Doctor
Jul 22, 2020 11:35am
Many vaccines at this stage are showing promise. Nice educative article and agree with it in entirety, barring the part where she speculates about how often a booster dose might be required. I smell a business approach in this thought which she presents as hers. There's always a chance that the immunity might last longer than a year and only time will tell how we will go about it. But since she is basing this on her experience and other vaccines' efficacy in Sars-like viruses, we can take it with a pinch of salt. We just need to wait and see. Most importantly, even though the trial might continue for a year at the least, but still just like some some other trials where huge gains are made that become too important to change the course of a trial, there's a likelihood that once this trial shows acquired protection from the virus, it might be required to end the trial and make huge supplies of the vaccine available to general population. I see promise.
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Jul 22, 2020 12:34pm
small question - who manufactures them for world ? India !
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Jul 22, 2020 12:34pm
When will Pakistan's own vaccine ? What is the present status?
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Surya Kant
Jul 22, 2020 12:45pm
This vaccine will be made in India.
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Gopal Patel
Jul 22, 2020 12:53pm
At last the untiring efforts of the scientists give hope to suffering millions.
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Jul 22, 2020 01:09pm
Cadila has entered into second phase and if it passes then Cadila will be the real Producer as no one has massive manufacturing capability (approved by US FDA, WHO-GMP, Uk -MHRA, TGA -Australia) in the world. Due to large scale Production, its cost will be less.
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Jul 22, 2020 01:53pm
@thelostsoul, yes, an Indian company is partnering Astrazinica and will be producing 50% of the vaccines.
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M. Saeed
Jul 22, 2020 04:52pm
If both antibodies and T cell levels are required to be monitored for at least 12 months, then the vaccine for the Covid-19 patients is still more than a year away, if all goes well?
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Jul 22, 2020 05:55pm
Let's hope and pray this is successful asap.
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Jul 22, 2020 07:53pm
Why they are bulk testing on Indians, Indians lives also matter.
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Jul 22, 2020 08:29pm
Serum Institute of India (SII) is going to manufacture millions of doses everyday for the low to medium income countries. Question: Is Pakistan going to lift ban on Indian Medicines now? Pakistan needs India more than China and vice versa.
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Jul 22, 2020 08:36pm
@thelostsoul, no. China. A country that outdoes India time and again.
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Jul 23, 2020 12:44am
It's a known fact that Bill Gates has donated to the University of Oxford to the tune of $243 Million as well as several other organisations including Governmental departments, collectively working in concert to push the vaccine agenda. Bill Gates father was a prominent in the Eugenics movement and served on the board of 'Planned Parenthood' group.
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Jul 23, 2020 02:03am
@Asad, UK recently banned china from many things and you don't know where is Oxford University is?
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Jul 23, 2020 02:57am
@Asad, wait and see.
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Jul 23, 2020 03:05pm
Great achievement by the scientific community which needs to hailed as the heroes in this situation. Looking forward to a return to normalcy, be it slow or fast, as long as we are getting there!
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Jul 23, 2020 04:58pm
The next is, India will manufacture and distribute.
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Akmal Pash
Jul 23, 2020 05:20pm
I believe Indian vaccine developed by Bharat biotech will be successful.
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Rajan khanna
Jul 23, 2020 07:14pm
Serum Institute in Pune is currently in the process to produce in large amounts (more than a billion doses).
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