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FDA to Issue Stricter Guidance for Emergency Authorization of COVID-19 Vaccine

By HospiMedica International staff writers
Posted on 24 Sep 2020
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The US Food and Drug Administration (FDA Silver Spring, MD, USA) is reportedly planning to announce new tougher standards for an emergency authorization of a COVID-19 vaccine in an effort to boost transparency and public trust.

A report by The Washington Post states that the FDA’s guidance for emergency authorization of a COVID-19 vaccine would be much stricter compared to the one issued earlier for hydroxychloroquine or convalescent plasma. The new guidance is being reviewed by the White House Office of Management and Budget, and elements of it have already been shared with the vaccine makers. As per the guidance, the FDA could ask vaccine manufacturers seeking an emergency authorization to follow participants in late-stage clinical trials for a median of at least two months, beginning after they have been administered a second vaccine shot, according to The Washington Post report.

In order to ensure that the COVID-19 vaccine works, the FDA may look for a minimum of five severe cases of COVID-19 in the placebo groups of all the trials, as well as some cases in older people. These tougher standards, coupled with the time required for the vaccine makers to prepare their applications as well as for the FDA to review the data, make it highly unlikely for any COVID-19 vaccine to be authorized before the US presidential election.

“It’s hard to imagine how an (emergency use authorization) could possibly occur before December,” Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia and a member of the FDA’s advisory board on vaccines, told The Washington Post.

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