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A volunteer from the vaccine trials: "If something goes wrong, what can you do?"

2020-08-09T02:34:21.494Z


Lynda Terrel is 71 years old, diabetic and has received the first injection to test her body with one of the most promising immunizations, that of the Modern Pharmaceutical


A health worker injects a volunteer with Moderna's vaccine in the American city of Detroit.AFP

She is about to put her immune system at the service of humanity's fight against the microscopic enemy that has her against the ropes, but it is another battle that seems to worry Lynda Terrell now that she has an interlocutor on the other side of the line Spanish. "Will David Silva return to Valencia?" Asked as soon as he picks up the phone, this Manchester City fan, with a marked accent from the north of England that 40 years of life in the south of the United States have not managed to erase.

Terrell came to study and ended up with a husband who kept her in Chattanooga, Tennessee. But she never lost her love for the blue color of her team, nor a solidarity determination that has led her, at 71 years old, with type 2 diabetes, to leave the bench and take to the field to fight as a forward in this match against him. coronavirus. "We are never going to defeat him," he says. "But if the vaccine works, we can be in control."

The vaccine developed by the National Institutes of Health of the United States (NIH, in its acronym in English) and the pharmaceutical company Moderna, one of the most promising of those tested around the world to immunize against covid-19, entered the 27 July in its final and most important phase. A massive clinical trial that will measure the effectiveness of immunization in saving lives. "It is a world record for us to have been able to go to phase 3 of a vaccine in such a short time," said the immunologist and scientific advisor to the US Government Anthony Fauci, who said he was confident that the vaccine could be ready before the end of the year.

Some participants are given a vaccine and others a placebo. No one knows what they have received

To do this, it is recruiting 30,000 volunteers like Lynda Terrell, who will be given two injections, one now and another in a month, as part of a trial across the United States. Half of the participants are injected with the vaccine and the other half are given a placebo. Neither they nor the doctors know if what is injected is one or the other. Volunteers should report how they are doing each week. "And if something turns out to be wrong, then we go back to the starting box," explains Terrell.

“At the moment I feel fine. The area where I was punctured, above my arm, on the deltoid, has become a bit hard. But otherwise no adverse reaction. I take my temperature every morning. I keep a kind of diary, but I haven't written anything relevant. At the end of the week I suppose they will call me to see if I am still alive ”, he jokes.

Terrell volunteered at a headquarters of leading clinical research company Wake Research, one of 89 centers participating in the trial. The company conducts tests in six states, from North Carolina to California. "Participants contribute to the future of medicine by providing the key knowledge and data necessary to achieve a treatment or vaccine for COVID-19," explains Dr. Ella Grach, president of Wake Research.

He had already participated in another clinical trial for a diabetes drug, so Terrell didn't think twice. Not when they canceled her first appointment because the vaccine had not yet arrived, nor when she was already sitting waiting for the injection. “I was worried because they said they weren't going to have enough volunteers, and I thought it was something I had to do,” she explains. “As citizens, we must do our part. It is always better to be part of the solution than the problem. I have not had any doubts, I am very comfortable with it. Of course, I have not told my son. He would have told me not to do it, but he knows that I always do what I want ”.

He acknowledges that he would have had more doubts if the vaccine in question were a weakened virus. "Being diabetic, it might not have been a good plan, I don't know if I would have," she says. But the vaccine being tested in this clinical trial is based on messenger RNA, a molecule that enters human cells with instructions for them to produce the protein that the virus uses to anchor to and infect them, allowing the immune system to recognize that protein. and generate immunity.

“I have not had any doubts. Of course, I have not told my son "

There are five other vaccines that have already entered phase 3 human testing, according to the World Health Organization. Three Chinese vaccines based on inactivated viruses, one developed at the University of Oxford with a weakened version of a chimpanzee common cold adenovirus and another from the US pharmaceutical company Pfizer that also uses messenger RNA. In the previous phases, after being tested in 45 people, the Moderna vaccine and the NIH revolutionized the immune system just in the way that scientists expected, as reported before the start of this final phase. "Present it as you present it is good news," said Dr. Fauci, who is an NIH physician.

Terrell has complied with lockdown to the letter. "There are too many idiots who say they will not wear a mask, they appeal to their rights, but my right is to live," he defends. Ignorance drives me crazy. Some have terrible ideas. But I wonder if in the end the anti-vaccines will not want to be vaccinated when it is available.

At the moment, all that remains is to wait. And eat a dinner with the 80 or 90 dollars that he says they will give him for participating in the test. "If something goes wrong, then what are we going to do," he explains. Look, I've had a good life, I've had fun. I just need City to win the Champions League ”, he concludes hours before knowing that Real Madrid had made that last wish a little easier for him.

Six candidates in the "very advanced" phase

The scientific community works against the clock so that humanity has one or more vaccines available as soon as possible to fight the coronavirus. There are 26 vaccine candidates under clinical evaluation, according to the World Health Organization. Six of them are already in a "very advanced" phase, he said this week. It is in this phase, the last of a clinical trial, when thousands of volunteers exposed to the disease are vaccinated to demonstrate safety and efficacy. They are usually tracked for years, but Moderna believes it will begin distributing hers in November. The five most advanced Spanish vaccines have not yet started phase 1 of the trials. Among the six advanced there are three Chinese vaccines that are based on inactivated viruses; one from the US pharmaceutical company Pfizer (with the German BioNTech) that uses messenger RNA, and one developed by the University of Oxford, which uses a genetically modified common cold adenovirus to reduce its virulence. Although the preliminary results are promising, there is still much to know, such as the duration of the immune response and the ability to generate it in older people and certain population groups, such as those with diseases. This is why it is so important that people of all ages participate in phase 3 trials. If they are successful, the next challenge will be to produce millions of doses in the shortest time possible.

Information about the coronavirus

- Here you can follow the last hour on the evolution of the pandemic

- This is how the coronavirus curve evolves in Spain and in each autonomy

- Search engine: The new normal by municipalities

- Questions and answers about the coronavirus

- Guide to action against the disease



Source: elparis

All life articles on 2020-08-09

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