Today's Editorial

26 August 2020

Russia’s Covid-19 vaccine

Source: By Abhishek De: The Indian Express

Nearly nine months into the Covid-19 outbreak, Russia became the first country to grant regulatory approval to a Covid-19 vaccine for civilian use, President Vladimir Putin announced on 11 August 2020, describing it as “a very important step for the world”. Putin’s daughter got a shot of the vaccine, Reuters reported.

However, the Gam-COVID-Vac Lyo vaccine, developed by Moscow’s Gamaleya Institute in collaboration with the country’s defence ministry, has led to scepticism regarding its safety and effectiveness since it is being approved for civilian use even before clinical trials are completed.

The World Health Organisation cautioned Russia against rushing through with its vaccine while Anthony Fauci, a top US public health expert, expressed doubts over the shots being produced in China and Russia during testifying before a panel of US lawmakers.

Russia’s vaccine is based on the DNA of a SARS-CoV-2 type adenovirus, a common cold virus. The vaccine uses the weakened virus to deliver small parts of a pathogen and stimulate an immune response. Speaking to Sputnik News, Alexander Gintsburg, director of the Gamaleya National Research Centre, maintained that the coronavirus particles in the vaccine cannot harm the body as they cannot multiply.

So far, Russia has only made public the results of phase-I of the clinical trials, which they claimed, was successful and produced the desired immune response. In mid-July, Russia’s TASS news agency said the Defence Ministry had claimed that none of the volunteers had reported any complaints and experienced no side-effects.

Phase I human trials started on June 17 among 76 volunteers, with most being recruited from the military. Half were injected with a vaccine in liquid form and the other half with a vaccine that came as soluble powder.

According to the news report, the phase-II trials were started on July 13. On August 3, Russian media reported that Gamaleya Institute had completed clinical trials. The reports, however, did not specify whether all the three stages of clinical trials were over, or only stage-II was completed. Phase II trials usually take a few months to be completed.

Interestingly, Russia had earlier indicated that Phase III human trials, where a candidate vaccine is tested on tens of thousands of people for its effectiveness in real-life situations, will be completed after the shot received regulatory approval.

According to an AP report, Deputy Prime Minister Tatyana Golikova has promised to start “industrial production” of the Gam-COVID-Vac Lyo vaccine in September. Russia’s health minister said members of “risk groups” such as medical workers might be offered the vaccine this month and a mass vaccination programme would be launched in October.

He said doctors and teachers would be among the first groups to be vaccinated. Russia’s elite has been given the experimental vaccine as early as April. Russia has not yet declared the price of the vaccine.

The superfast speed at which the Russian vaccine has been produced, eclipsing front runners like Oxford-AstraZenecaModerna and Pfizer, has led to experts flagging that the government has cut corners and may put citizens at risk.

What has raised the hackles of experts is the fact that human trials for the vaccine, which takes several years in normal circumstances, have been completed in less than two months.

Russia, however, has claimed that this was made possible due to the fact that its Covid-19 vaccine candidate closely resembled a vaccine for Middle East Respiratory Syndrome (MERS) disease, caused by another coronavirus that had already been tested extensively.

Lawrence Gostin, a global public health law expert at Georgetown University, told AP, “I’m worried that Russia is cutting corners so that the vaccine that will come out may be not just ineffective, but also unsafe. It doesn’t work that way… Trials come first”.

Dr Anthony Fauci, the top US infectious disease specialist, also questioned the fast-track approach during his testimony to a panel of US lawmakers. “I do hope that the Chinese and the Russians are actually testing the vaccines before they are administering the vaccine to anyone. Because claims of having a vaccine ready to distribute before you do testing is problematic at the very least,” Fauci said.

Recently, Industry and Trade Minister Denis Manturov said in an interview with TASS that “several thousands of doses” would be produced each month this year and would be ramped up to “several million” doses in 2021.

The head of the Russian Direct Investment Fund (RDIF) Kirill Dmitriev, who has bankrolled the project, said in an interview that more than 20 countries had shown interest in producing the Russian vaccine.

“Our foreign partners express great interest in producing this vaccine in their countries. There is great interest from Brazil, from India, from many other countries that are very much looking forward to the Russian vaccine. More than five countries are now actively working with us to start producing the vaccine,” Dmitriev told TASS.

The Telegraph has reported that Britain was unlikely to use the Russian vaccine for its people.