RE: Agm21 Nov 2022 20:09
Konar
1 - playing devils advocate, a follow-up question would therefore me 'How many days between naive patient immunisation and them being infected by omicron?' For many patients, immune response to a vaccine takes 3-4 weeks post vaccine to start working. So highly likely if they were vaccinated during the omicron surge, their immune response didn't have a chance to kick in before they were infected. Hence the follow-up on those patients will probably be more in depth.
2 - agree, not great at face value but if you look at the PH1 trial protocol it states the following:
'When the study commenced in 2021 there were significant numbers of unvaccinated individuals who also had no known exposure to SARS-CoV-2; however as the epidemiology rapidly changed with most people having either been vaccinated, or infected with SARS-CoV-2, or both, the use of SCOV2 only in these populations made rational sense, particularly as it has more mutations in common with the Omicron variant. A protocol amendment submitted in February 2022, permitted the enrolment of participants irrespective of their previous COVID-19 vaccination and/or SARS-CoV-2 infection status, amended the treatment regimen to SCOV2 only, and aligned the administered dose with the doses employed for other DNA vaccines. Immunogenicity analyses will be performed separately for the vaccine-naïve, previously vaccinated and previously infected immunogenicity analysis populations.
This study is expected to enrol up to 80 participants at a single centre in South Africa. Enrolment will attempt to continue until at least 10 evaluable participants receive all protocol-required SCOV2 vaccinations for each immunogenicity analysis population. However, should the epidemiology be such that certain populations cannot be enrolled, the Safety Review Committee may determine that enrolment for that population be considered complete.'
So considering that you have the following
18 patients in vaccine-naïve
?10 previously vaccinated
?10 previously infected immunogenicity analysis populations.
Given some people dropping out of the trial, technically 40 is the minimum needed. So without further information to support the opposite, I'm not worried about either of these.