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Coronavirus pandemic
ChinaScience

Explainer | How Covid-19 vaccines can win approval from medical regulators

  • Drug makers around the world are racing to get their products to market condensing a process that typically takes years down to a matter of months
  • While products can be cleared for emergency use, regulatory bodies in China and the US will want to see an efficacy rate of at least 50 per cent

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Three Chinese vaccines have already been approved for emergency use in the country. Photo: AFP
Simone McCarthy

The race to stop the spread of Covid-19 has triggered the fastest development of vaccines in history as pharmaceutical companies condense a process that typically takes years into a matter of months.

A number of candidate vaccines are expected to report results from their final phase trials in the coming weeks and months, and the process is shaping up to be a challenging time for the world’s regulators with multiple vaccines that use different technologies potentially seeking approval.

The urgency of the situation – a public health emergency that has cost more than 1 million lives worldwide – means that regulators will seek to balance risk with benefit.

What does it take to get a vaccine approved?

Vaccines are vetted through the multiple stages of a clinical trial.

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The first two phases show if an experimental vaccine is safe and produces an immune response to the coronavirus in the lab.

Successful candidate vaccines then progress to large-scale phase 3 trials, which evaluate whether they will protect people against Covid-19 and conduct further safety checks.

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