Speed Covid Vaccine Approval Process: Representatives

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Some 35 members of the House of Representatives led by Reps. William Foster (D-IL) and Donna Shalala (D-FL) have written to FDA commissioner Stephen Hahn and HHS secretary Alex Azar asking them to consider conditions under which a Covid-19 vaccine might be approved and deployed more rapidly than under the usual approval process. “This consideration must rest on a rational analysis of the risk/benefit ratio, based on the best available science, and be free of political interference,” the 4/20 letter said.

The representatives (two Republicans, 33 Democrats) wrote that they want to assure the officials that Congress understands that a more risk-tolerant development process is likely appropriate in the case of a Covid-19 vaccine. “In the case of accelerated human trials,” they said, “justifiable risks may be taken by parallel testing of multiple dose levels, advancing more rapidly from phase to phase, and potentially by challenging trials that involve deliberately using infected volunteers who have received candidate vaccines or placebos to confirm the efficacy of those vaccines and are at very low risk of serious disease from the infection. This could accelerate the emergency use and eventual licensure of vaccines that have also shown safety in larger groups by many months.”

The letter said that Congress has given the officials clear direction and funding to invest in multiple routes to mass production for multiple plausible vaccine candidates, in advance of their testing and approval, with the acknowledgment that much of the capacity will likely go unused when the final set of vaccines is chosen for mass deployment.

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