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TRIAL EXPERIENCE

Understanding Vaccine Trial Safety

May 31, 2024

How Vaccines Are Tested Before Approval

Vaccines go through several testing phases before they are registered and approved for public use. This process makes sure they are safe and effective:

  • Pre-Clinical Testing: In the research, discovery phase of vaccine development, initial tests are done in labs and on animals to check that the vaccine induces an immune response as intended and that it is safe for human clinical trials.
  • Clinical Trials: After the vaccine is deemed safe for human use, it enters the clinical trial period where it passes through multiple trials to ensure that the vaccine is safe and it works as intended.
  • Regulatory Approval: Agencies like the FDA review all the data to ensure the vaccine is safe before it can be used by the public. Clinical trials must provide scientific evidence which demonstrates that the benefits of a vaccine greatly outweigh any risks.

Even after approval, vaccines are continuously monitored to detect any new or rare side effects, ensuring ongoing safety​​.

Stages of Vaccine Clinical Trials

Clinical trials for vaccines are done in multiple stages to ensure they are safe and effective:

  • Phase 1 and 2 Trials: Small groups of volunteers test the vaccine to make sure it is safe, and also to demonstrate that the vaccine induces an immune response.
  • Phase 3 Trials: Thousands of participants are involved to confirm the vaccine’s effectiveness as well as to monitor for side effects. Phase 3 trials usually involve splitting the study participants into two cohorts, with one cohort receiving the vaccine and the other cohort receiving a placebo (no vaccine). The results of each cohort are then compared to establish the effectiveness of the vaccine.
  • Phase 4 Trials: After a vaccine is approved and released to the public, these trials continue to monitor its safety and effectiveness in the general population, finding any long-term or rare side effects.

Regulatory bodies like the FDA and CDC oversee these trials to ensure strict safety protocols. Even after approval, vaccines are continuously monitored.

Understanding the Potential Risks Associated with Vaccine Trials

Participation in vaccine trials is pivotal for advancing medical science, and while there can be many benefits there may be potential risks: 

  • Side Effects: Most side effects are generally mild and temporary (e.g., sore arm, mild fever) and are considered a positive sign that the vaccine is working as intended to generate an immune response. However, there are rare instances where serious effects can occur (e.g., allergic reactions). It's important for participants to report any unusual symptoms to the study coordinators. 
  • Vaccine Efficacy: There is no guarantee that the investigational vaccine will be more effective or better than current vaccines. Participants may also receive the placebo instead of the vaccination if they participate in a clinical trial.
  • Time Commitment: Participants may need to commit a significant amount of time for clinic visits, monitoring procedures, and follow-up assessments, which could impact their daily routines.
  • Trial-Phase Specific Risks: Risks can vary significantly depending on the phase of the trial. Early-phase trials might present more unknowns, potentially carrying greater risks due to less preliminary data on safety and effectiveness.

Safeguards in Place For Ensuring Participant Safety in Vaccine Trials

To mitigate these risks, several safeguards are standard in vaccine trials to ensure the safety of participants:

  • Informed Consent: Before joining a trial, participants are provided detailed information about the study, including potential risks, allowing them to make an informed decision about participation.
  • Ethical Oversight: Institutional Review Boards (IRBs) review the research to ensure that the risks are minimized and justified by the potential benefits.
  • Close Monitoring: Throughout the trial, participants receive close medical attention and are monitored for any adverse reactions or complications.

Even after the initial clinical trials, vaccine safety continues to be monitored. This post-market surveillance helps to identify any rare or long-term side effects that may not have been evident during the clinical trials.

Conclusion

The rigorous testing and continuous monitoring during and post-clinical trials ensures a high level of safety, but it is crucial for participants to understand all aspects before deciding to join. 

The safety of participants in clinical trials is a top priority. The U.S. Food and Drug Administration (FDA) ensures that volunteers have all the information about the study, including details about any potential risks, before signing an informed consent document.

The knowledgeable team at your local Velocity Clinical Research site can provide you with more information about any specific trial you’re eligible for so that you can make an informed decision that is best for you and your family. It's important to remember that participation is entirely voluntary, and individuals can withdraw from the study at any time.

Reminder: Your health is a priority. Don't postpone your medical treatments or vaccinations to join a clinical trial. Joining the waitlist does not ensure trial participation.

Sources:

1. CDC | How Vaccines are Developed and Approved for Use

2. CDC | Ensuring Vaccine Safety

3. CDC | Ensuring the Safety of Vaccines in the United States

4. WHO | Safety of COVID-19 Vaccines

5. Harvard Medical School | Safety of COVID-19 Vaccines

6. WHO | Vaccine efficacy, effectiveness and protection

7. WHO | Coronavirus disease (COVID-19): Vaccines and vaccine safety

8. Johns Hopkins | Determining the Safety of COVID-19 Vaccines

9. National Institute on Aging | Clinical Research: Benefits, Risks, and Safety

10. National Institute of Mental Health | Risks and Benefits of Clinical Research

11. Cochrane | Benefits and Risks of Vaccines

12. Veterans Affairs | COVID-19 Vaccine Trials Safety

13. American Medical Association | Vaccine Trials & Healthy Volunteers
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