请专业人士指点迷津,米国把疫苗剂量减半,说减就减,能好使吗?

Jay Wang

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剂量说是要减半,但接种人数加倍。米帝这是什么骚操作?接种一半疗效还够吗?

The US Food and Drug Administration will meet this week to consider giving half-doses of Moderna’s Covid-19 vaccine to people aged 18 to 55.

The move could make the vaccine available to twice as many people in this age group, according to Moncef Slaoui, chief scientific adviser of Operation Warp Speed, the US government's vaccine program.


Slaoui told CNN Chief Medical Correspondent Dr. Sanjay Gupta that the decision to cut the current 100-microgram dose in half, with another half-dose 28 days later, ultimately rests in the hands of the FDA.
 
感脚这也太儿戏了。疫苗赶上板蓝根了,一天一包也成,两包也中!
 
如果只是阻止轻症转重症,一半剂量够了。
 
给人很不靠谱的感觉,他们这个疫苗真行还是假行都成问题。尽量远离人群,keep social distance,Stay home, stay safe......:crying:
 
一般来说,II 期临床试验的结果可以得出最优的剂量,像 Oxford/AstraZeneca 疫苗这样 III 期做完发现不太对再调整剂量的情况较少。Moderna 疫苗的总剂量经过 II、III 期临床试验确立,不宜轻易推翻。

如果某种新冠疫苗原来就是分前后两剂接种,权宜之计下保持总剂量不变、让间隔时间更久,对单人的效果有待验证 (比如是否有利于长期维持抗体水平),对于人群中提高接种率当然有用。

医务工作者和老人等高风险人群还是应该按照正常 schedule 接种,不然出现一定概率 第一剂没有产生足够的免疫反应 就很麻烦。
 
最后编辑:
美国现在是没有人力物力和统一行动来接种疫苗。

报道说疫苗到位一千四百万支,目前只接种3百万支,减半也没有用。州政府资源不够,联邦政府不给钱,没办法。
 
剂量减半,决策前,至少得做短期疫苗保护研究吧。希望不是所谓“理论上讲“的决策。
 
英国说是两个牌子混着打,第一针打A,第二针打B。。。。也是一个比一个厉害。
 

剂量说是要减半,但接种人数加倍。米帝这是什么骚操作?接种一半疗效还够吗?

The US Food and Drug Administration will meet this week to consider giving half-doses of Moderna’s Covid-19 vaccine to people aged 18 to 55.

The move could make the vaccine available to twice as many people in this age group, according to Moncef Slaoui, chief scientific adviser of Operation Warp Speed, the US government's vaccine program.


Slaoui told CNN Chief Medical Correspondent Dr. Sanjay Gupta that the decision to cut the current 100-microgram dose in half, with another half-dose 28 days later, ultimately rests in the hands of the FDA.
要是减到十分之一,那岂不扩大免疫人群十倍 :zhichi: :jiayou:
 

剂量说是要减半,但接种人数加倍。米帝这是什么骚操作?接种一半疗效还够吗?

The US Food and Drug Administration will meet this week to consider giving half-doses of Moderna’s Covid-19 vaccine to people aged 18 to 55.

The move could make the vaccine available to twice as many people in this age group, according to Moncef Slaoui, chief scientific adviser of Operation Warp Speed, the US government's vaccine program.


Slaoui told CNN Chief Medical Correspondent Dr. Sanjay Gupta that the decision to cut the current 100-microgram dose in half, with another half-dose 28 days later, ultimately rests in the hands of the FDA.
3 hr 11 min ago

FDA says people need both doses of coronavirus vaccines​

From CNN's Maggie Fox

A health worker administers a vaccine to a patient in their vehicle during the first day of mass Moderna COVID-19 vaccinations at the Kentucky State Fair and Exposition Center on Monday, January 4, in Louisville, Kentucky.


A health worker administers a vaccine to a patient in their vehicle during the first day of mass Moderna COVID-19 vaccinations at the Kentucky State Fair and Exposition Center on Monday, January 4, in Louisville, Kentucky. Jon Cherry/Getty Images

Anyone who receives the Moderna or Pfizer vaccine must get both doses, two top US Food and Drug Administration officials said Monday.

They said people who are speculating about the possibility of making do with just one dose are misinterpreting the data.

“We have been following the discussions and news reports about reducing the number of doses, extending the length of time between doses, changing the dose (half-dose), or mixing and matching vaccines in order to immunize more people against COVID-19,” FDA Commissioner Dr. Stephen Hahn and Dr. Peter Marks, who heads FDA’s vaccine division, said in a statement.

“These are all reasonable questions to consider and evaluate in clinical trials. However, at this time, suggesting changes to the FDA-authorized dosing or schedules of these vaccines is premature and not rooted solidly in the available evidence. Without appropriate data supporting such changes in vaccine administration, we run a significant risk of placing public health at risk, undermining the historic vaccination efforts to protect the population from COVID-19,” they added.

“The available data continue to support the use of two specified doses of each authorized vaccine at specified intervals. For the Pfizer/BioNTech COVID-19 vaccine, the interval is 21 days between the first and second dose. And for the Moderna COVID-19 vaccine, the interval is 28 days between the first and second dose.”

British officials have said they will allow more than 21 days between doses of Pfizer’s vaccines and would consider allowing people to get vaccinated with two different vaccines. Hahn and Marks dismissed these ideas for the US, saying while there is speculation that a single dose offers protection, there is not enough hard evidence to show it will.

“What we have seen is that the data in the firms’ submissions regarding the first dose is commonly being misinterpreted. In the phase 3 trials, 98% of participants in the Pfizer-BioNTech trial and 92% of participants in the Moderna trial received two doses of the vaccine at either a three- or four-week interval, respectively,” they wrote.

“Those participants who did not receive two vaccine doses at either a three-or four-week interval were generally only followed for a short period of time, such that we cannot conclude anything definitive about the depth or duration of protection after a single dose of vaccine from the single dose percentages reported by the companies.”

It’s understandable that people may want to stretch the vaccine supply, they said. But it’s not advisable.

“If people do not truly know how protective a vaccine is, there is the potential for harm because they may assume that they are fully protected when they are not, and accordingly, alter their behavior to take unnecessary risks,” they said.
 
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