When Paul Zimmer-Harwood volunteered to be intentionally infected with SARS-CoV-2, he wasn't sure what to expect. He was ready for a repeat of his first brush with COVID-19, through a naturally acquired infection that gave him influenza-like symptoms. But he hoped his immunity would help him feel well enough to use the indoor bicycle trainer that he had brought into quarantine.
It turned out that Zimmer-Harwood, a PhD student at University of Oxford, UK, had nothing to worry about. Neither he nor any of the 35 other people who participated in the 'challenge' trial actually got COVID-19.
The study's results, published on May 1st in Lancet Microbe, raise questions about the usefulness of COVID-19 challenge trials for testing vaccines, drugs and other therapeutics. "If you can't get people infected, then you can't test those things," says Tom Peacock, a virologist at Imperial College London. Viral strains used in challenge trials take many months to produce, making it impossible to match emerging circulating variants that can overcome high levels of existing immunity in populations.
Researchers use challenge trials to understand infections and quickly test vaccines and therapies. In March 2021, after months of ethical debate, UK researchers launched the world's first COVID-19 challenge trial. The study identified a minuscule dose of the SARS-CoV-2 strain that circulated in the early days of the pandemic that could infect about half of the participants, who had not previously been infected with the virus (at that time, vaccines weren't yet widely available)....<<<Read More>>>...
