I want to take a moment to explain the big vaccine news today. #Pfizer is reporting early data showing their vaccine is “more than 90%” effective in preventing COVID-19. I spoke with #Pfizer’s CEO @AlbertBourla today, as the news broke early this morning (1/10)
Remember – this is an early read from a group of independent experts, not #Pfizer itself. Who are these experts? They’re known as the data safety monitoring board. (2/10)
cnn.com/videos/health/…
What we know: out of nearly 44,000 trial participants, 94 were infected during the trial period. Here is the key finding: more than 90% of the infected cases occurred in the placebo group. Fewer than 10% of the infections occurred among those who had received the vaccine. (3/10)
This is good news - but there are still more questions. Consider this: we already know over 80% of people recover from #COVID19 with mild or no symptoms. A reasonable question: what is the vaccine’s effectiveness at preventing serious disease? I asked @AlbertBourla myself. (4/10)
The other big question – for how long will the vaccine be effective? #Pfizer’s CEO thinks that it’s likely this is something we will have to get periodically – and, interestingly, he made the point that an mRNA vaccine can be more easily modified if necessary. (5/10)
#Pfizer is optimistic they can submit data to the FDA for EUA, probably by early Dec. Remember: the FDA is requiring companies present safety data for at least 2 months after the last dose. For Pfizer that window would be the third week of Nov. (6/10)
cnn.com/2020/10/06/hea…
The vaccine needs to be stored at -103 F. There are football fields of fridges in cities across the country and the world. Even after authorization, there is still the enormous task of manufacturing and distributing a vaccine. Listen to how #Pfizer plans on tackling that. (7/10)
There’s been a lot of concern about how politicized the vaccine race has become. And rightfully so as it became a talking point in the presidential elections. Here’s what CEO @AlbertBourla had to say about that. (8/10)
Today is a good day, but as we have said all along – a vaccine isn’t a silver bullet and it will take a while to become available to the general public. But, with the vaccine likely looming and a possible end in sight, hopefully we are inspired to use the tools we have. (9/10)
The tools that we have in our hands: masks and social distancing. If we do that for a while longer, we will save hundreds of thousands of lives and get through this – together. (10/10)

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More from @drsanjaygupta

5 Oct
DAY #4 President Trump hospitalization. There's still a number of unanswered questions about the president's health. Here's what Trump's doctors have told us so far. (1/20)
cnn.com/2020/10/03/pol… Image
Dr. Sean Conley read a prepared statement Saturday morning saying Trump was diagnosed 72 hours ago, meaning Wednesday morning. Dr. Conley later changed the timeline to say the diagnosis was Thursday night. (2/20) Image
So, the timeline is still unclear, but we also don’t know the last time the president had a negative test. This is a critical detail. It allows the contact tracing of people he may have infected - and gives a clearer picture of where he is in his own disease course. (3/20)
Read 20 tweets
3 Oct
After announcing a positive Covid-19 test early Friday morning, President Trump ended the day at Walter Reed National Military Medical Center, where we are told he’ll remain for “the next few days.” (1/12)
The White House said this was being done out of an “abundance of caution.” We know, however, that he developed progressive symptoms over the day, including a fever and fatigue. Mild symptoms can turn severe quickly, especially in a vulnerable individual. (2/12)
Take the case of Boris Johnson, UK’s Prime Minister. He was diagnosed with Covid-19 back in April. He also only reported mild symptoms at first, but more than a week later was hospitalized, including three nights in the ICU.(3/12)
Read 12 tweets
13 Sep
Most people on the planet want a vaccine right now and we got some news this week that the process is speeding along. Getting a vaccine approved (or authorized) quickly will be critical, but how fast is too fast? Let’s take a look.(1/20)
cnn.com/2020/09/13/hea…
Remember EUA - stands for Emergency Use Authorization - and permits the FDA to allow the use of unapproved drugs and products to manage a public health emergency. These terms are important. These products would be “authorized” but not yet “approved.”(2/20)
fda.gov/emergency-prep…
For this pandemic - hundreds of EUAs have been issued for diagnostic tests but just two are currently being used for therapeutics - the antiviral remdesivir and convalescent plasma - donated antibodies from Covid-19 survivors. (3/20)
Read 20 tweets
25 Aug
I spoke to FDA head @SteveFDA about the decision to issue an EUA (emergency use authorization) for convalescent plasma to treat those currently infected. While promising, it’s been controversial because many say the data is inadequate. (1/11)
cnn.com/2020/08/23/hea…
Dr. Hahn told me “he should have better explained the data.” Here’s what he (incorrectly) said on Sunday night: Use of convalescent plasma reduced the risk of death by 35% and that meant if 100 people got coronavirus, 35 would survive. (2/11)
whitehouse.gov/briefings-stat…
Last night he aimed to clarify that by telling me and then tweeting: “What I should have said better is that the data show a relative risk reduction not an absolute risk reduction.” This is a fundamental difference and important to understand. (3/11)
Read 11 tweets
16 Aug
One of the questions I am getting more than any other: Am I going to send my children back to school? My three teen/pre-teen girls want to go back to school and miss their friends like many others. But there is a lot to consider when making this decision. (1/20) Image
At least 63 of 101 of the largest school districts in the country have decided to start the year with virtual learning, but our school is offering both in-person and virtual options, which leaves the decision to us. (2/20)
On one hand, our school has taken major steps to follow the CDC recommendations and is even offering testing for students. I personally visited the school to understand every safety precaution. But, all of this only works if students are diligent. (3/20)
cnn.it/2CqKWbS
Read 20 tweets
15 Aug
CNN has confirmed that the United States government is considering a challenge trial as a failsafe or “Plan D” as Dr. Anthony Fauci told me - So what is a challenge trial? 1/16
It is a controversial approach in which healthy people are vaccinated and then intentionally exposed to the virus. The rationale for a challenge trial would be to assess the effectiveness of a vaccine more quickly. 2/16 Image
The typical approach is to introduce a vaccine trial in an area of the world where virus is circulating rapidly. You need tens of thousands of people enrolled in that part of the trial, known as phase 3. 3/16
Read 16 tweets

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