Efficacy and safety of the CVnCoV SARS-CoV-2 mRNA vaccine candidate in ten countries in Europe and Latin America (HERALD): a randomised, observer-blinded, placebo-controlled, phase 2b/3 trial

RCT of the CureVac mRNA vaccine (n=39,680) found an overall vaccine efficacy of 48.2% (95.826%CI 31.0% to 61.4%). Efficacy against moderate to severe disease was 70.7% (95%CI 42.5% to 86.1%). The most frequently adverse event was injection-site pain (83·6%).

SPS commentary:

Given the results, the manufacturers have decided to cease activities on this vaccine candidate.

A related commentary notes that although the efficacy of this vaccine against COVID-19 partly met the vaccine efficacy criteria of WHO (>30% for lower bound 95% CI for efficacy), and the time interval for follow-up of 15 days after receiving the second dose was very short. Whether the humoral immune response waned post-vaccination could not be evaluated within such a short period is nor clear. As it has been withdrawn from regulatory review by its manufacturer, how it would have performed in the real world will now never be known.

Source:

The Lancet Infectious Diseases

Resource links:

Comment