More than 100 teams around the world are racing to develop a coronavirus vaccine. Dr. Ofer Levy and a group of Harvard Medical School researchers are among them, but the vaccine they’re working on is a little different. It’s specifically designed for those most vulnerable to the disease: the elderly.

“Most vaccines are developed with a one-size-fits-all concept,” Levy told Business Insider. “Academic centers and companies typically develop a vaccine assuming that you will respond to the vaccine the same way, whether you’re a man or a woman, whether you’re young or elderly, whether you live in the US or Africa, whether you give the vaccine in the summer or winter, whether you give it in the morning or the evening.”

Vaccines generally aren’t as effective for the elderly. A Harvard lab is working on a COVID-19 vaccine that would be most effective for them.

Researchers say the medication used for nerve pain and partial seizures can help ease symptoms of alcohol withdrawal.

Fasting-mimicking diets delay tumor progression and sensitize a wide range of tumors to chemotherapy, but their therapeutic potential in combination with non-cytotoxic compounds is poorly understood. Here we show that vitamin C anticancer activity is limited by the up-regulation of the stress-inducible protein heme-oxygenase-1. The fasting-mimicking diet selectivity reverses vitamin C-induced up-regulation of heme-oxygenase-1 and ferritin in KRAS-mutant cancer cells, consequently increasing reactive iron, oxygen species, and cell death; an effect further potentiated by chemotherapy. In support of a potential role of ferritin in colorectal cancer progression, an analysis of The Cancer Genome Atlas Database indicates that KRAS mutated colorectal cancer patients with low intratumor ferritin mRNA levels display longer 3- and 5-year overall survival. Collectively, our data indicate that the combination of a fasting-mimicking diet and vitamin C represents a promising low toxicity intervention to be tested in randomized clinical trials against colorectal cancer and possibly other KRAS mutated tumors.

The director of our institute, Sir Paul Nurse, borrowed another wartime analogy when he imagined academic labs as a flotilla of ‘little ships’, as at Dunkirk, that could be set up quickly to help rescue a rather desperate situation. The protocols we’ve developed have been downloaded more than 5,000 times, and we’ve helped other testing laboratories (including the big ones that are now coming online) with re-agents and scientific advice. We’ve been able to get recovering doctors and nurses back to work quicker, and crucially we’ve been able to identify healthcare workers who may have been spreading the virus unwittingly to the most vulnerable.

The team at the Crick is extremely multi-national. Wartime analogies are not helpful when they promote national exceptionalism, still less when they imply an individual battle between patient and virus. They are helpful when it comes to getting people to think clearly and act swiftly. The frustration when we’ve run up against what might be politely described as ‘NHS bureaucracy’ has been intense. When we’ve dealt with local NHS partners who are determined and dynamic, we’ve been able to save lives. In this sense there really is a war on, and for once I’m happy to see politicians treat it in this way.

We will win this war through immunity. Understanding immunity to respiratory viruses is really difficult — more like decoding Enigma than developing radar. We will need new technology as well as optimising existing tests. So far, the best tests can give a reasonable estimate of whether someone has been exposed to the virus. They cannot yet tell you if you are immune to it. The trouble with coronaviruses is that they have evolved to evade immunity. They possess all sorts of unknown weaponry that dampens down our immune responses.

A novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first identified in December 2019 as the cause of a respiratory illness designated coronavirus disease 2019, or Covid-19.¹ Several therapeutic agents have been evaluated for the treatment of Covid-19, but none have yet been shown to be efficacious.^2,3 Remdesivir (GS-5734), an inhibitor of the viral RNA-dependent, RNA polymerase with inhibitory activity against SARS-CoV and the Middle East respiratory syndrome (MERS-CoV),^4–7 was identified early as a promising therapeutic candidate for Covid-19 because of its ability to inhibit SARS-CoV-2 in vitro.⁸ In addition, in nonhuman primate studies, remdesivir initiated 12 hours after inoculation with MERS-CoV^9,10 reduced lung virus levels and lung damage.

To evaluate the clinical efficacy and safety of putative investigational therapeutic agents among hospitalized adults with laboratory-confirmed Covid-19, we designed an adaptive platform to rapidly conduct a series of phase 3, randomized, double-blind, placebo-controlled trials. Here, we describe the preliminary results of the first stage of the Adaptive Covid-19 Treatment Trial (ACTT-1), in which we evaluated treatment with remdesivir as compared with placebo.