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SARS-CoV-2 vaccines strategies: a comprehensive review of phase 3 candidates
Nikolaos C Kyriakidis1, Andrés López-Cortés2,3, Eduardo Vásconez González4
1One Health Research Group, Universidad de Las Américas (UDLA), Quito, Ecuador. nickyriakidis82@yahoo.gr.
Abstract:
The new SARS-CoV-2 virus is an RNA virus that belongs to the Coronaviridae family and causes COVID-19 disease. The newly sequenced virus appears to originate in China and rapidly spread throughout the world, becoming a pandemic that, until January 5th, 2021, has caused more than 1,866,000 deaths. Hence, laboratories worldwide are developing an effective vaccine against this disease, which will be essential to reduce morbidity and mortality. Currently, there more than 64 vaccine candidates, most of them aiming to induce neutralizing antibodies against the spike protein (S). These antibodies will prevent uptake through the human ACE-2 receptor, thereby limiting viral entrance. Different vaccine platforms are being used for vaccine development, each one presenting several advantages and disadvantages. Thus far, thirteen vaccine candidates are being tested in Phase 3 clinical trials; therefore, it is closer to receiving approval or authorization for large-scale immunizations.
Insights
Multiple SARS-CoV-2 vaccine candidates are in development, with many targeting the spike protein to block viral entry. Over 64 candidates exist, with 13 in Phase 3 trials for potential large-scale immunization.
Area of Science:
- Virology
- Immunology
- Epidemiology
Background:
- Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is an RNA virus causing the COVID-19 pandemic.
- The pandemic has resulted in over 1.8 million deaths globally as of January 5th, 2021.
- Development of an effective vaccine is critical to reduce COVID-19 morbidity and mortality.
Purpose of the Study:
- To review the status of SARS-CoV-2 vaccine development.
- To highlight the strategies employed by vaccine candidates.
- To assess the progress towards global immunization.
Main Methods:
- Review of ongoing vaccine development efforts.
- Analysis of vaccine platforms and targets.
- Tracking of clinical trial phases.
Main Results:
- Over 64 SARS-CoV-2 vaccine candidates are under development.
- Most candidates aim to generate neutralizing antibodies against the spike (S) protein.
- Thirteen vaccine candidates have advanced to Phase 3 clinical trials.
Conclusions:
- Vaccine development for COVID-19 is progressing rapidly.
- Targeting the spike protein is a common strategy for inducing immunity.
- The advancement of candidates to Phase 3 trials indicates proximity to potential approval for widespread vaccination campaigns.
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