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Published on: November 5, 2021
COVID-19 Therapeutics and Vaccines: A Race to Save Lives
Ilona Bebenek1, Roy Bannister2, John Dubinion1
1US Food and Drug Administration, Silver Spring, Maryland 20993, USA.
Abstract:
COVID-19 (Coronavirus Disease 2019), the disease caused by SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) is an ongoing global public health emergency. As understanding of the health effects of COVID-19 has improved, companies and agencies worldwide have worked together to identify therapeutic approaches, fast-track clinical trials and pathways for emergency use, and approve therapies for patients. This work has resulted in therapies that not only improve survival, reduce time of hospitalization, and time to recovery, but also include preventative measures, such as vaccines. This manuscript discusses development programs for 3 products that are approved or authorized for emergency use at the time of writing: VEKLURY (remdesivir, direct-acting antiviral from Gilead Sciences, Inc.), REGEN-COV (casirivimab and imdevimab antibody cocktail from Regeneron Pharmaceuticals Inc.), and Comirnaty (Pfizer-BioNTech COVID-19 Vaccine [Pfizer, Inc.-BioNTech]), and perspectives from the U.S. Food and Drug Administration.
Insights
This review covers the development of COVID-19 treatments like remdesivir, REGEN-COV, and the Pfizer-BioNTech vaccine. These therapies improve survival and recovery for patients with Severe Acute Respiratory Syndrome Coronavirus-2.
Area of Science:
- Virology
- Immunology
- Pharmacology
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, necessitated rapid development of medical countermeasures.
- Global collaboration accelerated therapeutic and vaccine development pathways.
Purpose of the Study:
- To discuss the development programs for key COVID-19 therapies.
- To provide U.S. Food and Drug Administration perspectives on approved/authorized products.
Main Methods:
- Review of development programs for VEKLURY (remdesivir), REGEN-COV (casirivimab and imdevimab), and Comirnaty (Pfizer-BioNTech vaccine).
- Inclusion of regulatory perspectives from the U.S. FDA.
Main Results:
- Successful development and emergency use authorization/approval of multiple COVID-19 therapies.
- Demonstrated benefits include improved survival, reduced hospitalization, and faster recovery.
- Preventative measures, such as vaccines, are also highlighted.
Conclusions:
- The rapid development of COVID-19 therapies and vaccines represents a significant public health achievement.
- Ongoing understanding and regulatory oversight are crucial for managing the pandemic.
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