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Recent advances in passive immunotherapies for COVID-19: The Evidence-Based approaches and clinical trials
Pooya Farhangnia1, Shiva Dehrouyeh2, Amir Reza Safdarian3
1Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran; Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran; Immunology Board for Transplantation and Cell-Based Therapeutics (ImmunoTACT), Universal Scientific Education and Research Network (USERN), Chicago, United States.
Abstract:
In late 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged, causing a global pandemic called COVID-19. Currently, there is no definitive treatment for this emerging disease. Global efforts resulted in developing multiple platforms of COVID-19 vaccines, but their efficacy in humans should be wholly investigated in the long-term clinical and epidemiological follow-ups. Despite the international efforts, COVID-19 vaccination accompanies challenges, including financial and political obstacles, serious adverse effects (AEs), the impossibility of using vaccines in certain groups of people in the community, and viral evasion due to emerging novel variants of SARS-CoV-2 in many countries. For these reasons, passive immunotherapy has been considered a complementary remedy and a promising way to manage COVID-19. These approaches arebased on reduced inflammation due to inhibiting cytokine storm phenomena, immunomodulation,preventing acute respiratory distress syndrome (ARDS), viral neutralization, anddecreased viral load. This article highlights passive immunotherapy and immunomodulation approaches in managing and treating COVID-19 patients and discusses relevant clinical trials (CTs).
Insights
Passive immunotherapy offers a promising complementary approach for managing COVID-19, addressing challenges like vaccine efficacy and viral variants. This strategy focuses on reducing inflammation and viral load in patients.
Area of Science:
- Immunology
- Virology
- Infectious Diseases
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused the COVID-19 pandemic, with no definitive treatment.
- COVID-19 vaccines face challenges including efficacy, adverse effects, and emerging variants, necessitating alternative management strategies.
Purpose of the Study:
- To highlight passive immunotherapy and immunomodulation as complementary treatments for COVID-19.
- To discuss the mechanisms and clinical trials of these approaches in managing COVID-19 patients.
Main Methods:
- Review of passive immunotherapy and immunomodulation strategies.
- Discussion of relevant clinical trials (CTs) for COVID-19 management.
Main Results:
- Passive immunotherapy demonstrates potential in reducing inflammation, inhibiting cytokine storms, and preventing acute respiratory distress syndrome (ARDS).
- These approaches contribute to viral neutralization, decreased viral load, and overall immunomodulation in COVID-19 patients.
Conclusions:
- Passive immunotherapy presents a promising complementary therapeutic avenue for COVID-19 management.
- Further investigation through clinical trials is crucial to establish the long-term efficacy and safety of these immunomodulatory strategies.
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