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Theranostics for COVID-19 Antiviral Drugs: Prospects and Challenges for Worldwide Precision/Personalized Medicine
Caíque Manóchio1, Sabrina Torres-Loureiro1, Mariana M Scudeler1
1Departamento de Patologia, Genética e Evolução, Instituto de Ciências Biológicas e Naturais, Universidade Federal do Triângulo Mineiro, Uberaba, Brazil.
Abstract:
Coronavirus disease 2019 (COVID-19) is a systemic disease that impacts multiple organ systems with a complex clinical presentation and outcomes that can vary from person to person and between populations. To optimize COVID-19 treatment outcomes, and in light of the availability of antiviral drugs, there is a need for greater attention to the field of theranostics, the fusion of therapeutics and diagnostics. Theranostics tests would be invaluable, we suggest in this expert review, so as to optimize the efficacy and safety of current and future antiviral drugs against COVID-19. Theranostics would also assist in the design and implementation of clinical trials with antiviral drug candidates. We discuss here theranostics considering drugs such as remdesivir, Paxlovid™, and molnupiravir. All in all, we underscore that theranostics as a concept and practice is essential for efficient and safe health interventions against COVID-19 and other ecological crises in the 21st century.
Insights
Theranostics, combining therapeutics and diagnostics, is crucial for optimizing antiviral treatments for COVID-19. This approach enhances drug efficacy and safety, aiding clinical trials for new antiviral drug candidates.
Area of Science:
- Infectious Diseases
- Pharmacology
- Medical Diagnostics
Background:
- Coronavirus disease 2019 (COVID-19) presents as a complex systemic illness with variable patient outcomes.
- The advent of antiviral drugs necessitates advanced strategies for effective COVID-19 management.
- Current treatment protocols require optimization for both efficacy and safety.
Purpose of the Study:
- To highlight the critical role of theranostics in improving COVID-19 treatment outcomes.
- To emphasize the value of theranostics in optimizing antiviral drug efficacy and safety.
- To demonstrate how theranostics can facilitate the design and execution of clinical trials for antiviral drug candidates.
Main Methods:
- Expert review of theranostics principles and applications in infectious diseases.
- Analysis of theranostic potential for existing COVID-19 antiviral drugs, including remdesivir, Paxlovid™, and molnupiravir.
- Discussion of theranostics' contribution to future antiviral drug development and clinical research.
Main Results:
- Theranostic approaches offer a pathway to personalize and enhance antiviral therapy for COVID-19.
- Integration of diagnostics with therapeutics can significantly improve the safety and effectiveness profiles of antiviral medications.
- Theranostics provides a framework for more efficient and informative clinical trials of novel antiviral agents.
Conclusions:
- Theranostics is essential for efficient and safe health interventions against COVID-19.
- The fusion of therapeutics and diagnostics is vital for managing current and future viral pandemics.
- Adoption of theranostics principles will be key to addressing 21st-century health crises.
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