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Regulatory approval pathway for COVID-19 vaccine in USA, Europe and India
Jaipratap Narasimhan1, Saba Maanvizhi1
1Department of Pharmaceutics, Sri Ramachandra Faculty of Pharmacy, SRIHER (DU), Porur, Chennai, India.
Insights
The study compares standard vaccine approval with emergency use applications for COVID-19 vaccines. It highlights the expedited process and simultaneous trials required for emergency authorization.
Area of Science:
- Vaccinology
- Regulatory Science
- Infectious Diseases
Background:
- The COVID-19 pandemic necessitated rapid vaccine development.
- Initial treatments like monoclonal antibodies showed limitations in providing a lasting cure.
- Vaccine development emerged as a key strategy to build resistance against the coronavirus.
Purpose of the Study:
- To compare the standard biological license application process with the emergency use application for vaccines.
- To elucidate the regulatory pathway for COVID-19 vaccine approval.
Main Methods:
- Comparative analysis of regulatory approval processes.
- Review of clinical trial phases (II, III, and IV) and peer review requirements.
- Examination of market data presentation for adverse event tracking.
Main Results:
- Emergency Use Application (EUA) allows market release after Phase II trials.
- EUA requires simultaneous conduct of Phase III and IV trials alongside post-market surveillance.
- Regulatory bodies prioritize high efficacy and low adverse event risk for EUA approval.
Conclusions:
- The emergency use application streamlines vaccine approval during public health crises.
- Simultaneous trials and continuous monitoring are critical components of the EUA process.
- Understanding these regulatory differences is crucial for evaluating vaccine accessibility and safety.
Abstract:
The coronavirus disease-2019 (COVID-19) outbreak has confused everyone, including healthcare experts, physicians and frontline workers. Monoclonal antibodies, anticoagulants and immunomodulatory therapy were initially used to treat COVID-19. However, they can only inhibit the virus from replicating, which is not enough to provide a lasting cure. As each month passes, a growing number of companies are working on vaccinations that will aid in the development of resistance against the corona virus. As a result, all regulatory bodies have stated that if a vaccine has high efficacy and low risk of adverse events, it will be approved through an emergency use application. However, there is one major hindrance: After completing phase II clinical trials with an emergency use application, the product can be released to the market. However, the firm should conduct phase III and phase IV trials at the same time, with peer review occurring after each cycle of clinical trials and also market data to be presented simultaneously to track adverse events. In this article, the author has compared the standard approval process (i.e. Standard Biological License application) with the emergency use application to describe how the COVID-19 vaccine was approved by the different regulatory bodies.
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