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The development of therapeutics and vaccines against COVID-19
Tianyu Zhao1, Zhiwei Wang1, Mingjiong Tong1
1The Affiliated Hospital of Shao Xing University/The Affiliated Hospital of Shao Xing University(Shao Xing Municipal Hospital), China.
Abstract:
Since the COVID-19 pandemic, it has caused a great threat to the global economy and public health, initiatives have been launched to control the spread of the virus. To explore the efficacy of drugs, a large number of clinical trials have been carried out, with the purpose of providing guidelines based on high-quality evidence for clinicians. We mainly discuss therapeutic agents for COVID-19 and explain the mechanism, including antiviral agents, tocilizumab, Janus kinase (JAK) inhibitors, neutralizing antibody therapies and corticosteroids. In addition, the COVID-19 vaccine has been proven to be efficacious in preventing SARS-CoV-2 infection. We systematically analyzed four mainstream vaccine platforms: messenger RNA (mRNA) vaccines, viral vector vaccines, inactivated vaccines and protein subunit vaccines. We evaluated the therapeutic effects of drugs and vaccines through enumerating the most typical clinical trials. However, the emergence of novel variants has further complicated the interpretation of the available clinical data, especially vaccines and antibody therapies. In the post-epidemic era, therapeutic agents are still the first choice for controlling the progression of disease, whereas the protective effect of vaccines against different strains should be assessed comprehensively.
Insights
This study reviews COVID-19 treatments and vaccines, evaluating their efficacy against SARS-CoV-2 and its variants. Therapeutic agents remain key for disease progression, while vaccine effectiveness against new strains requires ongoing assessment.
Area of Science:
- Virology
- Immunology
- Pharmacology
Background:
- The COVID-19 pandemic posed significant global health and economic challenges.
- Extensive clinical trials were conducted to identify effective treatments and preventive measures.
- Understanding therapeutic mechanisms and vaccine platforms is crucial for pandemic response.
Purpose of the Study:
- To review and analyze the efficacy of various therapeutic agents for COVID-19.
- To systematically evaluate mainstream COVID-19 vaccine platforms.
- To provide evidence-based guidelines for clinicians managing COVID-19.
Main Methods:
- Discussion of therapeutic agents including antivirals, tocilizumab, JAK inhibitors, neutralizing antibodies, and corticosteroids.
- Systematic analysis of four vaccine platforms: mRNA, viral vector, inactivated, and protein subunit vaccines.
- Evaluation of drug and vaccine effects through typical clinical trial data.
Main Results:
- Therapeutic agents demonstrate efficacy in managing COVID-19 progression.
- Vaccines, including mRNA and viral vector types, are effective in preventing SARS-CoV-2 infection.
- Emerging variants complicate the interpretation of clinical data for vaccines and antibody therapies.
Conclusions:
- Therapeutic agents are the primary choice for controlling COVID-19 disease progression in the post-epidemic era.
- Comprehensive assessment of vaccine effectiveness against diverse SARS-CoV-2 strains is necessary.
- Continued research is vital to address challenges posed by viral variants.
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