Uyeki Timothy M, Erlandson Karl J, Korch George, O'Hara Michael, Wathen Michael, Hu-Primmer Jean, Hojvat Sally, Stemmy Erik J, Donabedian Armen
Emerg Infect Dis. 2016 Jul;22(7). doi: 10.3201/eid2207.160022. Epub 2016 Jul 15.
Preclinical development of and research on potential Middle East respiratory syndrome coronavirus (MERS-CoV) medical countermeasures remain preliminary; advancements are needed before most countermeasures are ready to be tested in human clinical trials. Research priorities include standardization of animal models and virus stocks for studying disease pathogenesis and efficacy of medical countermeasures; development of MERS-CoV diagnostics; improved access to nonhuman primates to support preclinical research; studies to better understand and control MERS-CoV disease, including vaccination studies in camels; and development of a standardized clinical trial protocol. Partnering with clinical trial networks in affected countries to evaluate safety and efficacy of investigational therapeutics will strengthen efforts to identify successful medical countermeasures.
中东呼吸综合征冠状病毒(MERS-CoV)潜在医学应对措施的临床前开发和研究仍处于初步阶段;在大多数应对措施准备好进行人体临床试验之前,还需要取得进展。研究重点包括用于研究疾病发病机制和医学应对措施疗效的动物模型和病毒株的标准化;MERS-CoV诊断方法的开发;改善获取非人类灵长类动物以支持临床前研究;开展研究以更好地理解和控制MERS-CoV疾病,包括在骆驼中进行疫苗接种研究;以及制定标准化的临床试验方案。与受影响国家的临床试验网络合作,评估研究性治疗方法的安全性和有效性,将加强识别成功医学应对措施的工作。