Department of Chemistry, Aligarh Muslim University, Aligarh, 202002, UP, India.
Vikor Scientific Biotechnology, Department of Drug Research and Development, 22 WestEdge, Suite 806, Charleston, SC, 29403, USA.
Eur J Med Chem. 2021 Jan 1;209:112862. doi: 10.1016/j.ejmech.2020.112862. Epub 2020 Sep 19.
The global effort to combat and contain the coronavirus disease 2019 (COVID-19) caused by the recently discovered severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is now proceeding on a war footing. The world was slow to react to the developing crisis, but once the contours of the impending calamity became evident, the different state and non-state actors have raced to put their act together. The COVID-19 pandemic has blatantly exposed the shortcomings of our healthcare system and the limitations of medical science, despite considerable advances in recent years. To effectively tackle the current pandemic, almost unprecedented in the modern age, there is an urgent need for a concerted, sustained, and coordinated effort towards the development of new diagnostics, therapeutic and vaccines, and the ramping up of the healthcare infrastructure, especially in the poorer underprivileged nations. Towards this end, researchers around the world are working tirelessly to develop new diagnostics, vaccines, and therapeutics. Efforts to develop a vaccine against COVID-19 are presently underway in several countries around the world, but a new vaccine is expected only by the end of the year-at the earliest. New drug development against COVID-19 and its approval may take even longer. Under such circumstances, drug repurposing has emerged as a realistic and effective strategy to counter the current menace, and several antiviral and antimalarial medicines are currently in different stages of clinical trials. Researchers are also experimenting with nutrients, vitamins, monoclonal antibodies, and convalescent plasma as immunity boosters against the SARS-CoV-2. This report presents a critical analysis of the global clinical trial landscape for COVID-19 with an emphasis on the therapeutic agents and vaccines currently being tested at pandemic speed.
全球正在全力以赴应对由新型严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)。全球对这场危机的应对行动迟缓,但一旦迫在眉睫的灾难的轮廓变得明显,不同的国家和非国家行为体就竞相采取行动。COVID-19 大流行明显暴露了我们的医疗体系的不足和医学科学的局限性,尽管近年来取得了相当大的进展。为了有效应对当前的大流行,在现代几乎是前所未有的,迫切需要协调一致、持续和协调一致的努力,以开发新的诊断、治疗和疫苗,并加强医疗基础设施,特别是在较贫穷的弱势群体国家。为此,世界各地的研究人员正在不懈努力开发新的诊断、疫苗和治疗方法。目前,全球多个国家正在努力开发针对 COVID-19 的疫苗,但最早也要到年底才能推出。针对 COVID-19 的新药开发和批准可能需要更长的时间。在这种情况下,药物再利用已成为应对当前威胁的一种现实有效的策略,几种抗病毒和抗疟药物目前处于不同的临床试验阶段。研究人员还在尝试将营养素、维生素、单克隆抗体和恢复期血浆作为针对 SARS-CoV-2 的免疫增强剂。本报告对 COVID-19 的全球临床试验格局进行了批判性分析,重点介绍了目前正在以大流行速度进行测试的治疗药物和疫苗。