Narasimhan Jaipratap, Maanvizhi Saba
Department of Pharmaceutics, Sri Ramachandra Faculty of Pharmacy, SRIHER (DU), Porur, Chennai, India.
Ann Med Surg (Lond). 2023 Mar 2;85(4):860-867. doi: 10.1097/MS9.0000000000000000. eCollection 2023 Apr.
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.
2019 冠状病毒病(COVID-19)疫情让包括医疗保健专家、医生和一线工作者在内的所有人都感到困惑。单克隆抗体、抗凝剂和免疫调节疗法最初被用于治疗 COVID-19。然而,它们只能抑制病毒复制,这不足以提供持久的治愈效果。随着时间的推移,越来越多的公司致力于研发有助于产生针对冠状病毒抵抗力的疫苗。因此,所有监管机构都表示,如果一种疫苗具有高疗效且不良事件风险低,将通过紧急使用申请获得批准。然而,有一个主要障碍:在通过紧急使用申请完成 II 期临床试验后,产品可以投放市场。然而,公司应同时进行 III 期和 IV 期试验,在每个临床试验周期后进行同行评审,并同时提交市场数据以追踪不良事件。在本文中,作者将标准批准程序(即标准生物许可申请)与紧急使用申请进行了比较,以描述不同监管机构如何批准 COVID-19 疫苗。