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针对 SARS-CoV-2 的药物治疗开发概述。

An overview of the development of pharmacotherapeutics targeting SARS-CoV-2.

机构信息

Department of Pharmaceutical Sciences, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI 48201, USA.

Department of Pharmaceutical Sciences, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI 48201, USA; Molecular Therapeutics Program, Barbara Ann Karmanos Cancer Institute, Wayne State University School of Medicine, Detroit, MI 48201, USA.

出版信息

Drug Discov Today. 2024 Sep;29(9):104126. doi: 10.1016/j.drudis.2024.104126. Epub 2024 Aug 2.

Abstract

Coronavirus disease 2019 (COVID-19) was declared a global pandemic in March 2020, which precipitated urgent public health responses. The causative agent, SARS-CoV-2, spreads primarily via respiratory droplets, necessitating precautions to mitigate transmission risks. Biopharmaceutical industries and academic institutions worldwide swiftly redirected their research endeavors towards developing therapeutic interventions, focusing on monoclonal antibodies, antiviral agents, and immunomodulatory therapies. The evolving body of evidence surrounding these treatments has prompted successive updates and revisions from the FDA, delineating the evolving landscape of COVID-19 therapeutics. This review comprehensively examines each treatment modality within the context of their developmental trajectories and regulatory approvals throughout the pandemic. Furthermore, it elucidates their mechanisms of action and presents clinical data underpinning their utility in combating the COVID-19 crisis.

摘要

2019 年冠状病毒病(COVID-19)于 2020 年 3 月被宣布为全球大流行,这促使了紧急的公共卫生应对措施的出台。致病因子 SARS-CoV-2 主要通过呼吸道飞沫传播,因此需要采取预防措施来降低传播风险。全球的生物制药行业和学术机构迅速将研究重点转向开发治疗干预措施,主要集中在单克隆抗体、抗病毒药物和免疫调节疗法上。这些治疗方法的相关证据不断涌现,促使 FDA 不断更新和修订相关指南,描绘了 COVID-19 治疗方法的不断发展的格局。本综述全面考察了每种治疗方法的发展轨迹及其在整个大流行期间的监管批准情况。此外,还阐述了它们的作用机制,并介绍了支持其在应对 COVID-19 危机中应用的临床数据。

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