Taha Maie S, Akram Alaa, Abdelbary Ghada A
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University, Cairo, 11562, Egypt.
Drug Deliv Transl Res. 2025 Apr 17. doi: 10.1007/s13346-025-01843-7.
Given the recurrent waves of COVID-19 and the emergence of new viral infections, optimizing the potential of remdesivir as an antiviral agent is critical. While several reviews have explored the efficacy of remdesivir, few have comprehensively addressed its challenges, such as the necessity for intravenous infusion, suboptimal lung accumulation, and safety concerns related to its formulation. This review critically examines these challenges while proposing innovative solutions and effective combinations with other antiviral agents and repurposed drugs. By highlighting the role of complex generics, we aim to enhance therapeutic efficacy in ways not previously discussed in existing literature. Furthermore, we address the development of novel drug delivery systems which specifically aim to improve remdesivir's pharmacological profile. By analyzing recent findings, we assess both the successes and limitations of current approaches, providing insights into ongoing challenges and strategies for further optimization. This review uniquely focuses on targeted drug delivery systems and innovative formulations, thereby maximizing remdesivir's therapeutic benefits and broadening its application in combating emerging viral threats. In doing so, we fill a critical gap in literature, offering a comprehensive overview that informs future research and clinical strategies.
鉴于新冠疫情的反复浪潮以及新病毒感染的出现,优化瑞德西韦作为抗病毒药物的潜力至关重要。虽然已有多篇综述探讨了瑞德西韦的疗效,但很少有综述全面阐述其面临的挑战,如静脉输注的必要性、肺部蓄积不理想以及与其制剂相关的安全性问题。本综述在批判性审视这些挑战的同时,提出创新解决方案以及与其他抗病毒药物和重新利用药物的有效联合方案。通过强调复方仿制药的作用,我们旨在以现有文献中未曾讨论过的方式提高治疗效果。此外,我们还探讨了新型药物递送系统的开发,其具体目标是改善瑞德西韦的药理学特性。通过分析近期研究结果,我们评估了当前方法的成功之处和局限性,为持续存在的挑战及进一步优化策略提供见解。本综述特别关注靶向药物递送系统和创新制剂,从而最大限度地发挥瑞德西韦的治疗益处,并扩大其在应对新出现病毒威胁方面的应用。通过这样做,我们填补了文献中的一个关键空白,提供了一个全面的概述,为未来的研究和临床策略提供参考。