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Int Arch Allergy Immunol . Principles and Challenges in anti-COVID-19 Vaccine Development

tetano

Editor, Senior Moderator
Int Arch Allergy Immunol


. 2021 Feb 1;1-11.
doi: 10.1159/000514225. Online ahead of print.
Principles and Challenges in anti-COVID-19 Vaccine Development


Zuzana Strizova[SUP] 1 [/SUP], Jitka Smetanova[SUP] 1 [/SUP], Jirina Bartunkova[SUP] 1 [/SUP], Tomas Milota[SUP] 2 3 [/SUP]



Affiliations

Abstract

The number of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected patients keeps rising in most of the European countries despite the pandemic precaution measures. The current antiviral and anti-inflammatory therapeutic approaches are only supportive, have limited efficacy, and the prevention in reducing the transmission of SARS-CoV-2 virus is the best hope for public health. It is presumed that an effective vaccination against SARS-CoV-2 infection could mobilize the innate and adaptive immune responses and provide a protection against severe forms of coronavirus disease 2019 (COVID-19) disease. As the race for the effective and safe vaccine has begun, different strategies were introduced. To date, viral vector-based vaccines, genetic vaccines, attenuated vaccines, and protein-based vaccines are the major vaccine types tested in the clinical trials. Over 80 clinical trials have been initiated; however, only 18 vaccines have reached the clinical phase II/III or III, and 4 vaccine candidates are under consideration or have been approved for the use so far. In addition, the protective effect of the off-target vaccines, such as Bacillus Calmette-Gu?rin and measles vaccine, is being explored in randomized prospective clinical trials with SARS-CoV-2-infected patients. In this review, we discuss the most promising anti-COVID-19 vaccine clinical trials and different vaccination strategies in order to provide more clarity into the ongoing clinical trials.

Keywords: Bacillus Calmette-Gu?rin; Clinical trials; Coronavirus disease 2019; Measles; Severe acute respiratory syndrome coronavirus 2; Vaccine.
 
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