The constant outbreak of diseases caused by viral infections has caused serious harm to human health all over the world. Although many antiviral drugs have been approved for clinical use during the past decade, important issues, such as unsatisfactory efficacy, toxicity, and high cost of drugs, remain unresolved. Glycans are major components of the surfaces of both host cells and most viruses and play critical roles in the steps of viral infection. Marine glycans have more structural diversities than those found in humans. Most importantly, low toxicity and low-cost marine glycans have demonstrated potent antiviral activities through multiple molecular mechanisms. As a result, a series of marine glycan-derived agents are undergoing preclinical and clinical trials. This review discusses the recent progress in research on the marine glycan-based antiviral agents in clinical trials, relating to their structural features and clinical applications. In addition, molecular mechanisms of marine glycans involved in viral infection and novel strategies used in glycan-based drug development are critically reviewed and discussed. KEYWORDS antiviral activities, clinical trials, heparinoids, marine glycans, virus entry 1 | INTRODUCTION During the past decade, the number of antiviral drugs approved for clinical use has increased from five to more than 30, 1 but major issues with efficacy, toxicity, and cost remain unresolved. 2 Hence, the development of better antiviral agents that can address these antiviral drug issues is of high importance. Glycans are major components of the surface of both host cells and most pathogens such as bacteria and viruses. It is well established that most interactions of microbial pathogens with their hosts are influenced by the pattern of their glycans and glycan-binding receptors. 3 Glycans such as negatively charged heparins can interfere with the virus entry process through masking the positive charge of the pathogen surface receptors to prevent them from binding to host cell surface heparan sulfate proteoglycans. 4 Marine glycans, especially those from seaweed, have many advantages as antiviral drug candidates, such as relatively low production costs, low cytotoxicity, and wide availability. 2 Thus, marine glycans are attractive candidates for developing potential antiviral agents and have attracted great academic and industrial interest.This review presents an overview of recent progress in research on the marine glycan-based antiviral agents in clinical trials, relating to their structure features and clinic applications, focusing on potential antiviral agents derived from the heparinoids. Recent developments in the roles of glycans in viral infection and novel glycan-based therapeutic strategies will also be discussed.