2021
DOI: 10.1016/j.coviro.2021.06.008
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Time to ‘Mind the Gap’ in novel small molecule drug discovery for direct-acting antivirals for SARS-CoV-2

Abstract: Given the evidence that current vaccines may only provide short to moderate term protection, vaccination hesitancy, cold chain challenges associated with some vaccines, and the possibility that coronavirus disease 2019 (COVID-19) is here to stay, a pipeline of effective direct-acting antivirals (DAAs) remains a critical gap. Since the start of the pandemic, global efforts in small molecule drug discovery have focused largely on testing of FDA-approved drugs to accelerate evaluation in clinical trials in hospit… Show more

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Cited by 10 publications
(4 citation statements)
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“…The morbidity and mortality associated with the COVID-19 pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) are continuing to have a major impact on public health and the global economy. The timely discovery and introduction into the clinic of effective vaccines and monoclonal antibodies have ameliorated the impact and threat of the disease; , however, there is a pressing need for the development of effective and complementary countermeasures, including an expanded and diversified portfolio of direct-acting antivirals (DAAs) that can be rapidly deployed against SARS-CoV-2 and variants, as well as emerging and re-emerging coronaviruses. , …”
mentioning
confidence: 99%
“…The morbidity and mortality associated with the COVID-19 pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) are continuing to have a major impact on public health and the global economy. The timely discovery and introduction into the clinic of effective vaccines and monoclonal antibodies have ameliorated the impact and threat of the disease; , however, there is a pressing need for the development of effective and complementary countermeasures, including an expanded and diversified portfolio of direct-acting antivirals (DAAs) that can be rapidly deployed against SARS-CoV-2 and variants, as well as emerging and re-emerging coronaviruses. , …”
mentioning
confidence: 99%
“…Compounds in the EEV pipeline have advanced further and with greater characterization than in previous years, as exemplified by EIDD-1931, which progressed within the EEV pipeline until a strategic pivot to SARS-CoV-2 was implemented, resulting in the emergency use authorization of Molnupiravir [ 191 ]. In fact, the global impact of COVID-19 has highlighted a gap in the availability and development of anti-infective agents for viruses that pose a significant threat or have pandemic potential [ 192 , 193 ]. Consequently, funding initiatives have been established to support efforts in this area which includes the Togaviridae EEVs, VEEV and EEEV, as viruses of concern.…”
Section: Discussionmentioning
confidence: 99%
“…DAA commonly targets viral entry and fusion, or key enzymes like viral polymerases and proteases such as the SARS-CoV2 3-chymotrypsin-like protease (3CL pro ), also known as main protease (M pro ), and papain-like protease (PL pro ) [ 36 , 38 ]. By targeting viral replication directly, DAA are generally thought to have fewer side effects than HTA [ 39 ]. However, by targeting the virus directly, DAA are known to cause mutations that can lead to reduced drug efficacy and drug resistance [ 40 , 41 ].…”
Section: Directly Acting Antivirals (Daa)mentioning
confidence: 99%