COVID-19 vaccine: Potential candidates, achievements, and challenges
DOI:
https://doi.org/10.30574/gscbps.2021.15.3.0145Keywords:
Coronavirus disease, Major Challenges, Society perception, Vaccines, World responsesAbstract
Severe acute respiratory syndrome [SARS]-CoV-2, which is the causative agent of Coronavirus Disease 2019 [COVID-19] disease, has engulfed more than 2.4 million people and still counting. As this pandemic is at its peak and is responsible for more than 100 million infected people worldwide, there is an urgent need to develop an effective vaccine to stop the COVID-19 disease. More than 220 vaccine candidates are in the pre-development stage while 15 candidates are in the developmental stage, from which Pfizer/BioNTech, Moderna, and some other vaccines have received approval by some countries for emergency use only. Fever, tiredness, headache, joint pain, swelling at the injection site and some other common effects have been found by using these vaccines. Efficacy, rapid mass production, and long-term immunity as well as acceptance of vaccination by society are the main challenges in developing a safe vaccine against COVID-19 despite the fact that some vaccines have over 90% efficiency against COVID-19 and are useful in developing immunity as well.
Metrics
References
Commission WMH. Wuhan Municipal Health Commission briefing on the pneumonia epidemic situation. Wuhan, China: Municipal Health Commission; 2019.
Wilder-Smith A, Chiew CJ, Lee VJ. Can we contain the COVID-19 outbreak with the same measures as for SARS? The lancet infectious diseases. 2020; 20(5): e102-e7.
Worldometer. Coronavirus Cases [Internet]. 2021 [cited 2021 Feb 16]. Available from: https://www.worldometers.info/coronavirus/
Lan J, Ge J, Yu J, Shan S, Zhou H, Fan S, et al. Structure of the SARS-CoV-2 spike receptor-binding domain bound to the ACE2 receptor. Nature. 2020; 581(7807): 215-20.
Callaway E. The race for coronavirus vaccines: a graphical guide. Nature. 2020; 580(7805): 576-7.
Jain S, Batra H, Yadav P, Chand S. COVID-19 Vaccines Currently under Preclinical and Clinical Studies, and Associated Antiviral Immune Response. Vaccines (Basel). 2020; 8(4): 649.
FDA. FDA Takes Additional Action in Fight Against COVID-19 By Issuing Emergency Use Authorization for Second COVID-19 Vaccine [Internet]. Food and Drug Administration: 2020 [cited 2021 Feb 16]. Available from: https://www.fda.gov/news-events/press-announcements/fda-takes-additional-action-fight-against-covid-19-issuing-emergency-use-authorization-second-covid
Le Bert N, Tan AT, Kunasegaran K, Tham CYL, Hafezi M, Chia A, et al. SARS-CoV-2-specific T cell immunity in cases of COVID-19 and SARS, and uninfected controls. Nature. 2020; 584(7821): 457-62.
Sempowski GD, Saunders KO, Acharya P, Wiehe KJ, Haynes BF. Pandemic Preparedness: Developing Vaccines and Therapeutic Antibodies For COVID-19. Cell. 2020; 181(7): 1458-63.
Mellet J, Pepper M. A COVID-19 vaccine: big strides come with big challenges. 2021; 9: 39. Vaccines. 2021; 9(1): 39.
Salvatori G, Luberto L, Maffei M, Aurisicchio L, Roscilli G, Palombo F, et al. SARS-CoV-2 SPIKE PROTEIN: an optimal immunological target for vaccines. J Transl Med. 2020; 18(1): 222.
Ledford H, Cyranoski D, Van Noorden R. The UK has approved a COVID vaccine-here's what scientists now want to know. Nature. 2020; 588(7837): 205-6.
Greenwood B. The contribution of vaccination to global health: past, present and future. Philos Trans R Soc Lond B Biol Sci. 2014; 369(1645): 20130433.
Thi EP, Mire CE, Lee AC, Geisbert JB, Zhou JZ, Agans KN, et al. Lipid nanoparticle siRNA treatment of Ebola-virus-Makona-infected nonhuman primates. Nature. 2015; 521(7552): 362-5.
Jackson LA, Anderson EJ, Rouphael NG, Roberts PC, Makhene M, Coler RN, et al. An mRNA vaccine against SARS-CoV-2—preliminary report. New England Journal of Medicine. 2020; 383: 1920-31.
Phase IAPI. Data for INO-4800 Vaccine for COVID-19. 2020.
Moderna I. Moderna Announces Primary Efficacy Analysis in Phase 3 COVE Study for Its COVID-19 Vaccine Candidate and Filing Today with U.S. FDA for Emergency Use Authorization [Internet]. Moderna Inc.: 2020 [cited 2021 Feb 16]. Available from: https://investors.modernatx.com/news-releases/news-release-details/moderna-announces-primary-efficacy-analysis-phase-3-cove-study
Widge AT, Rouphael NG, Jackson LA, Anderson EJ, Roberts PC, Makhene M, et al. Durability of Responses after SARS-CoV-2 mRNA-1273 Vaccination. N Engl J Med. 2021; 384(1): 80-2.
Polack FP, Thomas SJ, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. N Engl J Med. 2020; 383(27): 2603-15.
FDA. FDA Takes Key Action in Fight Against COVID-19 By Issuing Emergency Use Authorization for First COVID-19 Vaccine [Internet]. Food and Drug Administration: 2020 [cited 2021 Feb 16]. Available from: https://www.fda.gov/news-events/press-announcements/fda-takes-key-action-fight-against-covid-19-issuing-emergency-use-authorization-first-covid-19
Zhu FC, Li YH, Guan XH, Hou LH, Wang WJ, Li JX, et al. Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial. Lancet. 2020; 395(10240): 1845-54.
Staff R. CanSino's COVID-19 vaccine candidate approved for military use in China [Internet]. 2020 [cited 2021 Feb 16]. Available from: https://www.reuters.com/article/us-health-coronavirus-china-vaccine/cansinos-covid-19-vaccine-candidate-approved-for-military-use-in-china-idUSKBN2400DZ#:${sim%20}$:text=China's%20Central%20Military%20Commission%20approved,of%20Military%20Science%20(AMS)
Folegatti PM, Ewer KJ, Aley PK, Angus B, Becker S, Belij-Rammerstorfer S, et al. Safety and immunogenicity of the ChAdOx1 nCoV-19 vaccine against SARS-CoV-2: a preliminary report of a phase 1/2, single-blind, randomised controlled trial. Lancet. 2020; 396(10249): 467-78.
Oxford. Trial of Oxford COVID-19 vaccine starts in Brazil [Internet]. 2020 [cited 2021 Feb 16]. Available from: https://www.research.ox.ac.uk/Article/2020-06-28-trial-of-oxford-covid-19-vaccine-starts-in-brazil
Voysey M, Clemens SAC, Madhi SA, Weckx LY, Folegatti PM, Aley PK, et al. Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Lancet. 2021; 397(10269): 99-111.
Burki TK. The Russian vaccine for COVID-19. The Lancet Respiratory Medicine. 2020; 8(11): e85-e6.
Sputnik. Clinical trials [Internet]. 2020 [cited 2021 Feb 16]. Available from: https://sputnikvaccine.com/about-vaccine/clinical-trials/
Palacios R, Patiño EG, de Oliveira Piorelli R, Conde MTRP, Batista AP, Zeng G, et al. Double-Blind, Randomized, Placebo-Controlled Phase III Clinical Trial to Evaluate the Efficacy and Safety of treating Healthcare Professionals with the Adsorbed COVID-19 (Inactivated) Vaccine Manufactured by Sinovac–PROFISCOV: A structured summary of a study protocol for a randomised controlled trial. Trials. 2020; 21(1): 1-3.
Gao Q, Bao L, Mao H, Wang L, Xu K, Yang M, et al. Development of an inactivated vaccine candidate for SARS-CoV-2. Science. 2020; 369(6499): 77-81.
Peshimam GN, Farooq U. CanSinoBIO's COVID-19 vaccine 65.7% effective in global trials, Pakistan official says [Internet]. Reuters: 2021 [cited 2021 Mar 8]. Available from: https://www.reuters.com/article/us-health-coronavirus-vaccine-pakistan/cansinobios-covid-19-vaccine-657-effective-in-global-trials-pakistan-official-says-idUSKBN2A81N0
Mcgregor G. Why did the efficacy of China’s top vaccine drop from 78% to 50%? [Internet]. Fortune: 2021 [cited 2021 Mar 5]. Available from: https://fortune.com/2021/01/13/sinovac-vaccine-efficacy-rate-drop/
Keech C, Albert G, Cho I, Robertson A, Reed P, Neal S, et al. Phase 1–2 trial of a SARS-CoV-2 recombinant spike protein nanoparticle vaccine. New England Journal of Medicine. 2020; 383(24): 2320-32.
Dai L, Zheng T, Xu K, Han Y, Xu L, Huang E, et al. A Universal Design of Betacoronavirus Vaccines against COVID-19, MERS, and SARS. Cell. 2020; 182(3): 722-33 e11.
Castells MC, Phillips EJ. Maintaining Safety with SARS-CoV-2 Vaccines. N Engl J Med. 2021; 384(7): 643-9.
Firger J, Caldwell T. Third Alaskan health care worker has allergic reaction to Covid-19 vaccine [Internet]. 2020 [cited 2021 Feb 16]. Available from: https://edition.cnn.com/2020/12/18/health/alaska-third-allergic-reaction-vaccine/index.html
Vrieze JD. Suspicions grow that nanoparticles in Pfizer’s COVID-19 vaccine trigger rare allergic reactions [Internet]. 2020 [cited 2021 Feb 16]. Available from: https://www.sciencemag.org/news/2020/12/suspicions-grow-nanoparticles-pfizer-s-covid-19-vaccine-trigger-rare-allergic-reactions
Sokolowska M, Eiwegger T, Ollert M, Torres MJ, Barber D, Del Giacco S, et al. EAACI statement on the diagnosis, management and prevention of severe allergic reactions to COVID-19 vaccines. Allergy. 2021.
de Figueiredo A, Simas C, Karafillakis E, Paterson P, Larson HJ. Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study. Lancet. 2020; 396(10255): 898-908.
Mills M, Rahal C, Brazel D, Yan J, Gieysztor S. COVID-19 vaccine deployment: Behaviour, ethics, misinformation and policy strategies. London: The Royal Society The British Academy. 2020.
Massey PM. Where do US adults who do not use the internet get health information? Examining digital health information disparities from 2008 to 2013. Journal of health communication. 2016; 21(1): 118-24.
Pfizer. Fact sheet for recipients and caregivers: Emergency Use Authorization (EUA) of the Pfizer-BioNTech COVID-19 vaccine to prevent coronavirus disease 2019 (COVID-19) in individuals 16 years of age and older [Internet]. Pfizer Inc., New York, NY 10017: 2021 [cited 2021 Feb 17]. Available from: https://www.fda.gov/media/144414/download
McNeil MM, DeStefano F. Vaccine-associated hypersensitivity. J Allergy Clin Immunol. 2018; 141(2): 463-72.
Jiang S. Don't rush to deploy COVID-19 vaccines and drugs without sufficient safety guarantees. Nature. 2020; 579(7799): 321-.
Liu A, Wang W, Zhao X, Zhou X, Yang D, Lu M, et al. Disappearance of antibodies to SARS-CoV-2 in a-COVID-19 patient after recovery. Clinical Microbiology Infection. 2020; 26(12): 1703-5.
Branswell H. The world needs Covid-19 vaccines. It may also be overestimating their power [Internet]. 2020 [cited 2021 Feb16]. Available from: https://www.statnews.com/2020/05/22/the-world-needs-covid-19-vaccines-it-may-also-be-overestimating-their-power/
Davis CW, Jackson KJ, McCausland MM, Darce J, Chang C, Linderman SL, et al. Influenza vaccine–induced human bone marrow plasma cells decline within a year after vaccination. Science. 2020; 370(6513): 237-41.
Khamsi R. If a coronavirus vaccine arrives, can the world make enough? Nature. 2020; 580(7805): 578-80.
Span P. Older adults may be left out of some COVID-19 trials. The New York Times. 2020.
Sarah K. The U.S. Commits to Buying Millions of Vaccine Doses. Why That’s Unusual [Internet]. 2020 [cited 2020 Feb 24]. Available from: https://www.nytimes.com/2020/07/22/upshot/vaccine-coronavirus-government-purchase.html
Malik YS, Kumar N, Sircar S, Kaushik R, Bhat S, Dhama K, et al. Coronavirus Disease Pandemic (COVID-19): Challenges and a Global Perspective. Pathogens. 2020; 9(7): 519.
Kault DA. Superspreaders help covid-19 elimination. MedRXiv. 2020.
Lurie N, Saville M, Hatchett R, Halton J. Developing Covid-19 vaccines at pandemic speed. New England Journal of Medicine. 2020; 382(21): 1969-73.
Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med. 2021; 27(2): 225-8.
Alford J. Under half of people currently willing to get COVID-19 vaccine, survey suggests [Internet]. Imperial College London: 2020 [cited 2021 Feb 17]. Available from: https://www.imperial.ac.uk/news/210393/under-half-people-currently-willing-covid-19/
Wang J, Jing R, Lai X, Zhang H, Lyu Y, Knoll MD, et al. Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China. Vaccines (Basel). 2020; 8(3): 482.
Sallam M. COVID-19 Vaccine Hesitancy Worldwide: A Concise Systematic Review of Vaccine Acceptance Rates. Vaccines (Basel). 2021; 9(2): 160.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.