Abstract

Global efforts to contain the coronavirus disease-2019 (COVID-19) include the development of novel preventive vaccines and effective therapeutics. Passive antibody therapies using convalescent plasma, SARS-CoV-2 (Severe-Acute-Respiratory-Syndrome-Corona-Virus-2)-specific neutralizing antibodies (NAbs), and the development of monoclonal antibodies (MAbs) are among the most promising strategies for prophylaxis and treatment of SARS-CoV-2 infections. In addition, several immunomodulatory antibodies acting via several mechanisms to boost the host immune defense against SARS-CoV-2 infection as well as to avoid the harmful overreaction of the immune system are currently under clinical trial. Our main objective is to present the current most up-to-date progress in some clinical trials registered at ClinicalTrials.gov. We highlight the pros and pitfalls of several SARS-CoV-2 antibody-based immunotherapeutics.

Highlights

  • SARS-CoV-2 is the third zoonotic coronavirus that emerged in the last decade after the SARS-CoV in 2003 and the Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012 [1,2]

  • The current study aims to review the main clinical trials registered on 30 trials are currently taking place mostly in the U.S, China, and Europe, evaluating the use of mAb

  • This study found higher titers of antibodies against the surface spike protein receptor-binding domain (RBD) compared to the internal nucleocapsid protein (NP) antigen. [39]

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Summary

Introduction

SARS-CoV-2 is the third zoonotic coronavirus that emerged in the last decade after the SARS-CoV in 2003 and the Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012 [1,2] They have the criteria of a high rate of infection and spread among a close contact population [3,4,5,6]. The majority of individuals with COVID-19 exhibit only mild-to-moderate symptoms, about 15% of infected people have a progressive course of infection Some of these cases develop a severe form of the disease characterized by acute respiratory distress syndrome (ARDS) and septic shock [1,2,7,8,9,10,11].

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