Purpose
After nearly 3 years of the COVID-19 pandemic, even though a vast body of knowledge and products (including vaccines and treatments) have been developed and disseminated, the virus is still evolving and new variants arising. Consequently, thousands of lives continue to be lost. Neutralizing monoclonal antibodies (nAbs) are promising drugs that emerged to treat SARS-CoV-2. In the uncertainty of the current situation, there is the question of whether organizations should continue to invest in this technology. To help decision-making in scientifical and pharmaceutical organizations, it is of major importance to monitor the development of products and technologies. Therefore, the aim of this study is analyze the landscape of nAbs for COVID-19.
Methods
The scenario of 473 biotherapeutics focusing on nAbs was evaluated using foresight techniques and a review of literature. Data were obtained from structured and semi-structured databases and processed for treatment, cleaning, consistency, validation, and enrichment.
Results
We identified 227 nAbs and performed an extensive literature review of 16 nAbs in late clinical development, including development technologies, responses to variants of concern (VOCs), manufacturing, and clinical aspects.
Conclusions
Even though the emergence of new VOCs is a threat to the effectiveness of this treatment, demanding constant genomic surveillance, the use of nAbs to treat and prevent COVID-19 will probably continue to be relevant due to excellent safety profiles and the possibility of immediate immunity transfer, especially in patients showing inadequate immunological response to vaccination. Therefore, we suggest that organizations should keep investing in improvements in this technology.
Brazil is a country deeply labeled by economic and social contradictions when the distinct regions are placed in comparison. The living conditions of peasant vary greatly according to region where he lives. After the promulgation of the constitution of 1988 policies aimed to remedy these regional imbalances, mainly re- lated to rural people have been settled. In this sense, one of the governmental initiatives to lower this problem was the encouraging incentive program to cultivate castor beans and other crops by family farmers to produce biodiesel to share 50% of the mixture with mineral diesel in the proportion defined by law. The blend was initially 2% starting in 2006 and 5% until 2012. The Brazilian consumption of diesel oil in the 2006 was approximately 40 billions of liters in the transportation, agriculture and others sectors, so that a market of 800 millions of liters of biodiesel was suddenly created at attractive prices with total exemption from federal taxes. This paper analyzes what actually such market means in economic terms to various regions of Brazil. Two regions – North and Midwest still display a high degree of poverty for small farmers. The national biodiesel program may represent an interesting economical alternative for them
The functional impairments in NPSLE were similar to those of MS, although greater impairment of the functional systems of cerebellar, sensitivity, and sphincters occurred in MS cases, and greater symptoms of depression, anxiety, and headache also occurred in it.
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