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Peer reviewedCOVID-19SARS

Effective Antivirals in Pandemic Preparedness: Past Mistakes, Future Needs

Clinical Infectious Diseases·

Antonios-Periklis Panagiotopoulos, Cleo Anastassopoulou, Athanasios Tsakris, John P A Ioannidis

DOI
10.1093/cid/ciaf648
PMID
41292002
PMCID
OpenAlex
W4416737794
Study type
Journal article
Publisher
Oxford University Press (OUP)
Article type
journal-article
Integrity
current

Why this research matters now

The authors propose a coordinated antiviral platform to address therapeutic blind spots in vaccine-centric pandemic strategies, including broad-spectrum agent development, phase 2/3 trial funding, rapid manufacturing scale-up, and equitable global access through tiered pricing, stockpiling, and technology transfer.

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Structured evidence summary

Research question

The paper examines pandemic preparedness strategies, focusing on the allocation of resources between vaccines and antivirals and proposing a dedicated antiviral development agenda to address therapeutic gaps exposed during COVID-19.

Study design

This is a perspective or commentary article published in a peer-reviewed journal that reviews past pandemic response patterns and proposes a policy framework for future antiviral development and deployment.

Population and setting

The article discusses pandemic preparedness broadly, with specific attention to high-risk populations and settings with delayed vaccine uptake, drawing lessons from the COVID-19 response.

Main findings

During COVID-19, research funding and regulatory approvals disproportionately favored vaccines over antivirals, and early antiviral effectiveness evidence was often limited or misleading. Antivirals may offer advantages in early outbreak control, for high-risk groups, and where vaccine uptake is delayed.

Public-health relevance

The authors propose a coordinated antiviral platform to address therapeutic blind spots in vaccine-centric pandemic strategies, including broad-spectrum agent development, phase 2/3 trial funding, rapid manufacturing scale-up, and equitable global access through tiered pricing, stockpiling, and technology transfer.

Important limitations

This summary is limited to the supplied single-article abstract and metadata and requires the original paper for decision-grade interpretation of the proposed policy framework, supporting evidence, and specific recommendations.

GIDS interpretation

This article is discoverable through COVID-19 and treatment-related classifiers. It offers a policy perspective on pandemic preparedness rather than outbreak-specific surveillance data, and should be contextualized within broader literature on therapeutic interventions and resource allocation during health emergencies.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 11 auditable classifier relationships to diseases, places, topics, and study design.

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