View Article

Abstract

The COVID-19 pandemic has reshaped the landscape of antiviral drug development and significantly influenced the pharmaceutical industry's approach to managing infectious diseases. Innovations in antiviral research during the pandemic, such as the rapid development of mRNA vaccines and the increased use of artificial intelligence (AI) for drug discovery, have paved the way for new therapeutic strategies. The challenges of antiviral resistance, global access to medications, and regulatory hurdles are further complicated by the rapid mutation of viruses. This review outlines the key innovations and challenges in antiviral drug development post-COVID-19, with a focus on the role of pharmacists in ensuring effective drug use and public health. Additionally, it presents a forward-looking perspective on how the lessons learned during the COVID-19 pandemic will guide future antiviral research and preparedness for emerging viral diseases.

Keywords

Antiviral drugs, COVID-19, mRNA technology, Drug repurposing, CRISPR-Cas9, Artificial intelligence in drug discovery, Monoclonal antibodies, Nano bodies, Antiviral resistance, Global health equity, Regulatory challenges, Pharmacist's role, Personalized medicine, One Health approach, Viral mutation prediction

Introduction

The emergence of the novel coronavirus, SARS-CoV-2, in late 2019 led to a global pandemic that exposed major gaps in the preparedness and response capabilities for infectious diseases. The need for rapid therapeutic interventions was urgent, as countries around the world faced significant healthcare challenges. Although vaccines became the cornerstone of the global response to COVID-19, antiviral drugs are essential for managing infections, especially in cases of breakthrough infections and for individuals who cannot receive the vaccine due to contraindications or compromised immune systems. This paper provides a comprehensive review of antiviral drug development in the post-COVID era, examining the innovations, challenges, and future directions in the field. It emphasizes the critical role of pharmacists in the stewardship of antiviral drugs and in ensuring that these therapies are used appropriately in clinical settings. Furthermore, it explores how the lessons learned from the COVID-19 pandemic can shape antiviral drug development and preparedness strategies for future viral outbreaks.

2. Historical Overview of Antiviral Drug Development

Reference

  1. Aoki, S. K., et al. (2020). Hepatitis C treatment: The role of interferon-based therapies. Hepatology Review, 21(2), 73-89.
  2. Bari, J. P., et al. (2020). Accelerated approval pathways and their implications. Pharmaceutical Policy Review, 14(4), 203-214.
  3. Beigel, J. H., et al. (2020). Remdesivir for the treatment of COVID-19 — Final report. New England Journal of Medicine, 383(19), 1813-1826.
  4. Chen, P., et al. (2021). SARS-CoV-2 monoclonal antibody treatments: A review of evidence and regulatory status. Journal of Antiviral Therapy, 33(1), 1-13.
  5. Cao, B., et al. (2020). Lopinavir–ritonavir in the treatment of COVID-19: A multicenter randomized trial. Lancet, 395(10223), 1695-1703.
  6. Elbe, S., et al. (2021). COVAX and vaccine equity in the global pandemic response. Lancet Global Health, 9(5), e588-e590.
  7. Friedman, H. M., et al. (2020). Personalized medicine in antiviral drug therapy: An emerging approach. Therapeutic Advances in Infectious Disease, 8(2), 40-55.
  8. Geleris, J., et al. (2020). Observational study of hydroxychloroquine in hospitalized patients with COVID-19. New England Journal of Medicine, 383(26), 2550-2556.
  9. Gendelman, H. E., et al. (2020). CRISPR technology in antiviral drug development: Promises and challenges. Antiviral Therapy, 25(1), 47-58.
  10. Grein, J., et al. (2020). Compassionate use of remdesivir for patients with severe COVID-19. New England Journal of Medicine, 382(24), 2327-2336.
  11. Gerritsen, W., et al. (2020). Nanobody-based therapies for viral infections. Journal of Infectious Diseases, 222(1), 1-12.
  12. Gottfried, J., et al. (2021). Artificial intelligence in antiviral drug discovery: Current status and future perspectives. Journal of Medicinal Chemistry, 64(2), 123-135.
  13. Li, H., et al. (2020). CRISPR-Cas9-mediated antiviral therapy: A new era for viral eradication. Current Opinion in Virology, 44, 40-46.
  14. Liu, Y., et al. (2021). Antiviral resistance mechanisms and management strategies for future outbreaks. Nature Reviews Drug Discovery, 20(8), 567-583.
  15. Moon, S., et al. (2020). Global access to COVID-19 therapeutics: The role of intellectual property and patent waivers. Journal of Global Health, 10(1), 1-4.
  16. Mou, H., et al. (2021). Monoclonal antibodies in the fight against COVID-19: Current developments and challenges. Cell Reports Medicine, 2(3), 100-114.
  17. Pandi, N., et al. (2018). mRNA-based vaccines and their potential use in antiviral therapies. Nature Biomedical Engineering, 2(4), 91-97.
  18. Polack, F. P., et al. (2020). Safety and efficacy of the BNT162b2 mRNA COVID-19 vaccine. New England Journal of Medicine, 383(27), 2603-2615.
  19. Pinto, D., et al. (2021). AI in the prediction of viral mutation and drug resistance. Journal of Computational Biology, 28(6), 733-747.
  20. Tegally, H., et al. (2021). Emergence of SARS-CoV-2 variants in South Africa. Nature, 592(7852), 438-443.
  21. Trofimov, A., et al. (2021). Antiretroviral drug development in the era of HIV treatment: Innovations and challenges. Pharmacology & Therapeutics, 212, 107557.
  22. Wang, J., et al. (2016). CRISPR-Cas9 for HIV gene therapy: A future approach for HIV eradication. Frontiers in Immunology, 7, 267.
  23. Wallach, I., et al. (2015). AtomNet: A deep convolutional neural network for bioactivity prediction in structure-based drug discovery. Chemistry & Biology, 22(3), 380-391.
  24. Zarocostas, J. (2021). Global vaccine inequity threatens the fight against COVID-19. The Lancet, 397(10287), 2687-2689.
  25. Zhou, J., et al. (2019). Antiviral strategies against coronaviruses: The SARS and MERS experience. Current Opinion in Virology, 38, 10-16.
  26. Yin, W., et al. (2021). mRNA vaccines for infectious diseases: Innovation and challenges. Molecular Therapy, 29(7), 1866-1884.
  27. Pavlovic, J., et al. (2021). Combination therapies for viral infections: A focus on hepatitis C and HIV. Journal of Antiviral Chemotherapy, 45(3), 160-172.
  28. Fulton, M., et al. (2021). Pharmacists as stewards of antiviral drugs: Current practices and future perspectives. Journal of Clinical Pharmacy, 58(4), 577-589.
  29. Aoki, S. K., et al. (2020). Viral infections and the role of pharmacogenomics in personalized treatment. Journal of Clinical Pharmacology, 60(3), 345-360.
  30. Gottfried, J. (2021). Machine learning in drug development and its potential in antiviral research. Drug Discovery Today, 26(1), 48-59.

Photo
Sandesh Shelke
Corresponding author

K. V. N. Naik college of pharmacy Canada Corner, Nashik

Photo
Vedant Shivange
Co-author

K. V. N. Naik college of pharmacy Canada Corner, Nashik

Photo
Dr. Avinash Darekar
Co-author

K. V. N. Naik college of pharmacy Canada Corner, Nashik

Sandesh Shelke*, Vedant Shivange, Dr. Avinash Darekar, Antiviral Drug Development in The Post-COVID Era: Innovations, Challenges, and Future Perspectives in Pharmacy, Int. J. Sci. R. Tech., 2025, 2 (4), 510-517. https://doi.org/10.5281/zenodo.15257666

More related articles
Real-Time Xai Framework For Early Behavioural Rans...
Bachina Parimala, Latha Gaddam, Hema Karpurapu, Srilakshmi Dupa...
A Review on Phytochemical and Biological Activity ...
Sneha Vasava, Jyoti Chauhan, Bharat Maitreya, ...
Formulation and Evaluation of Herbal Anti-Hairfall...
Saima Akbar Shaikh, Mayuri Auti, Samreen Salim Shaikh, ...
In Vitro Anti-Inflammatory, Antiplatelet, And Antioxidant Activities of Cassia F...
P. Karthik, S. Swetha, P. Saranya, L. Gopi, Dr. V. Kalvimoorthi, ...
Study on EcoRI And HinDIII Immobilization Using Sodium Alginate and Their Restri...
Bharathi P., Madhuselvam C., Nancy M., Yadhav S. G., ...
Related Articles
Column Studies on Arsenic Removal from Ground Water for Filter Development in Ru...
Pranab Jyoti Barman, Sudarshana Bharali, Bortika Baruah, Kuhi Borgohain, Nistha Deori, Bikash Das, ...
Voice Assistive System for Visually Impaired: Development, Applications, Challen...
Tharun D. C., Sandeep K., Diganth A. B., Saish H. Salian, Ganesh, ...
Formulation and Evaluation of Anti- Bacterial Moringa Soap...
Anil Panchal, Nalawade Mahesh, Vishal Madankar, ...
Real-Time Xai Framework For Early Behavioural Ransomware Detection With Threat I...
Bachina Parimala, Latha Gaddam, Hema Karpurapu, Srilakshmi Dupati, ...
More related articles
Real-Time Xai Framework For Early Behavioural Ransomware Detection With Threat I...
Bachina Parimala, Latha Gaddam, Hema Karpurapu, Srilakshmi Dupati, ...
Formulation and Evaluation of Herbal Anti-Hairfall Gel...
Saima Akbar Shaikh, Mayuri Auti, Samreen Salim Shaikh, ...
Real-Time Xai Framework For Early Behavioural Ransomware Detection With Threat I...
Bachina Parimala, Latha Gaddam, Hema Karpurapu, Srilakshmi Dupati, ...
Formulation and Evaluation of Herbal Anti-Hairfall Gel...
Saima Akbar Shaikh, Mayuri Auti, Samreen Salim Shaikh, ...