Up-to-date role of biologics in the management of respiratory syncytial virus

Expert Opin Biol Ther. 2020 Sep;20(9):1073-1082. doi: 10.1080/14712598.2020.1753696. Epub 2020 Apr 17.

Abstract

Introduction: Respiratory syncytial virus (RSV) is a leading cause of severe lower respiratory tract disease in young children and a substantial contributor to respiratory tract disease throughout life. Despite RSV being a high priority for vaccine development, there is currently no safe and effective vaccine available. There are many challenges to developing an RSV vaccine and there are limited antiviral drugs or biologics available for the management of infection. In this article, we review the antiviral treatments, vaccination strategies along with alternative therapies for RSV.

Areas covered: This review is a summary of the current antiviral and RSV vaccination approaches noting strategies and alternative therapies that may prevent or decrease the disease severity in RSV susceptible populations.

Expert opinion: This review discusses anti-RSV strategies given that no safe and efficacious vaccines are available, and therapeutic treatments are limited. Various biologicals that target for RSV are considered for disease intervention, as it is likely that it may be necessary to develop separate vaccines or therapeutics for each at-risk population.

Keywords: RSV; prevention; therapeutics; therapies; treatments; vaccines.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antiviral Agents / immunology
  • Antiviral Agents / therapeutic use
  • Biological Products / therapeutic use*
  • Child
  • Humans
  • Palivizumab / immunology
  • Palivizumab / therapeutic use
  • Respiratory Syncytial Virus Infections / drug therapy*
  • Respiratory Syncytial Virus Infections / pathology
  • Respiratory Syncytial Virus Infections / prevention & control
  • Respiratory Syncytial Virus Vaccines / immunology
  • Ribavirin / therapeutic use
  • Viral Fusion Proteins / immunology

Substances

  • Antiviral Agents
  • Biological Products
  • F protein, human respiratory syncytial virus
  • Respiratory Syncytial Virus Vaccines
  • Viral Fusion Proteins
  • Ribavirin
  • Palivizumab