A list of under-development vaccine candidates for COVID-19, according to the WHO as of 15 May 2020. Ref. – Draft Landscape of COVID 19 candidate vaccines, https://www.who.int/who-documents-detail/draft-landscape-of-covid-19-candidate-vaccines, accessed on May 15, 2020a.
Vaccine platform/type of candidate | Immunogen/target | Current stage/phase of trial | Advantages | Disadvantages | Reference |
---|---|---|---|---|---|
RNA-based (mRNA-1273) | LNP-encapsulated mRNA VACCINE encoding the S protein | Phase 1 (NCT04283461), phase 1 (2020-001038-36), phase 1/phase 2 (NCT04368728) | Less infectious or mutagenic, short life span, chance of integration into the host genome is minimum, a low dose is required | Vaccines need optimal delivery agents, safety issues with unintended immune responses | 166 and 167 |
Viral vector | Attenuated adenovirus capable of producing the spike (S) protein of SARS-CoV-2, ChAdOx1 (chimpanzee adenovirus vaccine vector) | Phase 2 (ChiCTR2000031781), phase 1 (ChiCTR2000030906), phase 1/phase 2 (NCT04324606) | High immunogenicity, long-term expression of infectious genes | Risk of pathogenesis and tumorigenesis | 168 |
Subunit | Short antigenic peptide sequence | Pre-clinical AJ Vaccines, Epivax, Novavax, GSK/Sanofi | Induce both cellular and humoral immunity, chance of inducing diseases or side-effects is minimum | Multiple boosters required, an adjuvant is needed for delivery | 169 |
Virus-like particles (VLPs) | Plant derived VLPs that mimic the shape and dimensions of the virus | Pre-clinical Medicago, Adaptvac | Can develop immunity against a multimeric protein at a given time | Assembly of VLPs in an expression vector is intricate | 170 and 171 |
Inactivated | Inactivated SARS-CoV-2 + alum, inactivated SARS-CoV-2 | Phase 1 (NCT04352608), Phase 1 (ChiCTR2000031809, ChiCTR2000032459) | Much safer as compared to a live attenuated vaccine, has been tested in the case of SARS-CoV-1 | First dose does not always induce a robust immune response, antigenic integrity needs to be maintained | 172 and 173 |
Live-attenuated virus | Whole virion | Phase 3 (NCT04328441), (NCT0432726) [BRACE] Pre-clinical Codagenix/Serum Institute of India | Memory cells are generated, producing the same effect as that of a live infectious pathogen | Might replicate in an uncontrolled manner, safety concerns | 174 and 175 |
DNA-based (INO-4800) | DNA plasmid encoding the S protein | Phase 1 (NCT04336410) | Multiple variants of antigen can be inserted into a single plasmid | Chance of incorporation into the host genome, activation of oncogenes | 176 and 177 |
BRACE: BCG vaccination to protect healthcare workers against COVID-19.