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. 2020 Jul 28;10(47):28243–28266. doi: 10.1039/d0ra05434h

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
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BRACE: BCG vaccination to protect healthcare workers against COVID-19.

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