RE: Broad Spectrum Antivirals.21 Jan 2023 14:49
Re-reading Dr Monk’s paper, “The Need - and Opportunity - to develop Broad-Spectrum Antivirals”, I am reminded of how different the respiratory viral infection landscape was a mere 36 months ago and how central to the changes Synairgen has been. Suddenly we live in an era where discussion of the possibility and the importance of rapid viral testing, the importance of innate immunity, the strategy of host-directed - and therefore virus/variant agnostic - therapeutics is commonplace. We recognise, as never before, the burden of viral respiratory illness at an individual and population level as well as the way it tests the resilience of health services.
We have seen the strengths and weaknesses of mono-therapies, notably mono-clonal antibodies, and of vaccination strategies and the early willingness of decision makers to jump on the bandwagon of these interventions to the exclusion of support for other emerging therapeutic strategies. We are now seeing an emerging awareness that this stool needs a 3rd leg to constitute an effective overall interventional strategy. And we are seeing an awareness that part of that strategy must be preparedness for future new and different viral pandemics, necessitating governmental motivation and relevant investment, including stockpiling of appropriate therapeutics.
The Covid pandemic has moved Synairgen and its agenda centre stage in a way scarcely imaginable in December 2019. The pandemic has provided an environment in which Synairgen and its investigation of SNG001 have transitioned in a remarkably short period of time from the work a virtually unknown academically-led venture outside the infamous “golden-triangle” of Oxford, Cambridge and London to a company contributing and, to some extent leading, this international endeavour. This has not been without cost and some mistakes and mis-steps have occurred along the way. That is the nature of bio-medical research and drug discovery. The challenges of getting SNG001 over the conclusive demonstration of efficacy line and the commercialisation line have yet to be met.
Synairgen has risen to the challenge remarkably for an enterprise of its size and nature over these short 36 months. They have more to do. To all appearances their efforts and the results to date of their investigative programme are taken seriously in governmental, regulatory and industry circles. Key opinion leaders like Rick Bright are not shy about expressing support for the interferon thesis in general and SNG001 in particular
As the Covid pandemic transitions into just another endemic respiratory viral problem like influenza, RSV, etc, and as public weariness with booster vaccination, fuelled by rational or irrational fears regarding vaccine safety in the long term, becomes ever more pronounced, the environment will continue to morph in favour of the need for host-directed micro-organism agnostic therapeutics. With prudent management and support there is everything to play f