Application of Quantitative Systems Pharmacology to guide the optimal dosing of COVID-19 vaccines
Mario Giorgi, Rajat Desikan, Piet H. van der Graaf, Andrzej M. Kierzek

TL;DR
This paper proposes using quantitative systems pharmacology (QSP) to guide real-time COVID-19 vaccine dosing adjustments during the pandemic, enabling rational decision-making before full efficacy data are available.
Contribution
It introduces a novel application of QSP modeling for real-time guidance in COVID-19 vaccine dose optimization during ongoing development.
Findings
QSP can inform dose adjustments in real-time
Supports rapid decision-making in vaccine deployment
Enhances understanding of dose-response relationships
Abstract
Optimal use and distribution of Covid-19 vaccines involves adjustments of dosing. Due to the rapidly-evolving pandemic, such adjustments often need to be introduced before full efficacy data are available. As demonstrated in other areas of drug development, quantitative systems pharmacology (QSP) is well placed to guide such extrapolation in a rational and timely manner. Here we propose for the first time how QSP can be applied real time in the context of COVID-19 vaccine development.
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