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Table 1 Classification of therapeutic agents and its mechanism of action [22, 44]

From: From pox to protection: understanding Monkeypox pathophysiology and immune resilience

Therapeutic agents

Category

Classification

Mechanism of action

Tecovirimat

Antiviral

Orthopoxvirus-specific inhibitor

Inhibits the viral protein VP37, preventing virus maturation and release

Cidofovir

Nucleoside analog

Inhibits viral DNA polymerase, blocking viral replication

Brincidofovir

Nucleoside analog

Similar to cidofovir, it inhibits viral DNA polymerase with reduced toxicity

Vaccinia Immune Globulin

Immunotherapy

Polyvalent immunoglobulin

Contains antibodies that neutralize the virus and provide passive immunity

Imvamune

Vaccine (prevention)

Live attenuated vaccine

Stimulates the immune system to provide protection against orthopoxviruses

ACAM2000

Live attenuated vaccine

Induces immunity by using a replication-competent VACV strain

Jynneos

Modified live attenuated vaccine

Uses a non-replicating Modified Vaccinia Ankara (MVA) virus to stimulate an immune response