Battling COVID-19: using old weapons for a new enemy

Rohit Kumar1, Nitin Gupta2, Parul Kodan3

  • 11Department of Medicine, All India Institute of Medical Sciences, New Delhi, 110029 India.

Insights

This review examines drugs for COVID-19, evaluating their effectiveness against SARS-CoV-2 and related viruses. It assesses drug repurposing potential for managing the pandemic, noting limited randomized controlled trials for many treatments.

Area of Science:

  • Virology
  • Infectious Diseases
  • Pharmacology

Background:

  • The COVID-19 pandemic necessitates urgent therapeutic strategies.
  • Many investigational treatments for COVID-19 lack rigorous clinical evaluation.
  • Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) poses a significant global health threat.

Purpose of the Study:

  • To review in-vitro and in-vivo efficacy of drugs against SARS-CoV-2.
  • To assess the effectiveness of these drugs against related coronaviruses like SARS and MERS.
  • To evaluate the potential for repurposing existing drugs in COVID-19 management.

Main Methods:

  • Systematic literature search for relevant studies.
  • Analysis of in-vitro antiviral activity data.
  • Evaluation of in-vivo preclinical and clinical data for efficacy and safety.

Main Results:

  • Summarized efficacy data for various drug candidates.
  • Identified drugs with promising activity against SARS-CoV-2 and related viruses.
  • Highlighted gaps in evidence, particularly from randomized controlled trials.

Conclusions:

  • Several drugs show potential for COVID-19 treatment based on in-vitro and in-vivo studies.
  • Drug repurposing is a viable strategy, but requires further clinical validation.
  • Robust clinical trials are essential to confirm the safety and efficacy of repurposed drugs for COVID-19.

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