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The effect of antivirals on COVID-19: a systematic review
Nafisa Hussain1, Anusha Yoganathan1, Savini Hewage2
1School of Medicine, University of Liverpool, Liverpool, UK.
Introduction:
Coronavirus Disease 2019 is a contagious infection that has infected millions worldwide. The objective of this systematic review is to identify studies pertaining to antivirals, both as sole and combined therapies, in COVID-19 patients and review the clinical outcomes of these treatment methods.
Areas Covered:
A systematic review was conducted using Preferred Reporting Items or Systematic Reviews and Meta-analysis (PRISMA) guidelines. A literature search was done on Medline, Global Health, and EMBASE using keywords and MeSH terms relevant to COVID- 19 and antivirals. Limits were put on date to obtain articles between December 2019 to May 2020 (the time at which the search was performed). 776 articles were identified and screened. After screening, 16 studies were included. The narrative synthesis revealed three key themes (1) Use of antivirals only (such as lopinavir, umifenovir, and remdesivir), (2) Use of lopinavir-ritonavir alongside other treatments, and (3) Use of other antivirals in combination with other treatments.
Expert Opinion:
Using antivirals in combination with other treatments has potential; however, further randomized controlled trials with larger sample sizes are required to identify the best candidate components that should comprise combined treatments for COVID-19. This should optimize treatment efficacy and improve patient outcomes.
Insights
This systematic review explored antiviral treatments for Coronavirus Disease 2019 (COVID-19). Combination therapies show potential, but more research is needed to determine optimal antiviral drug combinations for improved patient outcomes.
Area of Science:
- Infectious Diseases
- Pharmacology
- Systematic Review
Background:
- Coronavirus Disease 2019 (COVID-19) is a global pandemic.
- Antiviral therapies are being investigated for COVID-19 treatment.
Purpose of the Study:
- To systematically review studies on antiviral treatments for COVID-19.
- To evaluate clinical outcomes of sole and combined antiviral therapies.
Main Methods:
- Systematic review following PRISMA guidelines.
- Literature search of Medline, Global Health, and EMBASE (Dec 2019-May 2020).
- Included 16 studies from 776 identified articles.
Main Results:
- Three themes emerged: antivirals alone, lopinavir-ritonavir with other treatments, and other antivirals in combination.
- Identified specific antivirals like lopinavir, umifenovir, and remdesivir.
Conclusions:
- Combination antiviral therapy for COVID-19 shows promise.
- Further large-scale randomized controlled trials are necessary to optimize treatment efficacy and patient outcomes.
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