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Updated: Nov 27, 2025

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Repurposing drugs for the management of COVID-19
Jacopo Cusinato1, Ylenia Cau2, Anna Maria Calvani3
1Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.
Abstract:
Introduction: The coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 represents a serious health issue worldwide, with more than 61 million cases and more than 1.4 million deaths since the beginning of the epidemic near the end of 2019. The scientific community strongly responded to this emergency situation with massive research efforts, mostly focused on diagnosis and clinical investigation of therapeutic solutions. In this scenario, drug repurposing played a crucial role in accelerating advanced clinical testing and shortening the time to access the regulatory review.Areas covered: This review covers the main and most successful drug repurposing approaches from a design, clinical, and regulatory standpoint. Available patents on repurposed drugs are also discussed.Expert opinion: Drug repurposing proved highly successful in response to the current pandemic, with remdesivir becoming the first specific antiviral drug approved for the treatment of COVID-19. In parallel, a number of drugs such as corticosteroids and low molecular weight heparin (LMWH) are used to treat hospitalized COVID-19 patients, while clinical testing of additional therapeutic options is ongoing. It is reasonably expected that these research efforts will deliver optimized and specific therapeutic tools that will increase the preparedness of health systems to possible future epidemics.
Insights
Drug repurposing accelerated the development of COVID-19 treatments, with remdesivir approved and other drugs like corticosteroids widely used. This strategy enhances preparedness for future epidemics.
Area of Science:
- Virology
- Pharmacology
- Epidemiology
Background:
- COVID-19, caused by SARS-CoV-2, emerged as a global health crisis with millions of cases and deaths.
- The scientific community rapidly mobilized research efforts, focusing on diagnostics and therapeutics.
- Drug repurposing emerged as a key strategy to expedite clinical testing and regulatory approval for COVID-19 treatments.
Purpose of the Study:
- To review successful drug repurposing approaches for COVID-19.
- To analyze these approaches from design, clinical, and regulatory perspectives.
- To discuss available patents on repurposed drugs.
Main Methods:
- Literature review of drug repurposing strategies for COVID-19.
- Analysis of clinical trial data and regulatory approvals.
- Examination of patent landscape for repurposed COVID-19 therapeutics.
Main Results:
- Drug repurposing has been highly successful, leading to the approval of remdesivir as the first specific antiviral for COVID-19.
- Corticosteroids and low molecular weight heparin (LMWH) are established treatments for hospitalized patients.
- Ongoing clinical trials are evaluating additional repurposed drug candidates.
Conclusions:
- Drug repurposing significantly contributed to managing the COVID-19 pandemic.
- Continued research is expected to yield more optimized and specific therapeutic tools.
- This strategy bolsters health system preparedness for future epidemic threats.
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