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Published on: November 5, 2021
A Therapeutic Journey of Potential Drugs Against COVID-19
Fayaz Ali1, Shahid Hussain2, Yi Z Zhu1
1School of Pharmacy and State Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Avenida Wai Long, Taipa 999078, Macao SAR, China.
Insights
No definitive treatments exist for Coronavirus disease (COVID-19) caused by SARS-CoV-2. This review summarizes potential therapeutic strategies and leading drugs/vaccines to combat the pandemic.
Area of Science:
- Virology
- Immunology
- Pharmacology
Background:
- Coronavirus disease (COVID-19), caused by SARS-CoV-2, has led to global health and economic crises.
- Current clinical treatments lack validated efficacy in large-scale studies.
- Existing management strategies include antivirals, anti-inflammatories, convalescent plasma, and supportive care.
Purpose of the Study:
- To summarize potential therapeutic strategies for COVID-19.
- To identify promising drugs and vaccines for pandemic control.
- To discuss treatments targeting SARS-CoV-2 structural components or immune response modulation.
Main Methods:
- Review of existing literature on COVID-19 treatments.
- Analysis of repurposed drugs effective against other RNA viruses (e.g., MERS-CoV, SARS-CoV-1).
- Discussion of ongoing clinical trials for drugs and vaccines.
Main Results:
- No single drug has demonstrated significant efficacy in large-scale COVID-19 clinical trials.
- Repurposed drugs and novel therapeutic agents are under investigation.
- Vaccine development is a key focus for controlling the pandemic.
Conclusions:
- Definitive drug therapy or a widely effective vaccine is urgently needed.
- Research efforts are focused on understanding SARS-CoV-2 pathophysiology for targeted treatments.
- A combination of therapeutic strategies may be necessary for effective COVID-19 management.
Abstract:
Coronavirus disease (CoVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) scrambles the world by infecting millions of peoples all over the globe. It has caused tremendous morbidity, mortality and greatly impacted the lives and economy worldwide as an outcome of mandatory quarantines or isolations. Despite the worsening trends of COVID-19, no drugs are validated to have significant efficacy in the clinical treatment of COVID-19 patients in large-scale studies. Physicians and researchers throughout the world are working to understand the pathophysiology to expose the conceivable handling regimens and to determine the effective vaccines and/or therapeutic agents. Some of them re-purposed drugs for clinical trials which were primarily known to be effective against the RNA viruses including MERS-CoV and SARS-CoV-1. In the absence of a proven efficacy therapy, the current management use therapies based on antivirals, anti-inflammatory drugs, convalescent plasma, anti-parasitic agents in both oral and parenteral formulation, oxygen therapy, and heparin support. What is needed at this hour, however, is a definitive drug therapy or vaccine. Different countries are rushing to find this, and various trials are already underway. We aimed to summarize the potential therapeutic strategies as treatment options for COVID-19 that could be helpful to stop further spread of SARS-CoV-2 by affecting its structural components or modulation of immune response and discuss the leading drugs/vaccines, which are considered as potential agents for controlling this pandemic.
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