Current state-of-the-art and potential future therapeutic drugs against COVID-19

Ailong Sha1,2, Yi Liu2, Haiyan Hao3

  • 1School of Teacher Education, Chongqing Three Gorges University, Chongqing, China.

Insights

This review analyzes 26 drugs for treating COVID-19, evaluating their effectiveness and safety in animal models. Five promising antiviral therapies are identified for further clinical trials.

Area of Science:

  • Virology
  • Pharmacology
  • Infectious Diseases

Background:

  • The COVID-19 pandemic necessitates urgent development of effective therapeutic drugs.
  • Animal models are crucial for assessing drug efficacy and toxicity before human clinical trials.
  • Understanding SARS-CoV-2 mechanisms, including S protein entry and viral replication involving RdRp and M protein, is key to drug discovery.

Purpose of the Study:

  • To review and analyze 26 drugs targeting SARS-CoV-2.
  • To evaluate the efficacy and safety profiles of these drugs in various animal models.
  • To identify the most promising drug candidates for advancing to clinical trials.

Main Methods:

  • Systematic review and analysis of existing literature on 26 anti-SARS-CoV-2 drugs.
  • Assessment of drug mechanisms of action against SARS-CoV-2.
  • Evaluation of drug effectiveness and toxicity data from preclinical animal studies.

Main Results:

  • Detailed analysis of 26 antiviral agents targeting different stages of the SARS-CoV-2 lifecycle.
  • Comparative assessment of drug performance across diverse animal models.
  • Identification of five drug candidates demonstrating favorable efficacy and safety profiles.

Conclusions:

  • Five drugs show significant promise for treating COVID-19 and warrant progression to clinical trials.
  • Preclinical data from animal models provides a critical foundation for selecting effective and safe therapeutic agents.
  • This review offers valuable insights for guiding future research and development of anti-SARS-CoV-2 therapies.

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