1. A Review of the Preclinical and Clinical Efficacy of Remdesivir, Hydroxychloroquine, and Lopinavir-Ritonavir Treatments against COVID-19.
- Author
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Maciorowski D, Idrissi SZE, Gupta Y, Medernach BJ, Burns MB, Becker DP, Durvasula R, and Kempaiah P
- Subjects
- Adenosine Monophosphate adverse effects, Adenosine Monophosphate analogs & derivatives, Adenosine Monophosphate pharmacology, Adenosine Monophosphate therapeutic use, Alanine adverse effects, Alanine analogs & derivatives, Alanine pharmacology, Alanine therapeutic use, Antiviral Agents adverse effects, Clinical Trials as Topic, Drug Therapy, Combination, Humans, Hydroxychloroquine adverse effects, Hydroxychloroquine pharmacology, Hydroxychloroquine therapeutic use, Lopinavir adverse effects, Lopinavir pharmacology, Lopinavir therapeutic use, Ritonavir adverse effects, Ritonavir pharmacology, Ritonavir therapeutic use, Treatment Outcome, Antiviral Agents pharmacology, Antiviral Agents therapeutic use, SARS-CoV-2 drug effects, COVID-19 Drug Treatment
- Abstract
In December of 2019, an outbreak of a novel coronavirus flared in Wuhan, the capital city of the Hubei Province, China. The pathogen has been identified as a novel enveloped RNA beta-coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus SARS-CoV-2 is associated with a disease characterized by severe atypical pneumonia known as coronavirus 2019 (COVID-19). Typical symptoms of this disease include cough, fever, malaise, shortness of breath, gastrointestinal symptoms, anosmia, and, in severe cases, pneumonia.
1 The high-risk group of COVID-19 patients includes people over the age of 60 years as well as people with existing cardiovascular disease and/or diabetes mellitus. Epidemiological investigations have suggested that the outbreak was associated with a live animal market in Wuhan. Within the first few months of the outbreak, cases were growing exponentially all over the world. The unabated spread of this deadly and highly infectious virus is a health emergency for all nations in the world and has led to the World Health Organization (WHO) declaring a pandemic on March 11, 2020. In this report, we consolidate and review the available clinically and preclinically relevant results emanating from in vitro animal models and clinical studies of drugs approved for emergency use as a treatment for COVID-19, including remdesivir, hydroxychloroquine, and lopinavir-ritonavir combinations. These compounds have been frequently touted as top candidates to treat COVID-19, but recent clinical reports suggest mixed outcomes on their efficacies within the current clinical protocol frameworks.- Published
- 2020
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