Medical treatment options for COVID-19

Eur Heart J Acute Cardiovasc Care. 2020 Apr;9(3):209-214. doi: 10.1177/2048872620922790. Epub 2020 May 4.

Abstract

Therapeutic options for coronavirus disease 2019 are desperately needed to respond to the ongoing severe acute respiratory syndrome coronavirus 2 pandemic. Both antiviral drugs and immunomodulators might have their place in the management of coronavirus disease 2019. Unfortunately, no drugs have been approved yet to treat infections with human coronaviruses. As it will take years to develop new therapies for severe acute respiratory syndrome coronavirus 2, the current focus is on the repurposing of drugs that have been approved or are in development for other conditions. Several clinical trials have already been conducted or are currently ongoing to evaluate the efficacy of such drugs. Here, we discuss the potential of these therapies for the treatment of coronavirus disease 2019.

Keywords: COVID-19; SARS-CoV-2; antiviral drugs; immunomodulators; treatment.

Publication types

  • Review

MeSH terms

  • Adenosine Monophosphate / administration & dosage
  • Adenosine Monophosphate / analogs & derivatives*
  • Adenosine Monophosphate / pharmacology
  • Adenosine Monophosphate / therapeutic use
  • Administration, Intravenous
  • Alanine / administration & dosage
  • Alanine / analogs & derivatives*
  • Alanine / pharmacology
  • Alanine / therapeutic use
  • Amides / pharmacology
  • Amides / therapeutic use
  • Antibodies, Monoclonal, Humanized / pharmacology
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use
  • Betacoronavirus / drug effects*
  • COVID-19
  • Chloroquine / adverse effects
  • Chloroquine / toxicity*
  • Clinical Trials as Topic
  • Coronavirus Infections / drug therapy*
  • Coronavirus Infections / epidemiology
  • Cytochrome P-450 CYP3A Inhibitors / pharmacology
  • Cytochrome P-450 CYP3A Inhibitors / therapeutic use
  • Granulocyte-Macrophage Colony-Stimulating Factor / administration & dosage
  • Granulocyte-Macrophage Colony-Stimulating Factor / pharmacology
  • Granulocyte-Macrophage Colony-Stimulating Factor / therapeutic use
  • Humans
  • Immunologic Factors / therapeutic use
  • Lopinavir / pharmacology
  • Lopinavir / therapeutic use
  • Pandemics
  • Pneumonia, Viral / drug therapy*
  • Pneumonia, Viral / epidemiology
  • Pyrazines / pharmacology
  • Pyrazines / therapeutic use
  • RNA, Viral / drug effects
  • Recombinant Proteins / administration & dosage
  • Recombinant Proteins / pharmacology
  • Recombinant Proteins / therapeutic use
  • SARS-CoV-2

Substances

  • Amides
  • Antibodies, Monoclonal, Humanized
  • Antiviral Agents
  • Cytochrome P-450 CYP3A Inhibitors
  • Immunologic Factors
  • Pyrazines
  • RNA, Viral
  • Recombinant Proteins
  • Lopinavir
  • remdesivir
  • Adenosine Monophosphate
  • sargramostim
  • Granulocyte-Macrophage Colony-Stimulating Factor
  • Chloroquine
  • favipiravir
  • tocilizumab
  • Alanine