Use of Antivirals in SARS-CoV-2 Infection. Critical Review of the Role of Remdesivir

Drug Des Devel Ther. 2022 Mar 25:16:827-841. doi: 10.2147/DDDT.S356951. eCollection 2022.


The aim of this report is to review the literature and shed light on the uncertainties surrounding the use of antiviral agents in general and remdesivir in COVID-19 patients. This review evaluated a battery of antiviral compounds and their effectiveness in the treatment of COVID-19 since the beginning of the pandemic. Remdesivir is the only antiviral approved by the EMA and FDA for the treatment of SARS-CoV-2 infection. This work extensively reviews remdesivir data generated from clinical trials and observational studies, paying attention to the most recent data, and focusing on outcomes to give readers a more comprehensive understanding of the results. This review also discusses the recommendations issued by official bodies during the pandemic in the light of the current knowledge. The use of remdesivir in the treatment of SARS-CoV-2 infection is justified because a virus is the causative agent that triggers the inflammatory responses and its consequences. More trials are needed to improve the management of this disease.

Keywords: COVID-19; anti-viral therapy; recommendations; viral RNA polymerases.

Publication types

  • Review

MeSH terms

  • Adenosine Monophosphate / analogs & derivatives
  • Alanine / analogs & derivatives
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use
  • COVID-19 Drug Treatment*
  • Humans
  • SARS-CoV-2
  • Virus Replication


  • Antiviral Agents
  • remdesivir
  • Adenosine Monophosphate
  • Alanine

Grants and funding

Gilead provided the editorial support for the manuscript and was not involved in the discussions or the writing process.