Clinical drug therapies and biologicals currently used or in clinical trial to treat COVID-19.

Clinical drug therapies and biologicals currently used or in clinical trial to treat COVID-19.
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DOI:
10.1016/j.biopha.2021.112276
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发表时间:
2021-12
期刊:
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie
影响因子:
--
通讯作者:
Vines CM
Vines CM
中科院分区:
其他
文献类型:
--
作者:
Malek RJ;Bill CA;Vines CM

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能够逃避疫苗产生的免疫反应的SARS-CoV-2变体的潜在出现对疫苗接种工作构成了迫在眉睫的威胁,并可能延长COVID-19大流行的持续时间。此外,β冠状病毒在动物中的流行以及它们在人类中传播的先例表明,它们对未来的流行病构成持续威胁。目前,只有一种治疗药物被美国食品和药物管理局(FDA)批准用于治疗COVID-19,即瑞德西韦,尽管由于这种流行病是一种公共卫生紧急情况,其他治疗药物被授权用于紧急使用。在这篇综述中,讨论了24种不同的治疗方法,讨论了它们对COVID-19和任何潜在的未来冠状病毒相关疾病的用途。评估了它们的传统用途、抗COVID-19的作用机制以及在临床试验中的疗效。在临床试验中,评估的六种治疗方法显示出显著降低死亡率,十种治疗方法显示出某种形式的临床疗效。
The potential emergence of SARS-CoV-2 variants capable of escaping vaccine-generated immune responses poses a looming threat to vaccination efforts and will likely prolong the duration of the COVID-19 pandemic. Additionally, the prevalence of beta coronaviruses circulating in animals and the precedent they have set in jumping into human populations indicates that they pose a continuous threat for future pandemics. Currently, only one therapeutic is approved by the U.S. Food and Drug Administration (FDA) for use in treating COVID-19, remdesivir, although other therapies are authorized for emergency use due to this pandemic being a public health emergency. In this review, twenty-four different treatments are discussed regarding their use against COVID-19 and any potential future coronavirus-associated illnesses. Their traditional use, mechanism of action against COVID-19, and efficacy in clinical trials are assessed. Six treatments evaluated are shown to significantly decrease mortality in clinical trials, and ten treatments have shown some form of clinical efficacy.
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