COVID-19: How Effective Are the Repurposed Drugs and Novel Agents in Treating the Infection?

Chow Suet-May, Kuok Sin-Yee, Jia-Qing Lee, Goh Pey-Wen, Harleen Kaur A/P Ranjit Singh, Timothy Tan Zhi-Zheng, J. Foo, S. Hamzah, R. Sellappans, H. Yow
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Abstract

Coronavirus disease 2019 (COVID-19) induced by the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) has impacted the lives and wellbeing of many people. This globally widespread disease poses a significant public health concern that urges to discover an effective treatment. This review paper discusses the effectiveness of repurposed drugs used to treat COVID-19 and potential novel therapies for COVID-19. Among the various repurposed drugs, remdesivir is the only agent approved by the Food and Drug Administration (FDA) to treat COVID-19. On the other hand, several drugs have been listed in the Emergency Use Authorization (EUA) by the FDA to treat COVID-19, including casirivimab and imdevimab, baricitinib (in combination with remdesivir), bamlanivimab, tocilizumab, and IL-6 inhibitors. In addition, in vitro and clinical studies have suggested cepharanthine, sotrovimab, and XAV-19 as potential treatments to manage COVID-19. Due to inadequate understanding of COVID-19 and the rapid mutation of SARS-CoV-2, COVID-19 remains a threat to global public health, with vaccination considered the most effective method to decrease COVID-19 transmission currently. Nevertheless, with the intense efforts of clinical researchers globally, more promising treatments for COVID-19 will be established in the future.
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COVID-19:再利用药物和新型药物治疗感染的效果如何?
由严重急性呼吸综合征2型冠状病毒(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)影响了许多人的生活和福祉。这种全球广泛传播的疾病引起了重大的公共卫生关注,迫切需要发现一种有效的治疗方法。本文综述了用于治疗COVID-19的再利用药物的有效性和潜在的新疗法。在各种重新用途的药物中,瑞德西韦是唯一获得美国食品和药物管理局(FDA)批准的治疗COVID-19的药物。另一方面,几种药物已被FDA列入紧急使用授权(EUA),用于治疗COVID-19,包括卡西瑞维单抗和伊德维单抗、巴西替尼(与瑞德西韦联合)、巴兰尼维单抗、托珠单抗和IL-6抑制剂。此外,体外和临床研究表明,头孢酞氨酸、索洛维单抗和XAV-19是治疗COVID-19的潜在药物。由于对COVID-19的认识不足以及SARS-CoV-2的快速突变,COVID-19仍然对全球公共卫生构成威胁,疫苗接种被认为是目前减少COVID-19传播的最有效方法。尽管如此,在全球临床研究人员的努力下,未来将建立更多有希望的新冠肺炎治疗方法。
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