Updates on the Current Antivirals Therapy for the COVID-19 Pandemic: A Mini-Review

Mahmoud Radwan, A. Elsous, R. Hussain
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Abstract

Background: The Coronavirus disease 2019 (COVID-19) has been recognized as a global public health threat and announced as a pandemic by the World Health Organization (WHO). In the absence of vaccine development for the COVID-19, one of the most common and currently implemented ways to combat the COVID-19 is to test the currently used antivirals through vitro and vivo trials. Objective: This mini-review aims at reviewing the latest available evidence on the potentially effective and safe antiviral drugs that can be used for controlling the COVID-19. Methods: Three databases (PubMed, Google Scholar, and Cochrane) were rapidly searched from 30 March to 2nd of October 2020 on studies reporting clinical outcomes of antivirals against SARS, MERS, or COVID-19. Findings/Conclusion: Currently, many antivirals that have been used with previous infectious diseases, are being used to treat the COVID-19 infection. Most of the observational studies and the RCTs have provided mixed or confusing findings. Due to the lack of reliable evidence from Randomized Controlled Trials (RCTs), no effective antiviral drug proved its efficacy and safety against the COVID-19. This rapid review focuses mainly on the latest findings of the most common used antivirals, hoping to continue the next reviews once we have stronger published RCTs based evidence.
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当前COVID-19大流行抗病毒治疗的最新进展:小型综述
背景:2019冠状病毒病(COVID-19)已被世界卫生组织(WHO)确认为全球公共卫生威胁,并宣布为大流行。在没有针对COVID-19的疫苗开发的情况下,抗击COVID-19的最常见和目前实施的方法之一是通过体外和体内试验测试目前使用的抗病毒药物。目的:本综述旨在综述可用于控制COVID-19的潜在有效和安全的抗病毒药物的最新证据。方法:从2020年3月30日至10月2日,快速检索三个数据库(PubMed、Google Scholar和Cochrane),以报告抗病毒药物治疗SARS、MERS或COVID-19的临床结果。发现/结论:目前,许多用于既往传染病的抗病毒药物正在用于治疗COVID-19感染。大多数观察性研究和随机对照试验提供了混合或令人困惑的结果。由于缺乏可靠的随机对照试验(RCTs)证据,没有有效的抗病毒药物证明其对COVID-19的有效性和安全性。这篇快速综述主要关注最常用抗病毒药物的最新发现,希望在我们有更有力的基于随机对照试验的证据发表后继续进行下一次综述。
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