Analysis of chemical drugs applied for clinical trial for the treatment of COVID-19

Q3 Pharmacology, Toxicology and Pharmaceutics Acta pharmaceutica Sinica Pub Date : 2020-03-01 DOI:10.16438/J.0513-4870.2020-0151
Chao Zhang, S. Chen, Jie Zhang, Ying Guo
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引用次数: 3

Abstract

The Coronavirus Disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread throughout China and many other countries around the world. The antivirals are important measures to this epidemic; however, there is no drug approved for against coronavirus yet. With the continuously rising number of confirmed/suspected cases of COVID-19, it is urgent to obtain antiviral drugs for the clinical treatment. In response to this situation, drug repurposing strategy becomes one of the best approaches for anti-SARS-CoV-2 drug discovery. By retrieving the clinical trials registered in Chinese Clinical Trial Registry and ClinicalTrials.gov, a total of 14 chemical drugs were registered for COVID-19. In this review, we summarize and analyze the 14 drugs' indications, targets, and research basis related to the activities against viral infections, esp. coronavirus infections. We are making efforts to understand the evidence basis of these drugs for the treatment of SARS-CoV-2 infection applied by various research and clinical institutions in response to this COVID-19 outbreak, and also providing clues for quick response to possible epidemic in future and reasonable expansion of the indications of drugs.
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新冠肺炎临床试验化学药物应用分析
由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)已在中国和世界许多国家蔓延。抗病毒药物是防治这一流行病的重要措施;然而,目前还没有批准用于治疗冠状病毒的药物。随着新冠肺炎确诊/疑似病例不断增加,迫切需要获得抗病毒药物用于临床治疗。针对这种情况,药物再利用策略成为抗sars - cov -2药物发现的最佳途径之一。通过检索在中国临床试验注册中心和ClinicalTrials.gov注册的临床试验,共有14种化学药物注册用于COVID-19。本文就14种药物抗病毒感染特别是冠状病毒感染的适应症、靶点、研究基础等方面进行综述和分析。我们正在努力了解这些治疗SARS-CoV-2感染的药物在各研究和临床机构应对此次COVID-19疫情中应用的证据基础,并为未来可能发生的疫情快速反应和合理扩大药物适应症提供线索。
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