Insight in the Current Progress in the Largest Clinical Trials for Covid-19 Drug Management (As of January 2021)
Autor: | Tara Ristevska, Ilir Demiri, Aleksandra Grozdanova, Aleksandar Dimkovski, Simona Stojanovska, Tatjana Stojanoska, Milena Stevanovic, Aleksandar Dimovski, Irina Panovska-Stavridis, Nevenka Ridova, Venko Filipce |
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Rok vydání: | 2021 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Disease Antibodies Monoclonal Humanized Antiviral Agents Dexamethasone Lopinavir 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Tocilizumab Pandemic Epidemiology medicine Global health Humans Immunologic Factors 030212 general & internal medicine Intensive care medicine Glucocorticoids COVID-19 Serotherapy Clinical Trials as Topic Alanine Ritonavir business.industry SARS-CoV-2 Immunization Passive Outbreak COVID-19 Hydroxychloroquine Chloroquine General Medicine Adenosine Monophosphate COVID-19 Drug Treatment Clinical trial Drug Combinations 030104 developmental biology chemistry business medicine.drug |
Zdroj: | Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)REFERENCES. 42(1) |
ISSN: | 1857-8985 |
Popis: | The outbreak of the COVID-19 pandemic has generated the largest global health crisis of the 21st century, evolving into accelerating socioeconomic disruption. In spite of all rapidly and widely emerging scientific data on epidemiology, diagnosis, prevention and treatment of the COVID-19 disease, severe acute respiratory coronavirus 2 (SARS-CoV-2) is continuing to propagate in lack of definitive and specific therapeutic agents. Current therapeutic strategies are mainly focused on viral inhibition by antiviral drugs and hampering the exuberant immune response of the host by immunomodulatory drugs. In this review, we have studied the reports of the largest clinical trials intended to COVID-19 treatment published during the first year of the pandemics. In general, these results concentrate on seven therapeutic options: remdesivir, chloroguine/hydroxychloroquine, lopinavir-ritonavir combination, corticosteroids, tocilizumab, convalescent plasma and monoclonal antibodies. In line with the reviewed data, as of January 2021, most of the evidence support the use of remdesivir in hospitalized patients with moderate and severe forms of the disease and provide reliable data on the substantial beneficial effect of corticosteroids in patients requiring supplemental oxygen. Moreover, preliminary RECOVERY trial results have demonstrated the efficacy of tociluzumab in the treatment of critically ill patients. The reports presenting the outcomes of the other immune-based therapies under investigation are enthusiastically awaited. |
Databáze: | OpenAIRE |
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