Pharmacological interventions for COVID-19 : a systematic review of observational studies and clinical trials

Introduction: Currently, there is no approved therapeutic entity for coronavirus disease 2019 (COVID-19) and clinicians are primarily relying on drug repurposing. However, findings across studies are widely disparate, making it difficult to draw firm conclusions. Since clinicians need accurate evidence to treat COVID-19, this manuscript systematically analyzed the published and ongoing studies evaluating the pharmacological interventions for COVID-19.Areas Covered: A systematic search of observational studies and Clinical Trials on the treatment and prevention of COVID-19 was performed by using various databases from inception to 2 December 2020.Expert Opinion: A total of 460 studies met the inclusion criteria. Of these, 37 were research studies, 386 were ongoing trials, and 37 were completed trials. Anti-virals, steroids, anti-malarial, plasma exchange, and monoclonal antibodies were the most common treatment modalities used alone or in combination in these studies. However, tocilizumab, plasma exchange, and steroids have shown significant improvements in patient's clinical and radiological status. Tocilizumab reported minimum hospital stay of 2 days along with maximum recovery and patient's stability rate. Existing literature demonstrate promising results of tocilizumab, plasma exchange, and steroids among COVID-19 patients. Nevertheless, these studies are accompanied by several methodological disparities which should be considered while interpreting the results.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Expert review of anti-infective therapy - 19(2021), 10 vom: 10. Okt., Seite 1219-1244

Sprache:

Englisch

Beteiligte Personen:

Bokharee, Nida [VerfasserIn]
Khan, Yusra Habib [VerfasserIn]
Khokhar, Aisha [VerfasserIn]
Mallhi, Tauqeer Hussain [VerfasserIn]
Alotaibi, Nasser Hadal [VerfasserIn]
Rasheed, Maria [VerfasserIn]

Links:

Volltext

Themen:

2494G1JF75
3QKI37EEHE
415SHH325A
4QWG6N8QKH
886U3H6UFF
93M09WW4RU
Adenosine Monophosphate
Alanine
Amides
Anti-Inflammatory Agents
Antibodies, Monoclonal, Humanized
Antimalarials
Antiviral Agents
Chloroquine
Coronavirus
Covid-19
EW5GL2X7E0
Favipiravir
Hydroxychloroquine
I031V2H011
Indoles
Journal Article
Lopinavir
Methylprednisolone
O3J8G9O825
OF5P57N2ZX
Pharmacological intervention
Prevention
Pyrazines
Remdesivir
Ritonavir
SARS-cov-2
Systematic Review
Tocilizumab
Treatment
Umifenovir
X4W7ZR7023

Anmerkungen:

Date Completed 05.10.2021

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14787210.2021.1902805

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM322765730