Experimental drugs in randomized controlled trials for long-COVID : what's in the pipeline? A systematic and critical review

INTRODUCTION: Over three years have passed since the emergence of coronavirus disease 2019 (COVID-19), and yet the treatment for long-COVID, a post-COVID-19 syndrome, remains long overdue. Currently, there is no standardized treatment available for long-COVID, primarily due to the lack of funding for post-acute infection syndromes (PAIS). Nevertheless, the past few years have seen a renewed interest in long-COVID research, with billions of dollars allocated for this purpose. As a result, multiple randomized controlled trials (RCTs) have been funded in the quest to find an effective treatment for long-COVID.

AREAS COVERED: This systematic review identified and evaluated the potential of current drug treatments for long-COVID, examining both completed and ongoing RCTs.

EXPERT OPINION: We identified four completed and 22 ongoing RCTs, investigating 22 unique drugs. However, most drugs were deemed to not have high potential for treating long-COVID, according to three pre-specified domains, a testament to the ordeal of treating long-COVID. Given that long-COVID is highly multifaceted with several proposed subtypes, treatments likely need to be tailored accordingly. Currently, rintatolimod appears to have modest to high potential for treating the myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) subtype, LTY-100 and Treamid for pulmonary fibrosis subtype, and metformin for general long-COVID prevention.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Expert opinion on investigational drugs - 32(2023), 7 vom: 26. Juli, Seite 655-667

Sprache:

Englisch

Beteiligte Personen:

Yong, Shin Jie [VerfasserIn]
Halim, Alice [VerfasserIn]
Halim, Michael [VerfasserIn]
Ming, Long Chiau [VerfasserIn]
Goh, Khang Wen [VerfasserIn]
Alfaresi, Mubarak [VerfasserIn]
AlShehail, Bashayer M [VerfasserIn]
Al Fares, Mona A [VerfasserIn]
Alissa, Mohammed [VerfasserIn]
Sulaiman, Tarek [VerfasserIn]
Alsalem, Zainab [VerfasserIn]
Alwashmi, Ameen S S [VerfasserIn]
Khamis, Faryal [VerfasserIn]
Al Kaabi, Nawal A [VerfasserIn]
Albayat, Hawra [VerfasserIn]
Alsheheri, Ahmed [VerfasserIn]
Garout, Mohammed [VerfasserIn]
Alsalman, Jameela [VerfasserIn]
Alfaraj, Amal H [VerfasserIn]
Alhajri, Mashael [VerfasserIn]
Dhama, Kuldeep [VerfasserIn]
Alburaiky, Lamees M [VerfasserIn]
Alsanad, Ahlam H [VerfasserIn]
AlShurbaji, Abdelmunim T [VerfasserIn]
Rabaan, Ali A [VerfasserIn]

Links:

Volltext

Themen:

Drug
Drugs, Investigational
Journal Article
Long-COVID
N,N'-bis(2-(1H-imidazol-2-yl)ethyl)pentanediamide
NPJ3B3A39Y
Post-COVID-19 syndrome
Randomized clinical trial
Review
Systematic Review
Treatment

Anmerkungen:

Date Completed 02.11.2023

Date Revised 02.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13543784.2023.2242773

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360347177