Systematic and Statistical Review of COVID19 Treatment Trials

Objective: The following systematic review and meta-analysis compiles the current data regarding human controlled COVID-19 treatment trials. Methods: An electronic search of the literature compiled studies pertaining to human controlled treatment trials with COVID-19. Medications assessed included lopinavir/ritonavir, arbidol, hydroxychloroquine, favipiravir, and heparin. Statistical analyzes were performed for common viral clearance endpoints whenever possible. Results: Lopinavir/ritonavir showed no significant effect on viral clearance for COVID-19 cases (OR 0.95 [95% CI 0.50-1.83]). Hydroxychloroquine also showed no significant effect on COVID-19 viral clearance rates (OR 2.16 [95% CI 0.80-5.84]). Arbidol showed no seven-day (OR 1.63 [95% CI 0.76-3.50]) or 14-day viral (OR 5.37 [95% CI 0.35-83.30]) clearance difference compared to lopinavir/ritonavir. Review of literature showed no significant clinical improvement with lopinavir/ritonavir, arbidol, hydroxychloroquine, or remdesivir. Favipiravir showed quicker symptom improvement compared to lopinavir/ritonavir and arbidol. Heparin showed improvement with severe COVID-19 cases. Conclusion: Current medications do not show significant effect on COVID-19 viral clearance rates. Favipiravir shows favorable results compared to other tested medications. Heparin shows benefit for severe cases of COVID-19..

Medienart:

Preprint

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

bioRxiv.org - (2020) vom: 07. Dez. Zur Gesamtaufnahme - year:2020

Sprache:

Englisch

Beteiligte Personen:

Siordia, Juan Arturo [VerfasserIn]
Bernaba, Michael [VerfasserIn]
Yoshino, Kenji [VerfasserIn]
Ulhaque, Abid [VerfasserIn]
Kumar, Sooraj [VerfasserIn]
Bernaba, Mario [VerfasserIn]
Bergin, Edward [VerfasserIn]

Links:

Volltext [lizenzpflichtig]
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doi:

10.1101/2020.05.16.20102095

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

XBI017921996