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Emerging pharmacotherapies for COVID-19.
Biomed Pharmacother. 2020 Aug; 128:110267.BP

Abstract

Novel Corona-virus Disease 2019 (nCOVID 19) is caused by a novel virulent corona virus and leads to potentially fatal virulent pneumonia and severe respiratory distress syndrome. It was initially declared as public health emergency if international concern by WHO followed by Pandemic on 12th March 2020. As of 10th April 2020, more than 1.5 million people are affected globally with around 95,000 deaths. Vaccines for this deadly virus are currently under development and many drugs used for other indications have been repurposed and investigated for prophylaxis and treatment of COVID 19. As per SOLIDARITY trial by WHO, some of the most promising candidates include chloroquine phosphate and hydroxychloroquine which are anti-malarial medications, Remdesivir, Lopinavir-Ritonavir combination with or without interferon which are anti-HIV drugs and convalescent plasma therapy. The current evidence of efficacy and ongoing research has been elaborated in the article. Besides, there has been evidence regarding inflammatory pathogenesis of this virus leading to cytokine storm in susceptible individuals. Thus, anti-proinflammatory cytokine drugs like Anakinra and Tocilizumab are undergoing multiple trials and some results are encouraging. Similarly, use of anti-inflammatory cytokines like IL-37 and IL-38 is hypothesised to be useful and is under research. The situation is still evolving and hence there is yet no definitive therapy but to conclude the use of repurposed medications can be a boon till a definitive therapy and vaccines are developed.

Authors+Show Affiliations

Department of Pharmacology & Therapeutics, Seth GSMC & KEM Hospital, Mumbai, 400012, India.Department of Pharmacology & Therapeutics, Seth GSMC & KEM Hospital, Mumbai, 400012, India. Electronic address: dr.panini1992@gmail.com.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32410772

Citation

Salvi, Rachana, and Panini Patankar. "Emerging Pharmacotherapies for COVID-19." Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie, vol. 128, 2020, p. 110267.
Salvi R, Patankar P. Emerging pharmacotherapies for COVID-19. Biomed Pharmacother. 2020;128:110267.
Salvi, R., & Patankar, P. (2020). Emerging pharmacotherapies for COVID-19. Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie, 128, 110267. https://doi.org/10.1016/j.biopha.2020.110267
Salvi R, Patankar P. Emerging Pharmacotherapies for COVID-19. Biomed Pharmacother. 2020;128:110267. PubMed PMID: 32410772.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emerging pharmacotherapies for COVID-19. AU - Salvi,Rachana, AU - Patankar,Panini, Y1 - 2020/05/14/ PY - 2020/04/10/received PY - 2020/05/03/revised PY - 2020/05/10/accepted PY - 2020/5/16/pubmed PY - 2020/7/1/medline PY - 2020/5/16/entrez KW - Chloroquine KW - Hydroxychloroquine KW - Remdesivir SP - 110267 EP - 110267 JF - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JO - Biomed. Pharmacother. VL - 128 N2 - Novel Corona-virus Disease 2019 (nCOVID 19) is caused by a novel virulent corona virus and leads to potentially fatal virulent pneumonia and severe respiratory distress syndrome. It was initially declared as public health emergency if international concern by WHO followed by Pandemic on 12th March 2020. As of 10th April 2020, more than 1.5 million people are affected globally with around 95,000 deaths. Vaccines for this deadly virus are currently under development and many drugs used for other indications have been repurposed and investigated for prophylaxis and treatment of COVID 19. As per SOLIDARITY trial by WHO, some of the most promising candidates include chloroquine phosphate and hydroxychloroquine which are anti-malarial medications, Remdesivir, Lopinavir-Ritonavir combination with or without interferon which are anti-HIV drugs and convalescent plasma therapy. The current evidence of efficacy and ongoing research has been elaborated in the article. Besides, there has been evidence regarding inflammatory pathogenesis of this virus leading to cytokine storm in susceptible individuals. Thus, anti-proinflammatory cytokine drugs like Anakinra and Tocilizumab are undergoing multiple trials and some results are encouraging. Similarly, use of anti-inflammatory cytokines like IL-37 and IL-38 is hypothesised to be useful and is under research. The situation is still evolving and hence there is yet no definitive therapy but to conclude the use of repurposed medications can be a boon till a definitive therapy and vaccines are developed. SN - 1950-6007 UR - https://www.unboundmedicine.com/medline/citation/32410772/Emerging_pharmacotherapies_for_COVID_19_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0753-3322(20)30459-5 DB - PRIME DP - Unbound Medicine ER -