Review Article

Stopping the COVID-19 Pandemic: A Review on the Advances of Diagnosis, Treatment, and Control Measures

Table 2

Current therapeutic options for COVID-19.

ClassMedicationMechanism of actionCommon use in/againstTrials (n)Phase

AntiviralRemdesivirRdRp inhibitorEbola19Phase-III (NCT04280705)
FavipiravirRdRp inhibitorInfluenza41Phase-IV (NCT04359615)
Lopinavir/RitonavirInhibits viral proteaseHIV48Phase-IV (NCT04252885)
DanoprevirInhibits viral proteaseHCV3Phase-IV (NCT04291729)
NafamostatInhibits TMPRSS2 enzymePancreatitis3Phase-III (NCT04418128)
RibavirinInhibits inosine monophosphate dehydrogenaseRSV, HCV9Phase-III (NCT04460443)
UmifenovirViral envelope membrane fusion inhibitorInfluenza4Phase-IV (NCT04350684)

Anti-inflammatoryTocilizumabHumanized IL-6 receptor antibodyRheumatoid arthritis55Phase-IV (ChiCTR2000033705)
SarilumabHumanized IL-6 receptor antibodyRheumatoid arthritis19Phase-III (NCT04327388)
SargramostimHumanized GM-CSF to restore immune homeostasisAcute myeloid leukemia3Phase-IV (NCT04326920)
RuxolitinibJanus kinase 1/2 inhibitorMyelofibrosis21Phase-III (NCT04348071)
MethylprednisoloneSuppresses host inflammatory responsesImmune suppressor15Phase-III (NCT04244591)
Monoclonal antibodyBinds to RBD of SARS-CoV-2Wider usage57Phase-III (NCT04483960)

AntiparasiticChloroquine/hydroxychloroquineIncreases endosomal pH; interferes viral fusion with cellMalaria100+Phase-IV (NCT04466540)
IvermectinPrevents translocation of viral proteins into nucleusParasitic infection32Phase-IV (NCT04435587)
SuraminInhibits viral replication at early phaseSleeping sickness1(CHICTR2000030029)

InterferonIFN-β 1aActivates host immune systemMultiple sclerosis1Phase-III (IRCT20080901001165N53)

OthersConvalescent plasmaAntibodies target SARS-CoV-2Wider usage100+(NCT04264858)
Mesenchymal stem CellDecreases hyperactivated T cells and increases IL-10IMID100+Phase-III (IRCT20200426047206N2)

RdRp = RNA-dependent RNA polymerase; IMID = immune-mediated inflammatory diseases.