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.
| Class | Medication | Mechanism of action | Common use in/against | Trials (n) | Phase |
| Antiviral | Remdesivir | RdRp inhibitor | Ebola | 19 | Phase-III (NCT04280705) | Favipiravir | RdRp inhibitor | Influenza | 41 | Phase-IV (NCT04359615) | Lopinavir/Ritonavir | Inhibits viral protease | HIV | 48 | Phase-IV (NCT04252885) | Danoprevir | Inhibits viral protease | HCV | 3 | Phase-IV (NCT04291729) | Nafamostat | Inhibits TMPRSS2 enzyme | Pancreatitis | 3 | Phase-III (NCT04418128) | Ribavirin | Inhibits inosine monophosphate dehydrogenase | RSV, HCV | 9 | Phase-III (NCT04460443) | Umifenovir | Viral envelope membrane fusion inhibitor | Influenza | 4 | Phase-IV (NCT04350684) |
| Anti-inflammatory | Tocilizumab | Humanized IL-6 receptor antibody | Rheumatoid arthritis | 55 | Phase-IV (ChiCTR2000033705) | Sarilumab | Humanized IL-6 receptor antibody | Rheumatoid arthritis | 19 | Phase-III (NCT04327388) | Sargramostim | Humanized GM-CSF to restore immune homeostasis | Acute myeloid leukemia | 3 | Phase-IV (NCT04326920) | Ruxolitinib | Janus kinase 1/2 inhibitor | Myelofibrosis | 21 | Phase-III (NCT04348071) | Methylprednisolone | Suppresses host inflammatory responses | Immune suppressor | 15 | Phase-III (NCT04244591) | Monoclonal antibody | Binds to RBD of SARS-CoV-2 | Wider usage | 57 | Phase-III (NCT04483960) |
| Antiparasitic | Chloroquine/hydroxychloroquine | Increases endosomal pH; interferes viral fusion with cell | Malaria | 100+ | Phase-IV (NCT04466540) | Ivermectin | Prevents translocation of viral proteins into nucleus | Parasitic infection | 32 | Phase-IV (NCT04435587) | Suramin | Inhibits viral replication at early phase | Sleeping sickness | 1 | (CHICTR2000030029) |
| Interferon | IFN-β 1a | Activates host immune system | Multiple sclerosis | 1 | Phase-III (IRCT20080901001165N53) |
| Others | Convalescent plasma | Antibodies target SARS-CoV-2 | Wider usage | 100+ | (NCT04264858) | Mesenchymal stem Cell | Decreases hyperactivated T cells and increases IL-10 | IMID | 100+ | Phase-III (IRCT20200426047206N2) |
|
|
RdRp = RNA-dependent RNA polymerase; IMID = immune-mediated inflammatory diseases.
|