Subject: COVID-19
Subject: SARS-CoV-2
Subject: antiviral drugs
Subject: immunomodulatory drugs
Subject: pandemic
Subject: remdesivir
Year: 2021
Type: Article
Title: Insight in the Current Progress in the Largest Clinical Trials for Covid-19 Drug Management (As of January 2021)
Author: Panovska Stavridis, Irina
Author: Ridova Nevenka
Author: Stojanoska, Tatjana
Author: Demiri, Ilir
Author: Stevanovic, Milena
Author: Stojanovska, Simona
Author: Ristevska, Tara
Author: Dimkovski, Aleksandar
Author: Filipce, Venko
Author: Dimovski, Aleksandar
Author: Grozdanova, Aleksandra
Abstract: Abstract The outbreak of the COVID-19 pandemic has generated the largest global health crisis of the 21st century, evolving into accelerating socioeconomic disruption. In spite of all rapidly and widely emerging scientific data on epidemiology, diagnosis, prevention and treatment of the COVID-19 disease, severe acute respiratory coronavirus 2 (SARS-CoV-2) is continuing to propagate in lack of definitive and specific therapeutic agents. Current therapeutic strategies are mainly focused on viral inhibition by antiviral drugs and hampering the exuberant immune response of the host by immunomodulatory drugs. In this review, we have studied the reports of the largest clinical trials intended to COVID-19 treatment published during the first year of the pandemics. In general, these results concentrate on seven therapeutic options: remdesivir, chloroguine/hydroxychloroquine, lopinavir-ritonavir combination, corticosteroids, tocilizumab, convalescent plasma and monoclonal antibodies. In line with the reviewed data, as of January 2021, most of the evidence support the use of remdesivir in hospitalized patients with moderate and severe forms of the disease and provide reliable data on the substantial beneficial effect of corticosteroids in patients requiring supplemental oxygen. Moreover, preliminary RECOVERY trial results have demonstrated the efficacy of tociluzumab in the treatment of critically ill patients. The reports presenting the outcomes of the other immune-based therapies under investigation are enthusiastically awaited.
Publisher: Macedonian Academy of Sciences and Arts/Sciendo
Relation: Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
Identifier: oai:repository.ukim.mk:20.500.12188/16468
Identifier: Panovska-Stavridis I, Ridova N, Stojanoska T, Demiri I, Stevanovic M, Stojanovska S, Ristevska T, Dimkovski A, Filipce V, DimovskPril (Makedon Akad Nauk Umet Odd Med Nauki). 2021 Apr 23;42(1):5-18. doi: 10.2478/prilozi-2021-0001. PMID: 33894123.
Identifier: http://hdl.handle.net/20.500.12188/16468
