Progress, pitfalls, and path forward of drug repurposing for COVID-19 treatment

On 30 January 2020, the World Health Organization (WHO) declared the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic a public health emergency of international concern. The viral outbreak led in turn to an exponential growth of coronavirus disease 2019 (COVID-19) cases, t...

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Main Authors: Noha Samir Taibe, Maimona A. Kord, Mohamed Ahmed Badawy, Iart Luca Shytaj, Mahmoud M. Elhefnawi
Format: Article
Language:English
Published: SAGE Publishing 2022-10-01
Series:Therapeutic Advances in Respiratory Disease
Online Access:https://doi.org/10.1177/17534666221132736
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author Noha Samir Taibe
Maimona A. Kord
Mohamed Ahmed Badawy
Iart Luca Shytaj
Mahmoud M. Elhefnawi
author_facet Noha Samir Taibe
Maimona A. Kord
Mohamed Ahmed Badawy
Iart Luca Shytaj
Mahmoud M. Elhefnawi
author_sort Noha Samir Taibe
collection DOAJ
description On 30 January 2020, the World Health Organization (WHO) declared the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic a public health emergency of international concern. The viral outbreak led in turn to an exponential growth of coronavirus disease 2019 (COVID-19) cases, that is, a multiorgan disease that has led to more than 6.3 million deaths worldwide, as of June 2022. There are currently few effective drugs approved for treatment of SARS-CoV-2/COVID-19 patients. Many of the compounds tested so far have been selected through a drug repurposing approach, that is, by identifying novel indications for drugs already approved for other conditions. We here present an up-to-date review of the main Food and Drug Administration (FDA)–approved drugs repurposed against SARS-CoV-2 infection, discussing their mechanism of action and their most important preclinical and clinical results. Reviewed compounds were chosen to privilege those that have been approved for use in SARS-CoV-2 patients or that have completed phase III clinical trials. Moreover, we also summarize the evidence on some novel and promising repurposed drugs in the pipeline. Finally, we discuss the current stage and possible steps toward the development of broadly effective drug combinations to suppress the onset or progression of COVID-19.
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spelling doaj.art-5fe3309708e8475b98442ee6e3abba2a2023-04-03T13:34:40ZengSAGE PublishingTherapeutic Advances in Respiratory Disease1753-46662022-10-011610.1177/17534666221132736Progress, pitfalls, and path forward of drug repurposing for COVID-19 treatmentNoha Samir TaibeMaimona A. KordMohamed Ahmed BadawyIart Luca ShytajMahmoud M. ElhefnawiOn 30 January 2020, the World Health Organization (WHO) declared the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic a public health emergency of international concern. The viral outbreak led in turn to an exponential growth of coronavirus disease 2019 (COVID-19) cases, that is, a multiorgan disease that has led to more than 6.3 million deaths worldwide, as of June 2022. There are currently few effective drugs approved for treatment of SARS-CoV-2/COVID-19 patients. Many of the compounds tested so far have been selected through a drug repurposing approach, that is, by identifying novel indications for drugs already approved for other conditions. We here present an up-to-date review of the main Food and Drug Administration (FDA)–approved drugs repurposed against SARS-CoV-2 infection, discussing their mechanism of action and their most important preclinical and clinical results. Reviewed compounds were chosen to privilege those that have been approved for use in SARS-CoV-2 patients or that have completed phase III clinical trials. Moreover, we also summarize the evidence on some novel and promising repurposed drugs in the pipeline. Finally, we discuss the current stage and possible steps toward the development of broadly effective drug combinations to suppress the onset or progression of COVID-19.https://doi.org/10.1177/17534666221132736
spellingShingle Noha Samir Taibe
Maimona A. Kord
Mohamed Ahmed Badawy
Iart Luca Shytaj
Mahmoud M. Elhefnawi
Progress, pitfalls, and path forward of drug repurposing for COVID-19 treatment
Therapeutic Advances in Respiratory Disease
title Progress, pitfalls, and path forward of drug repurposing for COVID-19 treatment
title_full Progress, pitfalls, and path forward of drug repurposing for COVID-19 treatment
title_fullStr Progress, pitfalls, and path forward of drug repurposing for COVID-19 treatment
title_full_unstemmed Progress, pitfalls, and path forward of drug repurposing for COVID-19 treatment
title_short Progress, pitfalls, and path forward of drug repurposing for COVID-19 treatment
title_sort progress pitfalls and path forward of drug repurposing for covid 19 treatment
url https://doi.org/10.1177/17534666221132736
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