Remdesivir in treating hospitalized patients with COVID-19: A renewed review of clinical trials

Since December 2019, COVID-19 has spread across the world almost through 2.5 years. As of 16 June 2022, the cumulative number of confirmed cases of COVID-19 worldwide has reached 542.62 million, and the death toll has risen to 6.33 million. With the increasing number of deaths, it is urgent to find...

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Main Authors: Zhenchao Wu, Zhifei Han, Beibei Liu, Ning Shen
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.971890/full
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author Zhenchao Wu
Zhenchao Wu
Zhifei Han
Zhifei Han
Beibei Liu
Beibei Liu
Ning Shen
Ning Shen
author_facet Zhenchao Wu
Zhenchao Wu
Zhifei Han
Zhifei Han
Beibei Liu
Beibei Liu
Ning Shen
Ning Shen
author_sort Zhenchao Wu
collection DOAJ
description Since December 2019, COVID-19 has spread across the world almost through 2.5 years. As of 16 June 2022, the cumulative number of confirmed cases of COVID-19 worldwide has reached 542.62 million, and the death toll has risen to 6.33 million. With the increasing number of deaths, it is urgent to find effective treatment drugs. Remdesivir, an investigational broad-spectrum antiviral drug produced by Gilead has been shown to inhibit SARS-CoV-2, in vitro and in vivo. This review is aimed to analyze the feasibility of remdesivir in COVID-19 and put forward the shortcomings of present clinical studies. We systematically searched PubMed and Web of Science up until 24 May 2022, using several specific terms such as “remdesivir” or “GS-5734” and “COVID-19” or “SARS-CoV-2” and retrieved basic researches and clinical studies of remdesivir in COVID-19. In this review, we summarized and reviewed the mechanism of remdesivir in SARS-COV-2, clinical trials of using remdesivir in COVID-19, analyzed the efficacy and safety of remdesivir, and judged whether the drug was effective for the treatment of COVID-19. In different clinical trials, remdesivir showed a mixed result in the treatment of COVID-19. It seemed that remdesivir shortened the time to recovery and had an acceptable safety profile. However, more clinical trials are needed to test the efficacy and safety of remdesivir.
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spelling doaj.art-ca23611ff4b54a0995696be727f667352022-12-22T04:02:53ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-09-011310.3389/fphar.2022.971890971890Remdesivir in treating hospitalized patients with COVID-19: A renewed review of clinical trialsZhenchao Wu0Zhenchao Wu1Zhifei Han2Zhifei Han3Beibei Liu4Beibei Liu5Ning Shen6Ning Shen7Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, ChinaCenter for Infectious Diseases, Peking University Third Hospital, Beijing, ChinaDepartment of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, ChinaSchool of Basic and Clinical Medicine, Shandong First Medical University, Jinan, ChinaDepartment of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, ChinaCenter for Infectious Diseases, Peking University Third Hospital, Beijing, ChinaDepartment of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, ChinaCenter for Infectious Diseases, Peking University Third Hospital, Beijing, ChinaSince December 2019, COVID-19 has spread across the world almost through 2.5 years. As of 16 June 2022, the cumulative number of confirmed cases of COVID-19 worldwide has reached 542.62 million, and the death toll has risen to 6.33 million. With the increasing number of deaths, it is urgent to find effective treatment drugs. Remdesivir, an investigational broad-spectrum antiviral drug produced by Gilead has been shown to inhibit SARS-CoV-2, in vitro and in vivo. This review is aimed to analyze the feasibility of remdesivir in COVID-19 and put forward the shortcomings of present clinical studies. We systematically searched PubMed and Web of Science up until 24 May 2022, using several specific terms such as “remdesivir” or “GS-5734” and “COVID-19” or “SARS-CoV-2” and retrieved basic researches and clinical studies of remdesivir in COVID-19. In this review, we summarized and reviewed the mechanism of remdesivir in SARS-COV-2, clinical trials of using remdesivir in COVID-19, analyzed the efficacy and safety of remdesivir, and judged whether the drug was effective for the treatment of COVID-19. In different clinical trials, remdesivir showed a mixed result in the treatment of COVID-19. It seemed that remdesivir shortened the time to recovery and had an acceptable safety profile. However, more clinical trials are needed to test the efficacy and safety of remdesivir.https://www.frontiersin.org/articles/10.3389/fphar.2022.971890/fullremdesivirCOVID-19SARS-CoV-2clinical trialsefficacysafety
spellingShingle Zhenchao Wu
Zhenchao Wu
Zhifei Han
Zhifei Han
Beibei Liu
Beibei Liu
Ning Shen
Ning Shen
Remdesivir in treating hospitalized patients with COVID-19: A renewed review of clinical trials
Frontiers in Pharmacology
remdesivir
COVID-19
SARS-CoV-2
clinical trials
efficacy
safety
title Remdesivir in treating hospitalized patients with COVID-19: A renewed review of clinical trials
title_full Remdesivir in treating hospitalized patients with COVID-19: A renewed review of clinical trials
title_fullStr Remdesivir in treating hospitalized patients with COVID-19: A renewed review of clinical trials
title_full_unstemmed Remdesivir in treating hospitalized patients with COVID-19: A renewed review of clinical trials
title_short Remdesivir in treating hospitalized patients with COVID-19: A renewed review of clinical trials
title_sort remdesivir in treating hospitalized patients with covid 19 a renewed review of clinical trials
topic remdesivir
COVID-19
SARS-CoV-2
clinical trials
efficacy
safety
url https://www.frontiersin.org/articles/10.3389/fphar.2022.971890/full
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