Efficacy of the current investigational drugs for the treatment of COVID-19: a scoping review

AbstractTo date, there is no final FDA-approved treatment for COVID-19. There are thousands of studies published on the available treatments for COVID-19 virus in the past year. Therefore, it is crucial to synthesize and summarize the evidence from published studies on the safety and efficacy of exp...

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Main Authors: Ahmed Wadaa-Allah, Marwa S. Emhamed, Mohammed A. Sadeq, Nesrine Ben Hadj Dahman, Irfan Ullah, Nesrine S. Farrag, Ahmed Negida
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:Annals of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2021.1875500
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author Ahmed Wadaa-Allah
Marwa S. Emhamed
Mohammed A. Sadeq
Nesrine Ben Hadj Dahman
Irfan Ullah
Nesrine S. Farrag
Ahmed Negida
author_facet Ahmed Wadaa-Allah
Marwa S. Emhamed
Mohammed A. Sadeq
Nesrine Ben Hadj Dahman
Irfan Ullah
Nesrine S. Farrag
Ahmed Negida
author_sort Ahmed Wadaa-Allah
collection DOAJ
description AbstractTo date, there is no final FDA-approved treatment for COVID-19. There are thousands of studies published on the available treatments for COVID-19 virus in the past year. Therefore, it is crucial to synthesize and summarize the evidence from published studies on the safety and efficacy of experimental treatments of COVID-19. We conducted a systematic literature search of MEDLINE, PubMed, Cochrane Library, GHL, OpenGrey, ICTRP, and ClinicalTrials.gov databases through April 2020. We obtained 2699 studies from the initial literature search. Of them, we included 28 eligible studies that met our eligibility criteria. The sample size of the included studies is 2079 individuals. We extracted and pooled the available data and conducted a quality assessment for the eligible studies. From the 28 studies, only 13 studies provide strong evidence. Our results showed that Favipiravir and Hydroxycholoroquine shorten viral clearance and clinical recovery time and promote pneumonia absorption. On the other hand, Lopinavir-ritonavir either alone or combined with arbidol or interferons has no significant difference superior to the standard care. Corticosteroids, Convalescent plasma transfusion, and anticoagulant therapies provide a better prognosis. Remedsivir, Tocilizumab, Immunoglobulin, Mesenchymal stem cell transplantation showed effective treatment results, but further confirmatory studies are needed. In conclusion, Favipiravir and Remedsivir might be promising drugs in the treatment of COVID-19 patients.
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spelling doaj.art-e37e796a98004191a231472651454ee52023-12-19T16:46:27ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602021-01-0153131833410.1080/07853890.2021.1875500Efficacy of the current investigational drugs for the treatment of COVID-19: a scoping reviewAhmed Wadaa-Allah0Marwa S. Emhamed1Mohammed A. Sadeq2Nesrine Ben Hadj Dahman3Irfan Ullah4Nesrine S. Farrag5Ahmed Negida6Biochemistry Department, Faculty of Science, Ain Shams University, Cairo, EgyptFaculty of Medicine, Tripoli University, Tripoli, LibyaFaculty of Medicine, Misr University, Cairo, EgyptFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaKabir Medical College, Gandhara University, Peshawar, PakistanCommunity Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, EgyptZagazig University Hospitals, Zagazig University, El-Sharkia, EgyptAbstractTo date, there is no final FDA-approved treatment for COVID-19. There are thousands of studies published on the available treatments for COVID-19 virus in the past year. Therefore, it is crucial to synthesize and summarize the evidence from published studies on the safety and efficacy of experimental treatments of COVID-19. We conducted a systematic literature search of MEDLINE, PubMed, Cochrane Library, GHL, OpenGrey, ICTRP, and ClinicalTrials.gov databases through April 2020. We obtained 2699 studies from the initial literature search. Of them, we included 28 eligible studies that met our eligibility criteria. The sample size of the included studies is 2079 individuals. We extracted and pooled the available data and conducted a quality assessment for the eligible studies. From the 28 studies, only 13 studies provide strong evidence. Our results showed that Favipiravir and Hydroxycholoroquine shorten viral clearance and clinical recovery time and promote pneumonia absorption. On the other hand, Lopinavir-ritonavir either alone or combined with arbidol or interferons has no significant difference superior to the standard care. Corticosteroids, Convalescent plasma transfusion, and anticoagulant therapies provide a better prognosis. Remedsivir, Tocilizumab, Immunoglobulin, Mesenchymal stem cell transplantation showed effective treatment results, but further confirmatory studies are needed. In conclusion, Favipiravir and Remedsivir might be promising drugs in the treatment of COVID-19 patients.https://www.tandfonline.com/doi/10.1080/07853890.2021.1875500CoronavirusdrugstreatmentSARS-COV-2COVID-19
spellingShingle Ahmed Wadaa-Allah
Marwa S. Emhamed
Mohammed A. Sadeq
Nesrine Ben Hadj Dahman
Irfan Ullah
Nesrine S. Farrag
Ahmed Negida
Efficacy of the current investigational drugs for the treatment of COVID-19: a scoping review
Annals of Medicine
Coronavirus
drugs
treatment
SARS-COV-2
COVID-19
title Efficacy of the current investigational drugs for the treatment of COVID-19: a scoping review
title_full Efficacy of the current investigational drugs for the treatment of COVID-19: a scoping review
title_fullStr Efficacy of the current investigational drugs for the treatment of COVID-19: a scoping review
title_full_unstemmed Efficacy of the current investigational drugs for the treatment of COVID-19: a scoping review
title_short Efficacy of the current investigational drugs for the treatment of COVID-19: a scoping review
title_sort efficacy of the current investigational drugs for the treatment of covid 19 a scoping review
topic Coronavirus
drugs
treatment
SARS-COV-2
COVID-19
url https://www.tandfonline.com/doi/10.1080/07853890.2021.1875500
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