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. 2020 Apr 16;5(5):501–517. doi: 10.1016/j.jacbts.2020.04.003

Table 5.

Select Treatment Trials With Multiple Targets

Drug Name Mechanism of Action NCT Number Title Study Population Targeted Enrollment Study Design Primary Outcome Measure
Lopinavir + ritonavir; ribavirin; IFN-β1b Antiretroviral and immunomodulatory NCT04276688 Lopinavir/Ritonavir, Ribavirin and IFN-beta Combination for nCoV Treatment Age ≥18 yrs hospitalized for virologically confirmed 2019-nCoV infection with NEWS ≥1 on recruitment; febrile with symptoms and duration of symptoms ≤10 days 127 Randomized, open-label (1:1:1) to lopinavir + ritonavir; or ribavirin; or IFN-β1b Time to negative nasopharyngeal viral RT-PCR assessed up to 1 month
Lopinavir + ritonavir; hydroxychloroquine Antiretroviral and viral entry NCT04307693 Comparison of Lopinavir/Ritonavir or Hydroxychloroquine in Patients With Mild Coronavirus Disease (COVID-19) Age 16–99 yrs with confirmed mild COVID-19 (NEWS 0–4) 150 Randomized, open-label (1:1:1) lopinavir + ritonavir; or hydroxychloroquine; or standard care Viral load at hospital days 3, 5, 7, 10, 14, 18
Remdesivir + hydroxychloroquine; remdesivir; hydroxychloroquine Antiretroviral and viral entry NCT04321616 Efficacy of Different Anti-viral Drugs in COVID-19 Infected Patients Age ≥18 yrs with confirmed SARS-CoV-2 by RT-PCR, admitted to hospital or ICU 700 Randomized, Open-Label (1:1:1) remdesivir; or hydroxychloroquine; or remdesivir + hydroxychloroquine adaptive controlled design; comparison with standard of care In-hospital mortality at 3 weeks
Combinations of oseltamivir, chloroquine, darunavir, ritonavir, lopinavir, oseltamivir, favipiravir Antiretroviral and viral entry NCT04303299 Various Combination of Protease Inhibitors, Oseltamivir, Favipiravir, and Hydroxychloroquine for Treatment of COVID19: A Randomized Control Trial (THDMS-COVID-19) Age 16–100 yrs with COVID-19 diagnosis 320 Randomized, open-label, oseltamivir + chloroquine; or darunavir + ritonavir + oseltamivir; or lopinavir + ritonavir + oseltamivir; or favipiravir + lopinavir + ritonavir; or darunavir + ritonavir + oseltamivir + chloroquine; or darunavir + ritonavir + favipiravir + chloroquine Time to negative detection of SARS-CoV-2 in nasopharyngeal swab at 24 weeks
Favipiravir; chloroquine phosphate Antiretroviral and viral entry NCT04319900 Clinical Trial of Favipiravir Tablets Combined With Chloroquine Phosphate in the Treatment of Novel Coronavirus Pneumonia Age 18–75 yrs; diagnosed with nCoV pneumonia with a course of illness no more than 14 days; if the course is >14 days, no progression by chest radiograph within 7 days; respiratory symptoms; positive COVID-19 RT-PCR within 3 days 150 Randomized, double-blind 3-arm study of favipiravir + chloroquine; or favipiravir; or placebo Time to improvement of respiratory symptoms
Number of days of viral shedding
Frequency of improvement of respiratory symptoms
Remdesivir; lopinavir + ritonavir; IFN-β1a; hydroxychloroquine Antiretroviral, viral entry, and immunomodulatory NCT04315948 Trial of Treatments for COVID-19 in Hospitalized Adults (DisCoVeRy) Age ≥18 yrs, laboratory-confirmed SARS-CoV-2 infection as determined by RT-PCR or other assay <72 h prior to randomization, hospitalized patients with illness of any duration, and pulmonary exam abnormalities and pulse O2 ≤ 94%, requiring O2, or requiring mechanical ventilation, or acute respiratory failure requiring mechanical ventilation and/or supplemental O2 3,100 Adaptive, randomized, open-label 1:1:1:1:1 to remdesivir; or lopinavir/ritonavir; or lopinavir/ritonavir + INF-β1α; or hydroxychloroquine; or standard of care Percentage of subjects reporting disease severity on a 7-point ordinal clinical scale reflective of hospitalization and oxygenation status; or death at 15 days
Favipiravir + tocilizumab Antiretroviral and immunomodulatory NCT04310228 Favipiravir Combined With Tocilizumab in the Treatment of Corona Virus Disease 2019 Age 18–65 yrs, COVID-19 diagnosis, increased IL-6 150 Randomized, open-label (1:1:1) of favipiravir + tocilizumab; or favipiravir; or tocilizumab Clinical cure rate at 3 months

For an up-to-date listing of trials, search for “COVID-19” at the ClinicalTrials.gov website.

IL = interleukin; other abbreviations as in Tables 1, 2, 3, and 4.