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. 2020 Sep 1;28(11):1333–1352. doi: 10.1016/j.jsps.2020.08.024

Table 1.

Current antiviral medications that could potentially affect the pathophysiology of COVID-19.

Target Mechanism of action Drug Drug bank ID Chemical formula AHFS Clinical trial phase for the treatment of COVID-19
ACE2 Angiotensin receptor blocker Losartan DB00678 C22H23ClN6O Treat diabetic nephropathies (Pechlivanova et al., 2020), heart failure, hypertension (Corbett et al., 2020). Phase 1
Valsartan (Diovan) DB00177 C24H29N5O3 Treat hypertension (Williams et al., 2017), heart failure (Sokos and Raina, 2020), post myocardial infarction (Gervais et al., 1999). Phase 4
Angiotensin converting enzyme inhibitor Captopril DB01197 C9H15NO3S Treat hypertension (Atkinson and Robertson, 1979). Phase 2
TMPRSS2 TMPRSS2 receptor inhibitor Camostat mesylate DB13729 C20H22N4O5 Treat chronic pancreatitis and drug-induced lung injury (Ota et al., 2016). Phase 2
Bromhexine DB09019 C14H20Br2N2 An expectorant/mucolytic agent (Zanasi et al., 2017). Phase 4
S protein Umifenovir DB13609 C22H25BrN2O3S Treat influenza and other respiratory viral infections (Pshenichnaya et al., 2019). Phase 4
Membranes fusion Inhibitor of viral entry and endocytosis Hydroxychloroquine DB01611 C18H26ClN3O Treat uncomplicated malaria (Lim et al., 2009), rheumatoid arthritis (Furst, 1996), chronic discoid lupus erythematosus, and systemic lupus erythematosus (Fox, 1993). Phase 4
Chloroquine DB00608 C18H26ClN3 Treat malaria (Mwanza et al., 2016), rheumatic diseases (Haładyj et al., 2018), and prophylaxis of Zika virus (Li et al., 2017). Phase 2
RdRp RNA-dependent RNA polymerase (RdRp) inhibitor Ribavirin DB00811 C8H12N4O5 Treat chronic hepatitis C virus (HCV) infection (Martin and Jensen, 2008). Phase 1
Remdesivir DB14761 C27H35N6O8P Treat Ebola virus (EBOV) (Warren et al., 2016). Phase 2
Favipiravir DB12466 C5H4FN3O2 Treat influenza virus infections(Hayden and Shindo, 2019). Phase 2
Protease Viral protease inhibitor (PI) Lopinavir DB01601 C37H48N4O5 Treat human immunodeficiency virus type 1 (HIV-1) infection (Reddy et al., 2007). Phase 1 & 2
Ritonavir DB00503 C37H48N6O5S2 Treat HIV infections (Tigabu et al., 2020). Not Applicable
Atazanavir DB01072 C38H52N6O7 Treat HIV infections (Le Tiec et al., 2005). Not Applicable
Darunavir DB01264 C27H37N3O7S Treat HIV infections (Lombaard et al., 2018). Phase 3
Danoprevir DB11779 C35H46FN5O9S Treat hepatitis C (Wei et al., 2019). Phase 4
Nucleoside reverse transcriptase Nucleotide reverse transcriptase inhibitor (NRTI) Emtricitabine DB00879 C8H10FN3O3S Treat HIV infections (Sax et al., 2017). Phase 3
Tenofovir DB14126 C9H14N5O4P Treat HIV infections (Klatt et al., 2017). Phase 3
Cobicistat DB09065 C40H53N7O5S2 Treat HIV infections (Eron et al., 2018). Phase 3

AHFS, American Hospital Formula Service.

HHS Vulnerability Disclosure