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.