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. 2020 Nov 10;44(1):43–53. doi: 10.1016/j.bj.2020.11.005

Table 1.

Details of revised studies.

References Method Drugs Results
Park S.J. et al., 2020 [30] In vivo
(animal model)
Lopinavir/ritonavir, Hydroxychloroquine sulfate, Emtricitabine-Tenofovir Reduced overall clinical symptoms and not significantly diminished respiratory or gastrointestinal SARS-CoV-2 titers
Arshad U. et al., 2020 [31] In vitro
Vero cells in available literature
Lopinavir, Ritonavir In lung tissue:
Cmax/EC50 > 10: Hydroxychloroquine, Atazanavir, Chloroquine, Tipranavir, Mefloquine, Ivermectin, Azithromycin, Lopinavir;
In plasma:
Cmax/EC50 > 1:
Nelfinavir, Chloroquine, Remdesivir, Lopinavir (Ritonavir boosted), Eltrombopag, Hydroxychloroquine, Atazanavir (Ritonavir boosted), Indomethacin, Favipiravir, Sulfadoxine, Niclosamide, Mefloquine, Tipranavir (Ritonavir boosted), Ritonavir, Merimepodib, Anidulafungin, Nitazoxanide
1< Cmax/EC90 < 2:
Anidulafungin, Lopinavir, Chloroquine, Ritonavir
Cattaneo D. et al., 2020 [33] In vitro
IC90 estimation
Lopinavir Lopinavir IC50: 26 μM
Lopinavir IC90:234 μM
Lopinavir Protein-adjust IC90in plasma: 4680 μM
Lopinavir Protein-adjust IC90 in epithelial lining fluid: 393 μM
Lopinavir Protein-adjust IC90 in cerebrospinal fluid: 58,500 μM
Choy K.T. et al., 2020 [32] In vitro
Vero E6 cells
Remdesivir, Lopinavir To the reduction in viral RNA copy: EC50Lopinavir: 26.1 μM
Kang C.K. et al., 2020 [34] In vitro
Kidney Vero cells
Lopinavir, Ritonavir Concentration groups tested:
  • -

    Kaletra (7 μg/mL of Lopinavir and 1.75 μg/mL of Ritonavir);

  • -

    Hydroxychloroquine 1 μg/mL;

  • -

    Hydroxychloroquine 2 μg/mL;

  • -

    Kaletra + Hydroxychloroquine 1 μg/mL;

  • -

    Kaletra + Hydroxychloroquine 2 μg/mL

De Meyer S. et al., 2020 [35] In vitro
Caco-2 cells
Darunavir Visual Cytopathogenic Effect-read out EC50:
Darunavir: > 100 μM
3-(4,5-dimethyl-2- thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) method EC50: Darunavir: > 100 μM
Cytotoxic concentration causing death to 50% (CC50): Darunavir: >100 μM
Das S. et al., 2020 [36] In silico
Blind molecular docking analyses with Mpro
Commercially available compounds Free binding energy for SARS-CoV-2 protease:
Lopinavir ΔG: – 9.00 kcal/mol
Ritonavir ΔG: - 9.52 kcal/mol
Beck B.R. et al., 2020 [44] In silico
Molecular dynamic simulation
Commercially available compounds Drug-target interaction (DTI) prediction results against COVID-19's helicase:
Lopinavir: 78.49 nM
Ritonavir: 41.60 nM
Darunavir: 90.38 nM
Khan S.A. et al., 2020 [49] In silico
Molecular dynamic simulation
Commercially available compounds Free binding energy for SARS-CoV-2 protease by MM (GB/PB)SA method:
Darunavir: - 48.1041 kcal/mol
Muralidharan N. et al., 2020 [37] In silico
Molecular dynamic simulation
Commercially available compounds Free binding energy for SARS-CoV-2 protease:
Lopinavir: - 4.1 kcal/mol
Oseltamivir: - 4.65 kcal/mol
Ritonavir: - 5.11 kcal/mol
Lopinavir/Oseltamivir: - 5.4 kcal/mol
Lopinavir/Oseltamivir/Ritonavir: - 8.32 kcal/mol
Nutho B. et al., 2020 [38] In silico - Molecular dynamic simulation Lopinavir and Ritonavir Free binding free energy (ΔGbind) for SARS-CoV-2 protease by MM/PBSA:
Lopinavir: - 10.89 ± 1.89 kcal/mol
Ritonavir: - 14.93 ± 1.83 kcal/mol
Binding free energy (ΔGbind) for SARS-CoV-2 protease by MM/GBSA:
Lopinavir: - 13.83 ± 1.91 kcal/mol
Ritonavir: - 27.78 ± 1.82 kcal/mol
Ortega J.T. et al., 2020 [45] In silico
Molecular dynamic simulation
Commercially available compounds Free binding energy for SARS-CoV-2 protease:
Lopinavir: −9.1 kcal/mol
Pant S. et al., 2020 [39] In silico
Molecular dynamic simulation
Commercially available compounds Binding free energy (ΔGbind) for SARS-CoV-2 protease by MM/GBSA:
Ritonavir: −87.24 kcal/mol
Lopinavir: −73.33 kcal/mol
Darunavir: −69.20 kcal/mol
Docking Score:
Ritonavir: −8.878
Lopinavir: −8.358
Darunavir: −7.208
Peele K.A. et al., 2020 [40] In silico
Molecular dynamic simulation
Commercially available compounds Docking score using GLIDE module:
Lopinavir: −9.918
Darunavir: −8.843
Mahanta S. et al., 2020 [48] In silico
Molecular dynamic simulation
Commercially available compounds -CDocker Energy for SARS-CoV-2 protease:
Lopinavir −62.07 kcal/mol
Ritonavir −65.73 kcal/mol
Shah B. et al., 2020 [41] In silico
Molecular dynamic simulation
Commercially available compounds Docking score from interaction with different COVID-19 structures as 5R7Y, 5R7Z, 5R80, 5R81 5R82:
Lopinavir: - 6.834, −6.968, −7.331, −8.44, −7.58
Ritonavir: −7.621, -, −6.736, −6.764, −7.316
Chen Y.W. et al., 2020 [46] In silico
Molecular dynamic simulation
Commercially available compounds Binding energy for chain A active site of SARS-CoV-2 protease:
Mean score: −8.2 kcal/mol
Ritonavir: −7.9 kcal/mol
Lopinavir: −8.0 kcal/mol
Binding energy for chain B active site of SARS-CoV-2 protease: of SARS-CoV-2 protease:
Mean score: −7.1 kcal/mol
Ritonavir: −6.9 kcal/mol
Lopinavir: −6.8 kcal/mol
Wang Q. et al., 2020 [47] In silico
Molecular dynamic simulation
Commercially available compounds Free binding energy for SARS-CoV-2 protease:
Darunavir: - 11.1 kcal/mol
Ritonavir: −11.8 kcal/mol
Lopinavir: −11.9 kcal/mol
Mamidala E. et al., 2020 [42] In silico
Molecular dynamic simulation
Commercially available compounds Free binding energy for SARS-CoV-2 protease:
Lopinavir: −6.11 kcal/mol
Ritonavir: −8.25 kcal/mol
Gupta S. et al., 2020 [43] In silico
Molecular dynamic simulation
Literature available compounds Binding energy raging:
Lopinavir: > - 5.70 kcal/mol
Range of predicted IC50 values: Standard compound(Lopinavir): 15.7–21.3 μM
The total interaction energy of protein-ligand complex:
Lopinavir- Mpro: −181.795 ± 13.5 kJ/mol
Toxicological profile (PLD50):
Lopinavir: 5000 mg/kg body weight
In silico
Molecular dynamic simulation
Darunavir Docking score range of Darunavir: – 8.6 to - 8.2
Very few interactions of Darunavir with the active site of the protease