TABLE 1.
Clinical trial and their therapeutic benefits for the management of COVID-19.
Sn. | Name of drug (s)/treatment | Type of study | Therapeutic Benefit | Adverse/side reactions | Reference |
---|---|---|---|---|---|
1 | Hydroxychloroquine, azithromycin | Open label non-randomized clinical trial | Patient treated with hydroxychloroquine and azithromycin were virologically cured compared with patients treated with hydroxychloroquine alone and control group. | 1 patient stopped treatment due to nausea on day 3 | Gautret et al. (2020a) |
2 | Chloroquine | Multileft clinical trials | State council of China stated that Chloroquine phosphate was found to be markedly effective in controlling the deteriorating condition of COVID-19 patients in many of the clinical trial Centers in China in Feb 2020 | — | Gao et al. (2020) |
3 | Hydroxychloroquine/Azithromycin | Sngle arm observational study | HCQ and azithromycin (3) showed 100% recovery of the COVID-19 patients and tested negative within 6 days of treatment | — | Raoult (2020) |
4 | Hydroxychloroquine | Guidance | 81% of the patients showed improvement in the condition of pneumonia in the HCQ group compared to 55% in the control group | — | Chen et al. (2020f) |
5 | Hydroxychloroquine with azithromycin | In-vivo | Rapid clearance of virus. The therapeutic effect was more significant in combination than HCQ alone | — | Megarbane and Scherrmann (2020) |
6 | Hydroxychloroquine with azithromycin | Uncontrolled non-comparative observational study | They observed that no evidence of a strong antiviral activity or clinical benefit of the combination of hydroxychloroquine and azithromycin for the treatment of hospitalized patients with severe COVID-19 | Molina et al. (2020) | |
7 | Hydroxychloroquine with azithromycin | Uncontrolled non-comparative observational study | Clinical improvement, Out of 80 patients, one died, one was admitted to the ICU, and the rest were negative on day 7. | Gautret et al. (2020b) | |
8 | Hydroxychloroquine | Randomized open-label controlled trial: pilot study | Both group (HCQ /supportive care and supportive care) performed equally. | one patient suffered from severe symptoms | Chen et al. (2020c) |
9 | Hydroxychloroquine with azithromycin | Retrospective cohort study | Mortality was high in HCQ group, followed by combination with azithromycin, and no HCQ. Increased overall mortality in HCQ group. | Magagnoli et al. (2020) | |
10 | Remdesivir | Case Report | Improvement of patient condition | — | Holshue et al. (2020) |
11 | Remdesivir | Inconclusive study using investigational antiviral drug | 12 Patient were given treatment till improvement | GIT symptoms | Kujawski et al. (2020) |
12 | Remdesivir | Double-blind, randomized, placebo-controlled trial of intravenous remdesivir | The recovery time is reduced from 15 to 11 days as compared to control group | — | Beigel et al. (2020) |
13 | Favipiravir | Randomized Clinical Trial | The viral clearance time was reduced to 4 days compared to 11 days. | Adverse effects caused by Favipiravir are mild and manageable | Chen et al. (2020a) |
14 | Lopinavir and ritonavir | Retrospective study | Lopinavir showed beneficial effect in COVID-19 | — | Yan et al. (2020) |
15 | Arbidol/Lopinavir and ritonavir | A retrospective cohort study | In patients with COVID-19, the apparent favorable clinical response with arbidol and LPV/r supports further LPV/r only. | Deng et al. (2020) | |
16 | Lopinavir/ritonavir, arbidol | Retrospective single-centre study | Lopinavir/ritonavir, arbidol were used in a small number of patients. Corticosteriods were used only in case of emergency situation. 215 patients discharged, 22 admitted to ICU, | 8 patients developed ARDS, 2 patients died | Chen et al. (2020d) |
17 | Arbidol | Clinical trial underway | No data | GIT irritation | Jun et al. (2020) |
18 | Lopinavir/ritonavir, Recombinant human inteferon-α2b Recombinant cytokine gene derived protein, arbidol and Chinese medicines | Double centre observational study | 97.9% patients recovered, Lopinavir/ritonavir 75.9, Recombinant human interferon- α2b:45.4%, Recombinant cytokine gene derived protein:18.9%, arbidol 17.2% and chinese medicine:96.6% | 2 patients died | Chen et al. (2020e) |
19 | Interferon β-1b, Lopinavir/ritonavir, and Ribavirin | Open Labeled Clinical Trial Phase-2 | Used along with other drugs like Lopinavir and ritonavir showed improvement in viral shedding | Nausea and diarrhea | Huang et al. (2020), Hung et al. (2020) |
20 | Baricitinib | Pilot study showed beneficial effect of baricitinib over LPV/r therapy | Mehta et al. (2020) | ||
21 | Ivermectin | Icon Study | Patient with Ivermectin showed significantly lower mortality rate than control group | - | Rajter et al. (2020) |
22 | Ivermectin | Hospital-based matched case-control study | Prophylactic effect on health care worker showed 73% reduction in COVID infection | — | Behera et al. (2020) |
23 | Convalescent Plasma | Multileft Study | Clinical improvement observed in 5000 patients. Convalescent plasma efficacy is inferior to remdesivir when treating COVID-19 patients. Convalescent plasma may be used as a supportive treatment in COVID-19 patients, but must be given as early as possible from the diagnosis. | More than 1% patients showed adverse side effects | Joyner et al. (2020) |
24 | Convalescent Plasma | Randomized Clinical Trial | 52% patients showed clinical improvement with no difference in mortality rate | Li et al. (2020) | |
25 | Interferon Alfacon-1 Plus Corticosteroids | Non-randomized clinical trial | Better clinical outcome in COVID-19 patients with corticosteroids | Loutfy et al. (2003) | |
26 | Dexamethasone | Several trials | Dexamethasone reduces the mortality in severely ill COVID-19 patients. | Horby et al. (2020) | |
27 | Antiviral, Arbidol, Lopinavir/ritonavir, interferon, Ribavirin, oseltamivir, Fluoroquinolones | Multicentre retrospective cohort study to analyze data and treatment of 60severe cases | 34 received IV corticosteroid, 28 received IgG; 50 patients improved, 2 patients discharged, 8 remained in a serious condition | 4 patients developed secondary infection received glucocorticoids | Huang et al. (2020) |
28 | Lopinavir/ritonavir | Case report | Treatment with Lopinavir 200 mg /ritonavir 50 mg; Observations indicate reduction in viral load and improvement of symptoms | complaint of depression, insomnia, suicidal thoughts | Lim et al. (2020) |
29 | Lopinavir, Interferon-a2b atomization inhalation | Retrospective observational single centre study | Treatment with Lopinavir 400 mg , 7 patients discharged, 3 stopped Lopinavir, 2 deteriorated and 1 patient was hospitalized for longer period | digestive problem and hypokalaemia | Liu et al. (2020a) |
30 | Lopinavir/ritonavir | Retrospective case series study | 5 patients out of 10 were discharged, other still under treatment. | — | Lo et al. (2020) |
31 | Arbidol, Lopinavir/ritonavir, interferon inhalation immune enhancer | Single-centre retrospective case study | 22 patients out of 155 died | not reported | Mo et al. (2020) |