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. 2020 Jul 17;10(45):26895–26916. doi: 10.1039/d0ra05821a

Existing drugs with therapeutic potentials for COVID-19 (drug repurposing) targeting RdRp95.

Antiviral agents Infectious diseases Reported mechanism of action Status
Favipiravir 2019-nCoV; influenza Inhibits RdRp • Approved for influenza in Japan
• Randomized trial for 2019-nCoV
(ChiCTR2000029544, ChiCTR2000029600)
Ribavirin 2019-nCoV, MERS-CoV, SARS-CoV, RSV, HCV Inhibits viral RNA synthesis and mRNA capping • Approved for HCV and RSV
• Randomized trial for 2019-nCoV in combination a pegylated interferon (ChiCTR2000029387)
• Randomized trial for SARS (NCT00578825)
Penciclovir 2019-nCoV Inhibits RdRp Approved for HSV
Remdesivir (GS-5734) 2019-nCoV, MERS-CoV, SARS-CoV Terminates the non-obligate chain • Phase III for 2019-nCoV (NCT04252664, NCT04257656)
• Phase I for Ebola (NCT03719586)
Galidesivir (BCX4430) Broad-spectrum (e.g. SARS-CoV, MERS-CoV, IAV) Inhibits viral RNA polymerase function by terminating non-obligate RNA chain • Phase I for yellow fever (NCT03891420)
• Phase I for Marburg virus (NCT03800173)
6′-Fluorinated-aristeromycin analogues Broad-spectrum (e.g. CoV, ZIKV, CHIKV) Inhibits the activity of RdRp and host cell S-adenosyl-l-homocysteine hydrolase Preclinical
Acyclovir fleximer analogues HCoV-NL63, MERS-CoV Doubly flexible nucleoside analogues inhibit RdRp Preclinical