Table 3. Drugs for treating COVID-19 identified in registered clinical trials.
Drugs | Number of trials | Remarks | Drug category |
---|---|---|---|
Thalidomide | 2 |
|
Anti-inflammatory |
Naproxen | 1 |
|
Anti-inflammatory |
Ibuprofen | 1 |
|
Anti-inflammatory |
Escin | 1 |
|
Anti-inflammatory |
Piclidenoson | 1 |
|
Anti-inflammatory |
Colchicine | 4 |
|
Anti-inflammatory |
CD24Fc | 1 | This is a biological immunomodulator. It addresses the major challenges associated with COVID-19.14 | Anti-inflammatory |
Aspirin | 1 |
|
Anti-inflammatory |
Hydrocortisone | 1 |
|
Anti-inflammatory |
ACE inhibitor | 2 | ACE inhibitors are used primarily for treatment of high blood pressure and heart failure. | Anti-inflammatory |
Hyperbaric oxygen | 1 | Shows beneficial effects in various inflammatory diseases.14 | Anti-inflammatory |
Nitric oxide | 5 | This stimulates the release of certain hormones, such as insulin and human growth hormone. | Anti-inflammatory |
N-acetylcysteine + Fuzheng Huayu tablet | 1 | N-acetylcysteine is a part of basic treatment. Fuzheng Huayu tablets have been proved effective in inhibiting MMP activity, to protect the subepithelial basement membrane.14 | Anti-inflammatory |
N-acetylcysteine + Placebo | 1 | N-acetylcysteine is a part of basic treatment. Placebo is used in clinical trials to test the effectiveness of treatments. | Anti-inflammatory |
NORS (nitric oxide releasing solution) | 1 | NORS has the potential to decontaminate the upper respiratory tract.14 | Anti-inflammatory |
Lopinavir/ritonavir tablets combined with Xiyanping injection | 1 | Lopinavir/ritonavir is a promising candidate for both COVID-19 treatment and PEP.14 Xiyanping injection has anti-inflammatory and immune regulatory effects. | Anti-inflammatory |
Darunavir | 1 |
|
Antiretroviral |
Immunoglobulin of cured patients | 1 | This acts as a critical part of the immune response by specifically recognizing and binding to antigens.14 | Antiretroviral |
Emtricitabine/tenofovir disoproxil | 1 | Used to treat HIV with a combination of two antiretroviral medications: tenofovir disoproxil and emtricitabine. | Antiretroviral |
ASC09/ritonavir group | 1 | These are antiretroviral medications. A combination of them has been used for SARS-CoV-2 pneumonia.14 | Antiretroviral |
Ritonavir + oseltamivir | 1 | Ritonavir is used to treat HIV. This combination has been used for SARS-CoV-2 pneumonia.14 | Antiretroviral |
Lopinavir/ritonavir | 15 |
|
Antiviral |
Arbidol | 2 |
|
Antiviral |
Favipiravir | 3 |
|
Antiviral |
Ribavirin | 1 |
|
Antiviral |
Natural honey | 1 | Honey as a first-line treatment for acute cough caused by upper respiratory tract infection.14 | Antiviral |
Favipiravir combined with Tocilizumab | 1 | Favipiravir is used to treat influenza. Tocilizumab is used to treat rheumatoid arthritis. | Antiviral |
Antiviral treatment and prophylaxis | 1 | The aim is to treat non-severe confirmed cases of COVID-19 and provide chemoprophylaxis for their contacts.14 | Antiviral |
Remdesivir | 7 | Nucleotide analog that inserts into viral RNA chains. | Antiviral |
DAS181 | 5 | This shows inhibitory activity against seasonal influenza.23 | Antiviral |
Placebo | 39 | A placebo is an inert substance or treatment that is designed to have no therapeutic value. | Other treatment/drug |
Remdesivir placebo | 2 | Remdesivir is a nucleotide analog. Placebo is used with this in order to test the effectiveness of treatments. | Antiviral |
Oseltamivir | 4 |
|
Antiviral |
ASC09F + oseltamivir | 1 | Oseltamivir reduces the spread in the respiratory tract.24 ASC09F has been combined with oseltamivir to evaluate efficacy in relation to SARS-CoV-2 pneumonia.14 | Antiviral |
Combination of protease inhibitors, oseltamivir, favipiravir, and chloroquine | 1 | Used for antiviral treatment, orally. They are intended to have a systemic effect, reaching different parts of the body. | Antiviral |
Arbidol hydrochloride | 2 |
|
Antiviral and anti-inflammatory |
Lopinavir/ritonavir + hydroxychloroquine | 2 | Lopinavir/ritonavir is a promising candidate for COVID-19 treatment.14 Hydroxychloroquine is used to prevent malaria in areas where malaria remains sensitive to chloroquine. | Antiviral and anti-inflammatory |
Plaquenil | 1 |
|
Antimalarial |
Chloroquine analog (GNS651) | 1 | This has been tested in patients with advanced or metastatic cancer who have SARS-CoV-2 infection that is not eligible for a resuscitation unit.14 | Antimalarial and anti-inflammatory |
Hydroxychloroquine + azithromycin | 2 | These are antiviral plus anti-inflammatory and are used for improving the efficacy of eradication of COVID-19 virus.25 | Antiviral and anti-inflammatory |
Hydroxychloroquine | 38 |
|
Antimalarial and anti-inflammatory |
Chloroquine | 4 |
|
Antimalarial and anti-inflammatory |
Chloroquine phosphate | 4 |
|
Antimalarial and anti-inflammatory |
Hydroxychloroquine sulfate | 9 | Hydroxychloroquine sulfate works by reducing inflammation in people with autoimmune diseases. | Antimalarial and anti-inflammatory |
Siltuximab | 2 |
|
Antibody |
Meplazumab for injection | 1 | This has the potential to mediate both treatment and prophylaxis of falciparum malaria.14 | Antibody |
Bevacizumab | 2 |
|
Antibody |
Nivolumab | 1 | This works as a checkpoint inhibitor. | Antibody |
γ-globulin | 1 | A major class of immunoglobulins found in the blood. | Antibody |
Mavrilimumab | 1 |
|
Antibody |
Sarilumab (Kevzara) SC | 1 | Used by adult patients who are intolerant to biological or non-biological disease-modifying antirheumatic drugs.26 | Antibody |
Pembrolizumab (MK-3475) | 1 |
|
Antibody |
PD-1 blocking antibody + standard treatment | 1 | PD-1 acts as a negative regulator of T cell function. Monoclonal antibody blocking the activity of PD-1 can successfully reduce tumor load.14 | Antibody |
Azithromycin | 16 |
|
Antibiotic |
Carrimycin | 1 | This is effective against mycobacterium tuberculosis.27 | Antibiotic |
Ceftaroline | 1 |
|
Antibiotic |
Macrolide | 1 | Used to inhibit bacterial protein synthesis. | Antibiotic |
Ceftriaxone | 1 |
|
Antibiotic |
Moxifloxacin | 1 |
|
Antibiotic |
Levofloxacin | 1 |
|
Antibiotic |
Amoxicillin-clavulanate | 1 |
|
Antibiotic |
Atovaquone/azithromycin | 1 | Atovaquone is used to treat serious lung infection. Azithromycin is used to treat various bacterial infections. | Antibiotic |
Piperacillin-tazobactam | 1 | The combination has activity against many Gram-positive and Gram-negative bacteria. | Antibiotic and inhibitor |
Hydroxychloroquine sulfate + azithromycin | 1 | Hydroxychloroquine sulfate is an oral antimalarial medicine. Azithromycin is an antibiotic used for treatment of a number of bacterial infections. | Antimalarial and antibiotic |
Vitamin C | 6 | Vitamin C acts as an antioxidant and helps to protect cells from damage caused by free radicals. | Dietary supplement |
Vitamin D | 3 | Vitamin D allows the intestines to stimulate and absorb calcium and reclaim calcium. | Dietary supplement |
Zinc | 2 | Zinc can significantly reduce risk of age-related infectious diseases and macular degeneration. | Dietary supplement |
Glucose tablets | 1 |
|
Dietary supplement |
Ascorbic acid | 1 |
|
Dietary supplement |
Interferon beta-1a | 2 |
|
Interferon |
Interferon beta-1b | 1 |
|
Interferon |
Recombinant human interferon α1β | 2 | Applied in the initial treatment and prevention of SARS and MERS.14 | Interferon |
Alpha-interferon nebulization | 1 | This mobilizes the body’s immune system to fight cancer. | Interferon |
Peginterferon lambda-1a | 1 | Pegylated type III interferon with marked anti-HCV activity which is mainly used for treatment of CHB.28 | Interferon |
Arbidol hydrochloride combined with interferon atomization | 1 | They are combined to treat SARS-CoV-2 viral pneumonia, so as to provide reliable evidence-based medicine for treating viral pneumonia.14 | Antiviral and interferon |
Huaier granules | 1 | Orally bioavailable traditional Chinese medicine (TCM) composed of granules containing an aqueous extract of Trametes robiniophila Murr (Huaier). | Traditional Chinese medicine |
T89 | 1 | T89 is a botanical drug for oral use. T89 can provide substantial benefits in the prevention or alleviation of symptoms associated with acute mountain sickness. | Traditional Chinese medicine |
TCM | 2 | Traditional medicine includes various forms of herbal medicine, acupuncture, cupping therapy, gua sha, massage, bonesetter, exercise and dietary therapy. | Traditional Chinese medicine |
Yinhu Qingwen granula | 2 | Yinhu Qingwen granula consists of 11 common nontoxic traditional Chinese medicines and previous vivo antiviral studies showed its activity for inhibition of COVID-19.14 | Traditional Chinese medicine and antiviral |
Xiyanping injection | 1 | Xiyanping is a TCM preparation with andrographolide as a principal component; it has significant antibacterial and antiviral effects.29 | Traditional Chinese medicine and antiviral |
YinHu QingWen decoction | 2 | This consists of 11 common nontoxic traditional Chinese medicines such as Polygonum cuspidatum, Honeysuckle, Nepeta, Ligustrum lucidum.14 | Traditional Chinese medicine and antiviral |
PUL-042 inhalation solution | 2 | This reduces the infection rate and progression to COVID-19 in adults exposed to SARS-COV-2.14 | Inhaler |
Ciclesonide metered dose inhaler | 1 |
|
Inhaler |
Levamisole pill + budesonide + formoterol inhaler | 1 | Levamisole can increase lymphocytes.14 Budesonide can suppress the immune reaction locally in the respiratory system.14 Formoterol is a β2 agonist and can open airways.14 | Inhaler |
Sarilumab | 6 |
|
IL-6 receptor blocker |
RoActemra IV | 1 | This is a first-in-class anti-IL-6 receptor (aIL-6R) therapy. IL-6 plays a key role in activating the inflammatory pathway. | IL-6 receptor blocker |
Losartan | 5 | Losartan is an oral medication mainly used to treat high blood pressure. It may be used alone or in addition to other blood pressure medications. | Angiotensin receptor blockers |
Valsartan | 1 |
|
Angiotensin II receptor blocker |
Anakinra | 3 |
|
Receptor antagonist |
Sargramostim | 1 |
|
Biological response modifier |
Methylprednisolone | 5 |
|
Corticosteroid |
Dexamethasone | 2 | Used to reduce the duration of mechanical ventilation.14 Formula: C22H29FO5 | Corticosteroid |
Fingolimod | 1 |
|
Immunomodulator |
Clopidogrel | 1 |
|
Inhibitor |
Rivaroxaban | 1 |
|
Inhibitor |
Baricitinib | 3 |
|
Inhibitor |
Sildenafil citrate tablets | 1 |
|
Inhibitor |
Atorvastatin | 1 |
|
Inhibitor |
Omeprazole | 1 |
|
Inhibitor |
Ruxolitinib | 3 |
|
Inhibitor |
Cobicistat | 1 |
|
Inhibitor |
Camostat mesylate | 2 |
|
Inhibitor |
Tofacitinib | 1 |
|
Inhibitor |
ARB/ACEI | 1 | Used to treat high blood pressure. | Inhibitor |
Angiotensin 1-7 | 1 |
|
Inhibitor |
RhACE2 APN01 | 1 | This is believed to have the potential to inhibit COVID-19 infection and reduce lung injury. | Inhibitor |
Nintedanib 150 mg | 1 |
|
Inhibitor |
Calcium channel blockers | 1 | Used to relax blood vessels and increase the supply of blood and oxygen to the heart. | Antihypertensive |
Tranexamic acid | 2 |
|
Antifibrinolytic |
Plasma | 2 | This helps to distribute heat throughout the body. | Plasma |
Hyperimmune plasma | 1 | This can induce high serum concentrations of antibodies against Gram-negative LPS.30 | Plasma |
Tocilizumab | 13 |
|
Other treatment/drug |
BLD-2660 | 1 | Used to reduce viral replication.14 | Antifibrotic |
Telemedicine | 1 | This allows healthcare professionals to evaluate, diagnose and treat patients using telecommunications technology. | Other treatment/drug |
Oxyhydrogen | 1 | This is an adjuvant therapy for patients infected with COVID-19 pneumonia, for improving the clinical symptoms.14 | Other treatment/drug |
Best supportive care (BSC) + IFX-1 | 1 | This is a phase II study with two treatment arms. It is used in patients with severe COVID-19 pneumonia.14 | Other treatment/drug |
Usual practice + Symbicort Rapihaler | 1 | Interventional patient will be treated with Symbicort Rapihaler, which is inhaled into the lungs to treat asthma.14 | Other treatment/drug |
Thymosin + standard treatment | 1 | Thymosin is used to regulate cellular immunity in sepsis patients.14 | Other treatment/drug |
Oxygen treatment | 1 | Oxygen treatment delivers oxygen gas for breathing. | Other treatment/drug |
Physiological saline solution | 1 | A sterile solution of sodium chloride that is isotonic to body fluids; used to maintain living tissue temporarily. | Other treatment/drug |
Aviptadil via intravenous infusion + maximal intensive care | 1 | Aviptadil is an analog of vasoactive intestinal polypeptide for treating erectile dysfunction. Maximal intensive care has been used for COVID-19-induced acute respiratory distress syndrome.14 | Other treatment/drug |
Normal saline infusion + Maximal intensive care | 1 | Maximal intensive care is defined not to include extracorporeal mechanical oxygenation.14 This combination has been tested in relation to coronavirus infection.14 | Other treatment/drug |
Discontinuation and continuation of RAS blocker therapy | 1 | It is crucial to determine whether RAS blockers should be discontinued or not in patients with COVID-19.14 | Other treatment/drug |
Thiazide or thiazide-like diuretics | 1 | These are widely used for management of hypertension. | Other treatment/drug |
Angiotensin receptor blocker | 1 | Angiotensin receptor blockers are medications that block the action of angiotensin II and allow arteries and veins to widen. | Other treatment/drug |
Thymosin alpha 1 | 1 | This is a peptide fragment derived from prothymosin alpha, a protein that in humans is encoded by the PTMA gene. | Other treatment/drug |
Bromhexine 8 mg | 1 |
|
Other treatment/drug |
Anluohuaxian | 1 | Used to block the progression of pulmonary fibrosis and improve lung function in patients with COVID-19.14 | Other treatment/drug |
Eicosapentaenoic acid gastro-resistant capsules | 1 | This is a hydrolytic breakdown product of eicosapentaenoyl ethanolamide. Formula: C20H30O2 | Other treatment/drug |
Tradipitant | 1 |
|
Other treatment/drug |
RoActemra SC | 1 | This is an anti-human monoclonal antibody of the immunoglobulin G1 (IgG1) subclass. | Other treatment/drug |
Defibrotide injection | 1 | This works by preventing formation of blood clots. | Other treatment/drug |
Sterile water for injection | 1 | This preparation is designed solely for parenteral use, after addition of drugs that require dilution. | Other treatment/drug |
Standard treatment/ medical care/ therapy | 21 | Standard therapy is the medical treatment that is normally provided to people with a given condition. | Other treatment/drug |
Intravenous immunoglobulin | 1 | Intravenous immunoglobulin (IVIG) therapy can improve the prognosis for critically ill patients with SARS-CoV-2.14 | Other treatment/drug |
Oxygen therapy | 1 | Oxygen therapy is a treatment that provides supplemental oxygen. | Other treatment/drug |
Deferoxamine | 2 |
|
Iron chelator |
ACE = angiotensin-converting enzyme; MMP = matrix metallopeptidases; PEP = post-exposure prophylaxis; RSV = respiratory syncytial virus; RNA = ribonucleic acid; VEGF = vascular endothelial growth factor; GM-CSF = granulocyte-macrophage colony-stimulating factor; PD-L1 = programmed death-ligand 1; PD-1 = programmed cell death protein 1; MRSA = methicillin-resistant Staphylococcus aureus; HCV = hepatitis C virus; CHB = complete heart block; IL-6 = interleukin 6; RA = rheumatoid arthritis; ARDS = acute respiratory distress syndrome; CYP3A = cytochrome P450 3A; JAK1/3 = Janus kinase 1/3; ARB = angiotensin receptor blocker; ACEI = angiotensin-converting enzyme inhibitors; RAS = renin-angiotensin system; LPS = lipopolysaccharides; PTMA = prothymosin alpha; SC = subcutaneously; IV = intravenously; CC50 = cytotoxic concentration 50%.