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. 2020 Aug 14;138(5):441–456. doi: 10.1590/1516-3180.2020.0208.R1.15062020

Table 3. Drugs for treating COVID-19 identified in registered clinical trials.

Drugs Number of trials Remarks Drug category
Thalidomide 2
  • Thalidomide has immune regulatory effects.14

  • Formula: C13H10N2O4

Anti-inflammatory
Naproxen 1
  • Used to treat pain and inflammatory diseases.

  • Formula: C14H14O3

Anti-inflammatory
Ibuprofen 1
  • Used to treat pain, fever, and inflammation.

  • Formula: C13H18O2

Anti-inflammatory
Escin 1
  • Used for treatment of chronic venous insufficiency.

  • Formula: C55H86O24

Anti-inflammatory
Piclidenoson 1
  • Used for autoimmune-inflammatory disorders.

  • Formula: C₁₈H₁₉IN₆O₄

Anti-inflammatory
Colchicine 4
  • Colchicine lessens the building up of uric acid crystals.

  • Formula: C22H25NO6

Anti-inflammatory
CD24Fc 1 This is a biological immunomodulator. It addresses the major challenges associated with COVID-19.14 Anti-inflammatory
Aspirin 1
  • Used to reduce pain, fever, or inflammation.

  • Formula: C₉H₈O₄

Anti-inflammatory
Hydrocortisone 1
  • Used as a replacement treatment for people whose adrenal glands are not producing enough natural cortisol.14

  • Formula: C21H30O5

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
  • Used to treat and prevent HIV/AIDS.

  • Formula: C27H37N3O7S

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
  • Lopinavir has been used against HIV infections as a fixed-dose combination with another protease inhibitor, ritonavir.

  • Formula: C37H48N6O5S2

Antiviral
Arbidol 2
  • Arbidol is pharmacodynamic in vitro against coronaviruses.

  • Formula: C22H25BrN2O3S

Antiviral
Favipiravir 3
  • It has low toxicity (CC50 > 400 µM).22

  • Formula: C5H4FN3O2

Antiviral
Ribavirin 1
  • Used to treat hepatitis C and some viral hemorrhagic fevers.

  • Formula: C8H12N4O5

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
  • This inhibits viral neuraminidase.24

  • Formula: C16H28N2O4

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
  • Used to prevent severe pneumonia and cytokine dysregulation induced by influenza viruses.

  • Formula: C22H26BrClN2O3S

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
  • Used to prevent and treat malaria.

  • Formula: C18H26ClN3O

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
  • Hydroxychloroquine is a drug that has been used to improve the clinical outcome from COVID-19.25

  • Formula: C18H26ClN3O

Antimalarial and anti-inflammatory
Chloroquine 4
  • Chloroquine is a medication primarily used to treat malaria in areas where malaria remains sensitive to its effects.

  • Formula: C18H26ClN3

Antimalarial and anti-inflammatory
Chloroquine phosphate 4
  • Chloroquine phosphate is the phosphate salt of chloroquine with antimalarial and anti-inflammatory properties.

  • Formula: C18H32ClN3O8P2

Antimalarial and anti-inflammatory
Hydroxychloroquine sulfate 9 Hydroxychloroquine sulfate works by reducing inflammation in people with autoimmune diseases. Antimalarial and anti-inflammatory
Siltuximab 2
  • Siltuximab is a chimeric monoclonal antibody.

  • Formula: C6450H9932N1688O2016S50

Antibody
Meplazumab for injection 1 This has the potential to mediate both treatment and prophylaxis of falciparum malaria.14 Antibody
Bevacizumab 2
  • This is an anti-VEGF recombinant monoclonal antibody.

  • Formula: C6638H10160N1720O2108S44

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
  • Used to treat rheumatoid arthritis.

  • Formula: C6706H10438N1762O2104S54

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
  • Treatment of recurrent or metastatic cervical cancer.

  • Formula: C6534H10004N1716O2036S46

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
  • Used for treatment of a number of bacterial infections.

  • Formula: C38H72N2O12

Antibiotic
Carrimycin 1 This is effective against mycobacterium tuberculosis.27 Antibiotic
Ceftaroline 1
  • This is a cephalosporin antibiotic with anti-MRSA activity.

  • Formula: C22H21N8O8PS4

Antibiotic
Macrolide 1 Used to inhibit bacterial protein synthesis. Antibiotic
Ceftriaxone 1
  • Used to treat severe or life-threatening bacterial infections.

  • Formula: C18H18N8O7S3

Antibiotic
Moxifloxacin 1
  • Used to treat bacterial infections of the lungs and stomach.

  • Formula: C21H24FN3O4

Antibiotic
Levofloxacin 1
  • Used to treat bacterial infections, including pneumonia.

  • Formula: C18H20FN3O4

Antibiotic
Amoxicillin-clavulanate 1
  • Used for treatment of a number of bacterial infections.

  • Formula: C24H28N4O10S

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
  • Used to treat hypoglycemia or low blood sugar.14

  • Formula: C6H12O6

Dietary supplement
Ascorbic acid 1
  • Used to treat low levels of vitamin C in people.

  • Formula: C6H8O6

Dietary supplement
Interferon beta-1a 2
  • Interferon beta-1a is used to treat multiple sclerosis.

  • Formula: C908H1408N246O252S7

Interferon
Interferon beta-1b 1
  • Used to treat relapsing/remitting multiple sclerosis.

  • Formula: C908H1408N246O253S6

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
  • It is used to treat asthma and allergic rhinitis.

  • Formula: C32H44O7

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
  • Used for the treatment of rheumatoid arthritis.

  • Formula: C6388H9918N1718O1998S44

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
  • Valsartan is an oral medication used to treat high blood pressure, heart failure and diabetic kidney disease.14

  • Formula: C24H29N5O3

Angiotensin II receptor blocker
Anakinra 3
  • Used to treat rheumatoid arthritis.

  • Formula: C759H1186N208O232S10

Receptor antagonist
Sargramostim 1
  • Sargramostim is a recombinant granulocyte macrophage colony-stimulating factor (GM CSF).

  • Formula: C639H1006N168O196S8

Biological response modifier
Methylprednisolone 5
  • Used to suppress the immune system.

  • Formula: C22H30O5

Corticosteroid
Dexamethasone 2 Used to reduce the duration of mechanical ventilation.14 Formula: C22H29FO5 Corticosteroid
Fingolimod 1
  • This is an effective immunological modulator.

  • Formula: C19H33NO2

Immunomodulator
Clopidogrel 1
  • Used to reduce the risk of heart disease.

  • Formula: C16H16ClNO2S

Inhibitor
Rivaroxaban 1
  • Used to treat and prevent blood clots.

  • Formula: C19H18ClN3O5S

Inhibitor
Baricitinib 3
  • Used for the treatment of rheumatoid arthritis in adults.

  • Formula: C16H17N7O2S

Inhibitor
Sildenafil citrate tablets 1
  • This is an oral therapy for erectile dysfunction.

  • Formula: C22H30N6O4S

Inhibitor
Atorvastatin 1
  • Used to prevent cardiovascular disease.

  • Formula: C33H35FN2O5

Inhibitor
Omeprazole 1
  • Used in treating gastroesophageal reflux disease.

  • Formula: C17H19N3O3S

Inhibitor
Ruxolitinib 3
  • Used to treat myelofibrosis and polycythemia vera.

  • Formula: C17H18N6

Inhibitor
Cobicistat 1
  • Used to treat human immunodeficiency virus infection.

  • Formula: C40H53N7O5S2

Inhibitor
Camostat mesylate 2
  • Camostat mesylate can block entry of SARS-CoV-2 into cells.

  • Formula: C20H22N4O5

Inhibitor
Tofacitinib 1
  • Tofacitinib can mitigate alveolar inflammation.14

  • Formula: C16H20N6O

Inhibitor
ARB/ACEI 1 Used to treat high blood pressure. Inhibitor
Angiotensin 1-7 1
  • Angiotensin 1-7 is a vasodilator agent.

  • Formula: C41H62N12O11

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
  • Used for treatment of idiopathic pulmonary fibrosis.

  • Formula: C31H33N5O4

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
  • Used to treat excessive blood loss from major trauma.

  • Formula: C8H15NO2

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
  • Used for treatment of rheumatoid arthritis.

  • Formula: C6428H9976N1720O2018S42

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
  • Used to treat chest congestion and coughing.

  • Formula: C14H20Br2N2

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
  • Used to treat motion sickness and atopic dermatitis.

  • Formula: C28H16ClF6N5O

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
  • Used to treat transfusion-related chronic iron overload.

  • Formula: C25H48N6O8

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%.