张超, 陈姝冰, 张洁, 郭颖. 浅析注册用于新冠肺炎治疗的临床试验药物J. 药学学报, 2020,55(3): 355-365. doi: 10.16438/j.0513-4870.2020-0151
引用本文: 张超, 陈姝冰, 张洁, 郭颖. 浅析注册用于新冠肺炎治疗的临床试验药物J. 药学学报, 2020,55(3): 355-365. doi: 10.16438/j.0513-4870.2020-0151
ZHANG Chao, CHEN Shu-bing, ZHANG Jie, GUO Ying. Analysis of chemical drugs applied for clinical trial for the treatment of COVID-19J. Acta Pharmaceutica Sinica, 2020,55(3): 355-365. doi: 10.16438/j.0513-4870.2020-0151
Citation: ZHANG Chao, CHEN Shu-bing, ZHANG Jie, GUO Ying. Analysis of chemical drugs applied for clinical trial for the treatment of COVID-19J. Acta Pharmaceutica Sinica, 2020,55(3): 355-365. doi: 10.16438/j.0513-4870.2020-0151

浅析注册用于新冠肺炎治疗的临床试验药物

Analysis of chemical drugs applied for clinical trial for the treatment of COVID-19

  • 摘要: 由2019年新型冠状病毒(SARS-CoV-2)感染所致新型冠状病毒肺炎(COVID-19)已在全国蔓延,并波及全球多个国家。抗病毒药物是治疗病毒性传染病的重要手段,但目前尚无针对冠状病毒的特效药。在突发疫情且感染人数不断增加的情况下,短时间内获得可用于临床治疗的药物是当务之急。从已上市/已进入临床研究的药物中快速发现并确认有效药物已成为抗SARS-CoV-2药物研发的主要途径。通过对中国临床试验注册中心和美国临床试验数据库(Clinicaltrials.gov)进行检索,注册用于新冠肺炎治疗临床试验的化学药物共14种,本文即通过对这些药物的原适应症、靶点、与抗冠状病毒相关的研究基础进行总结和分析,试图为应对此次新冠肺炎紧急疫情各研究与临床机构采用化学药物治疗SARS-CoV-2感染患者的循证依据,也为未来快速应对可能出现的疫情合理拓展药物适应症提供线索。

     

    Abstract: The Coronavirus Disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread throughout China and many other countries around the world. The antivirals are important measures to this epidemic; however, there is no drug approved for against coronavirus yet. With the continuously rising number of confirmed/suspected cases of COVID-19, it is urgent to obtain antiviral drugs for the clinical treatment. In response to this situation, drug repurposing strategy becomes one of the best approaches for anti-SARS-CoV-2 drug discovery. By retrieving the clinical trials registered in Chinese Clinical Trial Registry and ClinicalTrials.gov, a total of 14 chemical drugs were registered for COVID-19. In this review, we summarize and analyze the 14 drugs' indications, targets, and research basis related to the activities against viral infections, esp. coronavirus infections. We are making efforts to understand the evidence basis of these drugs for the treatment of SARS-CoV-2 infection applied by various research and clinical institutions in response to this COVID-19 outbreak, and also providing clues for quick response to possible epidemic in future and reasonable expansion of the indications of drugs.

     

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