摘要
背景:自2019年12月在中国武汉首次启动以来,2019冠状病毒病(covid-19)一直在迅速传播,并被世界卫生组织标记为大流行。covid-19的人际传播率远高于严重急性呼吸系统综合征(SARS)和中东呼吸道综合征冠状病毒(MERS)。由于没有被批准用于治疗该疾病的药物或疫苗,医生们一直在使用现有的药物来遏制该疾病。目前瑞德西韦是正在进行大量临床试验的一种潜在的抗病毒药物,一种核苷酸类似物,可抑制严重急性呼吸系统综合征冠状病毒2(SARS-CoV-2)的RNA依赖性RNA聚合酶。 目的:在这篇迷你综述中,我们概述了瑞德西韦在同情使用原则下在covid-19患者中的旅程、作用机制、药代动力学,以及了解瑞德西韦治疗covid-19患者的效果。 结论:最初,瑞德西韦被美国食品和药物管理局授予紧急使用授权(EUA),用于治疗covid-19的严重疾病。但现在,瑞德西韦已被批准根据EUA用于治疗所有住院的covid-19患者,无论他们的严重程度如何。
关键词: Covid-19、大流行、瑞德西韦、GS-5734、SARS-CoV-2、冠状病毒。
图形摘要
Current Drug Targets
Title:Remdesivir (GS-5734) in COVID-19 Therapy: The Fourth Chance
Volume: 22 Issue: 12
关键词: Covid-19、大流行、瑞德西韦、GS-5734、SARS-CoV-2、冠状病毒。
摘要:
Background: Since its initial start in December 2019 at Wuhan, China, the coronavirus disease 2019 (COVID-19) has been rapidly spreading and labelled as a pandemic by the World Health Organization. The rate of human to human transmission of COVID-19 is far higher than severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome coronavirus (MERS). With no drugs or vaccines approved for the treatment of the disease, physicians have been using pre-existing drugs to curb the disease. One potential anti-viral agent currently undergoing numerous clinical trials is remdesivir, a nucleotide analog that inhibits RNA-dependent RNA polymerase of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
Objective: In this mini-review, we provide an overview of remdesivir’s journey, mechanism of action, pharmacokinetics, used in patients with COVID-19 under compassionate use principle and clinical trials to understand the effect of remdesivir in the treatment of patients with COVID-19.
Conclusion: Initially, remdesivir was granted an emergency use authorization (EUA) by the U.S. Food and Drug Administration for the treatment of COVID-19 with severe disease. But now, remdesivir has been granted for use under EUA to treat all hospitalized COVID-19 patients, irrespective of their severity of disease.
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Cite this article as:
Remdesivir (GS-5734) in COVID-19 Therapy: The Fourth Chance, Current Drug Targets 2021; 22 (12) . https://dx.doi.org/10.2174/1389450121999201202110303
DOI https://dx.doi.org/10.2174/1389450121999201202110303 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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