Role of favipiravir in the treatment of COVID-19.


Journal

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
ISSN: 1878-3511
Titre abrégé: Int J Infect Dis
Pays: Canada
ID NLM: 9610933

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 03 08 2020
revised: 23 10 2020
accepted: 23 10 2020
pubmed: 2 11 2020
medline: 20 1 2021
entrez: 1 11 2020
Statut: ppublish

Résumé

The coronavirus disease-2019 (COVID-19) outbreak all over the world has led the researchers to strive to develop drugs or vaccines to prevent or halt the progression of this ailment. To hasten the treatment process, repurposed drugs are being evaluated. Favipiravir is one such oral drug that was approved for new and reemerging pandemic influenza in Japan in 2014 and has shown potent in vitro activity against severe acute respiratory syndrome coronavirus-2. It has a wide therapeutic safety margin indicated by a wide CC50/EC50 ratio for a high dose. From the clinical studies in COVID-19, it has shown rapid viral clearance as compared to lopinavir/ritonavir (LPV/RTV) and superior recovery rate than umifenovir. Overall, favipiravir has shown promising results in clinical studies in China, Russia, and Japan, and more trials are underway in multiple countries, including USA, UK, and India. Recently, treatment guidelines from many countries and some states from India have included favipiravir in the treatment protocol. This review provides insights into the evidence-based evolving role of favipiravir in the management of COVID-19 infection with emphasis on benefits of initiating an early antiviral therapy with special focus on favipiravir, its pharmacodynamic, pharmacokinetic, in vitro, clinical data, and inclusion in the treatment protocols of COVID-19.

Identifiants

pubmed: 33130203
pii: S1201-9712(20)32273-6
doi: 10.1016/j.ijid.2020.10.069
pmc: PMC7831863
pii:
doi:

Substances chimiques

Amides 0
Antiviral Agents 0
Pyrazines 0
favipiravir EW5GL2X7E0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

501-508

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

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Auteurs

Shashank Joshi (S)

Joshi Clinic and Lilavati Hospital and Research Center, Mumbai, India.

Jalil Parkar (J)

Lilavati Hospital and Research Center, Mumbai, India.

Abdul Ansari (A)

Critical Care Services, Nanavati Super Specialty Hospital, Mumbai, India.

Agam Vora (A)

Vora Clinic, Mumbai, India.

Deepak Talwar (D)

Metro Respiratory Centre, Noida, India.

Mangesh Tiwaskar (M)

Shilpa Medical Research Centre, Mumbai, India.

Saiprasad Patil (S)

Global Medical Affairs, India Formulations, Glenmark Pharmaceuticals Ltd., Mumbai, India. Electronic address: saiprasad.patil@glenmarkpharma.com.

Hanmant Barkate (H)

Global Medical Affairs, India Formulations and Middle East Africa, Glenmark Pharmaceuticals Ltd., Mumbai, India.

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Classifications MeSH