Evidence map›Paper›PMID 32129518›Full record

ArticleDrug development research2020

Angiotensin receptor blockers as tentative SARS-CoV-2 therapeutics.

David Gurwitz

7 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Drug development research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 482 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
482citing papers in PubMed, 9 pooled it
20.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04338009 nacompletednot on this map

The Randomized Elimination or Prolongation of Angiotensin Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in Coronavirus Disease 2019

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2020Enrolled152ConditionsCOVID-19ArmsDiscontinuation of ARB/ACEI, Continuation of ARB/ACEI
NCT04340921 withdrawnnot on this map

The Role of Adaptive Immunity in COVID-19 Associated Myocardial Injury

TypeobservationalSponsorBarts & The London NHS TrustRan2020 to 2023Enrolled0ConditionsCardiovascular Disease Acute, Cardiomyopathies, COVIDArmsCOVID-19 exposure
NCT04355429 phase2unknown statusnot on this map

Efficacy of Captopril Nebulization in Covid-19 Patients Suffering of SARS CoV-2 Pneumonia. A Randomized Phase II Study

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2020 to 2020Enrolled230ConditionsPneumonia, Coronavirus Infection, COVID-19Armscaptopril 25mg
NCT04367883 recruitingnot on this map

Evaluation of Influenza Vaccination and Treatment With ACEI and ARB in the Evolution of SARS-CoV2 Infection

TypeobservationalSponsorConsorci Sanitari de TerrassaRan2020 to 2028Enrolled3,000ConditionsCOVID19, Influenza Vaccination, ACE Inhibitors, ARBArmsAntihistamine, Amantadine, ACEI, ARB, Influenza vaccine and COVID
NCT04369807 completednot on this map

Mapping Organ Health Following COVID-19 Disease Due to SARS-CoV-2 Infection

TypeobservationalSponsorPerspectumRan2020 to 2022Enrolled693ConditionsCOVID-19ArmsOutpatient MRI
NCT04766645 completednot on this map

Gender Differences in Stroke With COVID-19: Epigenetic and Biochemical Study of ACE2 Receptor and Relationship With Rehabilitative Outcome

TypeobservationalSponsorFondazione Don Carlo Gnocchi ETSRan2020 to 2023Enrolled77ConditionsNeurologic ManifestationsArmsRobotic assisted intervention, epigenetic analyses, biochemical analyses
NCT05304702 completednot on this mapstarted 2021, after this paper: background citation

Lung Injury (Pulmonary Edema) in COVID-19: Treatment With Furosemide and Negative Fluid Balance (NEGBAL): a Case-Control Study

TypeobservationalSponsorClinica ColonRan2021 to 2022Enrolled120ConditionsCOVID-19
3 · Its place in the literature

Who cites it

482 citing papers in PubMed, 9 syntheses or guidelines pooled it, 833 citations in OpenAlex.

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422 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

David GurwitzDepartment of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.ORCID 0000-0002-9363-1869
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

At the time of writing this commentary (February 2020), the coronavirus COVID-19 epidemic has already resulted in more fatalities compared with the SARS and MERS coronavirus epidemics combined. Therapeutics that may assist to contain its rapid spread and reduce its high mortality rates are urgently needed. Developing vaccines against the SARS-CoV-2 virus may take many months. Moreover, vaccines based on viral-encoded peptides may not be effective against future coronavirus epidemics, as virus mutations could make them futile. Indeed, new Influenza virus strains emerge every year, requiring new immunizations. A tentative suggestion based on existing therapeutics, which would likely be resistant to new coronavirus mutations, is to use available angiotensin receptor 1 (AT1R) blockers, such as losartan, as therapeutics for reducing the aggressiveness and mortality from SARS-CoV-2 virus infections. This idea is based on observations that the angiotensin-converting enzyme 2 (ACE2) very likely serves as the binding site for SARS-CoV-2, the strain implicated in the current COVID-19 epidemic, similarly to strain SARS-CoV implicated in the 2002-2003 SARS epidemic. This commentary elaborates on the idea of considering AT1R blockers as tentative treatment for SARS-CoV-2 infections, and proposes a research direction based on datamining of clinical patient records for assessing its feasibility.

Indexed as

Angiotensin-Converting Enzyme 2Angiotensin II Type 1 Receptor BlockersAngiotensin Receptor AntagonistsBetacoronavirusBinding SitesCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentHumansPandemicsPeptidyl-Dipeptidase APneumonia, ViralSARS-CoV-2ACE2 protein, humanAngiotensin-Converting Enzyme 2Angiotensin II Type 1 Receptor BlockersAngiotensin Receptor AntagonistsPeptidyl-Dipeptidase Aangiotensin-converting enzyme 2 (ACE2)AT1R blockersCOVID-19 epidemiclosartanSARS-CoV-2

Identifiers

PMID32129518
PMCPMC7228359
OpenAlexW3009723094

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 1 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.