Evidence map›Paper›PMID 32356926›Full record

ArticleDrug development research2020

Telmisartan as tentative angiotensin receptor blocker therapeutic for COVID-19.

Rodolfo Pedro Rothlin, Héctor Miguel Vetulli, Mariano Duarte, Facundo Germán Pelorosso

2 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 2 registered trials, which are not on this map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 8% 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.

NCT04355936 phase4completednot on this map

Telmisartan for Treatment of COVID-19 Patients: an Open Label Randomized Trial

TypeinterventionalSponsorLaboratorio Elea Phoenix S.A.Ran2020 to 2020Enrolled400ConditionsCOVID-19 Drug TreatmentArmsTelmisartan arm will receive 80 mg Telmisartan twice daily plus standard care.
NCT04510662 phase2completednot on this map

Effectiveness and Safety of Telmisartan in Acute Respiratory Failure Due to COVID-19

TypeinterventionalSponsorAbraham Edgar Gracia-RamosRan2020 to 2021Enrolled66ConditionsCOVID-19, Respiratory Insufficiency, Telmisartan, Respiratory Distress Syndrome, AdultArmsTelmisartan
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

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  19. The Race for ACE: Targeting Angiotensin-Converting Enzymes (ACE) in SARS-CoV-2 Infection.Journal of the renin-angiotensin-aldosterone system : JRAAS · 2022
    Review
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Rodolfo Pedro RothlinSociedad Argentina de Farmacología Clínica, Asociación Médica Argentina, Buenos Aires, Argentina.ORCID 0000-0003-4731-6099
Héctor Miguel VetulliServicio de Electrofisiología Cardíaca, Arritmias y Marcapasos, Sanatorio Otamendi y Miroli, Buenos Aires, Argentina.
Mariano DuarteHospital de Clínicas "José de San Martín", Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.
Facundo Germán PelorossoDepartment of Pathology, Hospital de Alta Complejidad El Calafate SAMIC, Santa Cruz, Argentina.
Hospital El Cruce · ARSanatorio Otamendi y Miroli · ARUniversidad de Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In late 2019, a new coronavirus emerged in Wuhan Province, China, causing lung complications similar to those produced by the SARS coronavirus in the 2002-2003 epidemic. This new disease was named COVID-19 and the causative virus SARS-CoV-2. The SARS-CoV-2 virus enters the airway and binds, by means of the S protein on its surface to the membrane protein ACE2 in type 2 alveolar cells. The S protein-ACE2 complex is internalized by endocytosis leading to a partial decrease or total loss of the enzymatic function ACE2 in the alveolar cells and in turn increasing the tissue concentration of pro-inflammatory angiotensin II by decreasing its degradation and reducing the concentration of its physiological antagonist angiotensin 1-7. High levels of angiotensin II on the lung interstitium can promote apoptosis initiating an inflammatory process with release of proinflammatory cytokines, establishing a self-powered cascade, leading eventually to ARDS. Recently, Gurwitz proposed the tentative use of agents such as losartan and telmisartan as alternative options for treating COVID-19 patients prior to development of ARDS. In this commentary article, the authors make the case for the election of telmisartan as such alternative on the basis of its pharmacokinetic and pharmacodynamic properties and present an open-label randomized phase II clinical trial for the evaluation of telmisartan in COVID-19 patients (NCT04355936).

Indexed as

COVID-19 Drug TreatmentAngiotensin-Converting Enzyme 2Angiotensin II Type 1 Receptor BlockersClinical Trials, Phase II as TopicCOVID-19HumansLungPandemicsProtein BindingSARS-CoV-2Spike Glycoprotein, CoronavirusTelmisartanVirus InternalizationACE2 protein, humanAngiotensin-Converting Enzyme 2Angiotensin II Type 1 Receptor BlockersSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2TelmisartanACE2angiotensin IIARDSclinical trialCOVID-19SARS-CoV-2telmisartan

Identifiers

PMID32356926
PMCPMC7267340
OpenAlexW3022288447

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.