Evidence map›Paper›PMID 32779326›Full record

ReviewReviews in medical virology2020

Drugs against SARS-CoV-2: What do we know about their mode of action?

Coralie Valle, Baptiste Martin, Franck Touret, Ashleigh Shannon, Bruno Canard, Jean-Claude Guillemot, Bruno Coutard, Etienne Decroly

Registry-linked trialAbstract readReview
In one paragraph

Review in Reviews in medical virology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05134766 (Retrospective Evaluation of Clinical, Virological and Serological Data in Patients With Mild Acute Upper Respiratory Tract Infections), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05134766 completednot on this mapstarted 2021, after this paper: background citation

Retrospective Evaluation of Clinical, Virological and Serological Data in Patients With Mild Acute Upper Respiratory Tract Infections

TypeobservationalSponsorComplex Medical Centre Deli KlinikaRan2021 to 2021Enrolled380ConditionsAcute Upper Respiratory Tract InfectionArmsObservation only
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Histamine receptors and COVID-19.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2021
    Pooled it
  2. Review
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  9. Human SARS-CoV-2 has evolved to increase U content and reduce genome size.International journal of biological macromolecules · 2022
    Article
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  12. Article
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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

8 authors.

Coralie ValleLaboratoire AFMB, Aix Marseille Université, CNRS, UMR 7257, Marseille, France.ORCID https://orcid.org/0000-0003-3497-5378
Baptiste MartinBeyond Humanity, Lyon, France.
Franck TouretUnité des Virus Emergents (UVE: Aix Marseille Univ, IRD 190, INSERM 1207, IHU Méditerranée Infection), Marseille, France.ORCID https://orcid.org/0000-0002-4734-2249
Ashleigh ShannonLaboratoire AFMB, Aix Marseille Université, CNRS, UMR 7257, Marseille, France.
Bruno CanardLaboratoire AFMB, Aix Marseille Université, CNRS, UMR 7257, Marseille, France.
Jean-Claude GuillemotLaboratoire AFMB, Aix Marseille Université, CNRS, UMR 7257, Marseille, France.
Bruno CoutardUnité des Virus Emergents (UVE: Aix Marseille Univ, IRD 190, INSERM 1207, IHU Méditerranée Infection), Marseille, France.
Etienne DecrolyLaboratoire AFMB, Aix Marseille Université, CNRS, UMR 7257, Marseille, France.

Funding

European Union's Horizon 2020 research and innovation programme 101003627Fondation pour la Recherche MédicaleInsermSCORE project H2020 SC1-PHE-Coronavirus194 2020 101003627
6 · The paper itself

Abstract

The health emergency caused by the recent Covid-19 pandemic highlights the need to identify effective treatments against the virus causing this disease (SARS-CoV-2). The first clinical trials have been testing repurposed drugs that show promising anti-SARS-CoV-2 effects in cultured cells. Although more than 2400 clinical trials are already under way, the actual number of tested compounds is still limited to approximately 20, alone or in combination. In addition, knowledge on their mode of action (MoA) is currently insufficient. Their first results reveal some inconsistencies and contradictory results and suggest that cohort size and quality of the control arm are two key issues for obtaining rigorous and conclusive results. Moreover, the observed discrepancies might also result from differences in the clinical inclusion criteria, including the possibility of early treatment that may be essential for therapy efficacy in patients with Covid-19. Importantly, efforts should also be made to test new compounds with a documented MoA against SARS-CoV-2 in clinical trials. Successful treatment will probably be based on multitherapies with antiviral compounds that target different steps of the virus life cycle. Moreover, a multidisciplinary approach that combines artificial intelligence, compound docking, and robust in vitro and in vivo assays will accelerate the development of new antiviral molecules. Finally, large retrospective studies on hospitalized patients are needed to evaluate the different treatments with robust statistical tools and to identify the best treatment for each Covid-19 stage. This review describes different candidate antiviral strategies for Covid-19, by focusing on their mechanism of action.

Indexed as

COVID-19 Drug TreatmentAntiviral AgentsCombined Modality TherapyCOVID-19Disease ManagementDisease SusceptibilityDrug DevelopmentDrug RepositioningHost-Pathogen InteractionsHumansSARS-CoV-2Treatment OutcomeAntiviral Agents

Identifiers

PMID32779326
PMCPMC7435512

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.