Evidence map›Paper›PMID 36525217›Full record

ReviewJournal of medical toxicology : official journal of the American College of Medical Toxicology2023

COVID-19 Therapeutics: Use, Mechanism of Action, and Toxicity (Xenobiotics).

Michael A Chary, Alexander F Barbuto, Sudeh Izadmehr, Marc Tarsillo, Eduardo Fleischer, Michele M Burns

Abstract readReview
In one paragraph

Review in Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Role of Cytochrome P450 2C9 in COVID-19 Treatment: Current Status and Future Directions.European journal of drug metabolism and pharmacokinetics · 2023
    Review
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

6 authors.

Michael A CharyDivision of Medical Toxicology, Department of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA. mic9189@med.cornell.edu.ORCID 0000-0002-9000-1765
Alexander F BarbutoDivision of Medical Toxicology, Department of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA.
Sudeh IzadmehrDivision of Hematology and Medical Oncology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Marc TarsilloDivision of Medical Toxicology, Department of Emergency Medicine, Weill Cornell Medical College, New York, NY, USA.
Eduardo FleischerDivision of Medical Toxicology, Department of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA.
Michele M BurnsDivision of Medical Toxicology, Department of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA.

Funding

TRAINING PROGRAM IN CANCER THERAPYT32CA078207 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI James J Manfredi · 1999 to 2026
$11.6M
NCATS NIH HHS LRPNCI NIH HHS T32 CA078207
6 · The paper itself

Abstract

SARS-CoV-2 emerged in 2019 and led to the COVID-19 pandemic. Efforts to develop therapeutics against SARS-Cov-2 led to both new treatments and attempts to repurpose existing medications. Here, we provide a narrative review of the xenobiotics and alternative remedies used or proposed to treat COVID-19. Most repositioned xenobiotics have had neither the feared toxicity nor the anticipated efficacy. Repurposed viral replication inhibitors are not efficacious and frequently associated with nausea, vomiting, and diarrhea. Antiviral medications designed specifically against SARS-CoV-2 may prevent progression to severe disease in at-risk individuals and appear to have a wide therapeutic index. Colloidal silver, zinc, and ivermectin have no demonstrated efficacy. Ivermectin has a wide therapeutic index but is not efficacious and acquiring it from veterinary sources poses additional danger. Chloroquine has a narrow therapeutic index and no efficacy. A companion review covers vaccines, monoclonal antibodies, and immunotherapies. Together, these two reviews form an update to our 2020 review.

Indexed as

COVID-19Antiviral AgentsHumansIvermectinPandemicsSARS-CoV-2XenobioticsAntiviral AgentsIvermectinXenobioticsAlternative remediesCOVID-19MisinformationXenobiotics

Identifiers

PMID36525217
PMCPMC9756926

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.