Host-targeted antivirals against SARS-CoV-2 in clinical development- Prospect or disappointment?

被引:2
作者
Schreiber, Andre [1 ]
Ludwig, Stephan [1 ]
机构
[1] Univ Munster, Inst Virol Muenster, Munster, Germany
关键词
Host-targeted antivirals; SARS-CoV-2; COVID-19; Therapeutic strategies; Virus-host interaction; Drug repurposing; BROAD-SPECTRUM; CYCLOSPORINE-A; VIRUS ACTIVITY; IN-VITRO; INHIBITOR; COVID-19; SAFETY; REPLICATION; BREQUINAR; EFFICACY;
D O I
10.1016/j.antiviral.2025.106101
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The global response to the COVID-19 pandemic, caused by the novel SARS-CoV-2 virus, has seen an unprecedented increase in the development of antiviral therapies. Traditional antiviral strategies have primarily focused on direct-acting antivirals (DAAs), which specifically target viral components. In recent years, increasing attention was given to an alternative approach aiming to exploit host cellular pathways or immune responses to inhibit viral replication, which has led to development of so-called host-targeted antivirals (HTAs). The emergence of SARS-CoV-2 and COVID-19 has promoted a boost in this field. Numerous HTAs have been tested and demonstrated their potential against SARS-CoV-2 through in vitro and in vivo studies. However, in striking contrast, only a limited number have successfully progressed to advanced clinical trial phases (2-4), and even less have entered clinical practice. This review aims to explore the current landscape of HTAs targeting SARSCoV-2 that have reached phase 2-4 clinical trials. Additionally, it will explore the challenges faced in the development of HTAs and in gaining regulatory approval and market availability.
引用
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页数:15
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共 173 条
[1]   Baricitinib reduces 30-day mortality in older adults with moderate-to-severe COVID-19 pneumonia [J].
Abizanda, Pedro ;
Calbo Mayo, Juan Maria ;
Mas Romero, Marta ;
Cortes Zamora, Elisa Belen ;
Tabernero Sahuquillo, Maria Teresa ;
Romero Rizos, Luis ;
Sanchez-Jurado, Pedro Manuel ;
Sanchez-Nievas, Gines ;
Campayo Escolano, Carlos ;
Ochoa Serrano, Alba ;
Sanchez-Flor Alfaro, Victoria ;
Lopez Bru, Rita ;
Gomez Ballesteros, Cristina ;
Caldevilla Bernardo, David ;
Callejas Gonzalez, Francisco Javier ;
Andres-Pretel, Fernando ;
Lauschke, Volker Martin ;
Stebbing, Justin .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2021, 69 (10) :2752-2758
[2]   Clinical features and management of human monkeypox: a retrospective observational study in the UK [J].
Adler, Hugh ;
Gould, Susan ;
Hine, Paul ;
Snell, Luke B. ;
Wong, Waison ;
Houlihan, Catherine F. ;
Osborne, Jane C. ;
Rampling, Tommy ;
Beadsworth, Mike Bj ;
Duncan, Christopher Ja ;
Dunning, Jake ;
Fletcher, Tom E. ;
Hunter, Ewan R. ;
Jacobs, Michael ;
Khoo, Saye H. ;
Newsholme, William ;
Porter, David ;
Porter, Robert J. ;
Ratcliffe, Libuse ;
Schmid, Matthias L. ;
Semple, Malcolm G. ;
Tunbridge, Anne J. ;
Wingfield, Tom ;
Price, Nicholas M. .
LANCET INFECTIOUS DISEASES, 2022, 22 (08) :1153-1162
[3]  
Agrawal Umang, 2020, Med J Armed Forces India, V76, P370, DOI 10.1016/j.mjafi.2020.08.004
[4]   Systematic review and meta-analysis of the efficacy and safety of leflunomide and methotrexate in the treatment of rheumatoid arthritis [J].
Alfaro-Lara, Roberto ;
Fabricio Espinosa-Ortega, Hector ;
Alejandro Arce-Salinas, Cesar .
REUMATOLOGIA CLINICA, 2019, 15 (03) :133-139
[5]   Imatinib in patients with severe COVID-19: a randomised, double-blind, placebo-controlled, clinical trial [J].
Aman, Jurjan ;
Duijvelaar, Erik ;
Botros, Liza ;
Kianzad, Azar ;
Schippers, Job R. ;
Smeele, Patrick J. ;
Azhang, Sara ;
Bartelink, Imke H. ;
Bayoumy, Ahmed A. ;
Bet, Pierre M. ;
Boersma, Wim ;
Bonta, Peter, I ;
Boomars, Karin A. T. ;
Bos, Lieuwe D. J. ;
Bragt, Job J. M. H. van ;
Braunstahl, Gert-Jan ;
Celant, Lucas R. ;
Eger, Katrien A. B. ;
Geelhoed, J. J. Miranda ;
Glabbeek, Yurika L. E. van ;
Grotjohan, Hans P. ;
Hagens, Laura A. ;
Happe, Chris M. ;
Hazes, Boaz D. ;
Heunks, Leo M. A. ;
Heuvel, Michel van den ;
Hoefsloot, Wouter ;
Hoek, Rianne J. A. ;
Hoekstra, Romke ;
Hofstee, Herman M. A. ;
Juffermans, Nicole P. ;
Kemper, E. Marleen ;
Kos, Renate ;
Kunst, Peter W. A. ;
Lammers, Ariana ;
Lee, Ivo van der ;
Lee, E. Laurien van der ;
Zee, Anke-Hilse Maitland-van der ;
Asam, Pearl F. M. Mau ;
Mieras, Adinda ;
Muller, Mirte ;
Neefjes, Elisabeth C. W. ;
Nossent, Esther J. ;
Oswald, Laurien M. A. ;
Overbeek, Maria J. ;
Pamplona, Carolina C. ;
Paternotte, Nienke ;
Pronk, Niels ;
Raaf, Michiel A. de ;
Raaij, Bas F. M. van .
LANCET RESPIRATORY MEDICINE, 2021, 9 (09) :957-968
[6]   Effect of bromhexine on clinical outcomes and mortality in COVID-19 patients: A randomized clinical trial [J].
Ansarin, Khalil ;
Tolouian, Ramin ;
Ardalan, Mohammadreza ;
Taghizadieh, Ali ;
Varshochi, Mojtaba ;
Teimouri, Soheil ;
Vaezi, Tahere ;
Valizadeh, Hamed ;
Saleh, Parviz ;
Safiri, Saeid ;
Chapman, Kenneth R. .
BIOIMPACTS, 2020, 10 (04) :209-215
[7]   Compassionate remdesivir treatment of severe Covid-19 pneumonia in intensive care unit (ICU) and Non-ICU patients: Clinical outcome and differences in post-treatment hospitalisation status [J].
Antinori, Spinello ;
Cossu, Maria Vittoria ;
Ridolfo, Anna Lisa ;
Rech, Roberto ;
Bonazzetti, Cecilia ;
Pagani, Gabriele ;
Gubertini, Guido ;
Coen, Massimo ;
Magni, Carlo ;
Castelli, Antonio ;
Borghi, Beatrice ;
Colombo, Riccardo ;
Giorgi, Riccardo ;
Angeli, Elena ;
Mileto, Davide ;
Milazzo, Laura ;
Vimercati, Stefania ;
Pellicciotta, Martina ;
Corbellino, Mario ;
Torre, Alessandro ;
Rusconi, Stefano ;
Oreni, Letizia ;
Gismondo, Maria Rita ;
Giacomelli, Andrea ;
Meroni, Luca ;
Rizzardini, Giuliano ;
Galli, Massimo .
PHARMACOLOGICAL RESEARCH, 2020, 158
[8]   The INVENT COVID trial: a structured protocol for a randomized controlled trial investigating the efficacy and safety of intravenous imatinib mesylate (Impentri®) in subjects with acute respiratory distress syndrome induced by COVID-19 [J].
Atmowihardjo, Leila ;
Schippers, Job R. ;
Bartelink, Imke H. ;
Bet, Pierre M. ;
van Rein, Nienke ;
Purdy, Keith ;
Cavalla, David ;
Comberiati, Valerie ;
McElroy, Andrew ;
Snape, Sue D. ;
Bogaard, Harm Jan ;
Heunks, Leo ;
Juffermans, Nicole ;
Schultz, Marcus ;
Tuinman, Pieter R. ;
Bos, Lieuwe D. J. ;
Aman, Jurjan .
TRIALS, 2022, 23 (01)
[9]   Hydroxychloroquine versus placebo in the treatment of non-hospitalised patients with COVID-19 (COPE - Coalition V): A double-blind, multicentre, randomised, controlled trial [J].
Avezum, Alvaro ;
Oliveira, Gustavo B. F. ;
Oliveira, Haliton ;
Lucchetta, Rosa C. ;
Pereira, Valeria F. A. ;
Dabarian, Andre L. ;
Vieira, Ricardo D. O. ;
Silva, Daniel, V ;
Kormann, Adrian P. M. ;
Tognon, Alexandre P. ;
De Gasperi, Ricardo ;
Hernandes, Mauro E. ;
Feitosa, Audes D. M. ;
Piscopo, Agnaldo ;
Souza, Andre S. ;
Miguel, Carlos H. ;
Nogueira, Vinicius O. ;
Minelli, Cesar ;
Magalhaes, Carlos C. ;
Morejon, Karen M. L. ;
Bicudo, Leticia S. ;
Souza, Germano E. C. ;
Gomes, Marco A. M. ;
Fo, Jose J. F. Raposo ;
Schwarzbold, Alexandre, V ;
Zilli, Alexandre ;
Amazonas, Roberto B. ;
Moreira, Frederico R. ;
Alves, Lucas B. O. ;
Assis, Silvia R. L. ;
Neves, Precil D. M. M. ;
Matuoka, Jessica Y. ;
Boszczowski, Icaro ;
Catarino, Daniela G. M. ;
Veiga, Viviane C. ;
Azevedo, Luciano C. P. ;
Rosa, Regis G. ;
Lopes, Renato D. ;
Cavalcanti, Alexandre B. ;
Berwanger, Otavio .
LANCET REGIONAL HEALTH-AMERICAS, 2022, 11
[10]   Cellular host factors for SARS-CoV-2 infection [J].
Baggen, Jim ;
Vanstreels, Els ;
Jansen, Sander ;
Daelemans, Dirk .
NATURE MICROBIOLOGY, 2021, 6 (10) :1219-1232