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pubmed-molnupirav-set.txt
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PMID- 34968008
OWN - NLM
STAT- MEDLINE
DCOM- 20220114
LR - 20220325
IS - 2052-1707 (Electronic)
IS - 2052-1707 (Linking)
VI - 10
IP - 1
DP - 2022 Feb
TI - Molnupiravir: A new candidate for COVID-19 treatment.
PG - e00909
LID - 10.1002/prp2.909 [doi]
LID - e00909
AB - The novel coronavirus disease 2019 (COVID-19) emerged in late December 2019 in
china and has rapidly spread to many countries around the world. The effective
pharmacotherapy can reduce the mortality of COVID-19. Antiviral medications are
the candidate therapies for the management of COVID-19. Molnupiravir is an
antiviral drug with anti-RNA polymerase activity and currently is under
investigation for the treatment of patients with COVID-19. This review focuses on
summarizing published literature for the mechanism of action, safety, efficacy,
and clinical trials of molnupiravir in the treatment of COVID-19 patients.
CI - © 2021 The Authors. Pharmacology Research & Perspectives published by British
Pharmacological Society and American Society for Pharmacology and Experimental
Therapeutics and John Wiley & Sons Ltd.
FAU - Pourkarim, Fariba
AU - Pourkarim F
AUID- ORCID: 0000-0002-0026-9734
AD - Student Research Committee, Faculty of Pharmacy, Tabriz University of Medical
Sciences, Tabriz, Iran.
AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of
Medical Sciences, Tabriz, Iran.
FAU - Pourtaghi-Anvarian, Samira
AU - Pourtaghi-Anvarian S
AD - Student Research Committee, Faculty of Pharmacy, Tabriz University of Medical
Sciences, Tabriz, Iran.
AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of
Medical Sciences, Tabriz, Iran.
FAU - Rezaee, Haleh
AU - Rezaee H
AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of
Medical Sciences, Tabriz, Iran.
AD - Infectious Diseases and Tropical Medicine Research Center, Tabriz University of
Medical Sciences, Tabriz, Iran.
LA - eng
PT - Journal Article
PT - Review
TA - Pharmacol Res Perspect
JT - Pharmacology research & perspectives
JID - 101626369
RN - 0 (Antiviral Agents)
RN - 0 (Hydroxylamines)
RN - 5CSZ8459RP (Cytidine)
RN - YA84KI1VEW (molnupiravir)
SB - IM
MH - Antiviral Agents/*therapeutic use
MH - COVID-19/*drug therapy/virology
MH - Clinical Trials as Topic
MH - Cytidine/*analogs & derivatives/therapeutic use
MH - Drug Interactions
MH - Humans
MH - Hydroxylamines/*therapeutic use
MH - SARS-CoV-2/isolation & purification
PMC - PMC8929331
OTO - NOTNLM
OT - *COVID-19 treatment
OT - *EIDD-2801
OT - *MK-4482
OT - *antiviral drugs
OT - *molnupiravir
OT - *novel coronavirus disease 2019
COIS- The authors declare that there is no conflict of interest.
EDAT- 2021/12/31 06:00
MHDA- 2022/01/15 06:00
CRDT- 2021/12/30 12:52
PHST- 2021/12/05 00:00 [revised]
PHST- 2021/06/25 00:00 [received]
PHST- 2021/12/15 00:00 [accepted]
PHST- 2021/12/30 12:52 [entrez]
PHST- 2021/12/31 06:00 [pubmed]
PHST- 2022/01/15 06:00 [medline]
AID - PRP2909 [pii]
AID - 10.1002/prp2.909 [doi]
PST - ppublish
SO - Pharmacol Res Perspect. 2022 Feb;10(1):e00909. doi: 10.1002/prp2.909.
PMID- 34914868
OWN - NLM
STAT- MEDLINE
DCOM- 20220221
LR - 20220426
IS - 1533-4406 (Electronic)
IS - 0028-4793 (Print)
IS - 0028-4793 (Linking)
VI - 386
IP - 6
DP - 2022 Feb 10
TI - Molnupiravir for Oral Treatment of Covid-19 in Nonhospitalized Patients.
PG - 509-520
LID - 10.1056/NEJMoa2116044 [doi]
LID - NEJMoa2116044
AB - BACKGROUND: New treatments are needed to reduce the risk of progression of
coronavirus disease 2019 (Covid-19). Molnupiravir is an oral, small-molecule
antiviral prodrug that is active against severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2). METHODS: We conducted a phase 3, double-blind,
randomized, placebo-controlled trial to evaluate the efficacy and safety of
treatment with molnupiravir started within 5 days after the onset of signs or
symptoms in nonhospitalized, unvaccinated adults with mild-to-moderate,
laboratory-confirmed Covid-19 and at least one risk factor for severe Covid-19
illness. Participants in the trial were randomly assigned to receive 800 mg of
molnupiravir or placebo twice daily for 5 days. The primary efficacy end point
was the incidence hospitalization or death at day 29; the incidence of adverse
events was the primary safety end point. A planned interim analysis was performed
when 50% of 1550 participants (target enrollment) had been followed through day
29. RESULTS: A total of 1433 participants underwent randomization; 716 were
assigned to receive molnupiravir and 717 to receive placebo. With the exception
of an imbalance in sex, baseline characteristics were similar in the two groups.
The superiority of molnupiravir was demonstrated at the interim analysis; the
risk of hospitalization for any cause or death through day 29 was lower with
molnupiravir (28 of 385 participants [7.3%]) than with placebo (53 of 377
[14.1%]) (difference, -6.8 percentage points; 95% confidence interval [CI], -11.3
to -2.4; P = 0.001). In the analysis of all participants who had undergone
randomization, the percentage of participants who were hospitalized or died
through day 29 was lower in the molnupiravir group than in the placebo group
(6.8% [48 of 709] vs. 9.7% [68 of 699]; difference, -3.0 percentage points; 95%
CI, -5.9 to -0.1). Results of subgroup analyses were largely consistent with
these overall results; in some subgroups, such as patients with evidence of
previous SARS-CoV-2 infection, those with low baseline viral load, and those with
diabetes, the point estimate for the difference favored placebo. One death was
reported in the molnupiravir group and 9 were reported in the placebo group
through day 29. Adverse events were reported in 216 of 710 participants (30.4%)
in the molnupiravir group and 231 of 701 (33.0%) in the placebo group.
CONCLUSIONS: Early treatment with molnupiravir reduced the risk of
hospitalization or death in at-risk, unvaccinated adults with Covid-19. (Funded
by Merck Sharp and Dohme; MOVe-OUT ClinicalTrials.gov number, NCT04575597.).
CI - Copyright © 2021 Massachusetts Medical Society.
FAU - Jayk Bernal, Angélica
AU - Jayk Bernal A
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Gomes da Silva, Monica M
AU - Gomes da Silva MM
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Musungaie, Dany B
AU - Musungaie DB
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Kovalchuk, Evgeniy
AU - Kovalchuk E
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Gonzalez, Antonio
AU - Gonzalez A
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Delos Reyes, Virginia
AU - Delos Reyes V
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Martín-Quirós, Alejandro
AU - Martín-Quirós A
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Caraco, Yoseph
AU - Caraco Y
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Williams-Diaz, Angela
AU - Williams-Diaz A
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Brown, Michelle L
AU - Brown ML
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Du, Jiejun
AU - Du J
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Pedley, Alison
AU - Pedley A
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Assaid, Christopher
AU - Assaid C
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Strizki, Julie
AU - Strizki J
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Grobler, Jay A
AU - Grobler JA
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Shamsuddin, Hala H
AU - Shamsuddin HH
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Tipping, Robert
AU - Tipping R
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Wan, Hong
AU - Wan H
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Paschke, Amanda
AU - Paschke A
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Butterton, Joan R
AU - Butterton JR
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - Johnson, Matthew G
AU - Johnson MG
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
FAU - De Anda, Carisa
AU - De Anda C
AD - From IMAT Oncomédica, Monteria, Colombia (A.J.B.); the Department of Public
Health, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil
(M.M.G.S.); Jongaie Research, Pretoria, South Africa (D.B.M.); Medical Research
Institute, St. Petersburg, Russia (E.K.); Advanced Research for Health
Improvement, Immokalee, FL (A.G.); Lung Center of the Philippines, Quezon City,
Philippines (V.D.R.); Hospital Universitario La Paz, IdiPAZ, Madrid (A.M.-Q.);
Clinical Pharmacology Unit, Hadassah-Hebrew University Medical Center, Jerusalem
(Y.C.); and Merck, Kenilworth, NJ (A.W.-D., M.L.B., J.D., A. Pedley, C.A., J.S.,
J.A.G., H.H.S., R.T., H.W., A. Paschke, J.R.B., M.G.J., C.D.A.).
CN - MOVe-OUT Study Group
LA - eng
SI - ClinicalTrials.gov/NCT04575597
PT - Clinical Trial, Phase III
PT - Journal Article
PT - Multicenter Study
PT - Randomized Controlled Trial
PT - Research Support, Non-U.S. Gov't
DEP - 20211216
TA - N Engl J Med
JT - The New England journal of medicine
JID - 0255562
RN - 0 (Antiviral Agents)
RN - 0 (Hydroxylamines)
RN - 5CSZ8459RP (Cytidine)
RN - YA84KI1VEW (molnupiravir)
SB - IM
CIN - N Engl J Med. 2022 Feb 10;386(6):592-593. PMID: 34914869
CIN - Pol Arch Intern Med. 2022 Jan 28;132(1):. PMID: 34978394
CIN - N Engl J Med. 2022 Mar 31;386(13):e32. PMID: 35294804
CIN - N Engl J Med. 2022 Mar 31;386(13):e32. PMID: 35294805
CIN - N Engl J Med. 2022 Mar 31;386(13):e32. PMID: 35294806
CIN - N Engl J Med. 2022 Mar 31;386(13):e32. PMID: 35294807
MH - Administration, Oral
MH - Adolescent
MH - Adult
MH - Aged
MH - Aged, 80 and over
MH - Antiviral Agents/adverse effects/*therapeutic use
MH - COVID-19/*drug therapy/virology
MH - Cytidine/adverse effects/*analogs & derivatives/therapeutic use
MH - Double-Blind Method
MH - Female
MH - Humans
MH - Hydroxylamines/adverse effects/*therapeutic use
MH - Male
MH - Middle Aged
MH - SARS-CoV-2/isolation & purification
MH - Treatment Outcome
MH - Viral Load
MH - Young Adult
PMC - PMC8693688
FIR - Doreski, Pablo
IR - Doreski P
FIR - Lobo, Suzana Margareth Ajeje
IR - Lobo SMA
FIR - Kallás, Ésper
IR - Kallás É
FIR - Gomes da Silva, Monica Maria
IR - Gomes da Silva MM
FIR - Souto Lopes, Suzara
IR - Souto Lopes S
FIR - Golin, Nicole Alberti
IR - Golin NA
FIR - Tytus, Richard
IR - Tytus R
FIR - Cruz, Germán
IR - Cruz G
FIR - Rodríguez, Ignacio
IR - Rodríguez I
FIR - Fernández, Plinio
IR - Fernández P
FIR - Elgueta, Sergio
IR - Elgueta S
FIR - Perez, Carlos
IR - Perez C
FIR - Moncada, Pablo Andres
IR - Moncada PA
FIR - Figueredo, Mario
IR - Figueredo M
FIR - Iglesias, Shirley Patricia
IR - Iglesias SP
FIR - Jayk Bernal, Angelica María
IR - Jayk Bernal AM
FIR - Roa Buitrago, Jairo
IR - Roa Buitrago J
FIR - Bautista, Leonardo
IR - Bautista L
FIR - Fernandez, Angela
IR - Fernandez A
FIR - Accini, Jose
IR - Accini J
FIR - Abdel Aziz, Ehab
IR - Abdel Aziz E
FIR - Robineau, Olivier
IR - Robineau O
FIR - Ghosn, Jade
IR - Ghosn J
FIR - Katlama, Christine
IR - Katlama C
FIR - Wolf, Timo
IR - Wolf T
FIR - Flores, Jose
IR - Flores J
FIR - Lopez, Rudy
IR - Lopez R
FIR - Bassetti, Matteo
IR - Bassetti M
FIR - Ohmagari, Norio
IR - Ohmagari N
FIR - Umezawa, Yoshihiro
IR - Umezawa Y
FIR - Takiguchi, Yasuo
IR - Takiguchi Y
FIR - Garcia Salcido, Roxana
IR - Garcia Salcido R
FIR - Ponce de León Garduño, Luis Alfredo
IR - Ponce de León Garduño LA
FIR - Camacho-Ortiz, Adrian
IR - Camacho-Ortiz A
FIR - Mosqueda Gomez, Juan
IR - Mosqueda Gomez J
FIR - Ramirez Hernandez, Amado
IR - Ramirez Hernandez A
FIR - Campos, Jesus Simon
IR - Campos JS
FIR - Rivera Martinez, Norma
IR - Rivera Martinez N
FIR - Medina, Isai
IR - Medina I
FIR - Castro Castrezana, Laura
IR - Castro Castrezana L
FIR - Muniz, Alejandro
IR - Muniz A
FIR - Delos Reyes, Virginia
IR - Delos Reyes V
FIR - Santiaguel, Joel
IR - Santiaguel J
FIR - Khaertynova, Ilsiyar
IR - Khaertynova I
FIR - Ploskireva, Antonina
IR - Ploskireva A
FIR - Lomakin, Nikita
IR - Lomakin N
FIR - Kozlov, Roman S
IR - Kozlov RS
FIR - Galustyan, Anna Nikolaevna
IR - Galustyan AN
FIR - Kovalchuk, Evgeniy
IR - Kovalchuk E
FIR - Zakharov, Konstantin
IR - Zakharov K
FIR - Kostenko, Victor Avenirovich
IR - Kostenko VA
FIR - Tomaev, Uruzmag
IR - Tomaev U
FIR - Pichkov, Dmitriy
IR - Pichkov D
FIR - Antonova, Elizaveta
IR - Antonova E
FIR - Chizhova, Olga
IR - Chizhova O
FIR - Arkharov, Igor
IR - Arkharov I
FIR - Anikin, Georgiy
IR - Anikin G
FIR - Lioznov, Dmitry
IR - Lioznov D
FIR - Burgess, Lesley
IR - Burgess L
FIR - Fourie, Nyda
IR - Fourie N
FIR - Badat, Aysha
IR - Badat A
FIR - Van Zyl, Louis
IR - Van Zyl L
FIR - Hellstrom, Elizabeth
IR - Hellstrom E
FIR - Kassim, Sheetal
IR - Kassim S
FIR - Musungaie, Dany Badibanga
IR - Musungaie DB
FIR - Petrick, Friedrich Georg
IR - Petrick FG
FIR - Fouche, Leon
IR - Fouche L
FIR - Coetzee, Kathleen
IR - Coetzee K
FIR - Mngqibisa, Rosie
IR - Mngqibisa R
FIR - Mellet, Karla
IR - Mellet K
FIR - Quíros, Alejandro Martín
IR - Quíros AM
FIR - Mateu, Lourdes
IR - Mateu L
FIR - Brotons Cuixart, Carlos
IR - Brotons Cuixart C
FIR - de Carranza Lopez, Maria
IR - de Carranza Lopez M
FIR - Cheng, Chien-Yu
IR - Cheng CY
FIR - Chang, Shan-Chwen
IR - Chang SC
FIR - Bhagani, Sanjay
IR - Bhagani S
FIR - Samoilova, Svitlana
IR - Samoilova S
FIR - Ostrovskyy, Mykola
IR - Ostrovskyy M
FIR - Kobrynska, Olena
IR - Kobrynska O
FIR - Pryshliak, Oleksandra
IR - Pryshliak O
FIR - Logoida, Pavlo
IR - Logoida P
FIR - Gyrina, Olga
IR - Gyrina O
FIR - Kireyev, Igor
IR - Kireyev I
FIR - Koval, Tetiana
IR - Koval T
FIR - Berenfus, Vadym
IR - Berenfus V
FIR - Peresh, Liudmyla
IR - Peresh L
FIR - Levchenko, Olena
IR - Levchenko O
FIR - Crofoot, Gordon E
IR - Crofoot GE
FIR - Gonzalez, Antonio
IR - Gonzalez A
FIR - Surber, Joseph
IR - Surber J
FIR - Duke, Elizabeth
IR - Duke E
FIR - Sims, James
IR - Sims J
FIR - Ramgopal, Moti
IR - Ramgopal M
FIR - Kemp, Charles
IR - Kemp C
FIR - Zambrano, Carlos
IR - Zambrano C
FIR - Cohen, Jonathan
IR - Cohen J
FIR - Katzman, Steven
IR - Katzman S
FIR - Weinberg, Aaron
IR - Weinberg A
FIR - Cardona, Jose
IR - Cardona J
FIR - Delgado, Lisette
IR - Delgado L
FIR - Ginsberg, Daniel
IR - Ginsberg D
FIR - Mills, Anthony
IR - Mills A
FIR - Pelayo, Enrique
IR - Pelayo E
FIR - Grayson Mathis, Charlotte
IR - Grayson Mathis C
FIR - Call, Robert
IR - Call R
FIR - Graham, Mary Beth
IR - Graham MB
EDAT- 2021/12/17 06:00
MHDA- 2022/02/22 06:00
CRDT- 2021/12/16 17:31
PHST- 2021/12/17 06:00 [pubmed]
PHST- 2022/02/22 06:00 [medline]
PHST- 2021/12/16 17:31 [entrez]
AID - NJ202112163860601 [pii]
AID - 10.1056/NEJMoa2116044 [doi]
PST - ppublish
SO - N Engl J Med. 2022 Feb 10;386(6):509-520. doi: 10.1056/NEJMoa2116044. Epub 2021
Dec 16.
PMID- 35118917
OWN - NLM
STAT- MEDLINE
DCOM- 20220208
LR - 20220216
IS - 1365-2060 (Electronic)
IS - 0785-3890 (Print)
IS - 0785-3890 (Linking)
VI - 54
IP - 1
DP - 2022 Dec
TI - Efficacy and safety of three new oral antiviral treatment (molnupiravir,
fluvoxamine and Paxlovid) for COVID-19:a meta-analysis.
PG - 516-523
LID - 10.1080/07853890.2022.2034936 [doi]
AB - BACKGROUND: The coronavirus disease (COVID-19) epidemic has not been completely
controlled. Although great achievements have been made in COVID-19 research and
many antiviral drugs have shown good therapeutic effects against COVID-19, a
simple oral antiviral drug for COVID-19 has not yet been developed. We conducted
a meta-analysis to investigate the improvement in mortality or hospitalization
rates and adverse events among COVID-19 patients with three new oral antivirals
(including molnupiravir, fluvoxamine and Paxlovid). METHODS: We searched
scientific and medical databases, such as PubMed, Web of Science, Embase and
Cochrane Library for relevant articles and screened the references of retrieved
studies on COVID-19. RESULTS: A total of eight studies were included in this
study. The drug group included 2440 COVID-19 patients, including 54 patients who
died or were hospitalized. The control group included a total of 2348 COVID-19
patients, including 118 patients who died or were hospitalized. The overall odds
ratio (OR) of mortality or hospitalization was 0.33 (95% confidence interval
[CI], 0.22-0.49) for COVID-19 patients in the drug group and placebo group,
indicating that oral antiviral drugs were effective for COVID-19 patients and
reduced the mortality or hospitalization by approximately 67%. CONCLUSIONS: This
study showed that three novel oral antivirals (molnupiravir, fluvoxamine and
Paxlovid) are effective in reducing the mortality and hospitalization rates in
patients with COVID-19. In addition, the three oral drugs did not increase the
occurrence of adverse events, thus exhibiting good overall safety. These three
oral antiviral drugs are still being studied, and the available data suggest that
they will bring new hope for COVID-19 recovery and have the potential to be a
breakthrough and very promising treatment for COVID-19.KEY MESSAGESMany antiviral
drugs have shown good therapeutic effects, and there is no simple oral antiviral
drug for COVID-19 patients.Meta-analysis was conducted for three new oral
antivirals to evaluate the improvement in mortality or hospitalization rates and
adverse events among COVID-19 patients.We focussed on three new oral Coronavirus
agents (molnupiravir, fluvoxamine and Paxlovid) and hope to provide guidance for
the roll-out of oral antivirals.
FAU - Wen, Wen
AU - Wen W
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
AD - Hangzhou Normal University, Hangzhou, PR China.
FAU - Chen, Chen
AU - Chen C
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
AD - Hangzhou Normal University, Hangzhou, PR China.
FAU - Tang, Jiake
AU - Tang J
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
AD - Hangzhou Normal University, Hangzhou, PR China.
FAU - Wang, Chunyi
AU - Wang C
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
AD - Hangzhou Normal University, Hangzhou, PR China.
FAU - Zhou, Mengyun
AU - Zhou M
AD - Department of Molecular and Cellular Physiology, Shinshu University School of
Medicine, Matsumoto, Japan.
FAU - Cheng, Yongran
AU - Cheng Y
AD - School of Public Health, Hangzhou Medical College, Hangzhou, PR China.
FAU - Zhou, Xiang
AU - Zhou X
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
FAU - Wu, Qi
AU - Wu Q
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
FAU - Zhang, Xingwei
AU - Zhang X
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
FAU - Feng, Zhanhui
AU - Feng Z
AUID- ORCID: 0000-0003-4755-7415
AD - Department of Neurology, Affiliated Hospital of Guizhou Medical University,
Guiyang, PR China.
FAU - Wang, Mingwei
AU - Wang M
AUID- ORCID: 0000-0001-9060-5107
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
FAU - Mao, Qin
AU - Mao Q
AD - Hangzhou Institute of Cardiovascular Diseases, Affiliated Hospital of Hangzhou
Normal University, Hangzhou, PR China.
LA - eng
PT - Journal Article
PT - Meta-Analysis
PT - Research Support, Non-U.S. Gov't
TA - Ann Med
JT - Annals of medicine
JID - 8906388
RN - 0 (Antiviral Agents)
RN - 0 (Drug Combinations)
RN - 0 (Hydroxylamines)
RN - 0 (Lactams)
RN - 0 (Nitriles)
RN - 0 (nirmatrelvir and ritonavir drug combination)
RN - 5CSZ8459RP (Cytidine)
RN - 9DLQ4CIU6V (Proline)
RN - GMW67QNF9C (Leucine)
RN - O3J8G9O825 (Ritonavir)
RN - O4L1XPO44W (Fluvoxamine)
RN - YA84KI1VEW (molnupiravir)
RN - COVID-19 drug treatment
SB - IM
MH - Antiviral Agents/adverse effects
MH - *COVID-19/drug therapy
MH - Cytidine/analogs & derivatives
MH - Drug Combinations
MH - *Fluvoxamine/adverse effects
MH - Humans
MH - Hydroxylamines
MH - Lactams
MH - Leucine
MH - Nitriles
MH - Proline
MH - Ritonavir
MH - SARS-CoV-2
PMC - PMC8820829
OTO - NOTNLM
OT - *COVID-19
OT - *Paxlovid™
OT - *fluvoxamine
OT - *molnupiravir
COIS- No potential conflict of interest was reported by the author(s).
EDAT- 2022/02/05 06:00
MHDA- 2022/02/09 06:00
CRDT- 2022/02/04 08:41
PHST- 2022/02/04 08:41 [entrez]
PHST- 2022/02/05 06:00 [pubmed]
PHST- 2022/02/09 06:00 [medline]
AID - 2034936 [pii]
AID - 10.1080/07853890.2022.2034936 [doi]
PST - ppublish
SO - Ann Med. 2022 Dec;54(1):516-523. doi: 10.1080/07853890.2022.2034936.
PMID- 34902743
OWN - NLM
STAT- MEDLINE
DCOM- 20220124
LR - 20220124
IS - 1950-6007 (Electronic)
IS - 0753-3322 (Print)
IS - 0753-3322 (Linking)
VI - 146
DP - 2022 Feb
TI - RdRp inhibitors and COVID-19: Is molnupiravir a good option?
PG - 112517
LID - S0753-3322(21)01304-4 [pii]
LID - 10.1016/j.biopha.2021.112517 [doi]
AB - Rapid changes in the viral genome allow viruses to evade threats posed by the
host immune response or antiviral drugs, and can lead to viral persistence in the
host cells. RNA-dependent RNA polymerase (RdRp) is an essential enzyme in RNA
viruses, which is involved in RNA synthesis through the formation of
phosphodiester bonds. Therefore, in RNA viral infections such as SARS-CoV-2, RdRp
could be a crucial therapeutic target. The present review discusses the promising
application of RdRp inhibitors, previously approved or currently being tested in
human clinical trials, in the treatment of RNA virus infections. Nucleoside
inhibitors (NIs) bind to the active site of RdRp, while nonnucleoside inhibitors
(NNIs) bind to allosteric sites. Given the absence of highly effective drugs for
the treatment of COVID-19, the discovery of an efficient treatment for this
pandemic is an urgent concern for researchers around the world. We review the
evidence for molnupiravir (MK-4482, EIDD-2801), an antiviral drug originally
designed for Alphavirus infections, as a potential preventive and therapeutic
agent for the management of COVID-19. At the beginning of this pandemic,
molnupiravir was in preclinical development for seasonal influenza. When COVID-19
spread dramatically, the timeline for development was accelerated to focus on the
treatment of this pandemic. Real time consultation with regulators took place to
expedite this program. We summarize the therapeutic potential of RdRp inhibitors,
and highlight molnupiravir as a new small molecule drug for COVID-19 treatment.
CI - Copyright © 2021 The Authors. Published by Elsevier Masson SAS.. All rights
reserved.
FAU - Hashemian, Seyed Mohammad Reza
AU - Hashemian SMR
AD - Chronic Respiratory Diseases Research Center (CRDRC), National Research Institute
of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical
Sciences, Tehran, Iran.
FAU - Pourhanifeh, Mohammad Hossein
AU - Pourhanifeh MH
AD - School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
FAU - Hamblin, Michael R
AU - Hamblin MR
AD - Laser Research Centre, Faculty of Health Science, University of Johannesburg,
Doornfontein 2028, South Africa.
FAU - Shahrzad, Mohammad Karim
AU - Shahrzad MK
AD - Department of Internal Medicine and Endocrinology, ShohadaeTajrish Hospital,
Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address:
FAU - Mirzaei, Hamed
AU - Mirzaei H
AD - Student Research Committee, Kashan University of Medical Sciences, Kashan, Iran;
Research Center for Biochemistry and Nutrition in Metabolic Diseases, Institute
for Basic Sciences, Kashan University of Medical Sciences, Kashan, IR, Iran.
Electronic address: [email protected].
LA - eng
PT - Journal Article
PT - Review
DEP - 20211209
TA - Biomed Pharmacother
JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie
JID - 8213295
RN - 0 (Antiviral Agents)
RN - 0 (Hydroxylamines)
RN - 5CSZ8459RP (Cytidine)
RN - EC 2.7.7.48 (RNA-Dependent RNA Polymerase)
RN - YA84KI1VEW (molnupiravir)
RN - COVID-19 drug treatment
SB - IM
MH - Animals
MH - Antiviral Agents/pharmacology/*therapeutic use
MH - COVID-19/*drug therapy/*enzymology
MH - Clinical Trials as Topic/methods
MH - Cytidine/*analogs & derivatives/pharmacology/therapeutic use
MH - Humans
MH - Hydroxylamines/pharmacology/*therapeutic use
MH - RNA-Dependent RNA Polymerase/*antagonists & inhibitors/metabolism
PMC - PMC8654603
OTO - NOTNLM
OT - Clinical trials
OT - RdRp inhibitors, Molnupiravir
OT - SARS-CoV-2
OT - Small molecule drug
COIS- Authors declare no conflicts of interest.
EDAT- 2021/12/14 06:00
MHDA- 2022/01/27 06:00
CRDT- 2021/12/13 20:25
PHST- 2021/10/19 00:00 [received]
PHST- 2021/12/03 00:00 [revised]
PHST- 2021/12/06 00:00 [accepted]
PHST- 2021/12/14 06:00 [pubmed]
PHST- 2022/01/27 06:00 [medline]
PHST- 2021/12/13 20:25 [entrez]
AID - S0753-3322(21)01304-4 [pii]
AID - 112517 [pii]
AID - 10.1016/j.biopha.2021.112517 [doi]
PST - ppublish
SO - Biomed Pharmacother. 2022 Feb;146:112517. doi: 10.1016/j.biopha.2021.112517. Epub
2021 Dec 9.
PMID- 35245942
OWN - NLM
STAT- Publisher
LR - 20220304
IS - 1537-6591 (Electronic)
IS - 1058-4838 (Linking)
DP - 2022 Mar 4
TI - Molnupiravir and Nirmatrelvir-Ritonavir: Oral COVID Antiviral Drugs.
LID - ciac180 [pii]
LID - 10.1093/cid/ciac180 [doi]
AB - At a crucial time with rapid spread of Omicron SARS-CoV-2 virus variant globally,
the United States Food and Drug Administration has issued an emergency use
authorization for two oral antivirals molnupiravir (>18 years) and
nirmatrelvir-ritonavir (Paxlovid) (≥12 years; >40kg ) for the outpatient
treatment of mild to moderate COVID-19 patients who are at risk for progression.
Molnupiravir is a nucleoside analogue, whereas nirmatrelvir is a SARS-CoV-2 main
protease inhibitor, and ritonavir is an HIV-1 protease inhibitor. Drug
interactions are a major concern for nirmatrelvir-ritonavir.
Nirmatrelvir-ritonavir demonstrated a greater risk reduction in hospitalization
and death than molnupiravir compared to placebo. Both drugs need to be started
within five days of symptoms onset and given for five days duration. This article
will review the two oral COVID-19 antiviral drugs including the mechanisms of
action, antiviral activity, pharmacokinetics, drug interactions, clinical
experience including trials, adverse events, recommended indications, and
formulary considerations.
CI - © The Author(s) 2022. Published by Oxford University Press for the Infectious
Diseases Society of America. All rights reserved. For permissions, e-mail:
FAU - Saravolatz, Louis D
AU - Saravolatz LD
AD - Thomas Mackey Center for Infectious Diseases Research.
AD - Ascension-St John Hospital, Grosse Pointe Woods, Michigan, USA.
AD - Wayne State University School of Medicine, Detroit, Michigan, USA.
AD - Central Michigan University College of Medicine, Mt Pleasant, Michigan, USA.
FAU - Depcinski, Shawn
AU - Depcinski S
AD - Ascension-St John Hospital, Grosse Pointe Woods, Michigan, USA.
AD - Ascension Rx Specialty Pharmacy, Grosse Pointe Woods, Michigan, USA.
FAU - Sharma, Mamta
AU - Sharma M
AD - Thomas Mackey Center for Infectious Diseases Research.
AD - Ascension-St John Hospital, Grosse Pointe Woods, Michigan, USA.
AD - Wayne State University School of Medicine, Detroit, Michigan, USA.
AD - Central Michigan University College of Medicine, Mt Pleasant, Michigan, USA.
LA - eng
PT - Journal Article
DEP - 20220304
PL - United States
TA - Clin Infect Dis
JT - Clinical infectious diseases : an official publication of the Infectious Diseases
Society of America
JID - 9203213
SB - IM
OTO - NOTNLM
OT - COVID-19
OT - Paxlovid
OT - molnupiravir
OT - nirmatrelvir
OT - ritonavir
EDAT- 2022/03/05 06:00
MHDA- 2022/03/05 06:00
CRDT- 2022/03/04 20:15
PHST- 2022/01/28 00:00 [received]
PHST- 2022/03/04 20:15 [entrez]
PHST- 2022/03/05 06:00 [pubmed]
PHST- 2022/03/05 06:00 [medline]
AID - 6542722 [pii]
AID - 10.1093/cid/ciac180 [doi]
PST - aheadofprint
SO - Clin Infect Dis. 2022 Mar 4:ciac180. doi: 10.1093/cid/ciac180.
PMID- 35444647
OWN - NLM
STAT- MEDLINE
DCOM- 20220422
LR - 20220423
IS - 1664-3224 (Electronic)
IS - 1664-3224 (Linking)
VI - 13
DP - 2022
TI - Molnupiravir and Its Antiviral Activity Against COVID-19.
PG - 855496
LID - 10.3389/fimmu.2022.855496 [doi]
LID - 855496
AB - The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute
respiratory syndrome coronavirus 2 (SARS-CoV-2) constitutes a major worldwide
public health threat and economic burden. The pandemic is still ongoing and the
SARS-CoV-2 variants are still emerging constantly, resulting in an urgent demand
for new drugs to treat this disease. Molnupiravir, a biological prodrug of NHC
(β-D-N(4)-hydroxycytidine), is a novel nucleoside analogue with a broad-spectrum
antiviral activity against SARS-CoV, SARS-CoV-2, Middle East respiratory syndrome
coronavirus (MERS-CoV), influenza virus, respiratory syncytial virus (RSV),
bovine viral diarrhea virus (BVDV), hepatitis C virus (HCV) and Ebola virus
(EBOV). Molnupiravir showed potent therapeutic and prophylactic activity against
multiple coronaviruses including SARS-CoV-2, SARS-CoV, and MERS-CoV in animal
models. In clinical trials, molnupiravir showed beneficial effects for mild to
moderate COVID-19 patients with a favorable safety profile. The oral
bioavailability and potent antiviral activity of molnupiravir highlight its
potential utility as a therapeutic candidate against COVID-19. This review
presents the research progress of molnupiravir starting with its discovery and