Role of Lopinavir/Ritonavir in the Treatment of Covid-19: A Review of Current Evidence, Guideline Recommendations, and Perspectives.

COVID-19 MERS SARS guideline lopinavir recommendation ritonavir

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
30 Jun 2020
Historique:
received: 21 05 2020
revised: 17 06 2020
accepted: 22 06 2020
entrez: 8 7 2020
pubmed: 8 7 2020
medline: 8 7 2020
Statut: epublish

Résumé

A life-threatening respiratory illness (COVID-19) due to severe acute respiratory syndrome (SARS)-CoV-2 coronavirus was first described in December 2019 in Wuhan (China), rapidly evolving into a pandemic. In the first phase, when the viral replication plays a pivotal pathogenetic role, antiviral drugs could be crucial in limiting viral-induced organ damage. Unfortunately, there are no specific antivirals of proven efficacy for COVID-19, and several drugs have been repurposed to face this dramatic pandemic. In this paper we review the studies evaluating lopinavir/ritonavir association (LPV/r) use in COVID-19, and previously in SARS and Middle East respiratory syndrome (MERS). We searched PubMed to identify all relevant clinical and laboratory studies published up to 15 May 2020; the guidelines on the use of LPV/r in COVID-19 were further directly searched on the website of the main international scientific societies and agencies. Available evidence is currently scarce and of low quality. The recommendations issued for COVID-19 vary from positions clearly against the use of LPV/r to other positions that are more favorable. In our opinion, despite the controversial results of an important randomized clinical trial, and some recommendations, clinicians should not abandon the use of LPV/r for the treatment of COVID-19, possibly using this drug inside a prospective randomized trial, waiting for the results of the numerous ongoing trials evaluating its efficacy.

Identifiants

pubmed: 32629768
pii: jcm9072050
doi: 10.3390/jcm9072050
pmc: PMC7408758
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Simone Meini (S)

Struttura Operativa Complessa di Medicina Interna, Azienda Unità Sanitaria Locale Toscana Centro, Ospedale Santa Maria Annunziata, 50012 Firenze, Italy.

Alberto Pagotto (A)

Clinica di Malattie Infettive, Azienda Sanitaria Universitaria Friuli centrale, 33100 Udine, Italy.

Benedetta Longo (B)

Struttura Operativa Complessa di Medicina Interna, Azienda Unità Sanitaria Locale Toscana Nord-Ovest, Ospedale Felice Lotti, 56025 Pontedera, Italy.

Igor Vendramin (I)

Dipartimento Cardiotoracico, Divisione di Cardiochirurgia, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy.

Davide Pecori (D)

Clinica di Malattie Infettive, Azienda Sanitaria Universitaria Friuli centrale, 33100 Udine, Italy.

Carlo Tascini (C)

Clinica di Malattie Infettive, Azienda Sanitaria Universitaria Friuli centrale, 33100 Udine, Italy.

Classifications MeSH