Recente en toekomstige behandelingen bij covid-19

Translated title of the contribution: Current and future therapeutic options for COVID-19

Marloes Dankers, H Marjorie J M G Nelissen-Vrancken, Marjolein Y Berger, Marc J M Bonten, Joop M A van Gerven, Peter W A Kunst, Majon Muller, Marcel G M Olde Rikkert, Frits R Rosendaal

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The anti-inflammatory agents dexamethasone (corticosteroid), and tocilizumab and sarilumab (IL6-inhibitors) are effective in the treatment of late COVID-19. Other anti-inflammatory agents, like anakinra (IL1-inhibitor), baricitinib and tofacitinib (JAK-inhibitors) and lenzilumab (GM-CSF-inhibitor) have also shown positive results in late COVID-19. For the treatment of early COVID-19, the inhalation corticosteroid budesonide is regarded as an off-label treatment option. Virus-inhibitors, like remdesivir, molnupiravir and nirmatrelvir/ritonavir decrease the risk of hospitalization and the development of severe COVID-19 by patients with early symptoms. Monoclonal antibodies have shown limited or no efficacy against the omicron-variant of SARS-CoV-2. Fluvoxamine, l-arginine, AT-527 and ensovibep are considered as potential promising new therapies for the treatment of early COVID-19.

Translated title of the contributionCurrent and future therapeutic options for COVID-19
Original languageDutch
Article numberD6675
JournalNederlands Tijdschrift voor Geneeskunde
Volume166
Publication statusPublished - 21 Jul 2022

Keywords

  • Adrenal Cortex Hormones
  • Anti-Inflammatory Agents/therapeutic use
  • Antiviral Agents/therapeutic use
  • COVID-19 Drug Treatment
  • Guanosine Monophosphate/analogs & derivatives
  • Humans
  • Phosphoramides
  • Recombinant Fusion Proteins
  • SARS-CoV-2

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