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Lopinavir/ritonavir: Repurposing an old drug for HIV infection in COVID-19 treatment

Authors: Magro, Paola; Zanella, Isabella; Pescarolo, Marta; Castelli, Francesco; Quiros-Roldan, Eugenia;

Lopinavir/ritonavir: Repurposing an old drug for HIV infection in COVID-19 treatment

Abstract

Currently, there is no specific antiviral treatment for COVID-19. However, drugs previously developed to treat other viral infections are being tested to verify if they might also be effective against SARS-CoV-2, the virus that causes COVID-19. Twenty years ago, the F.D.A. approved Lopinavir/ritonavir (LPV/r) to treat HIV infection. LPV and ritonavir were initially purposed to inhibit 3-chymotrypsin-like protease (3CLpro) of SARS-CoV and MERS-CoV and preliminary promising data on its efficacy for treating people infected with those viruses were available. Therefore, due to the high genetic similarities among those viruses and SARS-CoV-2, early during COVID-19 pandemic LPV/r was also proposed as one emergency treatment. We reviewed data from the literature about LPV/r treatment and SARS-CoV-2 infection, mainly focused on the efficacy and safety of this drugs for COVID-19 treatment. We can conclude that although up to date no clear benefit has been observed with the LPV/r treatment beyond standard care, its efficacy against SARS-COV-2 infection deserves further evaluations, particularly during the very early phase of the disease.

Keywords

Medicine (General), Clinical Trials as Topic, Ritonavir, QH301-705.5, SARS-CoV-2, Drug Repositioning, COVID-19, HIV Infections, Review Article, Lopinavir, COVID-19 Drug Treatment, Coronavirus, Drug Combinations, R5-920, Síndrome respiratorio agudo grave, Protease inhibitor, Animals, Humans, Biology (General), COVID-19 treatment

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
51
Top 1%
Top 10%
Top 1%
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gold