Table 1 Clinical studies of potential therapeutic options for COVID-19
Target: organs or systems | Pathological phenomenon | Mechanism of action | Treatment | Clinical trial | Country | Number of patients | Trial phase |
---|---|---|---|---|---|---|---|
Virus | Virus entry into the host and binding with the host cell receptor | Blocking receptor-binding domain | Ensovibep | NCT04870164 | United Kingdom | 24 | Phase 1 |
Virus | Virus entry into the host and binding with the host cell receptor | TMPRSS2 inhibitor | Camostat Mesilate | NCT04470544 | United States | 264 | Phase 2 |
Virus | Virus entry into the host and binding with the host cell receptor | TMPRSS2 inhibitor | Camostat Mesilate | NCT04583592 | United States | 295 | Phase 2 |
Virus | Virus entry into the host and binding with the host cell receptor | Block viral entry | RhACE2 APN01 | NCT04335136 | Turkey | 185 | Phase 2 |
Virus | Viral replication and clearance | Antiviral activity | Niclosamide | NCT04558021 | Turkey | 200 | Phase 3 |
Virus | Viral replication and clearance | Broad antiviral activity | Peg-IFN Lambda | NCT04534673 | United States | 40 | Phase 2 |
Virus | Viral replication and clearance | Broad antiviral activity | Remdesivir | NCT04560231 | Pakistan | 30 | Phase 1 |
Virus | Viral replication and clearance | Broad antiviral activity | Remdesivir | NCT04738045 | Egypt | 90 | Phase 4 |
Virus | Viral replication and clearance | Broad antiviral activity | Favipiravir | NCT04499677 | United Kingdom | 240 | Phase 2 |
Virus | Viral replication and clearance | Broad antiviral activity | Lopinavir/Ritonavir | NCT04466241 | Côte D’Ivoire | 294 | Phase 3 |
Virus | Viral replication and clearance | Inhibit viral replication | Amantadine | NCT04952519 | Poland | 500 | Phase 3 |
Virus | Viral replication and clearance | Inhibit viral replication | Amantadine hydrochloride | NCT04854759 | Poland | 200 | Phase 3 |
Virus | Viral replication and clearance | Interference with viral proliferation | leflunomide | NCT04361214 | United States | 20 | Phase 1 |
Virus | Viral replication and clearance | Antiviral activity | Nafamostat Mesilate | NCT04390594 | Senegal | 186 | Phase 3 |
Virus | Viral replication and clearance | Antiviral activity | Niclosamide | NCT04753619 | Iraq | 150 | Phase 2 |
Virus | Viral replication and clearance | Broad antiviral activity | Favipiravir | NCT04425460 | China | 256 | Phase 3 |
Virus | Viral replication and clearance | Broad antiviral activity | Sofosbuvir | NCT04535869 | Egypt | 50 | Phase 3 |
Virus | Viral replication and clearance | Broad antiviral activity | Ribavirin | NCT04828564 | Turkey | 100 | Phase 2 |
Virus | Viral replication and clearance | Inhibit viral replication | Chlorpromazine (CPZ) | NCT04366739 | France | 40 | Phase 3 |
Virus | Viral replication and clearance | Inhibit viral replication | Chlorpromazine | NCT04354805 | Egypt | 100 | Phase 3 |
Virus | Viral replication and clearance | Antiviral activity | Nafamostat Mesylate | NCT04418128 | South Korea | 84 | Phase 3 |
Virus | Viral replication and clearance | Broad antiviral activity | Favipiravir | NCT04400682 | Turkey | 30 | Phase 1 |
Virus | Viral replication and clearance | Broad antiviral activity | Remdesivir | NCT04280705 | United States | 1062 | Phase 3 |
Virus | Viral replication and clearance | Broad antiviral activity | Remdesivir | NCT04401579 | United States | 1033 | Phase 3 |
Virus | Viral replication and clearance | Broad antiviral activity | Remdesivir | NCT04345419 | Egypt | 200 | Phase 2 |
Virus | Viral replication and clearance | Broad antiviral activity | Favipiravir | NCT04407000 | Turkey | 30 | Phase 1 |
Virus | Viral replication and clearance | Broad antiviral activity | Lopinavir and ritonavir | NCT04252885 | China | 86 | Phase 4 |
Virus | Viral replication and clearance | Broad antiviral activity | Lopinavir/ritonavir | NCT04276688 | Hong Kong | 127 | Phase 2 |
Virus | Viral replication and clearance | Interference with viral proliferation | LAU-7b: fenretinide | NCT04417257 | United States | 240 | Phase 2 |
Virus | Viral replication and clearance | Broad antiviral activity | Favipiravir | NCT04501783 | Russian Federation | 168 | Phase 3 |
Virus | Viral replication and clearance | Interference with viral proliferation | Leflunomide | NCT05007678 | United Kingdom | 178 | Phase 3 |
Virus | Viral replication and clearance | Antiviral activity | Niclosamide | NCT04399356 | United States | 73 | Phase 2 |
Virus | Viral replication and clearance | Broad antiviral activity | Favipiravir | NCT04359615 | Iran | 40 | Phase 4 |
Virus | Viral replication and clearance | Broad antiviral activity | Sofosbuvir | NCT04530422 | Egypt | 250 | Phase 3 |
Immune system | Cytokine storm | IL-6 Antagonist | Siltuximab, tocilizumab | NCT04486521 | Saudi Arabia | 860 | − |
Immune system | Cytokine storm | IL-6 inhibitor | Clazakizumab | NCT04659772 | USA | 1 | Phase 2 |
Immune system | Cytokine storm | IL-6 inhibitor | Clazakizumab | NCT04343989 | USA | 180 | Phase 2 |
Immune system | Cytokine storm | Anti-IL-6 immunoglobulin G1 kappa (IgG1k) monoclonal antibody (mAb) | Sirukumab | NCT04380961 | USA | 212 | Phase 2 |
Immune system | Cytokine storm | Anti-IL-6 receptor antibody | Tocilizumab | NCT04730323 | Pakistan | 93 | Phase 4 |
Immune system | Cytokine storm | Anti-IL-6 receptor antibody | Sarilumab | NCT04661527 | Spain | 60 | Phase 2 |
Immune system | Cytokine storm | Interferon gamma blocking antibody | Emapalumab | NCT04324021 | USA | 16 | Phase 2 Phase 3 |
Immune system | Cytokine storm | Interleukin-IL-17A Antagonist | Secukinumab | NCT04403243 | Russia | 70 | Phase 2 |
Immune system | Cytokine storm | IL-17 inhibitor | ixekizumab | NCT04724629 | Brazil | 60 | Phase 3 |
Immune system | Cytokine storm | Tumor necrosis factor inhibitors | Infliximab | NCT04734678 | Egypt | 84 | − |
Immune system | Cytokine storm | IL-1β inhibitor | Canakinumab | NCT04362813 | USA | 454 | Phase 3 |
Immune system | Cytokine storm | GM-CSF inhibitor | Lenzilumab | NCT04351152 | USA | 520 | Phase 3 |
Immune system | Cytokine storm | Monoclonal antibody against GM-CSF | Gimsilumab | NCT04351243 | USA | 227 | Phase 2 |
Immune system | Cytokine storm | IL-23 inhibitor | Risankizumab | NCT04583956 | USA | 1 | Phase 2 |
Immune system | Immunomodulatory | Immune support | Biological: HB-adMSCs | NCT04348435 | USA | 55 | Phase 2 |
Immune system | Immunomodulatory | Specific cytotoxic T lymphocytes | SARS-CoV-2 antigen-specific cytotoxic T lymphocyte | NCT04742595 | USA | 16 | Phase 1 |
Immune system | Immunomodulatory | Immunomodulatory | RAPA-501-Allo off-the-shelf therapy of COVID-19 | NCT04482699 | USA | 88 | Phase 1 Phase 2 |
Immune system | Immunomodulatory | Immunomodulatory | NKG2D-ACE2 CAR-NK cells | NCT04324996 | China | 90 | Phase 1 Phase 2 |
Immune system | Immunomodulatory | Reduce the proinflammatory state and promoting the regeneration of damaged tissues | MSC | NCT04611256 | Mexico | 20 | Phase 1 |
Immune system | Immunomodulatory | Immunomodulatory | T memory cells and NK cells | NCT04578210 | Spain | 58 | Phase 1 Phase 2 |
Immune system | Immunomodulatory | Regulates inflammation and immunity | Infusion IV of Mesenchymal Stem cells | NCT04416139 | Mexico | 10 | Phase 2 |
Immune system | Anti-inflammatory effects | Anti-inflammatory effects | Autologous activated platelet-rich plasma | NCT04715360 | Indonesia | 30 | Phase 1 Phase 2 |
Immune system | Anti-inflammatory effects | Inhibit the inflammatory response | UC-MSCs | NCT04339660 | China | 30 | Phase 1 Phase 2 |
Immune system | Anti-inflammatory effects | Reduce lung inflammation and pathological impairment | MSC exosome inhalation | NCT04491240 | Russia | 30 | Phase 1 Phase 2 |
Immune system | Immunomodulatory | Immune-mediated inflammatory | Mesenchymal stromal cells | NCT04361942 | Spain | 24 | Phase 2 |
Immune system | Immunomodulatory | Virus neutralization. Other possible mechanisms include antibody-dependent cytotoxicity and phagocytosis | Convalescent plasma | NCT04476888 | Pakistan | 110 | − |
Immune system | Immunomodulatory | Prevent or shut down the continuous inflammatory response caused by the virus | COVID-19 convalescent plasma | NCT04374526 | Italy | 29 | Phase 2 Phase 3 |
Immune system | Immunomodulatory | Improve high inflammation state and respiratory function | Therapeutic plasma exchange | NCT04751643 | France | 132 | − |
Immune system | Immunomodulatory | Immunomodulatory | Intravenous immunoglobulin (IVIG) | NCT04500067 | Ukraine | 76 | Phase 3 |
Immune system | Immune reconstitution | Immune reconstitution | Recombinant interleukin-7 (CYT107) | NCT04442178 | USA | 48 | Phase 2 |
Immune system | Immunomodulatory | Prevent or shut down the continuous inflammatory response caused by the virus | COVID-19 convalescent plasma (CCP) | NCT04421404 | USA | 42 | Phase 2 |
Immune system | Immunomodulatory | Immunomodulatory | Monoclonal antibody to S protein of SARS-CoV-2 | NCT04840459 | USA | 1000 | Phase 2 |
Immune system | Immunomodulatory | Immunomodulatory | SARS-CoV-2 antibody-based IVIG therapy | NCT04521309 | Pakistan | 50 | Phase 1 Phase 2 |
Immune system | Immunomodulatory | Immunomodulatory | JS016 (anti-SARS-CoV-2 monoclonal antibody) | NCT04931238 | China | 200 | Phase 1 |
Immune system | Immunomodulatory | Immunomodulatory | plasma therapy using convalescent plasma with antibody against SARS-CoV-2 | NCT04356534 | Ireland | 40 | − |
immune system | Cytokine storm | Regulation of the inflammatory cytokine response | Vitamin D, Omega DHA/EPA, vitamin C, vitamin B complex, and zinc acetate | NCT04828538 | Mexico | 3600 | − |
Immune system | Immune activation | Suppressor of cytokine activation | Zofin: derived from human amniotic fluid | NCT04384445 | USA | 20 | Phase 1、Phase 2 |
Immune system | Intense inflammatory cascade | Adjunct immune modulation therapies | Vitamin C | NCT04401150 | Canada | 800 | Phase 3 |
Immune system | Cytokine storm | Human normal immunoglobulin | IVIG | NCT04500067 | Ukraine | 76 | Phase 3 |
Immune system | Cytokine storm | Human normal immunoglobulin | Human immunoglobulin | NCT04350580 | France | 146 | Phase 3 |
Immune system | Cytokine storm | Immunosuppressant | Ciclesonide | NCT04377711 | USA | 400 | Phase 3 |
Immune system | Cytokine storm | Vitamin | Cholecalciferol | NCT04552951 | Spain | 80 | Phase 4 |
Immune system | Cytokine storm | Vitamin | Vitamin D3, vitamin C/Zinc, vitamin K2/D | NCT04780061 | Canada | 200 | Phase 3 |
Immune system | Cytokine storm | Vitamin | Oral 25-hydroxyvitamin D3 | NCT04386850 | Islamic Republic | 1500 | Phase 2,3 |
Immune system | Cytokine storm | Mesenchymal stem cells | HB-adMSCs | NCT04348435 | USA | 55 | Phase 2 |
Immune system | Cytokine storm | Bone marrow-derived extracellular vesicles | DB-001 | NCT04493242 | USA | 120 | Phase 2 |
immune system | Elevated numbers of neutrophils | NETs degradation | rhDNase I | NCT04409925 | Canada | 25 | Phase 1 |
Endothelial | Pulmonary edema | Abl2/Arg inhibitors | Imatinib | NCT04794088 | Netherlands | 90 | Phase 2 |
Endothelial | Acute respiratory distress syndrome | DNase inhibitors | Dornase alfa | NCT04355364 | France | 100 | Phase 3 |
Endothelial | Excessive blood clotting | Vasodilator and inhibitor of platelet aggregation | Dipyridamole | NCT04391179 | United States | 100 | Phase 2 |
Endothelial | Endothelial dysfunction | Endothelial cell modifying | Defibrotide | NCT04652115 | United States | 42 | Phase 2 |
Endothelial | Endothelial dysfunction | Endothelial cell modifying | Defibrotide | NCT04348383 | Spain | 150 | Phase 2 |
Endothelial | Complement-mediated diseases | Terminal complement inhibitor | Eculizumab | NCT04346797 | France | 120 | Phase 2 |
Endothelial | Endothelial dysfunction | Increase NO production and release | Atorvastatin + l-arginine + folic acid + nicorandil + nebivolol | NCT04631536 | Lebanon | 80 | Phase 3 |
Endothelial | Endothelial injury | PAI-1 inhibitor | TM5614 | NCT04634799 | United States | 80 | Phase 2 |
Endothelial | Microvascular endothelial dysfunction | Platelet aggregation inhibitors | Iloprost | NCT04420741 | Denmark | 80 | Phase 2 |
Endothelial | Vascular endothelial dysfunction | Restore endothelial glycocalyx and Inhibit thrombosis | Suloexide | NCT04483830 | Mexico | 243 | Phase 2 Phase 3 |
Endothelial | Endothelial injury | C5a inhibitor | Ravulizumab | NCT04570397 | United States | 32 | Phase 3 |
Endothelial | Vascular dilation | Angiogenesis inhibitors | BEVACIZUMAB | NCT04822818 | France | 174 | Phase 3 |
Endothelial | Vascular leakage | decrease vascular hyperpermeability | FX06 | NCT04618042 | France | 50 | Phase 2 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin | NCT04360824 | USA | 170 | Phase 4 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin, unfractionated heparin, atorvastatin, matched placebo | NCT04486508 | Iran | 600 | Phase 3 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin | NCT04354155 | USA | 40 | Phase 2 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Low-molecular-weight heparin, fondaparinux | NCT04359212 | Italy | 90 | – |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin | NCT04408235 | Italy | 300 | Phase 3 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Tinzaparin, unfractionated heparin | NCT04344756 | France | 808 | Phase 2 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin | NCT04345848 | Switzerland | 200 | Phase 3 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin, heparin | NCT04359277 | USA | 77 | Phase 3 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Low-molecular-weight heparin (LMWH), unfractionated heparin (UFH) | NCT04362085 | Canada | 465 | Phase 3 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin | NCT04366960 | Italy | 189 | Phase 3 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin, heparin, lovenox | NCT04367831 | USA | 100 | Phase 4 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Heparin | NCT04372589 | USA | 1200 | Phase 3 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin | NCT04373707 | France | 602 | Phase 4 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Low-molecular-weight heparin | NCT04393805 | Italy | 744 | – |
Coagulation system | Higher hypercoagulability | Anticoagulation | Rivaroxaban, enoxaparin | NCT04394377 | Brazil | 615 | Phase 4 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Enoxaparin | NCT04401293 | USA | 257 | Phase 3 |
Coagulation system | Higher hypercoagulability | Anticoagulation | Rivaroxaban | NCT04416048 | Germany | 400 | Phase 2 |
Coagulation system | Higher hypercoagulability | Platelet inhibition | Tirofiban, clopidogrel, acetylsalicylic acid, fondaparinux | NCT04368377 | Italy | 5 | Phase 2 |
Coagulation system | Reduced vitamin K status | Vitamin K supplementation | Vitamin K2 in the form of menaquinone-7 (MK-7), placebo | NCT04770740 | Netherlands | 40 | Phase 2 |
Cardiovascular | Dysfunction of RAAS | Recover the function of ACE2-RAAS | Recombinant bacterial ACE2 receptors-like enzyme of B38-CAP (rbACE2) | NCT04375046 | China | 24 | Phase 1 |
Cardiovascular | Dysfunction of RAAS | RAAS inhibition | RAAS inhibitor | NCT04508985 | Canada | 40 | / |
Cardiovascular | Cardiovascular disease or risk factors | Anti-inflammatory | Cannabidiol | NCT04615949 | Arizona, USA | 422 | Phase 2、Phase 3 |
Vascular endothelial system | Coagulation disorders | Anticoagulant | Enoxaparin Atorvastatin | NCT04486508 | Islamic Republic | 600 | Phase 3 |
Circulatory system | Vascular endothelial injury, cytokine storm | FXa inhibitor, HMG-CoA inhibitor | Apixaban, Atorvastatin | NCT04801940 | UK | 2631 | Phase 3 |
Vascular endothelial system | Cytokine storm, vascular endothelial injury | Vitamin C | Vitamin C | NCT04401150 | Canada | 800 | Phase 3 |
Vascular endothelial system | Vascular endothelial injury | Phyto preparation | Hesperidin | NCT04715932 | Canada | 216 | Phase 2 |
Cardiac, kidney | multiorgan failure | Sodium–glucose cotransporter-2 (SGLT-2) inhibitor | Dapagliflozin | NCT04350593 | USA、Argentina、Brazil、Canada、India、Mexico、UK | 1250 | Phase 3 |
Cardiovascular | Acute cardiac injury | Cardioprotective medicines | Aspirin, clopidogrel, rivaroxaban, atorvastatin, omeprazole | NCT04333407 | UK | 3170 | − |
Cardiovascular | Thrombotic events | Anticoagulation or anti-platelet agents | Apixaban, aspirin | NCT04498273 | USA | 7000 | Phase 3 |
Cardiovascular | Thrombotic events | Anti-inflammatory and antithrombotic function | Enoxaparin, unfractionated heparin, atorvastatin | NCT04486508 | Iran | 600 | Phase 3 |
Cardiovascular | Dysregulated immune response | Immunomodulatory and cardiovascular drugs | EDP1815, dapagliflozin and Ambrisentan | NCT04393246 | UK | 1407 | Phase 2、Phase 3 |
Cardiovascular | Cardiac injury | Reduce cardiac injury | Colchicine tablets | NCT04355143 | USA | 150 | Phase 2 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Rivaroxaban | NCT04757857 | Brazil | 1000 | Phase 4 |
Cardiovascular | Thrombotic events | Antagonize plasminogen activator inhibitor | TM5614 | NCT04634799 | USA | 80 | Phase 1、Phase 2 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin | NCT04492254 | Australia | 1370 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Apixaban | NCT04746339 | Brazil | 1000 | Phase 4 |
Cardiovascular | Longer-term complications occurring in the convalescent phase | Improve the quality of life | Apixaban, atorvastatin | NCT04801940 | UK | 2631 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Rivaroxaban | NCT04416048 | Germany | 400 | Phase 2 |
Cardiovascular | Endothelial dysfunction | Improve endothelial function | Atorvastatin + l-arginine + folic acid + nicorandil + nebivolol | NCT04631536 | Lebanon | 80 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin, apixaban | NCT04512079 | USA、Brazil、Colombia、India、Mexico | 3600 | Phase 4 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin | NCT04400799 | Germany、Switzerland | 1000 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin | NCT04646655 | Italy | 300 | Phase 3 |
Cardiovascular | Viral injury of the vascular endothelium | Monoclonal antibody that targets P-selectin | Crizanlizumab | NCT04435184 | USA | 50 | Phase 2 |
Cardiovascular | Myocardial infarction in combination with COVID-19 | Antiarrhythmic effect | Atorvastatin, atorvastatin-ezetimibe | NCT04900155 | Russian Federation | 200 | − |
Cardiovascular | Thrombotic events | Antithrombotic therapy | Apixaban | NCT04650087 | USA | 5320 | Phase 3 |
Cardiovascular | Thrombotic events | Thromboprophylaxis | Rivaroxaban | NCT04662684 | Brazil | 320 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin | NCT04345848 | Switzerland | 200 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin, heparin | NCT04367831 | USA | 100 | Phase 4 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin | NCT04354155 | USA | 40 | Phase 2 |
Cardiovascular | Thrombotic events | Anticoagulation therapy | Therapeutic anticoagulation | NCT04362085 | Canada | 465 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Thromboprophylaxis | NCT04360824 | USA | 170 | Phase 4 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin | NCT04373707 | France | 602 | Phase 4 |
Cardiovascular | Acute pulmonary hypertension (aPH) and/or acute Cor pulmonale (ACP) | Decrease pulmonary arterial pressure | PDNO | NCT04885491/2020-002982-33 | Sweden | 16 | Phase 1、Phase 2 |
Cardiovascular | Hyperviscosity | Plasma exchange | Therapeutic plasma exchange | NCT04441996 | USA | 20 | Phase 4 |
Cardiovascular | Thrombotic events | Anticoagulation therapy | Edoxaban, colchicine | NCT04516941 | Belgium、Italy、Spain、Switzerland | 420 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation therapy | Tinzaparin | NCT04730856 | Spain | 600 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation therapy | Enoxaparin | NCT04508439 | Mexico | 130 | − |
Cardiovascular | Coagulopathy | Anticoagulation therapy | Therapeutic anticoagulation | NCT04444700 | Brazil | 465 | Phase 3 |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin | 2020-003125-39 | Germany | 1370 | − |
Cardiovascular | Thrombotic events | Anticoagulation agent | Low-molecular-weight heparin | 2020-001709-21 | France | 550 | − |
Cardiovascular | Thrombotic events | Anticoagulation agent | Enoxaparin | 2020-005624-10 | Germany | 1000 | − |
Cardiovascular | Downregulation of ACE2 | Anti-inflammatory and antithrombotic function-RAAS | Omega3-FA | NCT04658433 | Jordan | 100 | − |
Cardiovascular | Cardiovascular disease or risk factors | Renin–angiotensin system inhibitors-RAAS | ACEi、ARB | NCT04591210 | Canada, Brazil, Mexico | 1155 | Phase 3 |
Cardiovascular | Viral cell invasion | Increase ACE2 expression and improve mechanisms of host defense or hyperinflammation-RAAS | Discontinuation/continuation of ACEi、ARB | NCT04338009 | USA | 152 | − |
Cardiovascular | ARDS | RAAS regulator | Telmisartan | NCT04355936 | Argentina | 400 | Phase 4 |
Cardiovascular | Overaction of RAS | Similar peptide to Ang(1–7)-RAAS | TRV027 | NCT04419610 | UK | 30 | Phase 1 |
Cardiovascular | Viral entry and viral replication | Recombinant human angiotensin-converting enzyme 2 -RAAS | RhACE2 APN01 | NCT04335136 | Austria、Denmark、Germany、Russian Federation、UK | 185 | Phase 2 |
Respiratory system | Host viral entry | TMPRSS2 inhibitors | Nafamostat Mesilate | NCT04352400 | Italy | 256 | Phase 2、Phase 3 |
Immune and respiratory system | Cytokine storm | Prophylactic corticosteroid | Methylprednisolone | NCT04355247 | Puerto Rico | 20 | Phase 2 |
Respiratory system | Cytokine storm | Mesenchymal stem cells | Umbilical cord-derived mesenchymal stromal cells | NCT04333368 | France | 40 | Phase 1 |
Respiratory system | Cytokine storm | Biomarker-tailored steroid | Methylprednisolone | NCT03852537 | USA | 44 | Phase 2 |
Respiratory system | Viral growth | Broad-spectrum antiparasitic | Ivermectin | NCT04739410 | Pakistan | 50 | Phase 4 |
Respiratory system | Cytokine storm | Antioxidant | Sodium pyruvate | NCT04871815 | USA | 50 | Phase 2,3 |
Respiratory system | Cytokine storm | Antihistamines | Cetirizine and famotidine | NCT04836806 | USA | 160 | Phase 4 |
Respiratory system | Viral growth | Broad-spectrum antiviral | Remdesivir | NCT04978259 | Finland | 202 | Phase 4 |
Respiratory system | Viral growth | Broad-spectrum antiviral | Favipiravir | NCT04694612 | Nepal | 676 | Phase 3 |
Respiratory system | Viral growth | Broad-spectrum antiviral | Triazavirin | NCT04973462 | Egypt | 80 | Phase 4 |
Respiratory system | Viral growth | Broad-spectrum antiviral | Ivermectin | NCT04673214 | Mexico | 114 | Phase 3 |
Respiratory system | Viral growth | Broad-spectrum antiviral | Lopinavir/ritonavir | NCT04466241 | Cote d’Ivoire | 294 | Phase 2,3 |
Respiratory system | Host viral entry | Vaccine based on peptide antigens | EpiVacCorona | NCT04780035 | Russian Federation | 3000 | Phase 3 |
Respiratory system | Viral growth | Broad-spectrum antiparasitic | Nitazoxanide 500 mg oral tablet | NCT04406246 | Mexico | 150 | Phase 4 |
Respiratory system | Viral growth, cytokine storm | Broad-spectrum antiviral | Ivermectin and doxycycline | NCT04523831 | Bangladesh | 400 | Phase 3 |
Respiratory system | Viral growth | Broad-spectrum antiviral | Ivermectin tablets, doxycycline tablets | NCT04729140 | USA | 150 | Phase 4 |
Respiratory system | Cytokine storm | Antioxidant | Sodium pyruvate | NCT04824365 | USA | 60 | Phase 2,3 |
Respiratory system | Viral growth | RNA polymerase inhibitor | Favipiravir | NCT04600999 | Hungary | 150 | Phase 3 |
Respiratory system | Viral growth, Cytokine storm | ACE2 inhibitor | Hydroxychloroquine | NCT04354428 | USA | 300 | Phase 2,3 |
Respiratory system | Host viral entry | Acetylcholine agonists | Nicotine patch | NCT04583410 | France | 1633 | Phase 3 |
Respiratory system | Viral growth | Broad-spectrum antiparasitic | AVIGAN | NCT04529499 | Kuwait | 780 | Phase 3 |
Respiratory system | Viral growth | Broad-spectrum antiparasitic | Ivermectin | NCT04646109 | Turkey | 66 | Phase 3 |
Respiratory system | Viral growth | Broad-spectrum antiparasitic | Favipiravir | NCT04600895 | USA | 1150 | Phase 3 |
Respiratory system | Cytokine storm | Cytokine inhibitor | Pirfenidone | NCT04856111 | India | 48 | Phase 4 |
Respiratory system | Cytokine storm | M2 protein inhibitor | Amantadine hydrochloride | NCT04854759 | Poland | 200 | Phase 3 |
Respiratory system | Cytokine storm | Convalescent plasma | Convalescent plasma | NCT04558476 | Belgium | 500 | Phase 2 |
Respiratory system | Cytokine storm, vascular endothelial injury | VEGF inhibitor | Nintedanib 150 MG [Ofev] | NCT04541680 | France | 250 | Phase 3 |
Respiratory system | Host viral entry | Acetylcholine agonists | Nicotine | NCT04608201 | France | 220 | Phase 3 |
Respiratory system | Cytokine storm | Interferon beta-1a | SNG001 | NCT04732949 | USA | 610 | Phase 3 |
Respiratory system | Cytokine storm | SSRI | Fluvoxamine | NCT04668950 | USA | 1100 | Phase 3 |
Lung and coagulation system | Host viral entry and higher hypercoagulability | Protease TMPRSS2 inhibition | Nafamostat mesilate, placebo | NCT04352400 | Italy | 256 | Phase 3 |
Respiratory system | Cytokine storm | IL-6-blocking antibodies | Clazakizumab, placebo | NCT04343989 | USA | 180 | Phase 2 |
Nervous system | Cytokine storm, neuroinflammation | Endogenous molecule | mPEA and umPEA | NCT04568876 | Italy | 40 | Phase 4 |
Central nervous system | Cytokine storm, sedatives needed | Sedation drugs | Isoflurane inhalant product, sevoflurane inhalant product | NCT04415060 | Canada | 752 | Phase 3 |
Central Nervous System | Cytokine storm, sedatives needed | Anti-adrenergic medications | Propranolol hydrochloride | NCT04467086 | Canada | 108 | Phase 3 |
Neuropsychological system | Cytokine storm, post-viral fatigue syndrome | C1 inhibitor | Ruconest | NCT04705831 | USA | 40 | Phase 4 |
Peripheral nervous system | Cytokine storm, Nasopharyngitis | Phyto preparation | BNO 1030 | NCT04797936 | Ukraine | 133 | Phase 4 |
Central nervous system | Cytokine storm | Analgesics | Cannabis, medical | NCT03944447 | USA | 200000 | Phase 2 |
Central nervous system | Cytokine storm, acute brain damage | Surgery | Sphenopalatine ganglion block with local anesthetic | NCT04636034 | Denmark | 60 | Phase 3 |
Neuropsychiatric system | Viral growth, Cytokine storm | ACE2 inhibitor | Hydroxychloroquine, apixaban | NCT04788355 | Brazil | 176 | Phase 3 |
Neuropsychiatric system | Cytokine storm, brain damage | Nicotinamide riboside | Niagen | NCT04809974 | USA | 100 | Phase 4 |
Respiratory system, Neuropsychiatric system | Cytokine storm | IL-6 blocker | Fluoxetine | NCT04377308 | USA | 2000 | Phase 4 |
Central Nervous System | Cytokine storm | CB1 and CB2 agonists | Cannabidiol | NCT04467918 | Brazil | 100 | Phase 2,3 |
Neuropsychiatric system | Cytokine storm, brain damage | NMDA inhibitor | Ketamine | NCT04769297 | USA | 30 | Phase 4 |
Kidney | Cytokine storm | Hormone replacement therapy | Extracorporeal mesenchymal stromal cell therapy (SBI-101 Therapy) | NCT04445220 | United States | 22 | Phase 1, Phase 2 |
Kidney | Cytokine storm | Hormone replacement therapy | AN-69 Oxiris membrane or the standard AN-69 membrane | NCT04597034 | Mexico | 35 | − |
Kidney | AKI,ARDS and COVID-19 | Cytopheretic device | Device: SCD | NCT04395911 | United States | 22 | − |
Kidney | Thrombotic microangiopathy | C5a inhibitor | Ravulizumab | NCT04570397 | United States | 32 | Phase 3 |
Kidney | Host viral entry | Urine alkalinisation to prevent binding of SARS-COV-2 to renal tubular epithelial cells | Sodium Bicarbonate 150Meq/L/D5W Inj | NCT04655716 | United Kingdom | 80 | Phase 3 |
Kidney | Acute kidney injury | Renal protection | Nicotinamide riboside | NCT04818216 | United States | 100 | Phase 2 |
Kidney | Acute kidney injury | extracorporeal CO2 removal | Device: extracorporeal CO2 removal (ECCO2R) therapy | NCT04351906 | Germany | 20 | − |
Kidney | Sepsis, severe acute kidney injury, COVID-19 | Plasma expansion with Ringer’s Acetate | 7,5 ml/kg mL Ringer’s acetate | NCT02765191 | Sweden | 20 | − |
Gastrointestinal | Minimize/avoid any immune response | Immune response | inhalable hydroxychloroquine (HCQ) supportive and symptomatic treatment | NCT04477083 | Egypt | 40 | − |
Gastrointestinal | / | / | Hydroxychloroquine | NCT04351620 | United States | 20 | Phase 1 |
Gastrointestinal | / | / | No intervention | NCT04401124 | China | 500 | − |
Gastrointestinal | Gut microbes | Gut microbes | Omni-Biotic Pro Vi 5 | NCT04813718 | Austria | 20 | − |
Gastrointestinal | / | / | Swallowing evaluation with the EAT-10 and the volume-viscosity swallowing test (V-VST) | NCT04346212 | Spain | 300 | − |
Gastrointestinal | / | / | / | NCT04838834 | United States | 472 | − |
Gastrointestinal | / | / | Laparoscopic appendectomy | NCT04786041 | Israel | 200 | − |
Endocrine system | Uncontrolled blood glucose | Antiviral drug combined with an anti-inflammatory | Drug: Baricitinib Drug: Dexamethasone Drug: Remdesivir | NCT04970719 | Bengal | 382 | Phase 3 |
Endocrine system | β-cell function | Insulinotropic amino acids | Stimulation test with arginine infusion in order to verify the possible existence of damage to the beta cell function induced by COVID-19 infection | NCT04463849 | Italy | 90 | − |
Endocrine system | Cytokine storm | Decrease blood sugar; increase ACE2 expression | Drug: Pioglitazone 30 mg | NCT04535700 | Spain | 76 | Phase 4 |
Endocrine system | Interleukin-1 (IL-1) beta system | blocking IL-1beta activity | Drug: Canakinumab | NCT04510493 | Switzerland | 116 | Phase 3 |
Endocrine system | Decrease in TNF-alpha, interleukin, hs CRP, leptin and other inflammatory markers | Anti-inflammatory and inflammation-resolving | Drug: Pioglitazone 45 mg | NCT04604223 | Kuwait | 1506 | Phase 4 |
Endocrine system | Decrease blood sugar | Glucokinase (GK; hexokinase 4) activator | Drug: AZD1656 | NCT04516759 | Czech Republic | 156 | Phase 2 |
Endocrine system | Decrease blood sugar | Dipeptidyl Peptidase-4 Inhibitor (DPP4i) | Drug: Linagliptin tablet | NCT04542213 | Mexico | 70 | Phase 3 |
Endocrine system | Cytokine storm | Regulate immune function | Drug: cholecalciferol | NCT04733625 | Egypt | 56 | − |
ENT | Cytokine storm | Nasal steroid | Ophtamesone | NCT04569825 | Iraq | 250 | Phase 1 |
Pre-exposure phrophylaxis | Host viral entry | Pre-exposure phrophylaxis | Truvada | NCT04334928 | Spain | 1002 | Phase 3 |