Table 1 Clinical studies of potential therapeutic options for COVID-19

From: The mechanism underlying extrapulmonary complications of the coronavirus disease 2019 and its therapeutic implication

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