Multiple sclerosis immunomodulatory therapies tested for effectiveness in COVID-19

Neurol Neurochir Pol. 2021;55(4):357-368. doi: 10.5603/PJNNS.a2021.0051. Epub 2021 Aug 4.

Abstract

Introduction: The global pandemic of COVID-19 began in Wuhan, China in December 2019. Research into effective therapies has been conducted worldwide. Currently, there is no antiviral treatment and many patients develop a severe course of the disease, including severe respiratory failure. Due to similar pathomechanisms of inflammation in multiple sclerosis (MS) and COVID-19, immunomodulatory drugs that are registered for the treatment of MS are under study in the SARS-CoV-2 infection in clinical trials.

Materials and methods: Using clinicaltrials.gov, we found information related to ongoing clinical studies on potential drugs for COVID-19 which are also used in MS therapy. The outcomes of several trials were published on pubmed.ncbi.nlm.nih.gov.

Results: There were 18 clinical trials evaluating the effectiveness and safety of interferon-β, fingolimod, or leflunomide in COVID-19. Some trial outcomes available at pubmed.ncbi.nlm.nih.gov suggested an association of these drug treatments with improvements in signs and symptoms, and the disease course.

Conclusion: The administration of immunomodulatory drugs in COVID-19 may result in potential beneficial effects probably associated with their anti-inflammatory and antiviral properties. Further research is warranted to confirm the long-term effects of immunomodulatory therapies in patients with COVID-19.

Keywords: COVID-19; SARS-CoV-2; immunomodulatory therapies; multiple sclerosis.

MeSH terms

  • COVID-19*
  • Humans
  • Immunomodulation
  • Multiple Sclerosis* / drug therapy
  • Multiple Sclerosis* / epidemiology
  • Pandemics
  • SARS-CoV-2