A comparative study on the time to achieve negative nucleic acid testing and hospital stays between danoprevir and lopinavir/ritonavir in the treatment of patients with COVID-19

J Med Virol. 2020 Nov;92(11):2631-2636. doi: 10.1002/jmv.26141. Epub 2020 Jun 24.

Abstract

In late December 2019, coronavirus disease 2019 (COVID-19) first broke out in Wuhan, China, and has now become a global pandemic. However, there is no specific antiviral treatment for COVID-19. This study enrolled 33 COVID-19 patients in the nineth hospital of Nanchang from 27th January to 24th February 2020. Clinical indexes of patients upon admission/discharge were examined. Patients were divided into two groups according to different treatment plans (danoprevir and lopinavir/ritonavir). The days to achieve negative nucleic acid testing and the days of hospital stays were counted and statistically analyzed. COVID-19 patients treated with danoprevir or lopinavir/ritonavir were all improved and discharged. Indexes like blood routine, inflammation and immune-related indexes were significantly recovered after treatment. Additionally, under the circumstance that there was no significant difference in patients' general information between the two groups, we found that the mean time to achieve both negative nucleic acid testing and hospital stays of patients treated with danoprevir were significantly shorter than those of patients with lopinavir/ritonavir. Collectively, applying danoprevir is a good treatment plan for COVID-19 patients.

Keywords: COVID-19; danoprevir; lopinavir/ritonavir; time to achieve negative nucleic acid testing.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antiviral Agents / therapeutic use*
  • COVID-19 / diagnosis*
  • COVID-19 Drug Treatment*
  • COVID-19 Nucleic Acid Testing / statistics & numerical data*
  • Cyclopropanes / therapeutic use
  • Drug Combinations
  • Female
  • Humans
  • Isoindoles / therapeutic use
  • Lactams, Macrocyclic / therapeutic use
  • Length of Stay / statistics & numerical data*
  • Lopinavir / therapeutic use
  • Male
  • Middle Aged
  • Proline / analogs & derivatives
  • Proline / therapeutic use
  • Ritonavir / therapeutic use
  • Severity of Illness Index
  • Sulfonamides / therapeutic use
  • Young Adult

Substances

  • Antiviral Agents
  • Cyclopropanes
  • Drug Combinations
  • Isoindoles
  • Lactams, Macrocyclic
  • Sulfonamides
  • lopinavir-ritonavir drug combination
  • Lopinavir
  • danoprevir
  • Proline
  • Ritonavir