Favipiravir use for SARS CoV-2 infection

Pharmacol Rep. 2020 Dec;72(6):1542-1552. doi: 10.1007/s43440-020-00175-2. Epub 2020 Oct 27.

Abstract

Introduction: The pandemic of SARS CoV-2 has required urgent medical treatments for numerous patients. As no specific antiviral agents were available, different off-the-shelf alternatives have been explored.

Objective: Here, we review the rationale behind the use of Favipiravir, and report of the specific studies supporting this treatment being conducted.

Methods: Here we analyze the relevant literature to conclude about the present opportunities offered by this therapeutic agent.

Results: This antiviral drug approved influenza in Japan since 2014, has a demonstrated in vitro activity against SARS CoV-2 and is being investigated in several trials for SARS CoV-2. Signals of benefit were shown in a small trial for SARS CoV-2. However, in another small study, there was no advantage.

Conclusions: Further studies, statistically more significant, are urgently needed to understand the best opportunities offered by this treatment.

Keywords: Animal studies; Favipiravir; Human trials; Laboratory experiments; SARS CoV-2.

Publication types

  • Review

MeSH terms

  • Amides / therapeutic use*
  • Animals
  • Antiviral Agents / therapeutic use*
  • COVID-19 / virology
  • COVID-19 Drug Treatment*
  • Humans
  • Pyrazines / therapeutic use*
  • SARS-CoV-2 / drug effects
  • SARS-CoV-2 / isolation & purification
  • Treatment Outcome

Substances

  • Amides
  • Antiviral Agents
  • Pyrazines
  • favipiravir