Marto Natalia, Monteiro Emília C
Chronic Diseases Research Centre (CEDOC,). NOVA Medical School. Faculdade de Ciências Médicas. Universidade NOVA de Lisboa. Lisboa. Department of Internal Medicine. Hospital da Luz. Lisboa. Portugal.
Chronic Diseases Research Centre (CEDOC,). NOVA Medical School. Faculdade de Ciências Médicas. Universidade NOVA de Lisboa. Lisboa. Portugal.
Acta Med Port. 2020 Jul 1;33(7-8):500-504. doi: 10.20344/amp.13908. Epub 2020 May 4.
The novel severe acute respiratory syndrome coronavirus 2 is the cause of Coronavirus Disease 2019, a new illness with no effective treatment or vaccine that has reached pandemic proportions. In this document, we analyze how health authorities and agencies around the world position themselves regarding the off-label use of repurposed drugs or new investigational drugs to treat Coronavirus Disease 2019. We review the most promising candidate medicines, including available evidence, clinical recommendations and current options for access. Our concluding remarks stress the importance of administering off-label and investigational drugs in the setting of clinical trials, or at least in standardized scenarios, to generate as much scientific knowledge as achievable while engaging in the best efforts to treat patients and save lives.
新型严重急性呼吸综合征冠状病毒2是2019冠状病毒病的病原体,这是一种新型疾病,目前尚无有效治疗方法或疫苗,已蔓延至全球大流行程度。在本文件中,我们分析了世界各地的卫生当局和机构对于使用重新利用的药物或新的研究性药物治疗2019冠状病毒病的超说明书用药的立场。我们回顾了最有前景的候选药物,包括现有证据、临床建议和当前的获取途径选择。我们的结论强调了在临床试验环境中,或至少在标准化场景下使用超说明书药物和研究性药物的重要性,以便在尽最大努力治疗患者和挽救生命的同时,尽可能多地积累科学知识。