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《COVID-19 大流行时代临床试验的综合分析》

A Comprehensive Analysis of Clinical Trials in the COVID-19 Pandemic Era.

机构信息

Department of Psychiatry, Yonsei University, Wonju College of Medicine, Wonju Kangwon 26426, Korea.

Department of Nephrology, Yonsei University, Wonju College of Medicine, Wonju Kangwon 26426, Korea.

出版信息

Medicina (Kaunas). 2020 Jun 26;56(6):315. doi: 10.3390/medicina56060315.

Abstract

Despite medical advances, we are facing the unprecedented disaster of the coronavirus disease 2019 (COVID-19) pandemic without available treatments and effective vaccines. As the COVID-19 pandemic has approached its culmination, desperate efforts have been made to seek proper treatments and response strategies, and the number of clinical trials has been rapidly increasing. In this time of the pandemic, it is believed that learning lessons from it would be meaningful in preparing for future pandemics. Thus, this study aims at providing a comprehensive landscape of COVID-19 related clinical trials based on the ClinicalTrials.gov database. Up to 30 March 2020, we identified a total of 147 eligible clinical trials and reviewed the overview of the studies. Until then, the most clinical trials were set up in China. Treatment approaches are the most frequent purpose of the registered studies. Chloroquine, interferon, and antiviral agents such as remdesivir, lopinavir, and ritonavir are agents under investigation in these trials. In this study, we introduced the promising therapeutic options that many researchers and clinicians are interested in, and to address the hidden issues behind clinical trials in this COVID-19 pandemic.

摘要

尽管医学取得了进步,但我们在没有可用治疗方法和有效疫苗的情况下,正面临着新冠肺炎(COVID-19)大流行这一前所未有的灾难。随着 COVID-19 大流行接近尾声,人们已竭尽全力寻找适当的治疗方法和应对策略,临床试验的数量也在迅速增加。在这一大流行时期,人们认为从中学到经验教训对于为未来的大流行做好准备是有意义的。因此,本研究旨在基于 ClinicalTrials.gov 数据库提供 COVID-19 相关临床试验的全面概述。截至 2020 年 3 月 30 日,我们共确定了 147 项符合条件的临床试验,并对研究概况进行了审查。到那时,临床试验最多的是在中国设立的。注册研究的最常见目的是治疗方法。氯喹、干扰素和抗病毒药物如瑞德西韦、洛匹那韦和利托那韦等都是这些试验中正在研究的药物。在本研究中,我们介绍了许多研究人员和临床医生感兴趣的有前途的治疗选择,并探讨了 COVID-19 大流行期间临床试验背后隐藏的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0216/7353878/134b073568c1/medicina-56-00315-g001.jpg

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