Sutanto Samuel Theodorus, Sinto Robert, Pasaribu Adeline, Shakinah Sharifah
Faculty of Medicine, Universitas Kristen Krida Wacana, Jakarta, Indonesia.
Acta Med Indones. 2022 Oct;54(4):638-644.
Coronavirus disease 2019 (COVID-19) is a respiratory tract disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). With the complexity of multimorbidity in Indonesia, it is crucial to find another line of antiviral for COVID-19. This article aims to review two antivirals, molnupiravir and nirmatrelvir/ritonavir, that have been studied extensively in treating COVID-19 with promising results, and their availability in Indonesia. Molnupiravir and nirmatrelvir/ritonavir are two of many repurposed drugs in clinical trials, which have been reported to have a mechanism in quick clearance of SARS-CoV-2, reduction in viral load, and fast symptoms recovery time in phase 1 and 2 clinical trials. Phase 2/3 clinical study in COVID-19 patients without any indication for hospitalization showed that molnupiravir and nirmatrelvir/ritonavir significantly reduced the risk of hospitalization and death.
2019冠状病毒病(COVID-19)是一种由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的呼吸道疾病。鉴于印度尼西亚存在多种合并症的复杂性,寻找另一种用于治疗COVID-19的抗病毒药物至关重要。本文旨在综述两种抗病毒药物,莫努匹韦和奈玛特韦/利托那韦,它们在治疗COVID-19方面已得到广泛研究,取得了有前景的结果,以及它们在印度尼西亚的可及性。莫努匹韦和奈玛特韦/利托那韦是众多正在进行临床试验的重新利用药物中的两种,据报道,在1期和2期临床试验中,它们具有快速清除SARS-CoV-2、降低病毒载量以及缩短症状恢复时间的机制。在没有任何住院指征的COVID-19患者中进行的2/3期临床研究表明,莫努匹韦和奈玛特韦/利托那韦显著降低了住院和死亡风险。