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10.1080/13543784.2020.1777277

http://scihub22266oqcxt.onion/10.1080/13543784.2020.1777277
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suck abstract from ncbi


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pmid32475183      Expert+Opin+Investig+Drugs 2020 ; 29 (8): 793-796
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  • Does lopinavir measure up in the treatment of COVID-19? #MMPMID32475183
  • Doggrell SA
  • Expert Opin Investig Drugs 2020[Aug]; 29 (8): 793-796 PMID32475183show ga
  • INTRODUCTION: Lopinavir in combination with ritonavir is approved for the treatment of HIV and has recently been subject to a clinical trial in severe COVID-19. AREAS COVERED: This evaluation is of LOTUS China (the Lopinavir Trial for Suppression of SARS-Cov-2 in China), which was a randomized trial in hospitalized subjects with COVID-9 in a respiratory sample and pneumonia. As, in severe COVID-19, lopinavir/ritonavir had no beneficial effects but increased gastrointestinal adverse effects, this combination should not be used at this stage of COVID-19. EXPERT OPINION: In my opinion, the rationale for undertaking a trial of lopinavir/ritonavir in COVID-19 was poor. The analysis of a modified intention to treat group analysis in LOTUS China may have introduced bias. After LOTUS China, there is probably no future for lopinavir in the treatment of severe COVID-19, but some clinical trials for prevention or in various stages of COVID-19 have recently started or are ongoing. The major limitation of these trials is that as lopinavir does not inhibit COVID-19, it is unlikely to prevent infection, reduce viral load, or reduce the severity. However, these trials may be worthwhile in finally determining whether lopinavir has any role in preventing or treating COVID-19.
  • |Antiviral Agents/*administration & dosage/pharmacology[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |Coronavirus Infections/*drug therapy/virology[MESH]
  • |Drug Combinations[MESH]
  • |Humans[MESH]
  • |Lopinavir/*administration & dosage/pharmacology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*drug therapy/virology[MESH]
  • |Randomized Controlled Trials as Topic[MESH]
  • |Ritonavir/*administration & dosage/pharmacology[MESH]
  • |Severity of Illness Index[MESH]
  • |Treatment Outcome[MESH]


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