Current therapeutic options for coronavirus disease 2019 (COVID-19)-lessons learned from severe acute respiratory syndrome (SARS) and Middle East Respiratory Syndrome (MERS) therapy: a systematic review protocol.
Identifieur interne : 001448 ( Main/Exploration ); précédent : 001447; suivant : 001449Current therapeutic options for coronavirus disease 2019 (COVID-19)-lessons learned from severe acute respiratory syndrome (SARS) and Middle East Respiratory Syndrome (MERS) therapy: a systematic review protocol.
Auteurs : Zai-Li Zhang [République populaire de Chine] ; Han Zhong [République populaire de Chine] ; Yang-Xi Liu [République populaire de Chine] ; Ke-Jia Le [République populaire de Chine] ; Min Cui [République populaire de Chine] ; Yue-Tian Yu [République populaire de Chine] ; Zhi-Chun Gu [République populaire de Chine] ; Yuan Gao [République populaire de Chine] ; Hou-Wen Lin [République populaire de Chine]Source :
- Annals of translational medicine [ 2305-5839 ] ; 2020.
Abstract
Background
Coronavirus disease 2019 (COVID-19), also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, first manifested in December 2019, and spread rapidly worldwide. Facing this lethal disease, there is an urgent need to develop potent therapies against SARS-CoV-2 infection. SARS-CoV-2 phylogenetically and symptomatically resembles SARS-CoV and Middle East Respiratory Syndrome Coronavirus (MERS-CoV). Numerous agents have been utilised during the severe acute respiratory syndrome (SARS) and Middle East Respiratory Syndrome (MERS) epidemics, which may show some benefit against SARS-CoV-2.
Methods
MEDLINE, EMBASE, Cochrane Library, CBM Disc, China National Knowledge Infrastructure, Wanfang Data, and the China Science and Technology Journal Database will be searched. Manual searches will be conducted by searching pre-printing websites, clinical trial registers, and screening the reference lists of inclusive studies. The screening of all citations and the selection of inclusive articles will be conducted by two reviewers. Randomised controlled trials (RCTs) and controlled cohort studies reporting antiviral therapies, including ribavirin, remdesivir, lopinavir/ritonavir, arbidol, chloroquine, hydroxychloroquine, and interferon, for SARS, MERS, and COVID-19 will be included. The primary outcomes will be mortality, incidence of acute respiratory distress syndrome, and utilisation of mechanical ventilation and intensive care unit admission. The secondary outcomes will be improvement in symptoms and chest radiography results, virus clearance, changes in blood test results, and serum tests. The quality of the retrieved RCTs and observational studies will be appraised according to the Cochrane risk of bias tool and the Newcastle-Ottawa Scale, respectively. If feasible, we will perform a fixed- or random-effects meta-analysis.
Discussion
This systematic review and meta-analysis will summarise all the available evidence for the efficacy and safety of current therapeutic options in SARS-CoV, MERS-CoV, or SARS-CoV-2-infected patients. The findings of this study may inform subsequent antiviral interventions for patients with COVID-19.
Study registration
The protocol of this study has been submitted to the PROSPERO platform (https://www.crd.york.ac.uk/PROSPERO/), and the registration number is CRD42020168639.
DOI: 10.21037/atm-20-2340
PubMed: 33313272
PubMed Central: PMC7729372
Affiliations:
Links toward previous steps (curation, corpus...)
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<front><div type="abstract" xml:lang="en"><p><b>Background</b>
</p>
<p>Coronavirus disease 2019 (COVID-19), also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, first manifested in December 2019, and spread rapidly worldwide. Facing this lethal disease, there is an urgent need to develop potent therapies against SARS-CoV-2 infection. SARS-CoV-2 phylogenetically and symptomatically resembles SARS-CoV and Middle East Respiratory Syndrome Coronavirus (MERS-CoV). Numerous agents have been utilised during the severe acute respiratory syndrome (SARS) and Middle East Respiratory Syndrome (MERS) epidemics, which may show some benefit against SARS-CoV-2.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Methods</b>
</p>
<p>MEDLINE, EMBASE, Cochrane Library, CBM Disc, China National Knowledge Infrastructure, Wanfang Data, and the China Science and Technology Journal Database will be searched. Manual searches will be conducted by searching pre-printing websites, clinical trial registers, and screening the reference lists of inclusive studies. The screening of all citations and the selection of inclusive articles will be conducted by two reviewers. Randomised controlled trials (RCTs) and controlled cohort studies reporting antiviral therapies, including ribavirin, remdesivir, lopinavir/ritonavir, arbidol, chloroquine, hydroxychloroquine, and interferon, for SARS, MERS, and COVID-19 will be included. The primary outcomes will be mortality, incidence of acute respiratory distress syndrome, and utilisation of mechanical ventilation and intensive care unit admission. The secondary outcomes will be improvement in symptoms and chest radiography results, virus clearance, changes in blood test results, and serum tests. The quality of the retrieved RCTs and observational studies will be appraised according to the Cochrane risk of bias tool and the Newcastle-Ottawa Scale, respectively. If feasible, we will perform a fixed- or random-effects meta-analysis.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Discussion</b>
</p>
<p>This systematic review and meta-analysis will summarise all the available evidence for the efficacy and safety of current therapeutic options in SARS-CoV, MERS-CoV, or SARS-CoV-2-infected patients. The findings of this study may inform subsequent antiviral interventions for patients with COVID-19.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Study registration</b>
</p>
<p>The protocol of this study has been submitted to the PROSPERO platform (https://www.crd.york.ac.uk/PROSPERO/), and the registration number is CRD42020168639.</p>
</div>
</front>
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<Title>Annals of translational medicine</Title>
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<ArticleTitle>Current therapeutic options for coronavirus disease 2019 (COVID-19)-lessons learned from severe acute respiratory syndrome (SARS) and Middle East Respiratory Syndrome (MERS) therapy: a systematic review protocol.</ArticleTitle>
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<Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Coronavirus disease 2019 (COVID-19), also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, first manifested in December 2019, and spread rapidly worldwide. Facing this lethal disease, there is an urgent need to develop potent therapies against SARS-CoV-2 infection. SARS-CoV-2 phylogenetically and symptomatically resembles SARS-CoV and Middle East Respiratory Syndrome Coronavirus (MERS-CoV). Numerous agents have been utilised during the severe acute respiratory syndrome (SARS) and Middle East Respiratory Syndrome (MERS) epidemics, which may show some benefit against SARS-CoV-2.</AbstractText>
<AbstractText Label="Methods" NlmCategory="UNASSIGNED">MEDLINE, EMBASE, Cochrane Library, CBM Disc, China National Knowledge Infrastructure, Wanfang Data, and the China Science and Technology Journal Database will be searched. Manual searches will be conducted by searching pre-printing websites, clinical trial registers, and screening the reference lists of inclusive studies. The screening of all citations and the selection of inclusive articles will be conducted by two reviewers. Randomised controlled trials (RCTs) and controlled cohort studies reporting antiviral therapies, including ribavirin, remdesivir, lopinavir/ritonavir, arbidol, chloroquine, hydroxychloroquine, and interferon, for SARS, MERS, and COVID-19 will be included. The primary outcomes will be mortality, incidence of acute respiratory distress syndrome, and utilisation of mechanical ventilation and intensive care unit admission. The secondary outcomes will be improvement in symptoms and chest radiography results, virus clearance, changes in blood test results, and serum tests. The quality of the retrieved RCTs and observational studies will be appraised according to the Cochrane risk of bias tool and the Newcastle-Ottawa Scale, respectively. If feasible, we will perform a fixed- or random-effects meta-analysis.</AbstractText>
<AbstractText Label="Discussion" NlmCategory="UNASSIGNED">This systematic review and meta-analysis will summarise all the available evidence for the efficacy and safety of current therapeutic options in SARS-CoV, MERS-CoV, or SARS-CoV-2-infected patients. The findings of this study may inform subsequent antiviral interventions for patients with COVID-19.</AbstractText>
<AbstractText Label="Study registration" NlmCategory="UNASSIGNED">The protocol of this study has been submitted to the PROSPERO platform (https://www.crd.york.ac.uk/PROSPERO/), and the registration number is CRD42020168639.</AbstractText>
<CopyrightInformation>2020 Annals of Translational Medicine. All rights reserved.</CopyrightInformation>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zhang</LastName>
<ForeName>Zai-Li</ForeName>
<Initials>ZL</Initials>
<AffiliationInfo><Affiliation>Department of Pharmacy, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Zhong</LastName>
<ForeName>Han</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Pharmacy, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>Yang-Xi</ForeName>
<Initials>YX</Initials>
<AffiliationInfo><Affiliation>Department of Pharmacy, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Le</LastName>
<ForeName>Ke-Jia</ForeName>
<Initials>KJ</Initials>
<AffiliationInfo><Affiliation>Department of Pharmacy, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Cui</LastName>
<ForeName>Min</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Pharmacy, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Yu</LastName>
<ForeName>Yue-Tian</ForeName>
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<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gu</LastName>
<ForeName>Zhi-Chun</ForeName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gao</LastName>
<ForeName>Yuan</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lin</LastName>
<ForeName>Hou-Wen</ForeName>
<Initials>HW</Initials>
<AffiliationInfo><Affiliation>Department of Pharmacy, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation>
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<ISSNLinking>2305-5839</ISSNLinking>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Coronavirus disease 2019 (COVID-19)</Keyword>
<Keyword MajorTopicYN="N">Middle East Respiratory Syndrome Coronavirus (MERS)</Keyword>
<Keyword MajorTopicYN="N">efficacy</Keyword>
<Keyword MajorTopicYN="N">safety</Keyword>
<Keyword MajorTopicYN="N">severe acute respiratory syndrome (SARS)</Keyword>
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<CoiStatement>Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm-20-2340). ZCG and YTY serve as unpaid section editors of Annals of Translational Medicine from Oct 2019 to Sep 2020. The other authors have no conflicts of interest to declare.</CoiStatement>
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<affiliations><list><country><li>République populaire de Chine</li>
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<tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhang, Zai Li" sort="Zhang, Zai Li" uniqKey="Zhang Z" first="Zai-Li" last="Zhang">Zai-Li Zhang</name>
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<name sortKey="Cui, Min" sort="Cui, Min" uniqKey="Cui M" first="Min" last="Cui">Min Cui</name>
<name sortKey="Gao, Yuan" sort="Gao, Yuan" uniqKey="Gao Y" first="Yuan" last="Gao">Yuan Gao</name>
<name sortKey="Gu, Zhi Chun" sort="Gu, Zhi Chun" uniqKey="Gu Z" first="Zhi-Chun" last="Gu">Zhi-Chun Gu</name>
<name sortKey="Le, Ke Jia" sort="Le, Ke Jia" uniqKey="Le K" first="Ke-Jia" last="Le">Ke-Jia Le</name>
<name sortKey="Lin, Hou Wen" sort="Lin, Hou Wen" uniqKey="Lin H" first="Hou-Wen" last="Lin">Hou-Wen Lin</name>
<name sortKey="Liu, Yang Xi" sort="Liu, Yang Xi" uniqKey="Liu Y" first="Yang-Xi" last="Liu">Yang-Xi Liu</name>
<name sortKey="Yu, Yue Tian" sort="Yu, Yue Tian" uniqKey="Yu Y" first="Yue-Tian" last="Yu">Yue-Tian Yu</name>
<name sortKey="Zhong, Han" sort="Zhong, Han" uniqKey="Zhong H" first="Han" last="Zhong">Han Zhong</name>
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