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TREATMENTalternate nameSUBSTANCE CLASSDESCRIPTIONEVIDENCEEVIDENCE AS A NUMBEREFFECTFORomicron effective?attention levelattention level indexsourcesource link 1source link 2ID
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https://informationisbeautiful.net/visualizations/covid-19-coronavirus-infographic-datapack/#treatmentsgoogle hits: substance + "covid treatment"
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AzithromycinANTIBIOTICThis drug with a good safety record did not live up to promise in large trials.NONE0not86,1003New York Timeshttps://www.recoverytrial.net/news/recovery-trial-finds-no-benefit-from-azithromycin-in-patients-hospitalised-with-covid-19https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html1
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Bamlanivimab / etesvimabANTIBODYCombination of two monoclonal antibodies from Eli Lilly.PROMISING4effect: 70% reduction in hospitalizations & death high-risk and unvaccinated patients not33,1003New York Timeshttps://www.nytimes.com/2021/01/21/health/coronavirus-eli-lilly.htmlhttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html2
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BaricitinibANTI-INFLAMMATORYArthritis drug which blocks inflammation protein interleukin-6, dampening the immune's systems overreaction to the virusPROMISING4hospitalized patients on oxygenunknown13,5002New York Timeshttps://www.covid19treatmentguidelines.nih.gov/management/clinical-management/hospitalized-adults--therapeutic-management/https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html3
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BudesonideSTEROIDPromising preliminary evidence for this inhaled treatmentPROMISING4effect: 25% reduction in hospitalisation & deathsunknown25,4002The Lancethttps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02440-5/fulltexthttps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02440-5/fulltext4
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ColchicineANTI-INFLAMMATORYSpeculation that this anti-infammatory might reduce COVID symptoms quashed by recent trial.NONE0not56,5003The Lancethttps://www.thelancet.com/journals/lanres/article/PIIS2213-2600(21)00435-5/fulltexthttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html32
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Convalescent plasmaOTHERPlasma filtered from the blood of people who have recovered from COVID-19CONFLICTING3recently hospitalized patients & immunocompromisedunknown85,7003New York Timeshttps://www.medrxiv.org/content/10.1101/2021.12.10.21267485v1https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html6
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DexamethasoneSTEROIDWidely used drug reduces inflammation of the lungs and has saved an estimated million lives worldwideGOOD5effect: reduced deathsunknown36,9003New York Timeshttps://www.england.nhs.uk/2021/03/covid-treatment-developed-in-the-nhs-saves-a-million-lives/https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html7
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Evusheld (monoclonal antibodies)ANTIBODYAn injectable cocktail of monoclonal antibodies tixagevimab and cilgavimab from Astrazeneca.PROMISING4effect: 77% reduction in COVID infectionimmunocompromisedeffective for omicron BA.220,8002New York Timeshttps://www.businesswire.com/news/home/20211223005099/en/EVUSHELD-long-acting-antibody-combination-retains-neutralizing-activity-against-Omicron-variant-in-studies-from-Oxford-and-Washington-Universitieshttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html8
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EXO-CD24ANTI-INFLAMMATORYTiny study (of 35 hospitalized people) showed promising results. But the study was not blinded nor placebo-controlled nor published. TENTATIVE2hospitalized patientsunknown9321New York Timeshttps://www.nytimes.com/2021/03/06/world/americas/brazil-covid-bolsonaro-nasal-spray.htmlhttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html9
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Favipiravir(AKA Avigan)ANTIVIRALThis influenza drug blocks a virus's ability to copy its genetic material. Only small studies so far.TENTATIVE2unknown15,6002Johns Hopkinshttps://www.appilitherapeutics.com/newsfeed/Appili-Therapeutics-Provides-Update-on-Phase-3-PRESECO-Clinical-Trial-Evaluating-Avigan%C2%AE%2FReeqonus%E2%84%A2https://www.hopkinsguides.com/hopkins/ub?cmd=repview&type=479-1225&name=30_538747_PDF10
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FluvoxamineANTIDEPRESSANTInexpensive and well-known drug typically used to treat depression & obsessive-compulsive disorders. Can reduce inflammation. Awaiting solid trials.CONFLICTING3effect: 30% reduction in hospitalisation in patients with mild COVID-19unknown10,7002Johns Hopkinshttps://www.hopkinsguides.com/hopkins/ub?cmd=repview&type=479-1225&name=30_538747_PDFhttps://jamanetwork.com/journals/jamanetworkopen/fullarticle/279074211
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HydroxychloroquineOTHERTreatment for malaria promoted by several politicians but tests on animals and humans proved disappointing, even harmful.POTENTIALLY HARMFUL-1not145,0004New York Timeshttps://www.recoverytrial.net/news/statement-from-the-chief-investigators-of-the-randomised-evaluation-of-covid-19-therapy-recovery-trial-on-hydroxychloroquine-5-june-2020-no-clinical-benefit-from-use-of-hydroxychloroquine-in-hospitalised-patients-with-covid-19https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html12
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InterferonsRebifOTHERProtein molecules our cells naturally produce in response to viruses, used to coax the immune system into attacking the virusINSUFFICIENT1early infectionunknown5,3601New York Timeshttps://pubmed.ncbi.nlm.nih.gov/34672949/https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html13
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IvermectinANTIPARASITICA potent drug to treat parasitic worms. not approved for use as a human antiviral. Studies on cells showed potential but human trials didn't. Pimped as a 'miracle drug'. Really isn't. Harmful effects mostly due to people taking it off-prescription and in large doses and/or veterinary formulations. POTENTIALLY HARMFUL-1not226,0005New York Timeshttps://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2789362?fbclid=IwAR1sUf6-uuig9F7HMHubT4cjLJLdG0k_Kbe4K5J6fUdCx-I6ikg_lYK7NqEhttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html14
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LenzilumabANTIBODYDesigned to reduce runaway inflammation ("cytokine storm") - late stage phase 3 trials underway.TENTATIVE2effect: significantly improved survivalnon-ventilated hospitalized patientsunknown2,3201New York Timeshttps://www.thelancet.com/journals/lanres/article/PIIS2213-2600(21)00494-X/fulltexthttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html15
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LeronlimabANTIBODYExisting HIV treatment blocks cell-surface proteins which the virus uses to gain entry. Small studies showed promise but results from larger studies were questioned.CONFLICTING3critically ill patientsunknown10,1002New York Timeshttps://www.fda.gov/drugs/drug-safety-and-availability/statement-leronlimab?utm_medium=email&utm_source=govdeliveryhttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html16
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Molnupiravir(AKA Lagevrio)ANTIVIRALDrug from Merck originally designed to fight the flu - massive investment in trials only showed modest results, alas. Currently emergency authorised in UK & USA.CONFLICTING3effect: only 30% effective in preventing hospitalization & death in people at high risk of severe diseasemild-to-moderate cases with risk factorsunknown58,8003Arstechniahttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.htmlhttps://arstechnica.com/science/2021/11/womp-womp-efficacy-of-mercks-thor-inspired-covid-pill-crumbles-vexing-experts/17
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Monoclonal antibodies (some)(AKA REGEN-COV, Casirivimab-imdevimab)ANTIBODYVery expensive treatment with antibodies produced by people successfully recovered from COVID-19 and from immunized mice. They do not replace vaccines. Only a few remain effective against Omicron and its subvariants.GOOD5effect: 81% reduced risk of symptomatic infectionmild to moderate casesnot68,1003New York Timeshttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.htmlhttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html18
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OleandrinOTHERA toxic substance found in the poisonous oleander plant - avoid! POTENTIALLY HARMFUL-1not10,3002New York Timeshttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.htmlhttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html19
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Paxlovid(AKA nirmatrelvir & ritonavir)ANTIVIRALRecently emergency-approved SARS drug combination from Pfizer. Effective in Omicron. Ideally taken within 5 days of exposure to the virus.GOOD5effect: 89% prevention of hospitalization & deathhigh-risk patients over 12effective for omicron BA.2159,0004Arstechniahttps://www.nytimes.com/2021/12/14/health/pfizer-covid-19-pill-paxlovid.htmlhttps://arstechnica.com/science/2021/11/pfizer-says-its-antiviral-pill-can-cut-89-of-covid-hospitalizations-and-deaths/20
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Recombinant ACE-2OTHERArtificial ACE-2 proteins act as decoys for the virus to latch onto. Showing some promise in animal trials. Human clinical trials are underway...INSUFFICIENT1unknown2,5001New York Timeshttps://news.vumc.org/2021/05/06/vumc-to-lead-national-study-to-treat-severe-covid-complications/https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html21
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RemdesivirANTIVIRALAntiviral, first to gain approval in USA, but not recommended by WHO.PROMISING4critically ill who need oxygen during early diseaseeffective for omicron BA.258,5003https://www.gilead.com/news-and-press/company-statements/gilead-statement-on-veklury-remdesivir-and-the-sars-cov-2-omicron-varianthttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html#paxlovid22
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RivaroxabanANTICOAGULANTAnti-blood clot medication, currenty in trials, but preliminary results are not promisingTENTATIVE2unknown1,8801New York Timeshttps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01203-4/fulltexthttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html23
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SotrovimabANTIBODYLingers in the lungs so it can attack the coronavirus as it enters the body, injected into muscle like a vaccine. Not effective against Omicron. No longer authorized by the US FDA as of April 5th 2022.CONFLICTING3effect: 79% reduction in hospitalization & deathhigh-risk patientsnot20,3002WHOhttps://www.gsk.com/en-gb/media/press-releases/preclinical-data-demonstrate-sotrovimab-retains-activity-against-key-omicron-mutations-new-sars-cov-2-variant/https://www.who.int/teams/health-care-readiness-clinical-unit/covid-19/therapeutics24
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Stem CellsOTHERUnproven anti-inflammatory stem cell treatments can potentially harm patientsTENTATIVE2unknown30,8003New York Timeshttps://www.fiercebiotech.com/biotech/mesoblast-craters-as-novartis-backed-covid-19-drug-flunks-trialhttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html25
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TocilizumabANTI-INFLAMMATORYArthritis drug which blocks inflammtion protein interleukin-6 dampening the immune's systems overreaction to the virus.PROMISING4those with severe diseaseunknown12,9002New York Timeshttps://www.medrxiv.org/content/10.1101/2021.07.05.21259867v1https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html26
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Vitamin DSUPPLEMENTMuch research and hearsay, but no firm evidence that it helps prevent or reduce COVIDINSUFFICIENT1not305,0005New York Timeshttps://www.medpagetoday.com/infectiousdisease/covid19/91261https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html27
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ZincSUPPLEMENTA randomized clinical trial that found no benefit from zincNONE0not59,9003New York Timeshttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html28
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S-217622ANTIVIRALThis Japanese antiviral drug targets the same viral protein targeted as paxlovid. Has shown promise in small trials. Larger trials underway.TENTATIVE2unknown441New York Timeshttps://www.wsj.com/articles/covid-19-pill-competing-with-pfizers-looks-for-quick-approval-in-japan-11644232232https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html#s21762229
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Lambda-laINTERFERONInterferons are molecules our cells naturally produce in response to viruses, rousing the immune system. A large Phase 3 trial of Lambda halved the risk of hospitalization and risk of death from COVID. PROMISING4unknown26,5003New York Timeshttps://ir.eigerbio.com/news-releases/news-release-details/eigers-single-dose-peginterferon-lambda-covid-19-reduced-riskhttps://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html#interferon30
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SabizabutinANTIVIRALNew anti-viral and anti-inflammatory drug. Up to 55% reduction in death seen in early trialsPROMISING4unknown18,3002VeruPharma
https://verupharma.com/news/verus-novel-covid-19-drug-candidate-reduces-deaths-by-55-in-hospitalized-patients-in-interim-analysis-of-phase-3-study-independent-data-monitoring-committee-halts-study-early-for-overwhelmin/
https://www.verywellhealth.com/new-covid-drug-trials-523537531
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BebtelovimabANTIBODYMonoclonal antibody emergency authorized by the FDA in the USA as of Feb 2022GOOD5effective for omicron BA.216,7002FDAhttps://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-new-monoclonal-antibody-treatment-covid-19-retainshttps://investor.lilly.com/news-releases/news-release-details/lillys-bebtelovimab-receives-emergency-use-authorization32
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