Clinical Pharmacology Considerations for Developing Small-Molecule Treatments for COVID-19.

IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Journal of clinical pharmacology Pub Date : 2020-09-01 Epub Date: 2020-07-12 DOI:10.1002/jcph.1697
Priya Brunsdon, Bhawana Saluja, Chandrahas Sahajwalla
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引用次数: 5

Abstract

Numerous drugs are being investigated for the treatment of COVID-19, including antivirals and therapies targeting complications related to COVID-19. The clinical presentation of COVID-19 varies from mild fever, cough, and dyspnea in the early stages of disease to severe complications such as acute respiratory distress syndrome, systemic hyperinflammation, and sepsis. A thorough understanding of the disease pathogenesis and the disease complications is essential to developing effective therapies to treat this potentially life-threatening disease. This review offers key clinical pharmacology considerations involved in the development of small molecules for the treatment of COVID-19. They are based on the major observed disease complications that impact drug absorption, distribution, metabolism, and elimination. We also address considerations regarding potential drug interactions, alternative routes and methods of administration, and dosing in patients on hemodialysis.

开发新冠肺炎小分子治疗药物的临床药理学考虑
目前正在研究许多治疗COVID-19的药物,包括抗病毒药物和针对COVID-19相关并发症的疗法。COVID-19的临床表现各不相同,从疾病早期的轻度发烧、咳嗽和呼吸困难到严重的并发症,如急性呼吸窘迫综合征、全身性高炎和败血症。彻底了解疾病的发病机制和疾病并发症对于开发有效的治疗方法来治疗这种潜在的危及生命的疾病至关重要。本文综述了用于治疗COVID-19的小分子药物开发的关键临床药理学考虑因素。它们是基于观察到的影响药物吸收、分布、代谢和消除的主要疾病并发症。我们还讨论了考虑到潜在的药物相互作用,替代途径和给药方法,以及血液透析患者的剂量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.10
自引率
3.40%
发文量
176
审稿时长
2 months
期刊介绍: The Journal of Clinical Pharmacology (JCP) is a Human Pharmacology journal designed to provide physicians, pharmacists, research scientists, regulatory scientists, drug developers and academic colleagues a forum to present research in all aspects of Clinical Pharmacology. This includes original research in pharmacokinetics, pharmacogenetics/pharmacogenomics, pharmacometrics, physiologic based pharmacokinetic modeling, drug interactions, therapeutic drug monitoring, regulatory sciences (including unique methods of data analysis), special population studies, drug development, pharmacovigilance, womens’ health, pediatric pharmacology, and pharmacodynamics. Additionally, JCP publishes review articles, commentaries and educational manuscripts. The Journal also serves as an instrument to disseminate Public Policy statements from the American College of Clinical Pharmacology.
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