Current and Emerging Therapies for COVID-19 in Lung Transplantation.

Curr Pulmonol Rep

5841 South Maryland Avenue, MC 5065, Chicago, IL 60637 USA Department of Medicine, Section of Infectious Diseases and Global Health, University of Chicago Medicine.

Published: February 2023

AI Article Synopsis

  • - The COVID-19 pandemic has evolved over the past three years, leading to significant new findings in epidemiology, transmission, diagnosis, and treatment, particularly for lung transplant recipients.
  • - Research has highlighted several key therapeutics for COVID-19, including antivirals like remdesivir and nirmatrelvir/ritonavir, monoclonal antibodies, and immunomodulators such as corticosteroids.
  • - Remdesivir is crucial for treating mild to moderate cases, while the use of nirmatrelvir in lung transplant patients is limited due to drug interactions; monoclonal antibodies struggle with varying viral strains.

Article Abstract

Purpose Of Review: The landscape of the coronavirus disease 2019 (COVID-19) pandemic has rapidly changed over the past 3 years. Paralleling this evolution, the scientific and medical communities have reported many novel findings relating to the infection's epidemiology, transmission, diagnosis, and treatment. We review pertinent studies of COVID-19 therapeutics with an emphasis on their application to lung transplant recipients.

Recent Findings: Agents that have been well-studied for treating COVID-19 include antivirals (remdesivir, nirmatrelvir/ritonavir, molnupiravir), monoclonal antibodies, and immunomodulators (for example, corticosteroids and tocilizumab).

Summary: Remdesivir remains an essential therapy for managing mild-moderate COVID-19. Though highly efficacious for mild-moderate COVID-19 for outpatient therapy, ritonavir-boosted nirmatrelvir has limited use in lung transplant recipients due to significant drug-drug interactions. Monoclonal antibodies, though useful, are the most affected by the emergence of new viral variants.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9932416PMC
http://dx.doi.org/10.1007/s13665-023-00302-3DOI Listing

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