COVID-19: potential therapeutics for pediatric patients

<p>The global spread of COVID-19 has imparted significant economic, medical, and social burdens. Like adults, children are affected by this pandemic. However, milder clinical symptoms are often experienced by them. Only a minimal proportion of the affected patients may develop severe and compl...

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Main Author: Nour K. Younis (14152512) (author)
Other Authors: Rana O. Zareef (14152515) (author), Ghina Fakhri (14152518) (author), Fadi Bitar (295982) (author), Ali H. Eid (5461829) (author), Mariam Arabi (6339860) (author)
Published: 2022
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author Nour K. Younis (14152512)
author2 Rana O. Zareef (14152515)
Ghina Fakhri (14152518)
Fadi Bitar (295982)
Ali H. Eid (5461829)
Mariam Arabi (6339860)
author2_role author
author
author
author
author
author_facet Nour K. Younis (14152512)
Rana O. Zareef (14152515)
Ghina Fakhri (14152518)
Fadi Bitar (295982)
Ali H. Eid (5461829)
Mariam Arabi (6339860)
author_role author
dc.creator.none.fl_str_mv Nour K. Younis (14152512)
Rana O. Zareef (14152515)
Ghina Fakhri (14152518)
Fadi Bitar (295982)
Ali H. Eid (5461829)
Mariam Arabi (6339860)
dc.date.none.fl_str_mv 2022-11-22T21:16:30Z
dc.identifier.none.fl_str_mv 10.1007/s43440-021-00316-1
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/COVID-19_potential_therapeutics_for_pediatric_patients/21598014
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Paediatrics
Pharmacology and pharmaceutical sciences
Pharmacology
General Medicine
dc.title.none.fl_str_mv COVID-19: potential therapeutics for pediatric patients
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>The global spread of COVID-19 has imparted significant economic, medical, and social burdens. Like adults, children are affected by this pandemic. However, milder clinical symptoms are often experienced by them. Only a minimal proportion of the affected patients may develop severe and complicated COVID-19. Supportive treatment is recommended in all patients. Antiviral and immunomodulatory medications are spared for hospitalized children with respiratory distress or severe to critical disease. Up till now, remdesivir is the only USFDA-approved anti-COVID-19 medication indicated in the majority of symptomatic patients with moderate to severe disease. Dexamethasone is solely recommended in patients with respiratory distress maintained on oxygen or ventilatory support. The use of these medications in pediatric patients is founded on evidence deriving from adult studies. No randomized controlled trials (RCTs) involving pediatric COVID-19 patients have assessed these medications’ efficacy and safety, among others. Similarly, three novel monoclonal anti-SARS-CoV-2 spike protein antibodies, bamlanivimab, casirivimab and imdevimab, have been recently authorized by the USFDA. Nonetheless, their efficacy has not been demonstrated by multiple RCTs. In this review, we aim to dissect the various potential therapeutics used in children with COVID-19. We aspire to provide a comprehensive review of the available evidence and display the mechanisms of action and the pharmacokinetic properties of the studied therapeutics. Our review offers an efficient and practical guide for treating children with COVID-19.</p><h2>Other Information</h2> <p> Published in: Pharmacological Reports<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s43440-021-00316-1" target="_blank">http://dx.doi.org/10.1007/s43440-021-00316-1</a></p>
eu_rights_str_mv openAccess
id Manara2_a3573fb9b19e9b8bda72eb2383f49870
identifier_str_mv 10.1007/s43440-021-00316-1
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/21598014
publishDate 2022
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rights_invalid_str_mv CC BY 4.0
spelling COVID-19: potential therapeutics for pediatric patientsNour K. Younis (14152512)Rana O. Zareef (14152515)Ghina Fakhri (14152518)Fadi Bitar (295982)Ali H. Eid (5461829)Mariam Arabi (6339860)PaediatricsPharmacology and pharmaceutical sciencesPharmacologyGeneral Medicine<p>The global spread of COVID-19 has imparted significant economic, medical, and social burdens. Like adults, children are affected by this pandemic. However, milder clinical symptoms are often experienced by them. Only a minimal proportion of the affected patients may develop severe and complicated COVID-19. Supportive treatment is recommended in all patients. Antiviral and immunomodulatory medications are spared for hospitalized children with respiratory distress or severe to critical disease. Up till now, remdesivir is the only USFDA-approved anti-COVID-19 medication indicated in the majority of symptomatic patients with moderate to severe disease. Dexamethasone is solely recommended in patients with respiratory distress maintained on oxygen or ventilatory support. The use of these medications in pediatric patients is founded on evidence deriving from adult studies. No randomized controlled trials (RCTs) involving pediatric COVID-19 patients have assessed these medications’ efficacy and safety, among others. Similarly, three novel monoclonal anti-SARS-CoV-2 spike protein antibodies, bamlanivimab, casirivimab and imdevimab, have been recently authorized by the USFDA. Nonetheless, their efficacy has not been demonstrated by multiple RCTs. In this review, we aim to dissect the various potential therapeutics used in children with COVID-19. We aspire to provide a comprehensive review of the available evidence and display the mechanisms of action and the pharmacokinetic properties of the studied therapeutics. Our review offers an efficient and practical guide for treating children with COVID-19.</p><h2>Other Information</h2> <p> Published in: Pharmacological Reports<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s43440-021-00316-1" target="_blank">http://dx.doi.org/10.1007/s43440-021-00316-1</a></p>2022-11-22T21:16:30ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s43440-021-00316-1https://figshare.com/articles/journal_contribution/COVID-19_potential_therapeutics_for_pediatric_patients/21598014CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215980142022-11-22T21:16:30Z
spellingShingle COVID-19: potential therapeutics for pediatric patients
Nour K. Younis (14152512)
Paediatrics
Pharmacology and pharmaceutical sciences
Pharmacology
General Medicine
status_str publishedVersion
title COVID-19: potential therapeutics for pediatric patients
title_full COVID-19: potential therapeutics for pediatric patients
title_fullStr COVID-19: potential therapeutics for pediatric patients
title_full_unstemmed COVID-19: potential therapeutics for pediatric patients
title_short COVID-19: potential therapeutics for pediatric patients
title_sort COVID-19: potential therapeutics for pediatric patients
topic Paediatrics
Pharmacology and pharmaceutical sciences
Pharmacology
General Medicine