Comparison of the antiviral effect of Arbidol and Chloroquine in treating COVID-19

Ann Palliat Med. 2021 Mar;10(3):3307-3312. doi: 10.21037/apm-21-400.

Abstract

Background: The novel coronavirus disease 2019 (COVID-19) was broken out in December 2019 and soon became a global health emergency. Effective treatment for COVID-19 is urgently needed. In the present study, we aimed to evaluate the antiviral effect of Arbidol vs. Chloroquine in treating COVID-19.

Methods: We retrospectively analyzed 62 patients with COVID-19 diagnosed according to the guidelines for diagnosis and treatment of COVID-19 in China. They were divided into two groups depending on the antiviral drugs that they received. Participants in the Arbidol group (n=42) received 0.2 g Arbidol, tid for 10 days,and those in Chloroquine group (n=20) received 500 mg Chloroquine, bid for 10 days. The coronavirus negative conversion time and the length of hospital stay were analyzed and compared between the two groups.

Results: There was no significant difference in demographic and clinical characteristics between the two groups. After antiviral treatment, the nasopharyngeal specimen negative conversion time of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the length of hospital stay in the Arbidol group were significantly shorter than those in the Chloroquine group (18.50 vs. 25.05 days, P=0.001; 23.52 vs. 28.75 days, P=0.001). Adverse events observed during the antiviral treatment period were comparable between the two groups. Overall, 3 (7.14%) participants in the Arbidol group and 4 (20.0%) in the Chloroquine group experienced adverse events during antiviral treatment.

Conclusions: These results suggest that Arbidol is advantageous over Chloroquine in terms of the SARS-CoV-2 negative conversion and the length of hospital stay in treating COVID-19 patients.

Keywords: Arbidol; COVID-19; Chloroquine; comparative study.

Publication types

  • Comparative Study

MeSH terms

  • Antiviral Agents / therapeutic use*
  • COVID-19 Drug Treatment*
  • China
  • Chloroquine / adverse effects
  • Chloroquine / therapeutic use*
  • Humans
  • Indoles / therapeutic use*
  • Length of Stay
  • Retrospective Studies

Substances

  • Antiviral Agents
  • Indoles
  • Chloroquine
  • umifenovir