The role of immunomodulatory medications in the treatment of COVID-19

Curr Opin Rheumatol. 2021 Sep 1;33(5):431-445. doi: 10.1097/BOR.0000000000000817.

Abstract

Purpose of review: Given the role of inflammation in severe forms of COVID-19, glucocorticoids and disease-modifying antirheumatic drugs (DMARDs) have been assessed as potential COVID-19 therapies.

Recent findings: Randomized controlled trials (RCTs) have shown that glucocorticoids reduce mortality in severe COVID-19. RCTs of DMARDs have shown mixed results varying on intervention and inclusion criteria. DMARDs, including colchicine or biologic agents, may improve COVID-19 outcomes in specific patient populations.

Summary: Glucocorticoids are an effective treatment for the management of severe COVID-19. Further studies are needed to better define the patient populations who could benefit from DMARD use, as well as provide guidance regarding the timing of these interventions.

Publication types

  • Review

MeSH terms

  • Antirheumatic Agents* / therapeutic use
  • Arthritis, Rheumatoid* / drug therapy
  • Biological Factors / therapeutic use
  • COVID-19 Drug Treatment*
  • Humans
  • SARS-CoV-2

Substances

  • Antirheumatic Agents
  • Biological Factors