Time Reveals the Truth! What Treatments for COVID-19 Were Quickly Abandoned, and Which Methods, Contrary to Popular Belief, Are Still Flourishing?
- PMID: 39726888
- PMCID: PMC11668932
- DOI: 10.31661/jbpe.v0i0.2206-1514
Time Reveals the Truth! What Treatments for COVID-19 Were Quickly Abandoned, and Which Methods, Contrary to Popular Belief, Are Still Flourishing?
Abstract
During the early days of the COVID-19 pandemic, low dose radiation therapy (LDRT) was proposed as a potentially effective treatment method. To minimize potential toxicity, the initial treatment approach involved a few mGy of adapting radiation followed by a single 250 mGy whole lung challenging dose. However, antiviral drugs were also introduced as a promising treatment option, which were thought to have the potential to revolutionize the management of the crisis. Despite early warnings, many physicians did not fully consider the key point that, in contrast with LDRT, antiviral drug treatments can result in strong selective pressure on the virus. This can lead to the emergence of new SARS-CoV-2 variants, a phenomenon that can have serious global consequences. After more than two years, the truth has been revealed the WHO Guideline Development Group has advised against the use of remdesivir, a widely used antiviral medication, for COVID-19. Meanwhile, a growing body of evidence suggests that LDRT can be a promising, low-risk approach for avoiding or delaying invasive respiratory support in COVID-19 patients. Although there is substantial supporting documentation, more high-quality, controlled, and randomized double-blind clinical trials are needed to further investigate the efficacy and potential therapeutic mechanisms of LDRT for COVID-19.
Keywords: COVID-19; Low Dose Radiation; Pneumonia; Remdesivir; SARS-CoV-2.
Copyright: © Journal of Biomedical Physics and Engineering.
Conflict of interest statement
None
Similar articles
-
Low Dose Radiation Therapy and Convalescent Plasma: How a Hybrid Method May Maximize Benefits for COVID-19 Patients.J Biomed Phys Eng. 2020 Aug 1;10(4):387-394. doi: 10.31661/jbpe.v0i0.2006-1125. eCollection 2020 Aug. J Biomed Phys Eng. 2020. PMID: 32802787 Free PMC article. Review.
-
Remdesivir for the treatment of COVID-19.Cochrane Database Syst Rev. 2021 Aug 5;8(8):CD014962. doi: 10.1002/14651858.CD014962. Cochrane Database Syst Rev. 2021. Update in: Cochrane Database Syst Rev. 2023 Jan 25;1:CD014962. doi: 10.1002/14651858.CD014962.pub2. PMID: 34350582 Free PMC article. Updated.
-
Safety and Efficacy of Imatinib for Hospitalized Adults with COVID-19: A structured summary of a study protocol for a randomised controlled trial.Trials. 2020 Oct 28;21(1):897. doi: 10.1186/s13063-020-04819-9. Trials. 2020. PMID: 33115543 Free PMC article.
-
Testing the efficacy and safety of BIO101, for the prevention of respiratory deterioration, in patients with COVID-19 pneumonia (COVA study): a structured summary of a study protocol for a randomised controlled trial.Trials. 2021 Jan 11;22(1):42. doi: 10.1186/s13063-020-04998-5. Trials. 2021. PMID: 33430924 Free PMC article.
-
Is there any supportive evidence for low dose radiotherapy for COVID-19 pneumonia?Int J Radiat Biol. 2020 Oct;96(10):1228-1235. doi: 10.1080/09553002.2020.1786609. Epub 2020 Jul 13. Int J Radiat Biol. 2020. PMID: 32579043 Review.
References
-
- Ghadimi-Moghadam A, Haghani M, Bevelacqua JJ, Jafarzadeh A, Kaveh-Ahangar A, Mortazavi SMJ, et al. COVID-19 Tragic Pandemic: Concerns over Unintentional “Directed Accelerated Evolution” of Novel Coronavirus (SARS-CoV-2) and Introducing a Modified Treatment Method for ARDS. J Biomed Phys Eng. 2020;10(2):241–6. doi: 10.31661/jbpe.v0i0.2003-1085. [ PMC Free Article ] - DOI - PMC - PubMed
-
- Mortazavi SMJ, Kefayat A, Cai J. Point/Counterpoint. Low-dose radiation as a treatment for COVID-19 pneumonia: A threat or real opportunity? Med Phys. 2020;47(9):3773–6. doi: 10.1002/mp.14367. [ PMC Free Article ] - DOI - PMC - PubMed
-
- BMJ. WHO Guideline Development Group advises against use of remdesivir for covid-19. BMJ; 2020. Available from: https://www.bmj.com/company/newsroom/who-guideline-development-group-adv...
-
- Rodríguez-Tomàs E, Acosta JC, Torres-Royo L, De Febrer G, Baiges-Gaya G, Castañé H, et al. Effect of low-dose radiotherapy on the circulating levels of paraoxonase-1-related variables and markers of inflammation in patients with COVID-19 pneumonia. Antioxidants. 2022;11(6):1184. doi: 10.3390/antiox11061184. [ PMC Free Article ] - DOI - PMC - PubMed
-
- Piras A, Venuti V, D’Aviero A, Cusumano D, Pergolizzi S, Daidone A, Boldrini L. Covid-19 and radiotherapy: a systematic review after 2 years of pandemic. Clin Transl Imaging. 2022;10(6):611–30. doi: 10.1007/s40336-022-00513-9. [ PMC Free Article ] - DOI - PMC - PubMed
LinkOut - more resources
Full Text Sources
Miscellaneous