Review Article

Novel Drug Design for Treatment of COVID-19: A Systematic Review of Preclinical Studies

Table 1

Summary of studies with in silico method that used repurposed drugs for novel drug discovery against COVID-19.

AuthorYearMethodDetail of methodName of compound/drugTargetEfficacyComments

Abosheasha and El-Gowily [24]2020In silicoDrug repurposing molecular docking-based virtual screening15 antiplatelet FDA-approved drugsMain protease (Mpro) and spike glycoprotein (S)Cilostazol has favorable binding interaction with Mpro (PDB ID: 6LU7) cilostazol, iloprost, epoprostenol, prasugrel, and icosapent ethyl that have a higher binding affinity on spike glycoprotein (S)Cilostazol is a promising FDA drug against COVID-19 by inhibiting both Mpro and S protein
Abdul Kadhim et al. [25]2020In silicoDrug repurposing, dockingExperimental and approved drugsPapain-like protease and RNA polymeraseDrugs that shared >70% similarity to the binding sites of those targets were reversin, pentagastrin, remdesivir, norfloxacin, and nitazoxanide against COVID-19 papain-like protease whereas benzylglutathione, lopinavir, and hydroxymethylglutathione against RNA polymeraseAntiresistance reversin showed the highest inhibitory efficacy against COVID-19 papain-like protease, and benzylglutathione is an experimental compound; however, it had the highest RNA polymerase inhibiting efficacy
Abu-Saleh et al. [26]2020In silicoLigand-based/structure-based virtual screening, MD simulations, and binding energy calculationsApproved drugs and bioactive compounds listed in the DrugBank and ChEMBL databasesMain proteaseBest MM/GBSA binding energy; ChEMBL275592, montelukast, ChEMBL28834. Bromocriptine and saquinavir demonstrate stability in the active site of Mpro
Achilonu et al. [27]2020In silicoHigh-throughput virtual screening and ligand dockingFDA-approved drugsMain proteaseIsavuconazonium, a P2-P3 α-ketoamide derivative, and pentagastrina are the top three molecules (Lig13b as the benchmark) based on docking energy
Aftab et al. [28]2020In silicoRepositioning/target-based virtual screening and molecular dockingTen antiviral drugs were screened: ribavirin, remdesivir, sofosbuvir, penciclovir, nitazoxanide, nafamostat, chloroquine, galidesivir, favipiravir, and interferonRNA-dependent RNA polymerase (RdRp)Galidesivir and its drug-like compounds CID123624208 and CID11687749 have shown an effective attachment to the priming site of viral RdRpCID123624208 and CID11687749 may be considered for in vitro and in vivo clinical trials
Ahmadi et al. [29]2021In silicoDrug repurposing study using molecular dockingEnfuvirtide, an HIV-1 fusion inhibitor peptideSARS-CoV-2 fusion inhibitorEnfuvirtide binding to the S2 protein of SARS-CoV-2 was remarkably stable and can act as a strong SARS-CoV-2 fusion inhibitor
Ahmed et al. [30]2021In silicoDrug repurposing (high-throughput virtual screening) (HTVS) followed by re-docking with standard precision (SP) and extra-precision (XP) molecular dockingFDA-approved antiviral and anti-infection drugsMain proteaseOf 1397 potential drugs, 157 showed considerable affinity towards Mpro. High-affinity lead drugs (iodixanol, amikacin, troxerutin, and rutin) were identified. Amikacin was found to be the most potent inhibitor of main proteaseAminoglycosides may serve as a scaffold to design potent drug molecules against COVID-19
Anand et al. [31]2021In silicoMolecular docking130 US FDA-approved drugs including hypertension, cardiovascular diseases, respiratory tract infections (RTI), antibiotics, and antiviral drugsStructural and nonstructural proteins of SARS-CoV-2 (nsp3, nsp5, nsp10, nsp16)15 potent drugs exhibiting significant inhibitory potential against SARS-CoV-2 like baloxavir marboxil, danoprevir and sofosbuvir, fosinopril, moexipril, quinapril, telmisartan, azilsartan, verapamil, and doxazosinAzithromycin, doxycycline, clarithromycin, rifamycin, and augmentin: nsp10; virginiamycin, tunicamycin, quinupristin, fidaxomicin, digoxin, and azithromycin: main protease; caspofungin, amphotericin B, ketoconazole, and micafungin: E and N proteins; virginiamycin and amphotericin B: S protein
Ancy et al. [32]2020In silicoMolecular docking, molecular dynamics, and binding free energy simulation studyHIV-1 protease, namely, TMB607 and TMC-310911Main proteaseTMB607 molecule binds strongly with the SARS-CoV-2 main protease enzyme
Ansari et al. [33]2020In silicoRepurposing drug molecular dockingTAT-peptide 47–57 (GRKKRRQRRRP)-conjugated repurposed drugs (i.e., lopinavir, ritonavir, favipiravir, and hydroxychloroquine)Main proteaseTP-conjugated ritonavir, lopinavir, favipiravir, and hydroxychloroquine have superior and significantly enhanced interactions with main protease
Arun et al. [34]2020In silicoRepurposing drug molecular dockingDrugs available in the super DRUG2 databaseMain proteaseBinifibrate and bamifylline bind strongly to the enzyme active site
Arya et al. [35]2020In silicoMolecular dockingFDA-approved drugsPapain-like protease15 FDA-approved drugs, including chloroquine and formoterol, bind the target enzyme with significant affinity and good geometry, suggesting their potential to be utilized against the virus
Baby et al. [36]2020In silicoSchrodinger’s computer-aided drug discovery tools for in silico drug repurposingFDA-approved library of drugsRNA-dependent RNA polymerase (RdRp)Pitavastatin, ridogrel, rosoxacin
Baby et al. [36]2021In silicoSchrodinger’s computer-aided drug discovery tools for in silico drug repurposingFDA-approved library of drugsMain proteaseTipiracil and aprepitant interacted with the main protease
Baker et al. [37]2021In silicoRepurposing drug molecular docking50 compounds with activity against main proteaseMain proteaseDrugs including boceprevir, ciluprevir. narlaprevir, and telaprevir may be more potent against main protease than boceprevir and suitable for rapid repurposing
Bharath et al. [38]2020In silicoDrug repurposing computer-aided drug design (CADD)4015 known and approved small moleculesSpike glycoproteinGlycyrrhizic acid (GA) of plant origin may be repurposed for SARS-CoV-2 intervention
Bhowmik et al. [39]2021In silicoRepurposing drugs, docking, and molecular dynamic simulationOrientin (phytochemical)Inhibitor of SARS-CoV-2 spike and host cell receptor GRP78 bindingBinding of orientin in the overlapping residues of GRP78 binding region of SARS-CoV-2 spike modelAs a promising precautionary or therapeutic measure for COVID-19
Bolelli et al. [40]2021In silicoDrug repurposing, virtual screening methodFDA-approved drugsMain proteaseThree compounds (dobutamine and its two derivatives)
Cavasotto et al. [41]2021In silicoDrug repurposing, docking-based screening using a quantum mechanical scoringFDA-approved drugsSpike protein, main protease papain-like proteaseSovaprevir, elbasvir, danoprevir, samatasvir, Candesartan, saquinavir ritonavir, indinavir, lopinavir, brilacidin, flovagatran, aplidin, desmopressin, and felypressin listed as potential inhibitors of main protease
Chandel et al. [42]2020In silicoDrug repurposing, molecular dynamics, and dockingFDA-approved drugsNsp9 replicase and spike proteinsConivaptan exhibited the highest binding of the Nsp9 replicase. Tegobuvir exhibited maximum stability along with the highest binding energy at the active site of the spike proteins
Chen et al. [43]2020In silicoDrug repurposing, molecular dynamics, and dockingFDA-approved drugsSpike (S)-mediated cell entryCepharanthine, abemaciclib, osimertinib, trimipramine, colforsin, and ingenol
Chidambaram et al. [44]2020In silicoMolecular dockingCoumarins and their analogsMain proteaseNatural coumarin analog toddacoumaquinone displayed remarkable inhibition ability. Synthetic coumarin analog (1 m) also displayed the comparable inhibition ability main protease in intricate with α-ketoamide
Choudhary et al. [45]2020In silicoDrug repurposing, molecular dynamics, and dockingFDA-approved drugsSpike glycoprotein and cellular angiotensin-converting enzyme 2 (ACE2) receptorGR 127935 hydrochloride hydrate, GNF-5, RS504393, TNP, and eptifibatide acetate were found binding to virus binding motifs of ACE2 receptor. KT203, BMS195614, KT185, RS504393, and GSK1838705A were identified to bind at the receptor-binding site on the viral S protein
Clemente et al. [46]2021In silicoMolecular docking, molecular dynamic (MD) simulationsIbuprofenMain proteaseRacemic mixtures of the ibuprofen enantiomers might be a potential treatment for main protease
Cosic et al. [47]2021In silicoExtended resonant recognition model (RRM)IvermectinSpike proteinsIvermectin could interfere with activity of spike proteins
Daoud et al. [48]2021In silicoStructure-based pharmacophore approach, molecular docking, and repurposing studiesFDA-approved drugsMain proteaseLopinavir, remdesivir, ritonavir, saquinavir, and raltegravir were successfully docked into the binding site of main protease
de Oliveira et al. [49]2021In silicoMolecular modeling and virtual screening and repurposing studies9091 FDA-approved drugsSpike protein24 best scored ligands (14 traditional herbal isolates and 10 approved drugs) as potential candidates to inhibit the S proteinQuinupristin, nilotinib, acetyldigitoxin
Delijewski and Haneczok [50]2021In silicoSupervised machine learning model and repurposing studiesFDA-approved drugsAgainst SARS-CoV-2Zafirlukast as the best repurposing candidate for COVID-19
Dey et al. [51]2021In silicoVirtual database screening, molecular docking, all-atom molecular dynamic simulation, and MM-PBSA analysisTretinoin, mefenamic acid, ondansetron, and artemetherEnvelope (E) proteinTretinoin as a potential SARS-CoV-2 E protein ion channel blocker and virus assembly inhibitor
Durdagi [52]2020In silicoMolecular modeling approach in virtual drug screening repurposing studyFDA-approved drugsType 2 transmembrane serine protease (TMPRSS2)Benzquercin as strong TMPRSS2 inhibitor
Durdagi et al. [53]2020In silicoMolecular docking, MM-GBSA-based predictions, and molecular dynamic repurposing studyFDA-approved drugsMain protease and spike receptor-binding domain bound with ACE2 COVID-19 target proteinsPimelautide, rotigaptide, telinavir, ritonavir, pinokalant, terlakiren, cefotiam, and cefpiramide as SARS-CoV-2 main protease inhibitors. Denopamine, bometolol, naminterol, rotigaptide, and benzquercin as potential ACE2/spike protein domain inhibitors
Eleftheriou et al. [54]2020In silicoMolecular docking34 approved and on-trial protease inhibitorsMain proteaseHCV protease, DPP-4, α-thrombin, and coagulation factor Xa known inhibitors
Elmezayen et al. [55]2021In silicoMolecular modeling approach in virtual drug screening repurposing studyCommercially available drugs and ZINC15 libraryMain proteasesFour potential inhibitors against Mpro enzyme, two available drugs (Talampicillin and Lurasidone), and two novel drug-like compounds (ZINC000000702323 and ZINC000012481889)
Encinar et al. [56]2020In silicoMolecular modeling approach in virtual drug screening and repurposing study9000 US Food and Drug Administration (FDA)-approved investigational and experimental drugs from the DrugBank repositoryS-Adenosyl-L-methionine-binding pocket of nsp16, [2] the unique “activating surface” between nsp16 and nsp10, and [3] the RNA-binding groove of nsp16Tegobuvir, sonidegib, siramesine, antrafenine, bemcentinib, itacitinib, or phthalocyanine antagonism of SARS-CoV-2 RNAs lacking 20-O-methylation
Farag et al. [57]2020In silicoMolecular modeling approach in virtual drug screening and repurposing study2000 FDA-approved drugsMain proteaseDarunavir, nelfinavir, and saquinavir bound to the central site of main protease substrate-binding pocket rosuvastatin, montelukast, and the anti-histaminic fexofenadine bound to the terminal site of main protease substrate-binding pocketStarting point for further in vitro and in vivo testing
Feng et al. [58]2020In silicoMolecular modeling approach in virtual drug screening and repurposing studyFDA-approved drugsSpike proteinEltrombopag possesses a high binding affinity to S protein plus human ACE2
Ferraz et al. [59]2020In silicoLigand and structure-based virtual screening, repurposing studyFDA-approved drugsMain proteaseTwo oral (bedaquiline and glibenclamide) and one buccal drug (miconazole)
Fischer et al. [60]2020In silicoMolecular docking approach in virtual drug screening and repurposing studyOver 606 million compoundsMain protease12 purchasable compounds, with binding affinity to the target protease the natural compounds (−)—taxifolin and rhamnetin as potential inhibitors of main protease
Gimeno et al. [61]2020In silicoMolecular modeling approach in virtual drug screening and repurposing studyFDA-approved drugsMain proteasePerampanel, carprofen, celecoxib, alprazolam, trovafloxacin, sarafloxacin, and ethyl biscoumacetate. Carprofen and celecoxibInitiative for in vitro testing
Guo et al. [62]2020In silicoMolecular modeling approach in virtual drug screening and repurposing study single-cell RNA sequencingUS FDA-approved drugsAgainst SARS-CoV-2281 FDA-approved drugs that have the potential to be effective against SARS-CoV-2 infection, 16 of which are currently undergoing clinical trials to evaluate their efficacy against COVID-19Including the HIV protease inhibitor lopinavir/ritonavir combination (phase 4), glucocorticoid receptor agonist dexamethasone (phase 3/4), DNA replication inhibitor niclosamide (phase 2/3), antineoplastic agent lenalidomide (phase 4), and calcineurin inhibitor tacrolimus (phase 3), ABT-737 (BCL inhibitor), brefeldin-A (protein synthesis inhibitor), indirubin (CDK inhibitor), TPCA-1 (IKK inhibitor), lopinavir (HIV protease inhibitor), GW-441756 (growth factor receptor inhibitor), treprostinil (prostacyclin analog), tyrphostin-AG-1478 (EGFR inhibitor) and epoxycholesterol (LXR agonist), fostamatinib (SYK inhibitor), VER-155008 (HSP inhibitor), KU-0063794 (MTOR inhibitor), PIK-90 (PI3K inhibitor), linsitinib (IGF-1 inhibitor), TAK-715 (p38 MAPK inhibitor), Y-27632 (Rho-associated kinase inhibitor), AZ-628 (RAF inhibitor), and lestaurtinib (FLT3 inhibitor)
Gupta et al. [63]2020In silicoMolecular modeling approach in virtual drug screening and repurposing studyFDA-approved drugsMain proteaseCobicistat is the most efficient inhibitor of Mpro both in silico and in vitro
Huynh et al. [64]2021In silicoDocking and molecular dynamics and repurposing studyFDA-approved drugsPapain-like proteaseThe chances of drug repurposing for PLpro might be low
Ibrahim et al. [65]2020In silicoMolecular dynamic simulations, molecular docking, MM-GBSA analysis, and repurposing studyDrugBank databaseMain proteaseDB02388 and cobicistat (DB09065)
Iftikhar et al. [66]2020In silicoMolecular modeling approach in virtual drug screening and repurposing study4574 compounds also containing FDA-approved drugsRdRp, main protease, and helicaseRimantadine, bagrosin, and grazoprevir showed binding to main protease. Casopitant is a neurokinin-1 receptor that showed binding to RdRp. Meclonazepam and oxiphenisatin showed specific interactions with helicase
Jain and Mujwar [67]2020In silicoComputational drug repurposing docking simulations2880 FDA-approved drugsMain proteaseMetocurine, dihydroergotoxine, imatinib, daunorubicin, bromocriptine, irinotecan, azelastine, gestodene, adapalene, and simvastatinMetocurine was chosen as a safe and effective drug candidate for developing therapy against the viral Mpro enzyme of SARS-CoV-2 for the treatment of COVID-19
Jarvis et al. [68]2020In silicoTier-based scoring system repurposing studyClinically developed drugsPotential repurposing against COVID-19Four drug classes (antimalarial amino-quinolones, selective estrogen receptor modulators (SERMs), low potency tricyclic antipsychotics, and tricyclic antidepressants) as potential drug candidates for COVID-19The tricyclic antipsychotics and tricyclic antidepressants were further excluded based on a high adverse event profile
Kadioglu et al. [69]2021In silicoRepositioning/virtual drug screening, molecular docking, and supervised machine learning algorithm drug repositioningFDA-approved drug natural compound dataset ZINC databaseSpike protein, nucleocapsid protein, and 2′-o-ribose methyltransferaseConivaptan, paritaprevir, simeprevir, dihydroergotamine, ZINC000027215482, ZINC000252515584, loniflavone, procyanidin
Kandeel et al. [70]2020In silicoDrug repurposing molecular dynamic (MD) simulations followed by molecular mechanics/generalized born surface area (MM/GBSA) binding energy calculations1697 clinical FDA-approved drugsPapain-like proteasePhenformin, quercetin, and ritonavirPhenformin was more stable than quercetin and ritonavir
Kandwal and Fayne [71]2020In silicoRepurposing drug computational design pharmacophore featuresIn-development/approved drugsViral nucleocapsid and nonstructural proteinsIsepamicin and streptomycin (nsp3); coenzyme-I, rutin, epigallocatechin gallate-(-), and procyanidin-b-2 (nsp7/nsp8/nsp12); paromomycin (nsp10/nsp16); olomoucine, sapropterin, tetrahydrofolic acid, INS316, and adenosine phosphate (nsp15); varespladib, hexanoic acid, citric acid, OSI-027, MK-5108, stepronin, calcium gluceptate, CPP, pirenoxine, midafotel, and maltobionic acid (nucleocapsid)
Khan et al. [72]2020In silicoDrugs repurposing molecular dynamic simulation31 FDA-approved anti-HIV drugs, and traditional Chinese medicines (TCM) databaseMain proteaseSaquinavir and TCM5280805
Khan et al. [73]2020In silicoDrugs repurposing molecular docking23 prospective drug candidatesMain proteaseEpirubicin, vapreotide, and saquinavir exhibited better binding affinitySynergistic interaction
Kouznetsova et al. [74]2020In silicoDrugs repurposing molecular dockingFDA-approved drugsPapain-like proteaseInhibitors of HIV, hepatitis C, and cytomegalovirus (CMV) demonstrated some activity
Krishnaprasad et al. [75]2020In silicoDrugs repurposing molecular dockingFDA-approved library of drugsRNA-dependent RNA polymerasePitavastatin, ridogrel, and rosoxacin displayed superior binding with the active site
Kumar et al. [76]2020In silicoDrugs repurposing docking and molecular dynamic (MD) simulations combined with molecular mechanics/generalized born surface area (MM/GBSA)12 FDA-approved drugs (darunavir, indinavir, saquinavir, tipranavir, diosmin, hesperidin, rutin, raltegravir, velpatasvir, ledipasvir, rosuvastatin, and bortezomib)Main proteaseSaquinavir as a potent inhibitor of dimeric main protease
Kumar et al. [77]2020In silicoDrugs repurposing molecular docking molecular dynamic simulations MM/GBSAWithaferin A (Wi-A), withanone (Wi-N) (active withanolides of ashwagandha), and caffeic acid phenethyl ester (CAPE, bioactive ingredient of propolis)Main proteaseWi-N and CAPE possess the potential to inhibit the functional activity of main protease
Kumar et al. [78]2020In silicoDrugs repurposing molecular dockingFDA-approved drugsMain proteaseLopinavir-ritonavir, tipranavir, and raltegravir show the best molecular interaction with the main protease
Kumar et al. [79]2020In silicoDrugs repurposing molecular docking molecular dynamic simulationsFDA-approved library of drugsMain proteaseHyaluronic acid and acarbose show strong interactions with catalytic site residues of main protease
Li et al. [80]2020In silicoDrug repurposing free energy perturbation-based absolute binding free energy (FEP-ABFE) predictionsVirtual screening of existing drugsMain protease25 drugs were predicted, and 15 were confirmed as potent inhibitors of SARS-CoV-2 main protease. The most potent one is dipyridamole. Hydroxychloroquine (ki = 0.36 μM) and chloroquine (ki = 0.56 μM) were also found to potently inhibit main protease
Liang et al. [81]2021In silicoDrug repurposing molecular docking2,631 FDA-approved small moleculesMultiple main proteins29 drugs that could actively interact with two or more target proteins, with 5 drugs (avapritinib, bictegravir, ziprasidone, capmatinib, and pexidartinib) being common candidates for all four key host proteins and 3 of them possessing the desirable molecular properties
Lokhande et al. [82]2021In silicoDrugs repurposing molecular docking molecular dynamic simulationsFDA-approved drugsMain proteaseMitoxantrone, leucovorin, birinapant, and dynasore
Mahanta et al. [83]2020In silicoDrugs repurposing molecular docking molecular dynamic simulationsU.S. Food and Drug Administration-approved antimicrobial drugsMain proteaseViomycin
Mahdian et al. [84]2021In silicoDrugs repurposing molecular docking molecular dynamic simulationsFDA-approved drugsViral entry receptors (ACE2 and CD147) and integral enzyme of the viral polymerase (RdRp)Ledipasvir, estradiol benzoate, and vancomycin and paritaprevir
Marak et al. [85]2020In silicoRepurposing drug homology modeling molecular docking108 FDA-approved antiparasitic and anti-inflammatory drugs10 SARS-CoV-2 targets (PLpro, 3CLpro, RdRp, spike, helicase, NSP1, NSP3, NSP4, NSP9, and NSP16-NSP10)Ivermectin, atovaquone, posaconazole, doxycycline, moxidectin, amphotericin B, chlortetracycline, spiramycin, sulfasalazine, parecoxib, and etoricoxib exhibited good binding affinities
Mohapatra et al. [86]2020In silicoRepurposing drug machine learning (ML) technologyFDA-approved drugsAgainst COVID-1910 FDA-approved commercial drugs that can be used for repurposing amprenavir would probably be the most effective drug based on the selected criteria
Molavi et al. [87]2021In silicoRepurposing drug molecular docking1760 FDA-approved drugsRNA-dependent RNA polymerase (RdRp) and main proteaseNilotinib, imatinib, and dihydroergotamine for 3clpro and dexasone and raltegravir for RdRp. Raltegravir, an anti-HIV drug, was observed to be the best compound against RdRp based on docking binding energy dihydroergotamine is a suitable candidate for main protease
Mulgaonkar et al. [88]2020In silico/in vitroRepurposing drug molecular dockingFDA-approved drugsSpike glycoproteinBCR-ABL tyrosine kinase inhibitor, imatinib, inhibits SARS-CoV-2Via fusion inhibition
Mycroft-West et al. [89]2020In silicoRepurposing drug molecular docking molecular dynamic simulationsHeparinSpike (S1) protein receptor-binding domainInhibition of viral infection arises from an overlap between the binding sites of heparin/HS on S1-RBDRepurposing heparin and its derivatives as antiviral agents against SARS-CoV-2
Nayarisseri et al. [90]2020In silicoShape-based machine learning assisted by molecular docking and molecular dynamic simulations. ADMET studies31 repurposed compoundsMain proteaseRemdesivir, valrubicin, aprepitant, and fulvestrantThe novel compound nCorv-EMBS herein proposed stands as a promising inhibitor to be evaluated further for COVID-19 treatment
Odhar et al. [91]2020In silicoMolecular docking molecular dynamic simulations1615 FDA-approved drugsMain proteaseConivaptan azelastine
Ortega et al. [92]2020In silicoRepurposing drug molecular dockingFamotidineAgainst SARS-CoV2Famotidine could interact within the catalytic site of the three proteases associated with SARS-CoV2 replicationWeak binding affinity could be reached only upon intravenous administration
Pandey et al. [93]2021In silicoRepurposing drug molecular docking9 flavonoidsSpike glycoproteinBaicalin
Parveen and Alnoman [94]2021In silicoMolecular docking molecular dynamic simulation density functional theory (DFT) ADME-ToxFDA-approved anticancer drugs (capmatinib, pemigatinib, selpercatinib, and tucatinib)Spike glycoprotein (S1) and the main proteasePotential of selected anticancer drugs for plausible drug development to fight COVID-19Capmatinib, pemigatinib, selpercatinib, and tucatinib
Peele et al. [95]2020In silicoMolecular docking molecular dynamic simulationsUSFDA-approved drugs, plant-derived natural drugsMain proteaseLopinavir, amodiaquine, theaflavin digallate
Pinzi et al. [96]2021In silicoDrug repurposing molecular docking molecular mechanic Poisson–Boltzmann surface area (MM-PBSA)DrugBank databaseMain protease22 candidates with putative SARS-CoV-2 Mpro inhibitory activity. Enalkiren, ethylsulfonamide-D-Trp-Gln-p-aminobenzamidine, delparantag ritonavir and lopinavir, saquinavirBeneficial polypharmacological effects
Pokhrel et al. [97]2020In silicoDrug repurposing molecular dynamic simulationsUS Food and Drug Administration (FDA)-approved drugsRNA-dependent RNA polymeraseQuinupristin is particularly interesting because it is expected to bind across the RNA tunnel, blocking access from both sidesQuinupristin represents a potential anti-SARS-CoV-2 therapeutic
Ray et al. [98]2020In silicoDrug repurposing intramolecularly quenched fluorescence (IQF) peptide substrate774 FDA-approved drugsMain proteaseEthacrynic acid, naproxen, allopurinol, butenafine hydrochloride, raloxifene hydrochloride, tranylcypromine hydrochloride, saquinavir mesylate
Sachdeva et al. [99]2020In silicoDrug repurposing molecular dockingAntimalarial drugsSpike protein and main proteaseDoxycycline showed the most effective binding to the spike protein, whereas halofantrine and mefloquine bound effectively with the main proteaseDoxycycline could potentially be a good candidate for repurposing for COVID-19
Sang et al. [100]2020In silicoDrug repurposing molecular docking molecular mechanics Poisson–Boltzmann surface area (MM-PBSA)6 approved anti-HIV drugsMain proteaseDarunavir
Saxena et al. [101]2021In silico/In vitroDrug repurposing molecular dockingFDA-approved DrugBank databaseSpike proteinErtugliflozin possesses several desired propertiesGood candidate for immediate repurposing for the treatment of COVID-19
Setianingsih et al. [102]2020In silicoDrug repurposing molecular docking, molecular dynamic simulations160 potential drugs from therapeutic target database13 protein targets (12 SARS-CoV-2 proteins and 1 human protein)Suramin, the strongest binding affinity against 3 protein targets (spike protein, nucleocapsid protein, ACE2)Suramin is the most potential to bind nucleocapsid and spike protein of SARS-CoV-2
Shah et al. [103]2020In silicoDrug repurposing molecular docking61 molecules that are already being used in clinics or under clinical scrutiny as antiviral agentsAgainst the SARS-CoV-237 molecules were found to interact with >2 protein structures of COVID-19. HIV protease inhibitors and RNA-dependent RNA polymerase inhibitors showed promising features of binding to COVID-19 enzymeMethisazone, an inhibitor of protein synthesis; CGP42112A, an angiotensin AT2 receptor agonist; and ABT450, an inhibitor of the nonstructural protein 3-4A, might become convenient treatment option as well against COVID-19
Sharma and Mishra [104]2020In silicoDrug repurposing target-based virtual ligand screeningZINC drug database and our own database of natural productsAgainst the SARS-CoV-2Antivirus drugs (ribavirin, valganciclovir, and thymidine), antibacterial drugs (cefpiramide, sulfasalazine, phenethicillin, lymecycline, demeclocycline, doxycycline, oxytetracycline, and tigecycline), anti-asthmatic drugs (montelukast, fenoterol, and reproterol), and hepatoprotective drug silybin have antiviral activity. Natural hesperidin was targeting the binding between spike RBD and human ACE2The natural products, such as flavonoids like neohesperidin, hesperidin, baicalin, kaempferol 3-O-rutinoside, and rutin from different sources, andrographolide, neoandrographolide, and 14-deoxy-11,12-didehydroandrographolide from A. paniculata, and a series of xanthones from the plants of Swertia genus, with antivirus, antibacteria, and anti-inflammation activity could effectively interact with these targets of SARS-CoV-2
Shekhar et al. [105]2020In silicoDrug repurposing molecular docking molecular dynamic simulations2,625 FDA-approved small moleculesSpike (S) protein fusion peptide regionChloramphenicol succinate, imipenem, and imidurea
Singh et al. [106]2021In silicoDrug repurposing molecular docking molecular dynamic simulations1749 FDA-approved drugsNSP12, a RNA polymerase5 compounds which include 3a (paritaprevir), 3d (glecaprevir), 3h (velpatasvir), 3j (remdesivir), and 3l (ribavirin) had the best binding affinity
Sinha et al. [107]2021In silicoDrug repurposing systematic pharmacokinetics, drug-likeness, basicity predictions, virtual screening, and molecular dynamic analysisHydroxychloroquine (HCQ), chloroquine (CQ)Spike protein1-[1-(6-Chloroquinolin-4-yl) piperidin-4-yl]piperidin-3-ol and (1r,2R)-2-N-(7-chloroquinolin-4-yl)cyclohexane-1,2-diamine interact with the active site of the spike protein similar to HCQ and CQ, respectively, with augmented safety profile
Soni et al. [108]2020In silicoMolecular docking molecular dynamic simulation ADME propertiesRifampicinMain proteaseRifampicin docking score was −7.24 kcal·mol–1, and it can predict as a very good inhibitor of main protease
Tariq et al. [109]2020In silicoDrug repurposing molecular docking molecular dynamic simulations15 antimalarial drugs (including chloroquine) and 2413 US Food and Drug Administration-approved drugsMain protease spike (S) proteinParomomycin with activity against two targets spike protein and protease domain
Tatar et al. [110]2021In silicoDrug repurposing molecular docking molecular dynamic simulations34 antiviral compoundsRNA-binding domainRapamycin, saracatinib, camostat, trametinib, and nafamostat were the top hit compounds
Tejera et al. [111]2020In silicoDrug repurposing quantitative structure-activity relationship (QSAR) mode molecular docking molecular dynamic simulation MM-PBSA methodDrugBank databaseMain proteaseLevothyroxine, amobarbital, and ABP-700
Teralı et al. [112]2020In silicoDrug repurposing molecular docking7,173 clinically approved drugAngiotensin-converting enzyme 2 (ACE2)Lividomycin, burixafor, quisinostat, fluprofylline, pemetrexed, spirofylline, edotecarin, diniprofylline
Trezza et al. [113]2020In silicoDrug repurposing docking simulations, with molecular dynamics (MD), supervised MD (SuMD), and steered MD (SMD) simulationsFDA-approved drugsSpike glycoproteinSimeprevir, lumacaftor
Ugurel et al. [114]2020In silicoDrug repurposing structure-based drug design genome sequences were analyzedFDA-approved drugsHelicase (Nsp13)Cangrelor, fludarabine, folic acid, and polydatin inhibit both the wild-type and mutant SARS-CoV-2 helicase
Unni et al. [115]2020In silicoDrug repurposing molecular docking molecular dynamic simulationsDrugBank and PubChem librarySpike protein (S protein)Bisoxatin (DB09219)A laxative drug
Vaishali et al. [116]2020In silicoDrug repurposing molecular docking molecular dynamic simulation ADME propertiesFDA-approved compoundsNonstructural protein 9 (Nsp9) replicase and spike proteinsConivaptan exhibited the highest binding energy and maximum stability of the Nsp9 replicase. Tegobuvir exhibited maximum stability along with the highest binding energy at the active site of the spike proteins
Verma et al. [117]2020In silicoDrug repurposing molecular docking molecular dynamic simulation MM-GBSA-based energyFDA-approved drugsMain proteaseTop-ranked drugs including adefovir, lumefantrine, dipyridamole, dihydroergotamine, hexoprenaline, riboflavin (vitamin B2), and pantethine (vitamin B5)
Wei et al. [118]2020In silicoDrug repurposing molecular docking molecular dynamic simulationsUS Food and Drug Administration (FDA)-approved drugs from DrugBank and natural compounds from traditional Chinese medicine systems pharmacology (TCMSP)Spike protein (S protein)Digitoxin and bisindigotin in TCMSP had the highest docking scores Forsythiae fructus and Isatidis radix are components of Lianhua Qingwen, and raltegravir had relatively high binding scores
Xu et al. [119]2021In silicoDrug repurposing molecular docking molecular dynamic simulationsFDA-approved drugsSpike proteinThymoquinone, a phytochemical compound obtained from the plant Nigella sativa, is a potential drug candidate