Summary
Remdesivir is tracked by OSMF as an investigational option for Long COVID; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. ClinicalTrials.gov lists 1 registered trial linking Remdesivir to Long COVID: 1 has completed. The most advanced is Phase 4 (NCT05911906, sponsored by University of Derby). It plans or enrolled 73 participants. Registered activity dates to 2024. The literature layer holds 21 publications for this pair: 3 systematic reviews and 18 other publications. Because at least one synthesis-level source exists (systematic review, meta-analysis or Cochrane review), this pair has been assessed beyond single studies, although the synthesis may concern a different indication.
Long COVID / PASC is tracked on the OSMF post-viral programme alongside ME/CFS, Long COVID, POTS and MCAS. Across the programme, 423 candidate agents are logged for Long COVID, most of them preliminary; this page isolates the record for one of them.
Evidence table
| Evidence tier | B · Moderate |
|---|---|
| Evidence score | 41.5 (trials 4.5, literature 27.0, tier 10, approved bonus 0.0) |
| Registered trials | 1 total: 0 recruiting, 0 active / not yet recruiting, 1 completed, 0 other |
| Linked publications | 21 (18 other publications, 3 systematic reviews) |
| Agent type | Other (Other / Unclassified) |
| Development stage (any indication) | Investigational |
| Mechanism / class | Not recorded |
| Data sources | OSMF therapeutic agent database, ClinicalTrials.gov, PubMed |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT05911906 | An Open-label, Clinical Feasibility Study of the Efficacy of Remdesivir for Long-COVID. University of Derby · 2024 | completed | Phase 4 | 73 |
Published literature
- Review (PubMed validation search) PubMed record PMID 41914684
- Review (PubMed validation search) PubMed record PMID 40071259
- Review (PubMed validation search) PubMed record PMID 39710927
- Review (PubMed validation search) PubMed record PMID 39675123
- Review (PubMed validation search) PubMed record PMID 38258769
- Review (PubMed validation search) PubMed record PMID 37076602
- Review (PubMed validation search) PubMed record PMID 36558963
- Review (PubMed validation search) PubMed record PMID 35700481
- Case report (PubMed validation search) PubMed record PMID 40226209
- Case report (PubMed validation search) PubMed record PMID 39479090
- Case report (PubMed validation search) PubMed record PMID 38915030
- Case report (PubMed validation search) PubMed record PMID 38333218
- Case report (PubMed validation search) PubMed record PMID 36721575
- Case report (PubMed validation search) PubMed record PMID 36654638
- Case report (PubMed validation search) PubMed record PMID 36411095
- Experimental study (PubMed validation search) PubMed record PMID 39837387
- Experimental study (PubMed validation search) PubMed record PMID 39799876
- Experimental study (PubMed validation search) PubMed record PMID 37478918
- Systematic review (PubMed validation search) PubMed record PMID 38113020
- Systematic review (PubMed validation search) PubMed record PMID 37964554
- Systematic review (PubMed validation search) PubMed record PMID 36441785
Mechanism and notes
No mechanism of action is recorded for this pair in the source databases.
Clinical notes: Investigational for listed conditions. 1 associated trial(s) and 0 study reference(s) in current data. Review primary sources and consult specialists before use.
Safety: Limited specific safety data in these populations. Review full prescribing information and consult specialist. Many agents used off-label or investigational.
Dosing in studies: See linked studies/trials for reported doses and durations; typical protocols vary widely.
Frequently asked questions
Is Remdesivir approved for Long COVID?
Remdesivir is tracked by OSMF as an investigational option for Long COVID; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Remdesivir in clinical trials for Long COVID?
ClinicalTrials.gov lists 1 registered trial linking Remdesivir to Long COVID: 1 has completed. The most advanced is Phase 4 (NCT05911906, sponsored by University of Derby). It plans or enrolled 73 participants. Registered activity dates to 2024.
What does the evidence show for Remdesivir in Long COVID?
Remdesivir has both completed registered trials and synthesis-level publications linked to Long COVID. That is the strongest profile in this database, but the summaries here do not extract effect sizes, so read the linked reviews for direction and magnitude of benefit. OSMF's existing evidence tier for this pair is B (Moderate), taken from the OSMF therapeutic agent database, which grades agents by the volume and design of condition-specific evidence rather than by effect size.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-10-07. Page built 2026-10-07.