LC-REVITALIZE – A Long Covid Repurposed Drug Study

Publication date: Apr 10, 2025

The Long-Covid (LC)-Revitalize clinical study is testing repurposed drug treatments for Long Covid, involving adult participants from Brazil, Canada, Italy, Uganda, Zambia, and the United States. To qualify, participants must have had Covid-19 and experienced Long Covid symptoms for at least three months. The main goal of the study is to determine whether the drug treatments can improve symptoms in five key areas: 1) fatigue, 2) breathing, 3) memory, thinking, and communication, 4) muscle and joint pain, and 5) circulation. A secondary goal is to assess changes in the body, such as reducing inflammation, as well as to confirm the safety and tolerability of the treatments. In the first phase, 348 participants will take either one of two existing medications (upadacitinib or pirfenidone) or a placebo (a pill with no active ingredient) for three months. Although these medications are not yet approved for Long Covid, they are authorized for use in treating other health conditions. This study is adaptive, meaning it may adjust based on early results. In the second phase, the study could continue testing the most effective drug(s) against a placebo with new participants, explore combinations of drugs to see if they improve results, or discontinue the drugs if they prove ineffective or unsafe and test alternative treatments.

Concepts Keywords
Canada Covid-19
Immunocompromised Post-Covid-19 Condition
Italy SARS-CoV-2
Testing17

Semantics

Type Source Name
disease MESH Long Covid
disease MESH Covid-19
disease MESH joint pain
disease MESH inflammation
drug DRUGBANK Pirfenidone
disease MESH infection
pathway REACTOME SARS-CoV-2 Infection
disease IDO site
disease MESH symptom clusters
disease IDO quality
disease IDO symptom
disease IDO intervention
drug DRUGBANK Alkaline Phosphatase
drug DRUGBANK Aspartame
drug DRUGBANK Cholesterol
disease MESH long QT syndrome
disease MESH hepatitis B
pathway KEGG Hepatitis B
disease MESH hepatitis C
pathway KEGG Hepatitis C
disease MESH herpes zoster
disease IDO history
disease MESH herpes simplex
disease MESH encephalitis
disease MESH malignancy
disease MESH lymphoproliferative disorder
disease MESH melanoma
pathway KEGG Melanoma
disease MESH skin cancers
disease MESH deep venous thrombosis
disease MESH pulmonary embolism
disease MESH unstable angina
disease MESH myocardial infarction
disease MESH sepsis
disease MESH parasitic infection
disease MESH allergic reactions
drug DRUGBANK Taurine
drug DRUGBANK Curcumin
drug DRUGBANK Creatine
drug DRUGBANK Resveratrol
drug DRUGBANK Fisetin
drug DRUGBANK Nicotinamide Mononucleotide
drug DRUGBANK Nadide
drug DRUGBANK Quercetin
drug DRUGBANK Glycine
drug DRUGBANK Spermidine
drug DRUGBANK L-Arginine
drug DRUGBANK Lipoic Acid
drug DRUGBANK Levocarnitine
drug DRUGBANK Benfotiamine
drug DRUGBANK Carnosine
drug DRUGBANK Crocin

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