The JAMA editorial said important questions remain regarding the efficacy of remdesivir, including which patients are most likely to benefit from the drug, the optimal duration of therapy, the drug’s impact on clinical outcomes, and its relative effect if combined with generic steroid treatments.
Sure sounds like they're seeing some effect, just attempting to sort out where it works best.
Again, I never touted it as a "game changer"; I had HOPED it would be one, but it was literally one of the few in the pipeline ready to test.
Both remdesivir and dexamethasone HAVE shown positive effects in randomized trials. That's it. That's the list. Other than that, we have guesses, and HCQ, which has failed completely in 5 randomized trials.
Maybe HCQ combined with something (zinc?) will show an effect, but if there is still an ongoing trial for that, there has been no early data showing it.
Recall that the dexamethasone trial was completed early, because the effect was so pronounced that the investigators determined it was unethical to NOT provide that in the control/placebo group. We're months in testing HCQ in various ways, and there has been no comparable result.
Remdesivir may be a dud. Then we're literally down to one proven drug.
Resveratrol isn't going to be "it" unless there is a similar trial showing it works, because a molecular model implied many other drugs "might" be effective, but when they are tested, they don't work. Because something else prevents them from getting to where they need to be to work.
Covid screams through people and unchecked can infect all along the endothelial tissues in vessels and organs, and if resdemivir or resveratrol cannot likewise inflitrate all of those cells and organs, then it will not "check" the virus in those places.
Right now, it looks like our best bet is minimizing "viral inoculum" with distancing and masks. Because there is quite a bit of evidence that lower viral loads are less deadly and make people less sick. The best "drug" for this stuff, might just be social mitigations until we have vaccines.