The world is facing a pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) for which no proven specific therapies are available other than supportive ones. From the start of the coronavirus disease 2019 (COVID-19) outbreak, in China and in other countries patients have received off-label and compassionate use therapies, such as interferon (IFN)-α combined with the repurposed drug Kaletra, an approved cocktail of the human immunodeficiency virus (HIV) protease inhibitors ritonavir and lopinavir, chloroquine, azithromycin, favipiravir, remdesivir, steroids, and antiinterleukin (IL)-6 inhibitors, based on either their in vitro antiviral or anti-inflammatory properties. SARS-CoV-2 is an enveloped, positive-sense, singlestranded RNA β-coronavirus similar to the severe acute respiratory syndrome (SARS-CoV) and Middle East respiratory syndrome (MERS-CoV) viruses. No clinical evidence currently supports the efficacy and safety of any drugs against coronaviruses in humans, including SARS-CoV-2. Existing antivirals and knowledge gained from the SARS and MERS outbreaks have been employed as the fastest route to fight the current coronavirus epidemic. Testing therapies approved for other indications makes senses. The World Health Organization considered remdesivir the most promising candidate to treat COVID-19, on the basis of its broad spectrum activity and clinical safety from Ebola virus disease trials. However, antivirals known to be acting at targets not playing a role in the replication of coronaviruses may fail in clinical studies. The lack of a concurrent control group prevents any true appreciation of the beneficial versus harmful effects of the off-label use of any drugs, which might be the case