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10.1016/j.clim.2020.108631

http://scihub22266oqcxt.onion/10.1016/j.clim.2020.108631
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suck abstract from ncbi


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pmid33189888      Clin+Immunol 2021 ; 223 (ä): 108631
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  • Effectiveness and safety of intravenous tocilizumab to treat COVID-19-associated hyperinflammatory syndrome: Covizumab-6 observational cohort #MMPMID33189888
  • Corominas H; Castellvi I; Pomar V; Antonijoan R; Mur I; Matas L; Gich I; de Benito N; Laiz A; Castillo D; Villamarin L; Filella D; Millan AM; Quijada MA; Puig M; Casademont J; Domingo P
  • Clin Immunol 2021[Feb]; 223 (ä): 108631 PMID33189888show ga
  • Although the starting event in COVID-19 is a viral infection some patients present with an over-exuberant inflammatory response, leading to acute lung injury (ALI) and adult respiratory distress syndrome (ARDS). Since IL-6 plays a critical role in the inflammatory response, we assessed the efficacy and safety of tocilizumab (TCZ) in this single-centre, observational study in all Covid-19 in-patient with a proven SARS-CoV-2 rapidly progressing infection to prevent ALI and ARDS. 104 patients with COVID-19 treated with TCZ had a lower mortality rate (5.8%) compared with the regional mortality rate (11%), hospitalized patient's mortality (10%), and slightly lower than hospitalized patients treated with our standard of care alone (6%). We found that TCZ rapidly decreased acute phase reactants, ferritin and liver release of proteins. D-Dimer decreased slowly. We did not observe specific safety concerns. Early administration of IL6-R antagonists in COVID-19 patients with impending hyperinflammatory response, may be safe and effective treatment to prevent, ICU admission and further complications.
  • |*COVID-19 Drug Treatment[MESH]
  • |Acute Lung Injury/*drug therapy/mortality[MESH]
  • |Aged[MESH]
  • |Antibodies, Monoclonal, Humanized/*therapeutic use[MESH]
  • |COVID-19/mortality[MESH]
  • |Cohort Studies[MESH]
  • |Cytokine Release Syndrome/*drug therapy/mortality[MESH]
  • |Female[MESH]
  • |Ferritins/metabolism[MESH]
  • |Fibrin Fibrinogen Degradation Products/metabolism[MESH]
  • |Humans[MESH]
  • |Inflammation/*drug therapy/mortality[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Receptors, Interleukin-6/immunology[MESH]
  • |Respiratory Distress Syndrome/*drug therapy/mortality[MESH]
  • |SARS-CoV-2/*physiology[MESH]


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