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Experience with the use of siltuximab in patients with SARS-CoV-2 infection #MMPMID33982984
Meira F; Albiach L; Carbonell C; Martin-Oterino JA; Martin-Ordiales M; Linares L; Macaya I; Aguero D; Ambrosioni J; Bodro M; Cardozo C; Chumbita M; De la Mora M; Garcia-Pouton N; Garcia-Vidal C; Gonzalez-Cordon A; Hernandez-Meneses M; Inciarte A; Laguno M; Leal L; Morata L; Puerta-Alcalde P; Rico V; Letona L; Cozar-Llisto A; Duenas G; Sola M; Torres B; Rojas J; Moreno A; Moreno-Garcia E; Torres M; Martinez JA; Soriano A; Garcia F
Rev Esp Quimioter 2021[Aug]; 34 (4): 337-341 PMID33982984show ga
OBJECTIVE: The study aims to describe characteristics and clinical outcome of patients with SARS-CoV-2 infection that received siltuximab according to a protocol that aimed to early block the activity of IL-6 to avoid the progression of the inflammatory flare. METHODS: Retrospective review of the first 31 patients with SARS-CoV-2 treated with siltuximab, in Hospital Clinic of Barcelona or Hospital Universitario Salamanca, from March to April 2020 with positive polymerase-chain reaction (PCR) from a nasopharyngeal swab. RESULTS: The cohort included 31 cases that received siltuximab with a median (IQR) age of 62 (56-71) and 71% were males. The most frequent comorbidity was hypertension (48%). The median dose of siltuximab was 800 mg ranging between 785 and 900 mg. 7 patients received siltuximab as a salvage therapy after one dose of tocilizumab. At the end of the study, a total of 26 (83.9) patients had been discharged alive and the mortality rate was 16.1% but only 1 out of 24 that received siltuximab as a first line option (4%). CONCLUSIONS: Siltuximab is a well-tolerated alternative to tocilizumab when administered as a first line option in patients with COVID-19 pneumonia within the first 10 days from symptoms onset and high C-reactive protein.