Involvement of interleukin 6 in SARS-CoV-2 infection: siltuximab as a therapeutic option against COVID-19
The aim of the study was to explore the involvement of interleukin 6 in SARS-CoV-2 infection, and to position the drug siltuximab in the management of severe forms of COVID-19. A bibliographic search was performed in Pubmed on the immune response to the disease, and in ClinicalTrials.gov on clinical...
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Veröffentlicht in: | European journal of hospital pharmacy. Science and practice 2020-09, Vol.27 (5), p.297-298 |
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creator | Palanques-Pastor, Tomás López-Briz, Eduardo Poveda Andrés, José Luis |
description | The aim of the study was to explore the involvement of interleukin 6 in SARS-CoV-2 infection, and to position the drug siltuximab in the management of severe forms of COVID-19. A bibliographic search was performed in Pubmed on the immune response to the disease, and in ClinicalTrials.gov on clinical trials with interleukin 6 blockers. Interleukin 6 is involved in the cytokine cascade, which originates as a consequence of an excessive immune response secondary to viral infection, aggravating lung affectation. Blockers of this cytokine (tocilizumab, sarilumab and siltuximab) are being studied as a strategy for treating the disease. Siltuximab is a monoclonal antibody indicated in Castleman's disease that could be administered in a single dose of 11 mg/kg in severe forms of COVID-19 that have increased interleukin 6. |
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A bibliographic search was performed in Pubmed on the immune response to the disease, and in ClinicalTrials.gov on clinical trials with interleukin 6 blockers. Interleukin 6 is involved in the cytokine cascade, which originates as a consequence of an excessive immune response secondary to viral infection, aggravating lung affectation. Blockers of this cytokine (tocilizumab, sarilumab and siltuximab) are being studied as a strategy for treating the disease. Siltuximab is a monoclonal antibody indicated in Castleman's disease that could be administered in a single dose of 11 mg/kg in severe forms of COVID-19 that have increased interleukin 6.</description><identifier>ISSN: 2047-9956</identifier><identifier>EISSN: 2047-9964</identifier><identifier>DOI: 10.1136/ejhpharm-2020-002322</identifier><identifier>PMID: 32499314</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Antibodies, Monoclonal - therapeutic use ; clinical pharmacy ; Coronavirus Infections - drug therapy ; Coronavirus Infections - metabolism ; Coronaviruses ; COVID-19 ; Cytochrome ; Cytokines ; Disease transmission ; Drug Delivery Systems ; Drug dosages ; hospital pharmacy education ; Humans ; immunology ; Immunotherapy ; Infections ; infectious diseases ; intensive & critical care ; Interleukin-6 - metabolism ; Monoclonal antibodies ; Pandemics ; Pneumonia ; Pneumonia, Viral - drug therapy ; Pneumonia, Viral - metabolism ; Severe acute respiratory syndrome coronavirus 2 ; Short Report ; Studies ; Viral infections</subject><ispartof>European journal of hospital pharmacy. Science and practice, 2020-09, Vol.27 (5), p.297-298</ispartof><rights>European Association of Hospital Pharmacists 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. https://bmj.com/coronavirus/usage</rights><rights>European Association of Hospital Pharmacists 2020. No commercial re-use. See rights and permissions. 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subjects | Antibodies, Monoclonal - therapeutic use clinical pharmacy Coronavirus Infections - drug therapy Coronavirus Infections - metabolism Coronaviruses COVID-19 Cytochrome Cytokines Disease transmission Drug Delivery Systems Drug dosages hospital pharmacy education Humans immunology Immunotherapy Infections infectious diseases intensive & critical care Interleukin-6 - metabolism Monoclonal antibodies Pandemics Pneumonia Pneumonia, Viral - drug therapy Pneumonia, Viral - metabolism Severe acute respiratory syndrome coronavirus 2 Short Report Studies Viral infections |
title | Involvement of interleukin 6 in SARS-CoV-2 infection: siltuximab as a therapeutic option against COVID-19 |
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