Lack of tocilizumab effect on mortality in COVID19 patients

Off-label tocilizumab use in COVID-19 patients reflects concern for cytokine release syndrome. Comparison of matched COVID-19 pneumonia patients found elevated IL-6 levels correlated with mortality that did not change with tocilizumab administration. Correlating mortality with increased IL-6 doesn’t...

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Veröffentlicht in:Scientific reports 2020-10, Vol.10 (1), p.17100-17100, Article 17100
Hauptverfasser: Holt, Gregory E., Batra, Mayank, Murthi, Mukunthan, Kambali, Shweta, Santos, Kayo, Bastidas, Maria Virginia Perez, Asif, Huda, Haddadi, Sara, Arias, Sixto, Mirsaeidi, Mehdi
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container_title Scientific reports
container_volume 10
creator Holt, Gregory E.
Batra, Mayank
Murthi, Mukunthan
Kambali, Shweta
Santos, Kayo
Bastidas, Maria Virginia Perez
Asif, Huda
Haddadi, Sara
Arias, Sixto
Mirsaeidi, Mehdi
description Off-label tocilizumab use in COVID-19 patients reflects concern for cytokine release syndrome. Comparison of matched COVID-19 pneumonia patients found elevated IL-6 levels correlated with mortality that did not change with tocilizumab administration. Correlating mortality with increased IL-6 doesn’t imply causality however lack of improvement by tocilizumab requires further clinical trial alterations.
doi_str_mv 10.1038/s41598-020-74328-x
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subjects 692/308/409
692/699
Adult
Aged
Aged, 80 and over
Antibodies, Monoclonal, Humanized - immunology
Antibodies, Monoclonal, Humanized - therapeutic use
Betacoronavirus - isolation & purification
Coronavirus Infections - drug therapy
Coronavirus Infections - mortality
Coronavirus Infections - virology
COVID-19
Female
Ferritins - analysis
Humanities and Social Sciences
Humans
Interleukin-6 - analysis
Male
Middle Aged
multidisciplinary
Odds Ratio
Pandemics
Pneumonia, Viral - drug therapy
Pneumonia, Viral - mortality
Pneumonia, Viral - virology
Proportional Hazards Models
Receptors, Interleukin-6 - immunology
SARS-CoV-2
Science
Science (multidisciplinary)
Survival Rate
title Lack of tocilizumab effect on mortality in COVID19 patients
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