Author: Buonaguro, Franco Maria; Puzanov, Igor; Ascierto, Paolo Antonio
Title: Anti-IL6R role in treatment of COVID-19-related ARDS Document date: 2020_4_14
ID: 0pigqtzt_8
Snippet: Limited experience in Italian centers obtained using tocilizumab for patients with moderate to severe COVID-19 revealed anecdotal evidence of time-correlated clinical improvements in oxygenation, decreased CRP, increased lymphocyte counts 24-48 h post administration, similar to the Chinese experience. Better outcomes were observed in non-intubated patients with elevated baseline level of IL-6 CRP, ferritin and LDH. arm study with primary endpoint.....
Document: Limited experience in Italian centers obtained using tocilizumab for patients with moderate to severe COVID-19 revealed anecdotal evidence of time-correlated clinical improvements in oxygenation, decreased CRP, increased lymphocyte counts 24-48 h post administration, similar to the Chinese experience. Better outcomes were observed in non-intubated patients with elevated baseline level of IL-6 CRP, ferritin and LDH. arm study with primary endpoint of overall mortality 1 month after registration. Secondary endpoints include predictive/prognostic markers of baseline and on treatment level of IL-6 and CRP, lymphocyte count changes, radiological response, and other cytokine changes. Study will include patients with SARS-CoV-2-induced interstitial pneumonia, respiratory insufficiency (O2sat ≤ 93% or PaO2/FiO2 ratio ≤ 300). Patients should be intubated less than 24 h before registration. In parallel, observational cohort with less stringent enrollment criteria will proceed as well.
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