Canakinumab as treatment for COVID-19-related pneumonia: A prospective case-control study

Autor: Chiara Costanzi, Daniele Generali, Ilaria Zangrandi, Valeria De Giuli, Fabio Malberti, Maria Rosa Cappelletti, Giancarlo Bosio, Andrea Machiavelli, Marianna Sirico, Antonio Fioravanti, Guglielmo Giannotti, Angelo Pan, Sophie Testa, Ottavia Bernocchi, Fabiola Giudici, Alessia Giossi, Erika Maria Viola, Alfredo Molteni, Marina Foramitti, Alessandro Morandini, Antonio Cuzzoli, Matteo Giorgi-Pierfranceschi, Maurizio Scaltriti, Sergio Venturini, Giulia Chiodelli, Chiara Campana, Alessia Zoncada, Luca Pianta, Laura Romanini, Rosa Angela Tira
Přispěvatelé: Generali, D., Bosio, G., Malberti, F., Cuzzoli, A., Testa, S., Romanini, L., Fioravanti, A., Morandini, A., Pianta, L., Giannotti, G., Viola, E. M., Giorgi-Pierfranceschi, M., Foramitti, M., Tira, R. A., Zangrandi, I., Chiodelli, G., Machiavelli, A., Cappelletti, M. R., Giossi, A., De Giuli, V., Costanzi, C., Campana, C., Bernocchi, O., Sirico, M., Zoncada, A., Molteni, A., Venturini, S., Giudici, F., Scaltriti, M., Pan, A.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
Male
medicine.medical_treatment
Cohort Studies
0302 clinical medicine
Monoclonal
80 and over
030212 general & internal medicine
Viral
Prospective Studies
Prospective cohort study
Humanized
Aged
80 and over

General Medicine
Middle Aged
Hospitalization
Infectious Diseases
medicine.anatomical_structure
Treatment Outcome
Settore SECS-S/01 - STATISTICA
Cohort
Female
Case-Control Studie
medicine.drug
Cohort study
Human
Microbiology (medical)
Adult
medicine.medical_specialty
Canakinumab
030106 microbiology
Pneumonia
Viral

Antibodies
Monoclonal
Humanized

Article
Antibodies
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Internal medicine
medicine
Humans
lcsh:RC109-216
Aged
Mechanical ventilation
Lung
business.industry
SARS-CoV-2
Case-control study
COVID-19
Pneumonia
medicine.disease
Prospective Studie
Case-Control Studies
Cohort Studie
business
Zdroj: International Journal of Infectious Diseases, Vol 104, Iss, Pp 433-440 (2021)
International Journal of Infectious Diseases
Popis: Highlights • Canakinumab is an IL-1β antibody that neutralizes the activity of IL-1β. • The effects of canakinumab in patients with COVID-19-related pneumonia were studied. • 33 patients received canakinumab and 15 received institutional standard of care. • Treatment with canakinumab rapidly restored normal oxygen status. • Canakinumab was also associated with favorable prognosis versus SoC.
Objectives Canakinumab is an IL-1β antibody that neutralizes the activity of IL-1β. We studied the efficacy and safety of canakinumab in patients with moderate COVID-19-related pneumonia. Design The aim of our study was to evaluate the reduction in duration of hospitalization with adequate oxygen status. Forty-eight patients with moderate COVID-19-related pneumonia were asked to participate in the prospective case-control study; 33 patients (Cases) signed informed consent and received canakinumab (Cohort 1); 15 patients (Controls) refused to receive the experimental drug and received institutional standard of care (SoC), (Cohort 2). Results Hospital discharge within 21 days was seen in 63% of patients in Cohort 1 vs. 0% in Cohort 2 (median 14 vs 26 days, respectively; p
Databáze: OpenAIRE