Tocilizumab in COVID-19: Enthusiasm vs. evidence

Autor: Paola Zena-Huancas, Mayte Bryce-Alberti, Arianna Portmann-Baracco, Franco Leon-Jimenez
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Pulmonary and Respiratory Medicine
medicine.medical_specialty
2019-20 coronavirus outbreak
life threat
pneumopericardium
drug safety
Coronavirus disease 2019 (COVID-19)
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Case Report
macromolecular substances
mortality rate
clinical decision making
Article
law.invention
chemistry.chemical_compound
coronavirus disease 2019
tocilizumab
Tocilizumab
Randomized controlled trial
male
law
Internal medicine
middle aged
medicine
human
randomized controlled trial (topic)
outcome assessment
clinical article
C reactive protein
treatment
business.industry
adult
evidence based practice
single drug dose
COVID-19
clinical trial
medicine.disease
clinical feature
drug efficacy
female
chemistry
disease severity
Immunoglobulin G1
Cytokine storm
business
lung embolism
high flow nasal cannula therapy
Zdroj: Lung India : Official Organ of Indian Chest Society
Popis: Based on the pathophysiological characterization of COVID-19, initial studies suggested the use of tocilizumab (TCZ), a recombinant humanized monoclonal antibody of the immunoglobulin G1 class, for management of the cytokine storm witnessed in severe cases. Thus, we decided to present a case series of 18 patients with severe COVID-19 treated with TCZ at our hospital. Our results coincide with the fact that the routine use of TCZ in severe COVID-19 is not robustly supported. We believe that the efficacy and safety of this drug and other related molecules should be validated in large randomized clinical trials.
Databáze: OpenAIRE