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About:
Interleukin-6 blockade for severe COVID-19
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An Entity of Type :
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covidontheweb.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Interleukin-6 blockade for severe COVID-19
Creator
Paule, Romain
Roumier, Mathilde
Ackermann, Félix
Groh, Matthieu
Vallée, Alexandre
source
MedRxiv
abstract
In the context of COVID-19 pandemic and growing tensions worldwide regarding healthcare facilities, there is an urgent need for effective treatments likely to reduce the crunch of ICU beds. Following the assumption by Mehta and colleagues who exhorted physicians to screen patients with severe COVID-19 for hyperinflammation and investigate immunomodulatory drugs in this setting, we relate our short-term - yet promising - experience regarding IL6 blockade with tocilizumab in 30 selected patients of less than 80 years of age, >5 days of prior disease duration, severe (i.e. requiring strictly over 6L/min of oxygen therapy) rapidly deteriorating (i.e. increase by more than 3L/min of oxygen flow within the previous 12 hours) COVID-19-related pneumonia. By comparison with a control group of patients (matched for age, gender and disease severity using the inverse probability of treatment weighted methodology) that did not receive tocilizumab. We demonstrate that, in highly selected patients, IL6 blockade could curb the %22cytokine storm%22, prevent ICU admission and the requirement for mechanical ventilation. Notwithstanding the shortcomings of this retrospective small sample-size study, we believe that these preliminary findings support the fostering of research efforts in the fight against COVID-19-induced inflammation, especially before patients require admission to the ICU.
has issue date
2020-04-22
(
xsd:dateTime
)
bibo:doi
10.1101/2020.04.20.20061861
has license
medrxiv
sha1sum (hex)
eec1b65d2870e77c6b20afb7872f3a5fb16e28c1
schema:url
https://doi.org/10.1101/2020.04.20.20061861
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Interleukin-6 blockade for severe COVID-19
resource representing a document's body
covid:eec1b65d2870e77c6b20afb7872f3a5fb16e28c1#body_text
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named entity 'growing'
named entity 'patients'
named entity 'rapidly'
named entity 'INCREASE'
named entity 'FOLLOWING'
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