Evidence map›Paper›PMID 32337664›Full record

ReviewClinical drug investigation2020

Rational Use of Tocilizumab in the Treatment of Novel Coronavirus Pneumonia.

Shengyu Zhang, Lei Li, Aizong Shen, Yongwu Chen, Zhigang Qi

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical drug investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04610567 (Two Phases Clinical Trial to Evaluate Safety and Efficacy of Methotrexate Associated to LDL Like Nanoparticles), which is not on this map. Cited by 119 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 9 pooled it
5.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04610567 phase1 / phase2unknown statusnot on this map

Two Phases Clinical Trial to Evaluate Safety and Efficacy of Methotrexate Associated to LDL Like Nanoparticles (LDE-MTX) in the Treatment of Patients With Mild Coronavirus-19 (COVID-19) Disease.

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2020 to 2021Enrolled100ConditionsCoronavirus, Inflammation, Covid19ArmsMethotrexate-LDE phase 1, Methotrexate-LDE phase 2, Placebo-LDE phase 2
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 9 syntheses or guidelines pooled it, 225 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Tocilizumab for severe COVID-19: a systematic review and meta-analysis.International journal of antimicrobial agents · 2020
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. Deep Vein Thrombosis in Critically Ill Patients With COVID-19 Pneumonia: Incidence, Wells Score Diagnostic Performance, and Hospital Prognosis.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Observational
  16. Article
  17. Thrombocytopenia in Sepsis.Life (Basel, Switzerland) · 2025
    Review
  18. Review
  19. Review
  20. Adverse drug reactions associated with COVID-19 management.Naunyn-Schmiedeberg's archives of pharmacology · 2024
    Review

59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Shengyu ZhangDepartment of Pharmacy, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, Anhui, China.
Lei LiInfection Department, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, Anhui, China.
Aizong ShenDepartment of Pharmacy, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, Anhui, China.
Yongwu ChenDepartment of Pharmacy, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, Anhui, China.
Zhigang QiDepartment of Pharmacy, Wuxi People's Hospital Attached to Nanjing Medical University, Wuxi, 214023, Jiangsu, China. qizhigang058518@163.com.
University of Science and Technology of China · CNWuxi People's Hospital · CN

Funding

Wuxi medical and health guidance plan for scientific and technological development NZ2019004
6 · The paper itself

Abstract

Since December 2019, a novel coronavirus pneumonia (COVID-19) has broken out in Wuhan, China and spread rapidly. Recent studies have found that ⁓ 15.7% of patients develop severe pneumonia, and cytokine storm is an important factor leading to rapid disease progression. Currently, there are no specific drugs for COVID-19 and the cytokine storm it causes. IL-6 is one of the key cytokines involved in infection-induced cytokine storm. Tocilizumab, which is the IL-6 receptor antagonist, has been approved by the US FDA for the treatment of cytokine release syndrome (CRS), is expected to treat cytokine storm caused by COVID-19 and is now in clinical trials. In this paper, we will elaborate the role of cytokine storm in COVID-19, the mechanism of tocilizumab on cytokine storm and the key points of pharmaceutical care based on the actual clinical application for COVID-19 in our hospital, the latest research reports, clinical trial progress of tocilizumab, drug instruction from the US FDA, and "Diagnosis and Treatment Plan of Novel Coronavirus Pneumonia (seventh trial edition)" in China, so as to provide reference for the treatment of COVID-19.

Indexed as

BetacoronavirusCoronavirus InfectionsPandemicsAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedClinical Trials as TopicCOVID-19COVID-19 Drug TreatmentFemaleHumansMiddle AgedPneumonia, ViralPregnancySARS-CoV-2Antibodies, Monoclonal, Humanizedtocilizumab

Identifiers

PMID32337664
PMCPMC7183818
OpenAlexW3018269482

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.