Evidence map›Paper›PMID 32616381›Full record

ReviewCytokine & growth factor reviews2020

A critical evaluation of glucocorticoids in the management of severe COVID-19.

Cinzia Solinas, Laura Perra, Marco Aiello, Edoardo Migliori, Nicola Petrosillo

Registry-linked trialAbstract readReview
In one paragraph

Review in Cytokine & growth factor reviews, 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 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

48 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cinzia SolinasAzienda Tutela Salute Sardegna, Hospital Antonio Segni, via Cappuccini, 7, Ozieri (SS), Italy. Electronic address: czsolinas@gmail.com.
Laura PerraAzienda Tutela Salute Sardegna, via Enrico Costa n. 57, Sassari, Italy. Electronic address: lauraperra7@gmail.com.
Marco AielloAzienda Ospedaliero Universitaria Policlinico Vittorio Emanuele, Via Santa Sofia, 78, Catania, Italy. Electronic address: marcomaria.aiello@gmail.com.
Edoardo MiglioriColumbia University Medical Center, Columbia Center for Translational Immunology, 650 West 168th St., New York, NY 10032, United States. Electronic address: em3364@cumc.columbia.edu.
Nicola PetrosilloNational Institute for Infectious Diseases 'L. Spallanzani', IRCCS, Via Portuense, 292, Rome, Italy. Electronic address: nicola.petrosillo@inmi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The viral infection by SARS-CoV-2 has irrevocably altered the life of the majority of human beings, challenging national health systems worldwide, and pushing researchers to rapidly find adequate preventive and treatment strategies. No therapies have been shown effective with the exception of dexamethasone, a glucocorticoid that was recently proved to be the first life-saving drug in this disease. Remarkably, around 20 % of infected people develop a severe form of COVID-19, giving rise to respiratory and multi-organ failures requiring subintensive and intensive care interventions. This phenomenon is due to an excessive immune response that damages pulmonary alveoli, leading to a cytokine and chemokine storm with systemic effects. Indeed glucocorticoids' role in regulating this immune response is controversial, and they have been used in clinical practice in a variety of countries, even without a previous clear consensus on their evidence-based benefit.

Indexed as

Anti-Inflammatory AgentsAntiviral AgentsBetacoronavirusCoronavirus InfectionsCOVID-19Cytokine Release SyndromeDexamethasoneGlucocorticoidsHumansPandemicsPneumonia, ViralPulmonary AlveoliSARS-CoV-2Anti-Inflammatory AgentsAntiviral AgentsDexamethasoneGlucocorticoidsARDSCOVID-19GlucocorticoidsImmune responseSARS-CoV-2

Identifiers

PMID32616381
PMCPMC7313507

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.