Evidence map›Paper›PMID 33043284›Full record

ArticleEClinicalMedicine2020

Sarilumab use in severe SARS-CoV-2 pneumonia.

Elisa Gremese, Antonella Cingolani, Silvia Laura Bosello, Stefano Alivernini, Barbara Tolusso, Simone Perniola, Francesco Landi, Maurizio Pompili, Rita Murri, Angelo Santoliquido and 32 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  12. Biologics in COVID-19 So Far: Systematic Review.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
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  20. SARS-CoV-2: Recent Variants and Clinical Efficacy of Antibody-Based Therapy.Frontiers in cellular and infection microbiology · 2022
    Review
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

42 authors at 2 institutions in 1 country.

Elisa GremeseFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Reumatologia, Rome, Italy.
Antonella CingolaniFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze di Laboratorio e Infettivologiche, Rome, Italy.
Silvia Laura BoselloFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Reumatologia, Rome, Italy.
Stefano AliverniniFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Reumatologia, Rome, Italy.
Barbara TolussoFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Reumatologia, Rome, Italy.
Simone PerniolaFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Reumatologia, Rome, Italy.
Francesco LandiFondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Internal Medicine and Geriatrics, Rome, Italy.
Maurizio PompiliFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze Mediche e Chirurgiche, Rome, Italy.
Rita MurriFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze di Laboratorio e Infettivologiche, Rome, Italy.
Angelo SantoliquidoFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Clinic Medica e Malattie Cardiovascolari, Rome, Italy.
Matteo GarcovichFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze Mediche e Chirurgiche, Rome, Italy.
Michela SaliFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze di Laboratorio e Infettivologiche, Rome, Italy.
Gennaro De PascaleFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze dell'Emergenza, Anestesiologiche e della Rianimazione, Rome, Italy.
Maurizio GabrielliFondazione Policlinico Universitario A. Gemelli IRCCS, Emergency Medicine, Rome, Italy.
Federico BiscettiFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Clinic Medica e Malattie Cardiovascolari, Rome, Italy.
Massimo MontaltoFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Clinic Medica e Malattie Cardiovascolari, Rome, Italy.
Alberto TosoniFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze Mediche e Chirurgiche, Rome, Italy.
Giovanni GambassiUniversità Cattolica del Sacro Cuore, Division of Internal Medicine, Rome, Italy.
Gian Ludovico RapacciniFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze Mediche e Chirurgiche, Rome, Italy.
Amerigo IaconelliFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze Mediche e Chirurgiche, Rome, Italy.
Lorenzo Zileri Del VermeFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze Mediche e Chirurgiche, Rome, Italy.
Luca PetriccaFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Reumatologia, Rome, Italy.
Anna Laura FedeleFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Reumatologia, Rome, Italy.
Marco Maria LizzioFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Reumatologia, Rome, Italy.
Enrica TamburriniFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze di Laboratorio e Infettivologiche, Rome, Italy.
Gerlando NatalelloUniversità Cattolica del Sacro Cuore, Divisione di Reumatologia, Rome, Italy.
Laura GiganteUniversità Cattolica del Sacro Cuore, Divisione di Reumatologia, Rome, Italy.
Dario BrunoUniversità Cattolica del Sacro Cuore, Divisione di Reumatologia, Rome, Italy.
Lucrezia VerardiUniversità Cattolica del Sacro Cuore, Divisione di Reumatologia, Rome, Italy.
Eleonora TaddeiFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze di Laboratorio e Infettivologiche, Rome, Italy.
Angelo CalabreseFondazione Policlinico Universitario Agostino Gemelli IRCC, Division of Pulmonary Medicine, Rome, Italy.
Francesco LombardiFondazione Policlinico Universitario Agostino Gemelli IRCC, Division of Pulmonary Medicine, Rome, Italy.
Roberto BernabeiFondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Internal Medicine and Geriatrics, Rome, Italy.
Roberto CaudaFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze di Laboratorio e Infettivologiche, Rome, Italy.
Francesco FranceschiFondazione Policlinico Universitario A. Gemelli IRCCS, Emergency Medicine, Rome, Italy.
Raffaele LandolfiFondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Clinic Medica e Malattie Cardiovascolari, Rome, Italy.
Luca RicheldiFondazione Policlinico Universitario Agostino Gemelli IRCC, Division of Pulmonary Medicine, Rome, Italy.
Maurizio SanguinettiFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze di Laboratorio e Infettivologiche, Rome, Italy.
Massimo FantoniFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze di Laboratorio e Infettivologiche, Rome, Italy.
Massimo AntonelliFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze dell'Emergenza, Anestesiologiche e della Rianimazione, Rome, Italy.
Antonio GasbarriniFondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Scienze Mediche e Chirurgiche, Rome, Italy.
GEMELLI AGAINST COVID-19 Group
Università Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterleukin-6 signal blockade showed preliminary beneficial effects in treating inflammatory response against SARS-CoV-2 leading to severe respiratory distress. Herein we describe the outcomes of off-label intravenous use of Sarilumab in severe SARS-CoV-2-related pneumonia.

methods53 patients with SARS-CoV-2 severe pneumonia received intravenous Sarilumab; pulmonary function improvement or Intensive Care Unit (ICU) admission rate in medical wards, live discharge rate in ICU treated patients and safety profile were recorded. Sarilumab 400 mg was administered intravenously on day 1, with eventual additional infusion based on clinical judgement, and patients were followed for at least 14 days, unless previously discharged or dead.

findingsOf the 53 SARS-CoV-2

interpretationIL-6R inhibition appears to be a potential treatment strategy for severe SARS-CoV-2 pneumonia and intravenous Sarilumab seems a promising treatment approach showing, in the short term, an important clinical outcome and good safety.

Indexed as

InflammationSarilumabSevere sars-cov-2 pneumonia

Identifiers

PMID33043284
PMCPMC7531933
OpenAlexW3089421034

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.