Evidence map›Paper›PMID 33244947›Full record

SynthesisTurkish journal of medical sciences2021

Tocilizumab and COVID-19: a meta-analysis of 2120 patients with severe disease and implications for clinical trial methodologies

Azza Sarfraz, Zouina Sarfraz, Muzna Sarfraz, Hinna Aftab, Zainab Pervaiz

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Turkish journal of medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
0.6field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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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 at 3 institutions in 2 countries.

Azza SarfrazDepartment of Pediatrics and Child Health, Aga Khan University, Karachi, PakistanORCID 0000-0001-8206-5745
Zouina SarfrazResearch Department, Fatima Jinnah Medical University, Lahore, PakistanORCID 0000-0002-5132-7455
Muzna SarfrazDepartment of Physiology, CMH Lahore Medical and Dental College, Lahore, PakistanORCID 0000-0002-1406-5740
Hinna AftabResearch Department CMH Lahore Medical and Dental College, Lahore, PakistanORCID 0000-0001-9827-703X
Zainab PervaizResearch Department CMH Lahore Medical and Dental College, Lahore, PakistanORCID 0000-0002-5511-1651
CMH Lahore Medical College and Institute of Dentistry · PKAga Khan University · PKFatima Jinnah Medical University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: Since the outbreak of the COVID-19, numerous therapies to counteract this severe disease have emerged. The benefits of Tocilizumab for severely infected COVID-19 patients and the methodologies of ongoing clinical trials are explored. Materials and methods: A systematic search adhering to PRISMA guidelines was conducted in PubMed, Cochrane Central, medRxiv, and bioRxiv using the following keywords: “Tocilizumab,” “Actemra,” “COVID-19.” An additional subsearch was conducted on Clinicaltrials.gov to locate ongoing tocilizumab trials. Results: A total of 13 studies were included in the meta-analysis comprising 2120 patients. The treatment group had lower mortality compared to the control group (OR = 0.42, 95% CI = 0.26 to 0.69, P = 0.0005, I2 = 55%). A descriptive analysis of 50 registered trials was conducted. Conclusion: This review meta-analyzed the therapeutic benefits of tocilizumab in COVID-19 patients with severe disease for mortality, mechanical ventilation, and the characteristics of COVID-19 registered trials.

Indexed as

COVID-19 Drug TreatmentPandemicsSARS-CoV-2Antibodies, Monoclonal, HumanizedCOVID-19HumansTreatment OutcomeAntibodies, Monoclonal, Humanizedtocilizumabactemraclinical trialcoronavirusCOVID-19cytokine storm syndromeTocilizumab

Identifiers

PMID33244947
PMCPMC8283492
OpenAlexW3109543290

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.