Evidence map›Paper›PMID 33292350›Full record

ArticleImmunity & ageing : I & A2020

An anti-CD6 monoclonal antibody (itolizumab) reduces circulating IL-6 in severe COVID-19 elderly patients.

Danay Saavedra, Ana Laura Añé-Kourí, Naivy Sánchez, Lázaro Manuel Filgueira, Julio Betancourt, Carlos Herrera, Leniel Manso, Elibet Chávez, Armando Caballero, Carlos Hidalgo and 7 more

Open access · goldAbstract read
In one paragraph

Article in Immunity & ageing : I & A, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
0.6field-weighted citation impact, top 18% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

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  11. Current clinical status of new COVID-19 vaccines and immunotherapy.Environmental science and pollution research international · 2022
    Review
  12. Review
  13. Review
  14. Article
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  16. Disease-drug and drug-drug interaction in COVID-19: Risk and assessment.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2021
    Review
  17. Approval of Itolizumab for COVID-19: A Premature Decision or Need of The Hour?BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2020
    Article
  18. Review
  19. Novel β-Coronavirus (SARS-CoV-2): Current and future aspects of pharmacological treatments.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020
    Review
  20. Current Approaches to COVID-19: Therapy and Prevention.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    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

17 authors at 3 institutions in 1 country.

Danay SaavedraDepartment of Clinical Immunology. Center of Molecular Immunology, 216 St, Corner 15, PO Box 16040, Havana, Atabey, Cuba. danays@cim.sld.cu.ORCID http://orcid.org/0000-0002-6614-3819
Ana Laura Añé-KouríBiochemical Department. ICBP "Victoria de Girón", Calle 146 # 3102, La Habana, Playa, Cuba.
Naivy SánchezManuel Piti Fajardo Universitary Hospital. Ciudad Escolar Abel Santamaría, U/M 9958, Santa Clara, Villa Clara, Cuba.
Lázaro Manuel FilgueiraArnaldo Milian Castro Universitary Hospital, Arnaldo Milián Castro St, Santa Clara, Villa Clara, Cuba.
Julio BetancourtArnaldo Milian Castro Universitary Hospital, Arnaldo Milián Castro St, Santa Clara, Villa Clara, Cuba.
Carlos HerreraArnaldo Milian Castro Universitary Hospital, Arnaldo Milián Castro St, Santa Clara, Villa Clara, Cuba.
Leniel MansoArnaldo Milian Castro Universitary Hospital, Arnaldo Milián Castro St, Santa Clara, Villa Clara, Cuba.
Elibet ChávezCardiocentro "Ernesto Che Guevara", Cuba St N° 610, Santa Clara, Villa Clara, Cuba.
Armando CaballeroArnaldo Milian Castro Universitary Hospital, Arnaldo Milián Castro St, Santa Clara, Villa Clara, Cuba.
Carlos HidalgoManuel Piti Fajardo Universitary Hospital. Ciudad Escolar Abel Santamaría, U/M 9958, Santa Clara, Villa Clara, Cuba.
Geydi LorenzoDepartment of Clinical Immunology. Center of Molecular Immunology, 216 St, Corner 15, PO Box 16040, Havana, Atabey, Cuba.
Meylan CepedaDepartment of Clinical Immunology. Center of Molecular Immunology, 216 St, Corner 15, PO Box 16040, Havana, Atabey, Cuba.
Carmen ValenzuelaDepartment of Clinical Immunology. Center of Molecular Immunology, 216 St, Corner 15, PO Box 16040, Havana, Atabey, Cuba.
Mayra RamosDepartment of Clinical Immunology. Center of Molecular Immunology, 216 St, Corner 15, PO Box 16040, Havana, Atabey, Cuba.
Kalet LeónDepartment of Clinical Immunology. Center of Molecular Immunology, 216 St, Corner 15, PO Box 16040, Havana, Atabey, Cuba.
Zaima MazorraDepartment of Clinical Immunology. Center of Molecular Immunology, 216 St, Corner 15, PO Box 16040, Havana, Atabey, Cuba.
Tania CrombetDepartment of Clinical Immunology. Center of Molecular Immunology, 216 St, Corner 15, PO Box 16040, Havana, Atabey, Cuba.
Center of Molecular Immunology (Cuba) · CUUniversidad Central "Marta Abreu" de las Villas (UCLV) · CUHospital Provincial Universitario Cardiocentro Ernesto Guevara · CU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the COVID-19 outbreak an unprecedented challenge for healthcare systems around the world has been placed. In Cuba, the first case of COVID-19 was reported on March 11. Elderly with multiple comorbidities have been the most risky population. Although most patients present a mild to moderate disease, some have developed severe symptoms. One of the possible mechanisms underlying rapid disease progression is a cytokine storm, in which interleukin (IL) -6 seems to be a major mediator. Itolizumab is a humanized recombinant anti-CD6 monoclonal antibody (MAb), with the ability of reducing serum interferon gamma (INF-γ), tumour necrosis factor alpha (TNFα) and IL-6. Based on these previous results in patients with psoriasis and rheumatoid arthritis, an expanded access clinical trial was approved by the Cuban regulatory agency for COVID-19 critically, severely and moderately ill patients.

resultsWe show here a short kinetic of IL-6 serum concentration in the first 24 COVID-19 patients treated with itolizumab. Most of patients were elderly with multiple comorbidities. We found that with one itolizumab dose, the circulating IL-6 decreased in critically and severely ill patients, whereas in moderately ill patients the values didn't rise as compared to their low baseline levels.

conclusionThese findings suggest that itolizumab could be an attractive therapeutic option to decrease the negative outcome of the cytokine storm in COVID-19 patients.

trial registrationCECMED IIC RD-EC 179, RPCEC00000311. Registered 4 May 2020 - Retrospectively registered, http://rpcec.sld.cu/ensayos/RPCEC00000311-Sp or http://rpcec.sld.cu/trials/RPCEC00000311-En.

Indexed as

COVID-19Cytokine release syndromeIL-6Itolizumab

Identifiers

PMID33292350
PMCPMC7666403
OpenAlexW3103231362

What OpenQuestion holds

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Registered trials

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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.