Evidence map›Paper›PMID 34823820›Full record

ArticleReumatologia clinica2021

Anakinra as a potential alternative in the treatment of severe acute respiratory infection associated with SARS-CoV-2 refractory to tocilizumab.

Luis Figuero-Pérez, Alejandro Olivares-Hernández, Roberto A Escala-Cornejo, Eduardo Terán-Brage, Álvaro López-Gutiérrez, Juan J Cruz-Hernández

Open access · greenAbstract readCase Reports
In one paragraph

Article in Reumatologia clinica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Circulating Calprotectin as a Biomarker of COVID-19 Severity.Expert review of clinical immunology · 2021
    Review
  7. Effectiveness of anakinra for tocilizumab-refractory severe COVID-19: A single-centre retrospective comparative study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
  8. The protective effect of rheumatic disease agents in COVID-19.Best practice & research. Clinical rheumatology · 2021
    Review
  9. Article
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

6 authors at 2 institutions in 1 country.

Luis Figuero-PérezServicio de Oncología Médica, Complejo Universitario de Salamanca, Salamanca, Spain; Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain. Electronic address: figuero44@gmail.com.
Alejandro Olivares-HernándezServicio de Oncología Médica, Complejo Universitario de Salamanca, Salamanca, Spain; Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain.
Roberto A Escala-CornejoInstituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain; Servicio de Oncología Médica, Complejo Universitario de Ávila, Ávila, Spain.
Eduardo Terán-BrageServicio de Oncología Médica, Complejo Universitario de Salamanca, Salamanca, Spain; Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain.
Álvaro López-GutiérrezServicio de Oncología Médica, Complejo Universitario de Salamanca, Salamanca, Spain; Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain.
Juan J Cruz-HernándezServicio de Oncología Médica, Complejo Universitario de Salamanca, Salamanca, Spain; Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain.
Complejo Hospitalario de Salamanca · ESInstituto de Investigación Biomédica de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 is a new RNA virus which causes coronavirus disease 2019 (COVID-19), declared a pandemic by the World Health Organization (WHO). It triggers an atypical pneumonia that can progress to multiorgan failure. COVID-19 can cause dysregulation of the immune system, triggering an inflammatory response, and simulate haemophagocytic lymphohistiocytosis. Several studies have proposed that anti-IL-6 receptor antibodies, such as tocilizumab, play an important role in the treatment of severe acute respiratory infection associated with SARS-CoV-2. However, the role of anti-IL-1 receptor antibodies, such as anakinra, in the treatment of COVID-19 has not been established. We present a case report of a 51-year-old man diagnosed with severe respiratory infection associated with SARS-CoV-2 that was refractory to antiviral and anti-IL-6 treatment, with a favourable clinical outcome and analytical improvement after treatment with anti-IL-1 (anakinra).

Indexed as

COVID-19 Drug TreatmentAntibodies, Monoclonal, HumanizedAntiviral AgentsDrug Resistance, ViralHumansInterleukin 1 Receptor Antagonist ProteinMaleMiddle AgedAntibodies, Monoclonal, HumanizedAntiviral AgentsInterleukin 1 Receptor Antagonist ProteintocilizumabAnakinraCytokine stormSARS-CoV-2TocilizumabTormenta de citoquinas

Identifiers

PMID34823820
PMCPMC7561306
OpenAlexW3035822967

What OpenQuestion holds

Textmetadata
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.