Evidence map›Paper›PMID 35064248›Full record

ReviewNature medicine2022

A guide to immunotherapy for COVID-19.

Frank L van de Veerdonk, Evangelos Giamarellos-Bourboulis, Peter Pickkers, Lennie Derde, Helen Leavis, Reinout van Crevel, Job J Engel, W Joost Wiersinga, Alexander P J Vlaar, Manu Shankar-Hari and 5 more

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 200 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed, 4 pooled it
35.6field-weighted citation impact, top 1% 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

200 citing papers in PubMed, 4 syntheses or guidelines pooled it, 333 citations in OpenAlex.

  1. Pooled it
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  9. Three-Day Icatibant on Top of Standard Care in Patients With Coronavirus Disease 2019 Pneumonia: A Randomized, Open-Label, Phase 2, Proof-of-Concept Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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  16. Host Responses to SARS-CoV-2 with an Emphasis on Cytokines.International journal of molecular sciences · 2026
    Review
  17. Inflammatory mechanisms contribute to long-term cognitive deficits induced by perinatal asphyxia via interleukin-1.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
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  19. Review
  20. Article

140 more citing papers are in PubMed but not listed here.

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

15 authors at 7 institutions in 5 countries.

Frank L van de VeerdonkDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands. frank.vandeveerdonk@radboudumc.nl.ORCID http://orcid.org/0000-0002-1121-4894
Evangelos Giamarellos-BourboulisDepartment of Infectious Diseases, Attikon Hospital, University of Athens, Athens, Greece.ORCID http://orcid.org/0000-0003-4713-3911
Peter PickkersDepartment of Intensive Care Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands.
Lennie DerdeDepartment of Intensive Care, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID http://orcid.org/0000-0002-3577-5629
Helen LeavisDepartment of Internal Medicine, University Medical Center Utrecht, Utrecht, the Netherlands.
Reinout van CrevelDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands.
Job J EngelDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands.
W Joost WiersingaDivision of Infectious Diseases, Center for Experimental Molecular Medicine (CEMM), Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Alexander P J VlaarDepartment of Intensive Care Medicine and Laboratory of Experimental Intensive Care Medicine and Anesthesiology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Manu Shankar-HariSchool of Immunobiology and Microbial Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0002-5338-2538
Tom van der PollDivision of Infectious Diseases, Center for Experimental Molecular Medicine (CEMM), Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-9199-5079
Marc BontenJulius Center for Health Sciences and Primary Care, Utrecht, the Netherlands.
Derek C AngusUPMC and University of Pittsburgh, Pittsburgh, PA, United States.
Jos W M van der MeerDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands.
Mihai G NeteaDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands. mihai.netea@radboudumc.nl.ORCID http://orcid.org/0000-0003-2421-6052
Radboud University Nijmegen · NLAmsterdam University Medical Centers · NLUniversity Medical Center Utrecht · NLKing's College London · GBNational and Kapodistrian University of Athens · GRUniversity of Bonn · DEUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune dysregulation is an important component of the pathophysiology of COVID-19. A large body of literature has reported the effect of immune-based therapies in patients with COVID-19, with some remarkable successes such as the use of steroids or anti-cytokine therapies. However, challenges in clinical decision-making arise from the complexity of the disease phenotypes and patient heterogeneity, as well as the variable quality of evidence from immunotherapy studies. This Review aims to support clinical decision-making by providing an overview of the evidence generated by major clinical trials of host-directed therapy. We discuss patient stratification and propose an algorithm to guide the use of immunotherapy strategies in the clinic. This will not only help guide treatment decisions, but may also help to design future trials that investigate immunotherapy in other severe infections.

Indexed as

ImmunomodulationAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingAnticoagulantsAzetidinesBradykininBradykinin B2 Receptor AntagonistsComplement Inactivating AgentsCOVID-19COVID-19 SerotherapyDexamethasoneDrug CombinationsFactor Xa InhibitorsGlucocorticoidsHeparinAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingAnticoagulantsAzetidinesbamlanivimab and etesevimab drug combinationbaricitinibBradykininBradykinin B2 Receptor Antagonistscanakinumabcasirivimab and imdevimab drug combinationComplement Inactivating AgentsDexamethasoneDrug CombinationsFactor Xa InhibitorsGlucocorticoidsHeparinHydrocortisoneicatibantImatinib MesylateImmunologic FactorsInterferon beta-1aInterferon beta-1bInterferon-gammaInterleukin 1 Receptor Antagonist ProteinOtilimabPiperidinesProtein Kinase InhibitorsPurinesPyrazolesPyrimidinessarilumabSulfonamidestocilizumabtofacitinib

Identifiers

PMID35064248
OpenAlexW4206989777

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.