Evidence map›Paper›PMID 35250575›Full record

ReviewFrontiers in pharmacology2022

Tocilizumab and COVID-19: Timing of Administration and Efficacy.

Emna Abidi, Wasim S El Nekidy, Eman Alefishat, Nadeem Rahman, Georg A Petroianu, Rania El-Lababidi, Jihad Mallat

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.0field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 56 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
  4. Article
  5. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Neutrophils and the Systemic Inflammatory Response Syndrome (SIRS).International journal of molecular sciences · 2023
    Review
  19. Long-COVID fatigue is not predicted by pre-pandemic plasma IL-6 levels in mild COVID-19.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Article
  20. 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

7 authors at 5 institutions in 4 countries.

Emna AbidiDepartment of Pharmacy Services, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Wasim S El NekidyDepartment of Pharmacy Services, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Eman AlefishatDepartment of Pharmacology, College of Medicine and Health Science, Khalifa University, Abu Dhabi, United Arab Emirates.
Nadeem RahmanCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, United States.
Georg A PetroianuDepartment of Pharmacology, College of Medicine and Health Science, Khalifa University, Abu Dhabi, United Arab Emirates.
Rania El-LababidiDepartment of Pharmacy Services, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Jihad MallatCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, United States.
Abu Dhabi Health Services · AECase Western Reserve University · USCleveland Clinic Lerner College of Medicine · USKhalifa University of Science and Technology · AEUniversity of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elevated concentrations of interleukin-6 have been demonstrated to be an important key factor in COVID-19 host immune impairment. It represents an important prognostic factor of harm associated with COVID-19 infection by stimulating a vigorous proinflammatory response, leading to the so-called "cytokine storm". Therefore, immunomodulatory interventions targeting interleukin-6 receptor antagonism have been investigated as potential treatments to counterbalance the host immune dysregulation and to support the advantageous effects of corticosteroids. Tocilizumab is a recombinant humanized monoclonal antibody that has gained much interest during the COVID-19 pandemic as an interleukin-6 receptor antagonist. Various early observational studies have reported beneficial effects of tocilizumab. Moreover, consequent randomized controlled trials have subsequently shown significant positive results about tocilizumab efficacy and safety, focusing on outcomes like mortality, risk of intensive care unit admission, and the need for mechanical ventilation, while others presented conflicting findings. In this review, we first described the pathophysiology of COVID-19 infection while highlighting the role of interleukin-6. Furthermore, we also discussed the non-conclusive evidence about tocilizumab to be used as the standard of care therapy for all patients with COVID-19 pneumonia, as well as its beneficial effects in selected patients.

Indexed as

acute respiratory distress syndromeCOVID-19 infectioncytokine stormintensive care unitinterleukine -6 receptor antagonistinvasive mechanical ventilationSARS-CoV-2 infectiontocilizumab

Identifiers

PMID35250575
PMCPMC8894855
OpenAlexW4212974123

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.