Evidence map›Paper›PMID 35987472›Full record

Trial reportInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

Pembrolizumab in combination with tocilizumab in high-risk hospitalized patients with COVID-19 (COPERNICO): A randomized proof-of-concept phase II study.

Matilde Sánchez-Conde, Pilar Vizcarra, José Manuel Pérez-García, María Gion, María Pilar Martialay, Javier Taboada, Alberto Alonso-Fernández, Miguel Sampayo-Cordero, Andrea Malfettone, Isabel Tena and 3 more

Open access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. 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

13 authors at 7 institutions in 1 country.

Matilde Sánchez-CondeHospital Universitario Ramón y Cajal; Instituto de Investigación Biomédica del Hospital y Ramón y Cajal, Madrid, Spain; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciones (CIBERINFEC), Madrid, Spain.
Pilar VizcarraHospital Universitario Ramón y Cajal; Instituto de Investigación Biomédica del Hospital y Ramón y Cajal, Madrid, Spain; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciones (CIBERINFEC), Madrid, Spain.
José Manuel Pérez-GarcíaInternational Breast Cancer Center (IBCC), Quirónsalud Group, Barcelona, Spain; Medica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
María GionHospital Universitario Ramón y Cajal, Madrid, Spain.
María Pilar MartialayComplejo Hospitalario Ruber Juan Bravo, Quirónsalud, Madrid, Spain.
Javier TaboadaHospital Ruber Internacional, Quirónsalud, Madrid, Spain.
Alberto Alonso-FernándezServicio de Neumología, Hospital Universitario Son Espases, Palma de Mallorca, Spain; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain; Instituto de Investigación Sanitaria de las Islas Baleares (IdISBa), Palma de Mallorca, Baleares, Spain.
Miguel Sampayo-CorderoMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Andrea MalfettoneMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Isabel TenaMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Sergio De La TorreUniversidad Europea de Madrid, Faculty of Biomedical and Health Sciences, Department of Medicine, Madrid, Spain.
Antonio Llombart-CussacMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain; Hospital Arnau de Vilanova, FISABIO, Valencia, Spain; Universidad Católica, Valencia, Spain.
Javier CortésInternational Breast Cancer Center (IBCC), Quirónsalud Group, Barcelona, Spain; Medica Scientia Innovation Research (MEDSIR), Barcelona, Spain; Universidad Europea de Madrid, Faculty of Biomedical and Health Sciences, Department of Medicine, Madrid, Spain. Electronic address: jacortes@vhio.net.
MedSIR (Spain) · ESInstituto Cajal · ESCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESHospital Ruber Internacional · ESHospital Universitario Ramón y Cajal · ESUniversidad Europea de Madrid · ESValencia Catholic University Saint Vincent Martyr · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSevere COVID-19 is associated with immune dysregulation and hyperinflammation (lymphocyte exhaustion and elevated interleukin 6. Pembrolizumab (P; immune-activating anti-programmed cell death-1 antibody) plus tocilizumab (TCZ; anti- interleukin 6 receptor antibody) might interrupt the hyperinflammation and restore cellular immunocompetence. We assessed the efficacy and safety of P + TCZ + standard of care (SOC) in high-risk, hospitalized patients with COVID-19 pneumonia without mechanical ventilation.

methodsRandomized, controlled, open-label, phase II trial in patients with severe SARS-CoV-2 infection to assess the hospitalization period to discharge.

resultsA total of 12 patients were randomized (P + TCZ + SOC, n = 7; SOC, n = 5). Nine (75%) were males, with a median age of 68 (41-79) years. The median time to discharge for P + TCZ + SOC and SOC was 10 and 47.5 days (P = 0.03), with zero (n = 1 patient had P-related grade 5 myositis) and two COVID-19-related deaths, respectively.

conclusionThe addition of P and TCZ to SOC reduced the hospitalization period, with higher and faster discharges without sequelae than SOC alone.

Indexed as

COVID-19 Drug TreatmentAgedAntibodies, Monoclonal, HumanizedFemaleHumansInterleukin-6MaleProof of Concept StudyReceptors, Interleukin-6SARS-CoV-2Treatment OutcomeAntibodies, Monoclonal, HumanizedInterleukin-6pembrolizumabReceptors, Interleukin-6tocilizumabCOVID-19PembrolizumabSARS-CoV-2 infectionTocilizumab

Identifiers

PMID35987472
PMCPMC9384458
OpenAlexW4292341085

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.