Evidence map›Paper›PMID 36529030›Full record

ArticleCytokine2023

Interferon gamma-induced protein 10 (IP-10) for the early prognosis of the risk for severe respiratory failure and death in COVID-19 pneumonia.

Charilaos Samaras, Evdoxia Kyriazopoulou, Garyfallia Poulakou, Eran Reiner, Maria Kosmidou, Ioanna Karanika, Vasileios Petrakis, George Adamis, Nikolaos K Gatselis, Archontoula Fragkou and 36 more

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Cytokine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 14% 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.

NCT04357366 phase2completednot on this map

suPAR-guided Anakinra Treatment for Validation of the Risk and Early Management of Severe Respiratory Failure by COVID-19: The SAVE Open-label, Non-randomized Single-arm Trial

TypeinterventionalSponsorHellenic Institute for the Study of SepsisRan2020 to 2022Enrolled1,000ConditionsCOVID-19, Virus Diseases, Corona Virus Infection, Lower Respiratory Tract Infection ViralArmsAnakinra
NCT04680949 phase3completednot on this map

suPAR-Guided Anakinra Treatment for Validation of the Risk and Early Management of Severe Respiratory Failure by COVID-19: The SAVE-MORE Double-blind, Randomized, Phase III Confirmatory Trial

TypeinterventionalSponsorHellenic Institute for the Study of SepsisRan2020 to 2022Enrolled606ConditionsCovid19ArmsAnakinra, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

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  9. MicroRNAs in Sepsis.Biomedicines · 2024
    Review
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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

46 authors at 18 institutions in 5 countries.

Charilaos Samaras1(st) Department of Internal Medicine, Asklepieio General Hospital of Voula, Greece.
Evdoxia Kyriazopoulou4(th) Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece; Hellenic Institute for the Study of Sepsis, Athens, Greece.
Garyfallia Poulakou3(rd) Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Eran ReinerMeMed Diagnostics, Tirat Carmel, Israel.
Maria Kosmidou1st Department of Internal Medicine, University of Ioannina, Medical School, Ioannina, Greece.
Ioanna Karanika1st Department of Internal Medicine, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.
Vasileios Petrakis2(nd) Department of Internal Medicine, Democritus University of Thrace, Medical School, 681 00, Alexandroupolis, Greece.
George Adamis1(st) Department of Internal Medicine, G. Gennimatas General Hospital of Athens, Athens, Greece.
Nikolaos K GatselisDepartment of Medicine and Research Laboratory of Internal Medicine, National Expertise Center of Greece in Autoimmune Liver Diseases, Full Member of the European Reference Network on Hepatological Disases (ERN RARE-LIVER), General University Hospital of Larissa, 41110 Larissa, Greece.
Archontoula FragkouDepartment of Internal Medicine, Elpis General Hospital, Athens, Greece.
Aggeliki Rapti2(nd) Department of Pulmonary Medicine, Sotiria General Hospital of Chest Diseases, Athens, Greece.
Eleonora TaddeiDipartimento Scienze di Laboratorio e Infettivologiche - Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Roma, Italy.
Ioannis Kalomenidis1(st) Department of Critical Care and Pulmonary Medicine, Medical School, National and Kapodistrian University of Athens, Evangelismos General Hospital, Athens, Greece.
George Chrysos2(nd) Department of Internal Medicine, Tzaneio General Hospital of Piraeus, Athens, Greece.
Giulia BertoliDepartment of Infectious - Tropical Diseases and Microbiology, IRCSS Sacro Cuore Hospital, Negrar, Verona, Italy.
Ilias Kainis10(th) Department of Pulmonary Medicine, Sotiria General Hospital of Chest Diseases of Athens, Greece.
Zoi Alexiou2(nd) Department of Internal Medicine, Thriasio General Hospital of Eleusis, Athens, Greece.
Francesco CastelliSpedali Civili, Brescia ASST Spedali Civili Hospital, University of Brescia, Italy.
Francesco Saverio SerinoDepartment of Internal Medicine, Hospital of Jesolo, Italy.
Petros Bakakos1(st) Department of Chest Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Emanuele NicastriDepartment of Internal Medicine, Spallanzani Institute of Rome, Italy.
Vassiliki Tzavara1(st) Department of Internal Medicine, Korgialeneion-Benakeion General Hospital, Athens, Greece.
Evangelos KostisDepartment of Therapeutics, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Lorenzo DagnaUnit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS Ospedale San Raffaele & Vita-Salute San Raffaele University, Milan, Italy.
Sofia Koukidou5(th) Department of Pulmonary Medicine, Sotiria General Hospital of Chest Diseases, Athens, Greece.
Glykeria Tzatzagou1(st) Department of Internal Medicine, Papageorgiou General Hospital of Thessaloniki, Thessaloniki, Greece.
Maria Chini3rd Dpt of Internal Medicine and Infectious Diseases Unit, Korgialeneion-Benakeion General Hospital, Athens, Greece.
Matteo BassettiInfectious Diseases Clinic, Ospedale Policlinico San Martino IRCCS and Department of Health Sciences, University of Genova, Genova, Italy.
Christina Trakatelli3(rd) Department of Internal Medicine, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.
George Tsoukalas4(th) Department of Pulmonary Medicine, Sotiria General Hospital of Chest Diseases, Athens, Greece.
Carlo SelmiDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele and IRCCS Humanitas Research Hospital, via Manzoni, 56, 20089 Rozzano, Milan, Italy.
Michael Samarkos1(st) Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Athina Pyrpasopoulou2(nd) Department of Propedeutic Medicine, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.
Aikaterini Masgala2(nd) Department of Internal Medicine, Konstantopouleio General Hospital, Athens, Greece.
Emmanouil AntonakisDepartment of Pulmonary Medicine, General Hospital of Kerkyra, Greece.
Aikaterini ArgyrakiDepartment of Internal Medicine, Sotiria General Hospital of Chest Diseases, Greece.
Karolina AkinosoglouDepartment of Internal Medicine, University of Patras, Rion, Greece.
Styliani Sympardi1(st) Department of Internal Medicine, Thriasio General Hospital of Eleusis, Athens, Greece.
Periklis Panagopoulos2(nd) Department of Internal Medicine, Democritus University of Thrace, Medical School, 681 00, Alexandroupolis, Greece.
Haralampos Milionis1st Department of Internal Medicine, University of Ioannina, Medical School, Ioannina, Greece.
Simeon Metallidis1st Department of Internal Medicine, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.
Konstantinos N Syrigos3(rd) Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Alon AngelMeMed Diagnostics, Tirat Carmel, Israel.
George N DalekosDepartment of Medicine and Research Laboratory of Internal Medicine, National Expertise Center of Greece in Autoimmune Liver Diseases, Full Member of the European Reference Network on Hepatological Disases (ERN RARE-LIVER), General University Hospital of Larissa, 41110 Larissa, Greece.
Mihai G NeteaDepartment of Internal Medicine and Center for Infectious Diseases, Radboud University, Nijmegen, the Netherlands; Department of Immunology and Metabolism, Life and Medical Sciences Institute, University of Bonn, Germany.
Evangelos J Giamarellos-Bourboulis4(th) Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece; Hellenic Institute for the Study of Sepsis, Athens, Greece. Electronic address: egiamarel@med.uoa.gr.
Sotiria General Hospital · GRRadboud University Nijmegen · NLUniversity of Patras · GRUniversity of Bonn · DEUniversity of Ioannina · GRCarmel (Israel) · ILGeneral Hospital of Athens G. Genimatas · GRAgostino Gemelli University Polyclinic · ITAristotle University of Thessaloniki · GRGeneral Hospital Asklepieio Voulas · GRGeneral Hospital of Athens Elpis · GRIRCCS Humanitas Research Hospital · ITNational and Kapodistrian University of Athens · GROspedale Sacro Cuore Don Calabria · ITPapageorgiou General Hospital · GRUniversity Hospital of Larissa · GRUniversity of Brescia · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesElevated concentrations of soluble urokinase plasminogen activator receptor (suPAR) predict progression to severe respiratory failure (SRF) or death among patients with COVID-19 pneumonia and guide early anakinra treatment. As suPAR testing may not be routinely available in every health-care setting, alternative biomarkers are needed. We investigated the performance of C-reactive protein (CRP), interferon gamma-induced protein-10 (IP-10) and TNF-related apoptosis-inducing ligand (TRAIL) for predicting SRF or death in COVID-19.

methodsTwo cohorts were studied; one discovery cohort with 534 patients from the SAVE-MORE clinical trial; and one validation cohort with 364 patients from the SAVE trial including also 145 comparators. CRP, IP-10 and TRAIL were measured by the MeMed Key® platform in order to select the biomarker with the best prognostic performance for the early prediction of progression into SRF or death.

resultsIP-10 had the best prognostic performance: baseline concentrations 2000 pg/ml or higher predicted equally well to suPAR (sensitivity 85.0 %; negative predictive value 96.6 %). Odds ratio for poor outcome among anakinra-treated participants of the SAVE-MORE trial was 0.35 compared to placebo when IP-10 was 2,000 pg/ml or more. IP-10 could divide different strata of severity for SRF/death by day 14 in the validation cohort. Anakinra treatment decreased this risk irrespective the IP-10 concentrations.

conclusionsIP-10 concentrations of 2,000 pg/ml or higher are a valid alternative to suPAR for the early prediction of progression into SRF or death the first 14 days from hospital admission for COVID-19 and they may guide anakinra treatment.

trial registrationCLINICALTRIALS: gov, NCT04680949 and NCT04357366.

Indexed as

COVID-19Respiratory InsufficiencyBiomarkersChemokine CXCL10C-Reactive ProteinHumansInterferon-gammaInterleukin 1 Receptor Antagonist ProteinPrognosisReceptors, Urokinase Plasminogen ActivatorBiomarkersChemokine CXCL10C-Reactive ProteinInterferon-gammaInterleukin 1 Receptor Antagonist ProteinReceptors, Urokinase Plasminogen ActivatorAnakinraCOVID-19IP-10PrognosisRespiratory failure

Identifiers

PMID36529030
PMCPMC9747699
OpenAlexW4312210774

What OpenQuestion holds

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Registered trials

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.