Evidence map›Paper›PMID 36864209›Full record

ArticleAnnals of hematology2023

Tocilizumab, an IL6-receptor antibody, proved effective as adjuvant therapy for cytokine storm induced by severe infection in patients with hematologic malignancy.

Bingjie Wang, Qian Wang, Zeyin Liang, Yue Yin, Lihong Wang, Qingya Wang, Yuan Li, Jinping Ou, Hanyun Ren, Yujun Dong

Open access · bronzeAbstract read
In one paragraph

Article in Annals of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Bingjie WangDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China.
Qian WangDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China.
Zeyin LiangDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China.
Yue YinDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China.
Lihong WangDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China.
Qingya WangDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China.
Yuan LiDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China.
Jinping OuDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China.
Hanyun RenDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China. renhy0813@163.com.
Yujun DongDepartment of Hematology, Peking University First Hospital, Beijing, 100034, China. Dongy@hsc.pku.edu.cn.ORCID http://orcid.org/0000-0002-7935-6194
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with hematological malignancies who experience severe infections are at risk of developing dangerous complications due to excessive inflammatory cytokines. To improve the prognosis, it is crucial to identify better ways to manage the systemic inflammatory storm after infection. In this study, we evaluated four patients with hematological malignancies who developed severe bloodstream infections during the agranulocytosis phase. Despite receiving antibiotics, all four patients presented elevated serum IL-6 levels as well as persistent hypotension or organ injury. Adjuvant therapy with tocilizumab, an IL-6-receptor antibody, was administered, and three of the four patients showed significant improvement. Unfortunately, the fourth patient died due to multiple organ failure caused by antibiotic resistance. Our preliminary experience suggests that tocilizumab, as an adjuvant therapy, may help alleviate systemic inflammation and reduce risk of organ injury in patients with elevated IL-6 levels and severe infection. Further randomized controlled trials are needed to confirm the effectiveness of this IL-6 targeting approach.

Indexed as

COVID-19Hematologic NeoplasmsAntibodies, Monoclonal, HumanizedCytokine Release SyndromeHumansInterleukin-6SARS-CoV-2Treatment OutcomeAntibodies, Monoclonal, HumanizedInterleukin-6tocilizumabCytokine stormHematologic malignancyIL-6InfectionTocilizumab

Identifiers

PMID36864209
PMCPMC9981444
OpenAlexW4322762236

What OpenQuestion holds

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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.