Evidence map›Paper›PMID 40274842›Full record

Trial reportScientific reports2025

sST2 is a key outcome biomarker in COVID-19: insights from discovery randomized trial.

David M Smadja, Clément R Massonnaud, Aurélien Philippe, Mickael Rosa, Sophie Luneau, Antoine Rauch, Nathan Peiffer-Smadja, Amandine Gagneux-Brunon, Julien Poissy, Maxime Gruest and 42 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04315948 (Multi-centre, Adaptive, Randomized Trial of the Safety and Efficacy of Treatments of COVID-19 in Hospitalized Adults), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04315948 phase3completednot on this map

Multi-centre, Adaptive, Randomized Trial of the Safety and Efficacy of Treatments of COVID-19 in Hospitalized Adults

TypeinterventionalSponsorInstitut National de la Santé Et de la Recherche Médicale, FranceRan2020 to 2023Enrolled1,552ConditionsCorona Virus InfectionArmsRemdesivir, Lopinavir/ritonavir, Interferon Beta-1A, Hydroxychloroquine, Standard of care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

52 authors.

David M Smadja *Innovative Therapies in Hemostasis, INSERM, University Paris Cité, 75006, Paris, France. david.smadja@aphp.fr.ORCID http://orcid.org/0000-0001-7731-9202
Clément R Massonnaud *Département d'Épidémiologie, Biostatistique et Recherche Clinique, AP-HP, Hôpital Bichat, 75018, Paris, France.
Aurélien Philippe *Innovative Therapies in Hemostasis, INSERM, University Paris Cité, 75006, Paris, France.
Mickael Rosa *Inserm, CHU Lille, Institut Pasteur de Lille, U1011- EGID, Université de Lille, 59000, Lille, France.
Sophie LuneauHematology Department, AP-HP Centre, Georges Pompidou European Hospital, Université Paris Cité, 20 Rue Leblanc, 75015, Paris, France.
Antoine RauchInserm, CHU Lille, Institut Pasteur de Lille, U1011- EGID, Université de Lille, 59000, Lille, France.
Nathan Peiffer-SmadjaIAME, INSERM, Université de Paris, 75018, Paris, France.
Amandine Gagneux-BrunonDepartment of Infectious Diseases, University Hospital of Saint-Etienne, Saint-Etienne, France.
Julien PoissyInserm, CHU Lille, Institut Pasteur de Lille, U1011- EGID, Université de Lille, 59000, Lille, France.
Maxime GruestHematology Department, AP-HP Centre, Georges Pompidou European Hospital, Université Paris Cité, 20 Rue Leblanc, 75015, Paris, France.
Alexandre UngInserm, CHU Lille, Institut Pasteur de Lille, U1011- EGID, Université de Lille, 59000, Lille, France.
Valérie PourcherAssistance Publique - Hôpitaux de Paris, Hôpitaux Universitaires Pitié-Salpêtrière Charles Foix, Service de Maladies Infectieuses et Tropicales, INSERM 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Sorbonne Université, 75013, Paris, France.
François RaffiDepartment of Infectious Diseases, CIC 1413, INSERM, CHU Nantes, Nantes Université, Nantes, France.
Lionel PirothInfectious Diseases Department, CHU, Dijon, and INSERM CIC 1432, Université de Bourgogne-Franche Comté, Dijon, France.
Kévin BouillerUMR-CNRS 6249 Chrono-Environnement, Department of Infectious and Tropical Diseases, CHU Besançon, Université de Franche-Comté, 25000, Besançon, France.
Hélène EsperouInstitut de Santé Publique, INSERM, Pôle Recherche Clinique, Paris, France.
Christelle DelmasIAME, INSERM, Université de Paris, 75018, Paris, France.
Drifa BelhadiDépartement d'Épidémiologie, Biostatistique et Recherche Clinique, AP-HP, Hôpital Bichat, 75018, Paris, France.
Alpha DialloANRS, Maladies Infectieuses Émergentes, Paris, France.
Juliette SaillardANRS, Maladies Infectieuses Émergentes, Paris, France.
Aline DechanetDépartement d'Épidémiologie, Biostatistique et Recherche Clinique, AP-HP, Hôpital Bichat, 75018, Paris, France.
Noémie MercierANRS, Maladies Infectieuses Émergentes, Paris, France.
Axelle DupontIAME, INSERM, Université de Paris, 75018, Paris, France.
François-Xavier LescureIAME, INSERM, Université de Paris, 75018, Paris, France.
François GoehringerService de Maladies Infectieuses et Tropicales, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France.
Stéphane JaureguiberryAP-HP, Service Des Maladies Infectieuses, Hôpital Bicêtre, 94270, Le Kremlin Bicêtre, France.
François DanionService des Maladies Infectieuses et Tropicales, Hôpitaux Universitaires de Strasbourg, 67091, Strasbourg, France.
Violaine TolsmaService des Maladies Infectieuses et Tropicales, Centre Hospitalier Annecy Genevois, 74374, Annecy, France.
André CabiePCCEI, Inserm, EFS, Univ Montpellier, Univ Antilles, Montpellier, France.
Johan CourjonService des Maladies Infectieuses et Tropicales, CHU de Nice, Nice, France.
Sylvie LeroyFédération Hospitalo-Universitaire OncoAge, Nice, France.
Joy MootienService de Réanimation Médicale, Groupe Hospitalier de la Région Mulhouse Sud-Alsace, Mulhouse, France.
Bruno MourvillierCHU de Reims, Service de Réanimation Médicale, Université de Reims Champagne-Ardenne, Reims, France.
Sébastien GallienService d'Immunologie et Maladies Infectieuses, AP-HP, Hôpital Henri Mondor, 94000, Créteil, France.
Jean-Philippe LanoixService de Maladies Infectieuses et Tropicales, CHU Amiens-Picardie, 80000, Amiens, France.
Elisabeth Botelho-NeversDepartment of Infectious Diseases, University Hospital of Saint-Etienne, Saint-Etienne, France.
Florent WalletDépartement de Soins Intensifs, Hospices Civils de Lyon, Hôpital Lyon-Sud Pierre-Bénite, 69000, Lyon, France.
Jean-Christophe RichardService de Réanimation Médicale, Hospices Civils de Lyon, Hôpital de la Croix-Rousse, 69000, Lyon, France.
Jean ReuterService de Réanimation-Soins Intensifs, Centre Hospitalier de Luxembourg, 1210, Luxembourg, Luxembourg.
Alexandre GaymardLaboratoire de Virologie, Institut des Agents Infectieux de Lyon, Centre National de Référence des Virus Respiratoires France Sud, Hospices Civils de Lyon, 69317, Lyon, France.
Richard GreilDepartment of Internal Medicine III With Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute - Laboratory for Immunological and Molecular Cancer Research (SCRI-LIMCR), Paracelsus Medical University Salzburg, 5020, Salzburg, Austria.
Guillaume Martin-BlondelService des Maladies Infectieuses et Tropicales, CHU de Toulouse, 31320, Toulouse, France.
Claire AndrejakDépartement de Pneumologie, CHU d'Amiens, 80000, Amiens, France.
Yazdan YazdanpanahIAME, INSERM, Université de Paris, 75018, Paris, France.
Charles BurdetDépartement d'Épidémiologie, Biostatistique et Recherche Clinique, AP-HP, Hôpital Bichat, 75018, Paris, France.
Jean-Luc DiehlInnovative Therapies in Hemostasis, INSERM, University Paris Cité, 75006, Paris, France.
Maya HitesClinic of Infectious Diseases, Hôpital Universitaire de Bruxelles (H.U.B), 1070, Brussels, Belgium.
Florence AderDépartement des Maladies Infectieuses et Tropicales, Hospices Civils de Lyon, Lyon, France.
Sophie SusenInserm, CHU Lille, Institut Pasteur de Lille, U1011- EGID, Université de Lille, 59000, Lille, France.
France Mentré *Département d'Épidémiologie, Biostatistique et Recherche Clinique, AP-HP, Hôpital Bichat, 75018, Paris, France.
Annabelle Dupont *Inserm, CHU Lille, Institut Pasteur de Lille, U1011- EGID, Université de Lille, 59000, Lille, France.
Discovery Study Group

Funding

Agence Nationale de la Recherche SARCODOAPHP Mécénat Collecte Crise COVIDFondation de France ANR Flash COVIDMécénat Crédit Agricole Ile de France Programme Jeune Talent
6 · The paper itself

Abstract

We investigated whether baseline levels of biomarkers related to endotheliopathy, thromboinflammation, and fibrosis were associated with clinical outcomes in hospitalized COVID-19 patients. We analyzed the associations between baseline levels of 21 biomarkers and time to hospital discharge and change in NEWS-2 score in patients from DisCoVeRy trial. We fitted multivariate models adjusted for baseline ISARIC 4C score, disease severity, D-dimer values, and treatment regimen. Between March 22 and June 29, 2020, 603 participants were randomized; 454 had a sample collected at baseline and analyzed. The backward selection of multivariate models showed that higher baseline levels of soluble suppressor of tumorigenicity 2 (sST2) and nucleosomes were statistically associated with a lower chance of hospital discharge before day 29 (sST2: aHR 0.24, 95% CI [0.15-0.38], p < 10

Indexed as

COVID-19Interleukin-1 Receptor-Like 1 ProteinAgedBiomarkersFemaleFibrin Fibrinogen Degradation ProductsHospitalizationHumansMaleMiddle AgedNucleosomesPrognosisSARS-CoV-2Severity of Illness IndexBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DIL1RL1 protein, humanInterleukin-1 Receptor-Like 1 ProteinNucleosomesAngiogenesisCOVID-19FibrosisSARS-CoV-2ST2

Identifiers

PMID40274842
PMCPMC12022249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.