Efficacy of Tocilizumab in Patients with COVID-19

Background and purpose: Tocilizumab (TCZ), a monoclonal antibody against interleukin-6 (IL-6) receptor, is emerged as an alternative treatment for COVID-19 patients with a risk of cytokine storms. This study aimed at investigating the efficacy of TCZ in patients with COVID-19. Materials and methods:...

Full description

Bibliographic Details
Main Authors: Ahmad Alikhani, Zahra Nekoukar, Minoo Moghimi, Maysam Rezapour, Seyyed Javad Boskabadi, Amir Mohammad Shabani, Hamideh Abbaspour Kasgari
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2022-12-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-18510-en.html
_version_ 1797893136397107200
author Ahmad Alikhani
Zahra Nekoukar
Minoo Moghimi
Maysam Rezapour
Seyyed Javad Boskabadi
Amir Mohammad Shabani
Hamideh Abbaspour Kasgari
author_facet Ahmad Alikhani
Zahra Nekoukar
Minoo Moghimi
Maysam Rezapour
Seyyed Javad Boskabadi
Amir Mohammad Shabani
Hamideh Abbaspour Kasgari
author_sort Ahmad Alikhani
collection DOAJ
description Background and purpose: Tocilizumab (TCZ), a monoclonal antibody against interleukin-6 (IL-6) receptor, is emerged as an alternative treatment for COVID-19 patients with a risk of cytokine storms. This study aimed at investigating the efficacy of TCZ in patients with COVID-19. Materials and methods: In a retrospective observational study, we examined the demographic and clinical characteristics of patients with COVID-19 and also the outcomes of TCZ therapy (Actemra® and Temziva®) in Qaemshahr Razi Hospital. Results: Out of 56 cases, 32 (57.1%) were women and the median age of the patients was 57.5 years. Among the patients, 19 (33.9%) were admitted to ICU where seven (12.7%) were intubated and eight (14.3%) patients deceased. Before TCZ therapy, mean oxygen saturation level was 90.1% which elevated to 93.8% after receiving TCZ (P=0.001). In this study, Temziva® was associated with lower mortality rate compared with Actemra® (P=0.004). Conclusion: TCZ therapy in patients with COVID-19 could improve oxygen saturation level and Temziva® results in lower mortality rate. However, further studies with larger sample size are required to confirm these results.
first_indexed 2024-04-10T06:48:06Z
format Article
id doaj.art-2375a79d313649439bacab1ec3c2d7a2
institution Directory Open Access Journal
issn 1735-9260
1735-9279
language English
last_indexed 2024-04-10T06:48:06Z
publishDate 2022-12-01
publisher Mazandaran University of Medical Sciences
record_format Article
series Journal of Mazandaran University of Medical Sciences
spelling doaj.art-2375a79d313649439bacab1ec3c2d7a22023-02-28T09:18:48ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792022-12-0132215163168Efficacy of Tocilizumab in Patients with COVID-19Ahmad Alikhani0Zahra Nekoukar1Minoo Moghimi2Maysam Rezapour3Seyyed Javad Boskabadi4Amir Mohammad Shabani5Hamideh Abbaspour Kasgari6 Associate Professor, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Clinical Pharmacy Resident, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran Clinical Pharmacy Resident, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Paramedicine, Amol Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran. Clinical Pharmacy Resident, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran Clinical Pharmacy Resident, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Clinical Pharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Tocilizumab (TCZ), a monoclonal antibody against interleukin-6 (IL-6) receptor, is emerged as an alternative treatment for COVID-19 patients with a risk of cytokine storms. This study aimed at investigating the efficacy of TCZ in patients with COVID-19. Materials and methods: In a retrospective observational study, we examined the demographic and clinical characteristics of patients with COVID-19 and also the outcomes of TCZ therapy (Actemra® and Temziva®) in Qaemshahr Razi Hospital. Results: Out of 56 cases, 32 (57.1%) were women and the median age of the patients was 57.5 years. Among the patients, 19 (33.9%) were admitted to ICU where seven (12.7%) were intubated and eight (14.3%) patients deceased. Before TCZ therapy, mean oxygen saturation level was 90.1% which elevated to 93.8% after receiving TCZ (P=0.001). In this study, Temziva® was associated with lower mortality rate compared with Actemra® (P=0.004). Conclusion: TCZ therapy in patients with COVID-19 could improve oxygen saturation level and Temziva® results in lower mortality rate. However, further studies with larger sample size are required to confirm these results.http://jmums.mazums.ac.ir/article-1-18510-en.htmltocilizumabil6covid-19cytokine storm
spellingShingle Ahmad Alikhani
Zahra Nekoukar
Minoo Moghimi
Maysam Rezapour
Seyyed Javad Boskabadi
Amir Mohammad Shabani
Hamideh Abbaspour Kasgari
Efficacy of Tocilizumab in Patients with COVID-19
Journal of Mazandaran University of Medical Sciences
tocilizumab
il6
covid-19
cytokine storm
title Efficacy of Tocilizumab in Patients with COVID-19
title_full Efficacy of Tocilizumab in Patients with COVID-19
title_fullStr Efficacy of Tocilizumab in Patients with COVID-19
title_full_unstemmed Efficacy of Tocilizumab in Patients with COVID-19
title_short Efficacy of Tocilizumab in Patients with COVID-19
title_sort efficacy of tocilizumab in patients with covid 19
topic tocilizumab
il6
covid-19
cytokine storm
url http://jmums.mazums.ac.ir/article-1-18510-en.html
work_keys_str_mv AT ahmadalikhani efficacyoftocilizumabinpatientswithcovid19
AT zahranekoukar efficacyoftocilizumabinpatientswithcovid19
AT minoomoghimi efficacyoftocilizumabinpatientswithcovid19
AT maysamrezapour efficacyoftocilizumabinpatientswithcovid19
AT seyyedjavadboskabadi efficacyoftocilizumabinpatientswithcovid19
AT amirmohammadshabani efficacyoftocilizumabinpatientswithcovid19
AT hamidehabbaspourkasgari efficacyoftocilizumabinpatientswithcovid19