Treatment of COVID-19 patients with the anti-CD6 antibody itolizumab.

CD6 COVID‐19 SARS‐CoV2 cytokine release syndrome itolizumab monoclonal antibody

Journal

Clinical & translational immunology
ISSN: 2050-0068
Titre abrégé: Clin Transl Immunology
Pays: Australia
ID NLM: 101638268

Informations de publication

Date de publication:
2020
Historique:
received: 02 09 2020
revised: 02 11 2020
revised: 04 10 2020
revised: 28 10 2020
accepted: 02 11 2020
entrez: 11 12 2020
pubmed: 12 12 2020
medline: 12 12 2020
Statut: epublish

Résumé

COVID-19 can lead to a hyperinflammatory state. CD6 is a glycoprotein expressed on mature T lymphocytes which is a crucial regulator of the T-cell activation. Itolizumab is a humanised antibody targeting CD6. Nonclinical and clinical data in autoimmune diseases indicate that it lowers multiple cytokines primarily involving the Th1/Th17 pathway. The primary objective of this study was to assess the impact of itolizumab in arresting the lung function deterioration of COVID-19 patients. Secondary objectives included safety, duration of ventilation, 14-day mortality and evaluation of interleukin 6 concentration. Patients with confirmed SARS-CoV-2 received itolizumab in combination with other therapies included in the national protocol for COVID-19. Seventy critical, severe or moderate patients were treated with itolizumab in 10 Cuban hospitals. Median age was 68, and 94% had comorbidities. After 72 h, most patients improved the PO The opportune administration of itolizumab might interrupt the hyperinflammatory cascade and prevent COVID-19 morbidity and mortality.

Identifiants

pubmed: 33304584
doi: 10.1002/cti2.1218
pii: CTI21218
pmc: PMC7688906
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e1218

Informations de copyright

© 2020 The Authors. Clinical & Translational Immunology published by John Wiley & Sons Australia, Ltd on behalf of Australian and New Zealand Society for Immunology, Inc.

Déclaration de conflit d'intérêts

Fifteen authors currently work for the Center of Molecular Immunology, the institution that generated and originally patented itolizumab. The other authors do not have any commercial or financial relationships that could be taken as a potential conflict of interest.

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Auteurs

Armando Caballero (A)

Intensive Care Unit Arnaldo Milián Castro University Hospital Santa Clara Cuba.

Lázaro M Filgueira (LM)

Intensive Care Unit Manuel "Piti" Fajardo Rivero Hospital Santa Clara Cuba.

Julio Betancourt (J)

Intensive Care Unit Manuel "Piti" Fajardo Rivero Hospital Santa Clara Cuba.

Naivy Sánchez (N)

Intensive Care Unit Manuel "Piti" Fajardo Rivero Hospital Santa Clara Cuba.

Carlos Hidalgo (C)

Intensive Care Unit Manuel "Piti" Fajardo Rivero Hospital Santa Clara Cuba.

Alberto Ramírez (A)

Intensive Care Unit Salvador Allende Hospital Havana Cuba.

Alejandro Martinez (A)

Intensive Care Unit Salvador Allende Hospital Havana Cuba.

Rolando E Despaigne (RE)

Intensive Care Unit Joaquín Castillo Hospital Havana Cuba.

Alberto Escalona (A)

Intensive Care Unit Faustino Pérez Hospital Matanzas Cuba.

Henrry Diaz (H)

Intensive Care Unit Frank País Hospital Havana Cuba.

Elio Meriño (E)

Intensive Care Unit Frank País Hospital Havana Cuba.

Lilia M Ortega (LM)

Intensive Care Unit Pedro Kouri Institute Havana Cuba.

Ulises Castillo (U)

Emergency Department Ministry of Cuban Health Havana Cuba.

Mayra Ramos (M)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Danay Saavedra (D)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Yanelda García (Y)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Geydi Lorenzo (G)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Meylán Cepeda (M)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Maylén Arencibia (M)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Leticia Cabrera (L)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Milagros Domecq (M)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Daymys Estévez (D)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Carmen Valenzuela (C)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Patricia Lorenzo (P)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Lizet Sánchez (L)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Zaima Mazorra (Z)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Kalet León (K)

Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Tania Crombet (T)

Clinical Research Direction Center of Molecular Immunology (CIM) Havana Cuba.

Classifications MeSH