IL-1 Receptor Antagonist Anakinra in the Treatment of COVID-19 Acute Respiratory Distress Syndrome: A Retrospective, Observational Study.


Journal

Journal of immunology (Baltimore, Md. : 1950)
ISSN: 1550-6606
Titre abrégé: J Immunol
Pays: United States
ID NLM: 2985117R

Informations de publication

Date de publication:
01 04 2021
Historique:
received: 02 10 2020
accepted: 12 01 2021
pubmed: 7 2 2021
medline: 30 3 2021
entrez: 6 2 2021
Statut: ppublish

Résumé

The IL-1 receptor antagonist, anakinra, may represent a therapeutic option for acute respiratory distress syndrome (ARDS) associated with coronavirus disease 2019 (COVID-19). In this study, COVID-19 ARDS patients admitted to the Azienda Socio Sanitaria Territoriale of Lecco, Italy, between March 5th to April 15th, 2020, and who had received anakinra off-label were retrospectively evaluated and compared with a cohort of matched controls who did not receive immunomodulatory treatment. The primary end point was survival at day 28. The population consisted of 112 patients (56 treated with anakinra and 56 controls). Survival at day 28 was obtained in 69 patients (61.6%) and was significantly higher in anakinra-treated patients than in the controls (75.0 versus 48.2%,

Identifiants

pubmed: 33547169
pii: jimmunol.2001126
doi: 10.4049/jimmunol.2001126
pmc: PMC7980530
doi:

Substances chimiques

IL1RN protein, human 0
Interleukin 1 Receptor Antagonist Protein 0

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1569-1575

Informations de copyright

Copyright © 2021 by The American Association of Immunologists, Inc.

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Auteurs

Marco Franzetti (M)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy; m.franzetti@asst-lecco.it.

Andrea Forastieri (A)

Intensive Care Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Noemi Borsa (N)

Respiratory Unit, Scientific Institute for Research, Hospitalization, and Healthcare, Italian National Institutes of Health and Sciences on Ageing, c/o San Leopoldo Mandic Hospital, 23807 Merate, Italy.

Alessandro Pandolfo (A)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Chiara Molteni (C)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Luca Borghesi (L)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Silvia Pontiggia (S)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Giulia Evasi (G)

Intensive Care Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Lorenzo Guiotto (L)

Intensive Care Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Mattia Erba (M)

Intensive Care Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Ugo Pozzetti (U)

Medicine Department, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Anna Ronchetti (A)

Medicine Department, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Letizia Valsecchi (L)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Gioacchino Castaldo (G)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Ernesto Longoni (E)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Daniele Colombo (D)

Respiratory Unit, Scientific Institute for Research, Hospitalization, and Healthcare, Italian National Institutes of Health and Sciences on Ageing, c/o San Leopoldo Mandic Hospital, 23807 Merate, Italy.

Marco Soncini (M)

Medicine Department, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

Stefano Crespi (S)

Medicine Department, San Leopoldo Mandic Hospital, 23807 Merate, Italy.

Stefano Maggiolini (S)

Cardiology Department, San Leopoldo Mandic Hospital, 23807 Merate, Italy; and.

Davide Guzzon (D)

Intensive Care Unit, San Leopoldo Mandic Hospital, 23807 Merate, Italy.

Stefania Piconi (S)

Infectious Diseases Unit, Alessandro Manzoni Hospital, 23900 Lecco, Italy.

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