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Evaluation of the Effects of Tocilizumab Administration in Hospitalized COVID-19 Patients

Phase 2
Recruiting
Conditions
COVID-19 pneumonia.
COVID-19
U07.1
Registration Number
IRCT20151227025726N29
Lead Sponsor
Iran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

Patients between 18 and 70 years old
Laboratory confirmed COVID-19 with RT-PCR
Be in severe or critical stage of the disease
Have interleukin-6 levels above 15 picogram per milliliter or CRP above 100 miligram per liter

Exclusion Criteria

Acute or chronic renal failure (Increase in creatinine by more than 3.0 in the last 48 hours or GFR less than 30 mL/min)
Liver failure (more than 5-fold increase in liver enzymes in asymptomatic patients or more than 3-fold increase in liver enzymes in symptomatic patients or Child Pugh C, D)
Hypersensitivity reaction during tocilizumbe injection with severe extrusion and symptoms of anaphylactic shock
Mild stage of the disease
Pregnant and lactating patients
Patients with platelets less than 100,000 or ANC less than 5
Patients with Latent TB or Active TB or any active infection
History of active gastric ulcer
Patients with positive viral marker

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mortality. Timepoint: Days 7, 14 and 21 of hospitalization. Method of measurement: Medical record.;Need for intubation. Timepoint: Daily until discharge. Method of measurement: Medical record.;Lung radiological changes. Timepoint: Before receiving tocilizumab and after discharge. Method of measurement: Computed tomography.
Secondary Outcome Measures
NameTimeMethod
umber of days admitted to critical care unit. Timepoint: Daily until discharge. Method of measurement: Medical record.;Length of hospital stay. Timepoint: Daily until discharge. Method of measurement: Medical record.
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