First author | Acronym | Treatment dose | Control dose | Time from symptoms onset to first dose, days | Patients in ICU at baseline, % | Patients on IMV at baseline, % | Patients who received steroids, % | Primary outcome | Longest follow-up |
---|---|---|---|---|---|---|---|---|---|
Gordon AC | REMAP-CAP | Tocilizumab: 8 mg/kg IV (max 800 mg); second dose 12–24 h at physician discretion; Sarilumab: 400 mg IV, one dose | N/A | N/A | 100.0 | 29.0 | 90.7 | Respiratory and cardiovascular organ support-free days up to day 21 | Hospital stay |
Hermine O | CORIMUNO-TOCI 1 | 8 mg/kg IV (max 800 mg); second dose 400 mg on day 3 at discretion of attending physician | N/A | 10 | 0.0 | 0.0 | 47.7 | Death or NIMV/IMV day 4 (WHO-CPS > 5); survival without MV on day 14 | Hospital stay |
Lescure FX | N/A | 400 mg IV or 200 mg IV. Second dose based on clinician’s discretion within 24–48 h | N/A | 5 | 35.6 | 11.6 | 42.1 | Time to clinical improvement | 60 days |
RECOVERY Collaborative Group | RECOVERY | 800 mg if weight > 90 kg; 600 mg if weight > 65 and ≤ 90 kg; 400 mg if weight > 40 and ≤ 65 kg; and 8 mg/kg if weight ≤ 40 kg. A second dose could be given, according to the clinician opinion, if patient’s condition did not improve | N/A | 9 (tocilizumab) vs 10 (standard care) | N/A | 13.7 | 82.2 | 28-day mortality | 28 days |
Rosas IO | COVACTA | 8 mg/kg IV (max 800 mg); second dose 8–24 h after if no improvement/worsening | N/A | 11 (tocilizumab) vs 10 (placebo) | 56.4 | 37.7 | 42.2 | Clinical status on 7-category ordinal scale at day 28 | 28 days |
Rutgers A | PreToVid | 8Â mg/kg IV (max 800Â mg); second dose 8Â h after if hypoxia not resolved | N/A | 9 (tocilizumab) vs 9 (standard care) | N/A | N/A | 88.4 | 30-day mortality | 30Â days |
Salama C | EMPACTA | 8 mg/kg IV (max 800 mg); second dose 8–24 h after if no improvement/worsening | N/A | 8 | 15.4 | 0.0 | 82.8 | Death or IMV/ECMO by day 28 | 60 days |
Salvarani C | RCT-TCZ-COVID-19 | 8Â mg/kg IV (max 800Â mg), 2 doses 12Â h apart | N/A | 8 | 0.0 | 0.0 | 10.6 | Clinical worsening within 14Â days | Hospital stay |
Sivapalasingam S | N/A | 200Â mg IV, 400Â mg IV, or 800Â mg IV | N/A | N/A | N/A | N/A | 29.0 | CRP levels (Phase 2); Clinical improvement in patients receiving MV at baseline (Phase 3) | 29Â days |
Soin AS | COVINTOC | 6 mg/kg IV (max 480 mg); second dose 12 h–7d after if no improvement/worsening | N/A | N/A | 65.9 | 5.0 | 91.1 | Disease progression (from moderate to severe or from severe to death) within 14 days | Hospital stay |
Stone JH | BACC Bay Tocilizumab Trial | 8Â mg/kg IV (max 800Â mg) | N/A | 9 | 4.1 | 0.0 | 11.6 | Death or IMV by day 28 | 28Â days |
Talaschian M | N/A | 8Â mg/kg IV (max 800Â mg) | N/A | N/A | 0.0 | 0.0 | 33.3 | 28-day mortality | 28Â days |
Veiga VC | TOCIBRAS | 8Â mg/kg IV (max 800Â mg) | N/A | 10 | N/A | 16.3 | 86.0 | Clinical status at day 15 (seven-level ordinal scale) | 29Â days |
Wang D | N/A | 400Â mg IV; second dose 24Â h if still fever | N/A | 23 | N/A | 0.0 | N/A | Cure rate of enrolled patients | Hospital stay |
Zhao H | N/A | 4–8 mg/kg IV; second dose 24 h if still fever | 1600 mg × 2 p.p. day 1; 600 mg × 2 p.o. day 2–7 | N/A | N/A | 0.0 | N/A | Cumulative lung lesion remission rate (lung CT examination indicated absorption of lung inflammation) | Hospital stay |