Tocilizumab Therapy to Lower Mortality in COVID-19 Patients: A Meta-Analysis


Winei Handriani

 

Masters Program in Public Health, Universitas Sebelas Maret

 

ABSTRACT

 

Background: IL-6, one of pro-inflammatory cytokine, plays a key role in the clinical manifestations of COVID-19 disease and represents a predictive marker of fatal out­come. Several drugs targeting the IL-6 pathway have been attempted, including tocili­zumab (TCZ). However, data supporting the use of Tocilizumab (TCZ) in COVID-19 are contrasting and inconclusive. This study aimed to evaluate the effect of Tocilizumab therapy to lower mortality in covid-19 patients.

Subjects and Method: A systematic review and meta analysis was conducted using the Pubmed, Google Scholar, and Science Direct databases, published from 2020 to 2021. Eligibility criteria were defined using the PICO model as follows, (1) population: COVID-19 patients, (2) intervention: tocilizumab therapy, (3) comparison: non tocili­zumab therapy, and (4) outcome: mortality. The following search terms were used: Tocilizumab” AND “COVID-19” AND “Mortality” AND “adjective hazard ratio”. The inclusion criteria were English full-text, cohort study, and reported adjusted Hazard Ratio (aHR). The systematic review was carried out according to the PRISMA guide­lines. Data analyses were performed using RevMan 5.3.

Results: 6 studies from United States, Italy, France, and Spain were involved for meta-analysis. This study showed that tocilizumab therapy reduced mortality in COVID-19 patients (aHR= 0.44; 95% CI= 0.36 to 0.55; p<0.001).

Conclusion: Tocilizumab therapy reduces mortality in COVID-19 patients.

Keywords: Tocilizumab, mortality, COVID-19.

CorrespondenceWinei Handriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: wineihandriani02@gmail.com. Moblie: 083150000253

DOIhttps://doi.org/10.26911/AB.Medicine.ICPH.08.2021.18

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