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. 2021 Jun 15;11(6):556. doi: 10.3390/jpm11060556

Table 3.

Trials using hydrocortisone (HC); design (R = randomized in blue), timing, duration, outcomes (focusing on mortality data), and viral shedding.

Trial Name/Authors (Reference) Steroid Used, Dosing Trial Design, Population Initiation Timing Duration of Administration (Days) Main Outcome(s) Secondary Outcome(s) Viral Clearance
Dequin P-F et al. [28] HC Cont iv: 200 mg × 7 d, then 100 mg × 4 d, then 50 mg × 3 d MC/R/DB critically ill pts Total max 14 D21 Tx failure (death, persistent MV, HFNC): No significant difference between CS and placebo (under-powered, stopped early) No significant difference in: need for intubation, proning, ECMO, NO
Angus DC et al. [29] HC Fixed: 50–100 mg × 4
Shock HC: 50 mg × 4
O-L/R, severe COVID-19 pts, fixed dose HC vs. shock dose HC vs. no HC 7 D21 organ-support free ds: Probability of superiority compared to no CS: 93% in fixed dose HC 80% in shock dose HC Mortality rate: 30% fixed dose 26% shock dose 33% no CS