Table 3.
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 |