Table 2.
Summary of drug regimen
Trial name | First dose | Second dose | |
---|---|---|---|
Timing | Indication | ||
RECOVERY [5] |
800 mg if weight > 90 kg 600 mg if weight 65–90 kg 400 mg if weight 40–65 kg 8 mg/kg if weight ≤ 40 kg |
After 12–24 h | If no improvement according to the attending clinician. 29% received a second dose |
REMAP-CAP [6] | 8 mg/kg, maximum of 800 mg | After 12–24 h | If no improvement according to the attending clinician. 29% received a second dose |
CORIMUNO-TOCI [7] | 8 mg/kg | Day 3 |
If oxygen requirement did not decrease by 50% 47% received a second dose |
EMPACTA [8] | 8 mg/kg, maximum of 800 mg | After 8–24 h |
if no improvement or worsening of clinical state on a 7-point ordinal scale* 27.2% patients received a second dose |
COVINTOC [9] | 6 mg/kg maximum of 480 mg | Within 12 h to 7 days | If no improvement or worsening clinical state |
TOCIBRAS [10] | 8 mg/kg, maximum of 800 mg | NA | |
COVACTA [11] | 8 mg/kg, maximum of 800 mg | After 8–24 h |
If no improvement or worsening clinical state on a 7-point ordinal scale* 22.1% patients received a second dose |
BACC-Bay [12] | 8 mg/kg, maximum of 800 mg | NA | |
RCT-TCZ-COVID-19 [13] | 8 mg/kg, maximum of 800 mg | After 12 h | To all patients in TCZ group |
ECMO extra-corporeal membrane oxygenation, ICU intensive care unit, NA not applicable, TCZ tocilizumab
*7-point ordinal scale: 1: Discharged (or “ready for discharge” as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤ 2L supplemental oxygen); 2: Non-ICU hospital ward (or “ready for hospital ward”) not requiring supplemental oxygen; 3: Non-ICU hospital ward (or “ready for hospital ward”) requiring supplemental oxygen; 4: ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5: ICU, requiring intubation and mechanical ventilation; 6: ICU, requiring ECMO or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7: Death