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. 2021 Jul 15;35(6):896–902. doi: 10.1007/s00540-021-02974-0

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