From: Drug dosing in hospitalized obese patients with COVID-19
Study | N | Dose | Weight descriptor for tocilizumab arm | Main results |
---|---|---|---|---|
BACC Bay Stone [27] | 243 | 8 mg/kg, max 800 mg | BMI = 29.9 (26–34.2) kg/m2 | No difference in mechanical ventilation or death |
CORIMUNO-19 Hermine [28] | 131 | 8 mg/kg, option for additional 400 mg dose at 72 h | Weight = 80 (70–90) kg BMI = 27.9 (23.3–30.8) kg/m2 | No improvement in need for mechanical ventilation on day 4 or survival free from mechanical ventilation |
COVACTA Rosas [29] | 438 | 8 mg/kg, max 800 mg, option to repeat dose in 8–24 h | Weight = 89 ± 24 kg | No difference in clinical status |
COVINTOC Soin [30] | 180 | 6Â mg/kg, max 480Â mg, option to repeat dose in 12Â h | Not reported | No improvement in progression of disease |
EMPACTA Salama [31] | 340 | 8 mg/kg, max 800 mg, option to repeat dose in 8–24 h | Weight = 90 ± 24 kg BMI = 32 ± 7.9 kg/m2 | Reduction in progression to the composite of mechanical ventilation or death |
RCT-TCZ-COVID-19 Salvarani [32] | 126 | 8 mg/kg, max 800 mg followed by 2nd dose after 12 h | BMI ≥ 30 kg/m2 = 28% | No difference in clinical worsening |
RECOVERY [33] | 1350 | 800 mg if > 90 kg, 600 mg if > 65 and ≤ 90 kg, 400 mg if > 40 and ≤ 65 kg, 8 mg/kg if ≤ 40 kg, option to repeat dose in 12–24 h | Not reported | Improvement in 28-day survival |
REMAP-CAP, 2021 [34] | 865 | 8 mg/kg, max 800 mg, option to repeat dose in 12–24 h | BMI = 30.5 (26.9–34.9) kg/m2 | Improvement in respiratory and cardiovascular organ support-free days |
REMDACTA Rosas [35] | 649 | 8 mg/kg, max 800 mg, option to repeat dose in 8–24 h | Weight = 94 ± 27 kg | No difference in time to discharge |
TOCIBRAS Veiga [36] | 129 | 8 mg/kg, max 800 mg | Obesity = 23% | No improvement in clinical status at day 15 |
Wang [37] | 65 | 400Â mg, option to repeat dose at 24Â h | Not reported | No difference in cure rate |