Abstract
Background: COVID-19, which is a disease caused by the SARS-CoV-2 virus, has spread around the world since late 2019. Studies have found associations between the rising levels of TNF-α and severe COVID-19 cases. Hence, TNF-α blocking can possibly be a favorable intervention in modifying COVID-19. To this end, in order to manage pneumonia caused by COVID-19, adalimumab may potentially be considered as a potential therapeutic agent. The present study aimed to investigate the potential therapeutic role of adalimumab in treating COVID-19 cases in combination therapy with remdesivir and dexamethasone.
Methods: Among the 68 patients who were included in the current randomized controlled trial, 34 were assigned to the adalimumab group and the remaining 34 were assigned to the control group. Adalimumab at a dose of 40 mg, subcutaneous for once, was used for the intervention group. Both the intervention and control groups received remdesivir, dexamethasone, and supportive care. The data gathered to make comparisons of the groups included demographic information, the rate of mortality, mechanical ventilation requirement, length of stay in hospital and Intensive Care Unit (ICU), and imaging findings.
Results: There was no significant difference between the two groups in the terms of mortality rate (P-value = 1) and mechanical ventilation requirement (P-value = 1). The length of hospital and ICU stay as well as radiologic changes were not affected either (P-value = 1, 0.27, and 0.53, respectively).
Conclusions: Our findings did not support the use of adalimumab in combination with remdesivir and dexamethasone in the treatment of severe COVID-19 cases.
Keywords: Adalimumab; COVID-19; Coronavirus; Pulmonary infection; TNF-α.
【저자키워드】 COVID-19, coronavirus, adalimumab, TNF-α, Pulmonary infection, 【초록키워드】 Dexamethasone, Randomized controlled trial, Treatment, Mortality, severe COVID-19, mechanical ventilation, Pneumonia, hospital, intensive care unit, Remdesivir, SARS-CoV-2 virus, combination therapy, Intervention, pulmonary, ICU, Spread, comparison, therapeutic, Patient, therapeutic agent, mortality rate, group, information, disease, change, adalimumab, TNF-α, Pulmonary infection, association, supportive care, Combination, dose, COVID-19 cases, Support, control group, intervention group, two groups, P-value, no significant difference, Comparisons, treating COVID-19, radiologic, was used, caused, assigned, two group, not affected, rising, the SARS-CoV-2 virus, 【제목키워드】 Randomized controlled trial, Severe case, Effect,