Siltuximab downregulates interleukin-8 and pentraxin 3 to improve ventilatory status and survival in severe COVID-19

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Abstract

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  1. SciScore for 10.1101/2020.04.01.20048561: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIRB: The study protocol was submitted and approved through the Hospital Ethics Board. Patients, or their legal representative, provided either verbal or written consent to participate in the study.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    All statistical analyses were performed with SAS® software (Version 9.4 or later).
    SAS®
    suggested: (SASqPCR, RRID:SCR_003056)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Our study has several limitations. It is an observational study with a small sample size, which limits the interpretation and generalisability of the results. Due to the observational study design, we cannot exclude the possibility of unmeasured confounding factors, although we have reassuringly noted consistency in the propensity score-matched analyses. No data were available for laboratory parameters and adverse events in the control cohort, meaning that comparisons between treated and untreated patients were not possible. Nonetheless, there is a sound rationale for the use of siltuximab in this patient group, and there were improvements in mortality and patient outcomes. In summary, our study indicates that siltuximab administered at the onset of ventilatory support reduces mortality associated with COVID-19 and respiratory failure compared with best supportive care. Further randomised controlled studies are needed to confirm the efficacy and safety of this IL-6 neutralising mAb in the treatment of patients with COVID-19 and respiratory failure.

    Results from TrialIdentifier: We found the following clinical trial numbers in your paper:

    IdentifierStatusTitle
    NCT04322188CompletedAn Observational Study of the Use of Siltuximab (SYLVANT) in…


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.