Review Article

Efficacy and Safety of Sarilumab in COVID-19: A Systematic Review

Table 3

Functional efficacious outcomes of the included studies.

AuthorEfficacy outcomesDescription, n (%)

Della-Torre et.al.PaO2/FiO2 ratio; n (%)200–300 mm of Hg
Total: 4 (7)
Sarilumab: 1 (4)
Comparison: 3 (11)
value: 0.61
100–200 mm of Hg
Total: 22 (39)
Sarilumab: 10 (36)
Comparison: 12 (43)
value: 0.78
<100 mm of Hg
Total: 30 (54)
Sarilumab: 17 (60)
Comparison: 13 (46)
value: 0.42
Mortality; n (%)Sarilumab: 2 (7)
Comparison: 5 (18)
value: 0.42
Clinical improvement; n (%)Sarilumab: 17 (60)
Comparison: 18 (64)
value: 0.99
Mechanical ventilation; n (%)Sarilumab: 6 (21)
Comparison: 7 (25)
value: 0.99
Montesarchio et.al.PaO2/FiO2 ratio122 (83–240)
Mortality; n (%)5 (33.3)
Intubated vs. not intubated; n (%)8 (53.3) vs. 7 (46.7)
Benucci et.al.PaO2/FiO2 ratioImprovement of oxygenation expressed by an increased SpO2/FiO2 ratio (Horovitz index) by 50 or higher compared to nadir SpO2/FiO2 for at least 48 hours: seven of them showed an improvement of the Horovitz index
Mortality; n7 survived and 1 died
Lescure et.al.PaO2/FiO2 ratioTotal: 237·5 (173·6–300·0)
Placebo: 240·0 (190·0–332·1)
Sarilumab (200 mg): 230·0 (165·0–296·9)
Sarilumab (400 mg): 237·5 (172·7–293·8)
Mortality (seven-point scale); n (%)Total: 9 (11%)
Sarilumab (200 mg): 17 (11%)
Sarilumab (400 mg): 18 (10%)
Noninvasive ventilation; n (%)Total: 7 (2%)
Placebo: 2 (2%)
Sarilumab (200 mg): 3 (2%)
Sarilumab (400 mg): 2 (1%)
Invasive mechanical ventilation; n (%)Total: 48 (12%)
Placebo: 9 (11%)
Sarilumab (200 mg): 16 (10%)
Sarilumab (400 mg): 23 (13%)
Gremese et.al.PaO2/FiO2 ratioNo ICU care: 167.5 (125.4–226.5)
ICU care: 101.0 (89.0–141.0)
value: 0.007
Mortality; n (%)No ICU care: 1 (2.5%)
ICU care: 2 (14.2%)

ICU: intensive care unit.