Severe Acute Respiratory Syndrome (ARDS) Secondary to SARS-COV-2 Infection Clinical Trial
Official title:
An Observational Study of the Use of Siltuximab (SYLVANT) in Patients Diagnosed With COVID-19 Infection Who Have Developed Serious Respiratory Complications
This observational study will collect data from patients treated with siltuximab program for
treatment of SARS-CoV-2 infection complicated with serious respiratory complications.
This observational study will group the patients into two cohorts receiving siltuximab..
Outcome of patients will be compared to a cohort of patients receiving standard treatment
without siltuximab.
The patients will be divided into 2 cohorts. Those contained in Cohort A were treated after
the use of continuous positive airways pressure (CPAP) or non-invasive ventilation (NIV).
Patients in Cohort B were treated after intubation
This is a single-center observational cohort study that follows the use of treatment with
siltuximab in patients with COVID-19 who have developed serious respiratory complications,
defined by the need of ventilation (either invasive or non-invasive). Retrospective data
collection will be carried out on those patients who have received siltuximab as a treatment
for their Covid-19 and patients enrolled in ReCOVID19-2020, a retrospective study enrolling
consecutive patients with a confirmed diagnosis of COVID-19 (interstitial pneumonia and
positive test for SARS-COV-2) and who received standard treatment and who were hospitalized
from 23 February up to 13 March 2020 at Papa Giovanni XXIII hospital.
The control cohort of the cohort study will include all the patients with pneumonia/ARDS in
need of non-invasive ventilation (CPAP or NIV) or intubation and not receiving experimental
treatments in the ReCOVID-19-2020.Patients that will be included will be divided into 2
cohorts, and per current estimation split in a 3:1 ratio: 75% will be in Cohort A as treated
with CPAP/NIV, while 25% will form Cohort B and consists of patients in an ICU setting who
are receiving mechanical ventilation.
Procedures outlined in this protocol are based on how the patients were managed as per
clinicians' best judgement and best practice. No clinical procedures are required by this
observational protocol. Data on the procedures already performed during the routine diagnosis
and treatment of COVID-19 patients will be collected. The list of clinical and laboratory
parameters is provided to direct data collection for this observational study (as available
in the medical records).
During their hospitalization, patients will be monitored as per standard hospital practice or
as per national (emergency) guidelines in accordance with extraordinary circumstances
relating to the COVID-19 outbreak. After discharge, patients will be asked to provide (from
their primary health care providers) relevant laboratory results and safety information for
approximately 30 days following the start of COVID-19 treatment via ventilation (either
mechanical or non-invasive).
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