Cardiac arrest & resuscitation

Modulation of inflammation by treatment with tocilizumab after out-of-hospital cardiac arrest and associations with clinical status, myocardial- and brain injury

ResuscitationPublished Secondary analysis of the IMICA randomised trial

Authors' conclusion

Treatment with tocilizumab after OHCA modulated the inflammatory response with notable increases for IL-5, IL-6, and decreases for neutrophils and monocytes, as well as reduced vasopressor and inotropy requirements.

Study context

Population
Comatose out-of-hospital cardiac arrest (OHCA) patients
Participants
80 patients
Comparison
Tocilizumab vs placebo
Methodological detailspreplanned substudy
  • Preplanned substudy

Primary result

As reported in the abstract

Inflammatory response, myocardial and brain injury markers, clinical status
Responses for IL-5, IL-6, IL-17, neutrophil and monocyte counts and Vasoactive-Inotropic Score (VIS) affected by tocilizumab
all p < 0.05

Further findings

Correlations of organ injury and clinical status markers with inflammatory markers

Neutrophils and monocytes correlated with TnT, neuron-specific enolase (NSE), NFL, SOFA and VIS in Tocilizumab but not Placebo
NT-proBNP, NFL and SOFA correlated with CRP in both groups

Original publication

Modulation of inflammation by treatment with tocilizumab after out-of-hospital cardiac arrest and associations with clinical status, myocardial- and brain injury. Resuscitation. Published 24 December 2022. doi:10.1016/j.resuscitation.2022.109676

Composed by AI from the published abstract and checked against it. How Briefs are made →

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