RT Journal Article T1 Efficacy and safety of early treatment with sarilumab in hospitalised adults with COVID-19 presenting cytokine release syndrome (SARICOR STUDY): protocol of a phase II, open-label, randomised, multicentre, controlled clinical trial. A1 Leon-Lopez, Rafael A1 Carcel-Fernandez, Sheila A1 Limia-Perez, Laura A1 Romero-Palacios, Alberto A1 Fernandez-Roldan, Maria Concepcion A1 Aguilar-Alonso, Eduardo A1 Perez-Camacho, Ines A1 Rodriguez-Baño, Jesus A1 Merchante, Nicolas A1 Olalla, Julian A1 Esteban-Moreno, M Angeles A1 Santos, Marta A1 Luque-Pineda, Antonio A1 Torre-Cisneros, Julian K1 Adult intensive & critical care K1 Infectious diseases K1 Internal medicine K1 Virology K1 Área de Gestión Sanitaria de Jerez, Costa Noroeste y Sierra de Cádiz K1 Area de Gestión Sanitaria Sur de Córdoba K1 Área de Gestión Sanitaria Sur de Sevilla AB About 25% of patients with COVID-19 develop acute respiratory distress syndrome (ARDS) associated with a high release of pro-inflammatory cytokines such as interleukin-6 (IL-6). The aim of the SARICOR study is to demonstrate that early administration of sarilumab (an IL-6 receptor inhibitor) in hospitalised patients with COVID-19, pulmonary infiltrates and a high IL-6 or D-dimer serum level could reduce the progression of ARDS requiring high-flow nasal oxygen or mechanical ventilation (non-invasive or invasive). Phase II, open-label, randomised, multicentre, controlled clinical trial to study the efficacy and safety of the administration of two doses of sarilumab (200 and 400 mg) plus best available therapy (BAT) in hospitalised adults with COVID-19 presenting cytokine release syndrome. This strategy will be compared with a BAT control group. The efficacy and safety will be monitored up to 28 days postadministration. A total of 120 patients will be recruited (40 patients in each arm). The clinical trial has been approved by the Research Ethics Committee of the coordinating centre and authorised by the Spanish Agency of Medicines and Medical Products. If the hypothesis is verified, the dissemination of the results could change clinical practice by increasing early administration of sarilumab in adult patients with COVID-19 presenting cytokine release syndrome, thus reducing intensive care unit admissions. PB BMJ Group YR 2020 FD 2020-08-13 LK http://hdl.handle.net/10668/16603 UL http://hdl.handle.net/10668/16603 LA en NO León López R, Fernández SC, Limia Pérez L, Romero Palacios A, Fernández-Roldán MC, Aguilar Alonso E, et al. Efficacy and safety of early treatment with sarilumab in hospitalised adults with COVID-19 presenting cytokine release syndrome (SARICOR STUDY): protocol of a phase II, open-label, randomised, multicentre, controlled clinical trial. BMJ Open. 2020 Nov 14;10(11):e039951 DS RISalud RD Apr 7, 2025