Preprint Article Version 1 This version is not peer-reviewed

Dynamics of Biomarkers in COVID-19 Patients Treated with Anakinra

Version 1 : Received: 10 September 2024 / Approved: 10 September 2024 / Online: 11 September 2024 (12:37:39 CEST)

How to cite: Yordanova, R.; Strashimirov, D.; Grozdeva, R.; Ivanov, D.; Trifonova, I.; Yancheva, N.; Tcherveniakova, A. T. Dynamics of Biomarkers in COVID-19 Patients Treated with Anakinra. Preprints 2024, 2024090840. https://doi.org/10.20944/preprints202409.0840.v1 Yordanova, R.; Strashimirov, D.; Grozdeva, R.; Ivanov, D.; Trifonova, I.; Yancheva, N.; Tcherveniakova, A. T. Dynamics of Biomarkers in COVID-19 Patients Treated with Anakinra. Preprints 2024, 2024090840. https://doi.org/10.20944/preprints202409.0840.v1

Abstract

A prospective clinical-epidemiological study was conducted to evaluate the dynamics of biomarkers in hospitalized patients with moderate to severe COVID-19 (according to the National Institute of Health severity scale) treated with Anakinra, compared to those receiving standard treatment. The study included 65 patients with a mean age of 75.51±9.54 years, ranging from 44 to 99 years. Among the study participants, 38 (58.5%) were male and 27 (41.5%) were female. The patients were divided into two groups: control group (standard treatment): 24 patients (36.9%) and target group (Anakinra treatment): 41 patients (63.1%). The results showed a significant relationship between the dynamics of leukocytes, ASAT, LDH, D-dimer, ferritin, and IL-6 and the administration of Anakinra. In the control group, no significant dynamics were observed in leukocyte count, D-dimer, ferritin, or IL-6. A statistically significant decrease in ASAT and LDH values in the control group was noted only on Day 7. In the Anakinra group, significantly (or with borderline statistical significance, p<0.1) lower mean values were observed for leukocytes, NLR, D-dimer, ferritin, and IL-6 on Days 3 and 7 compared to the control group. Additionally, significantly lower CRP values were detected in the Anakinra group on Day 7 compared to the control group.

Keywords

COVID-19; hyperinflammation; treatment evaluation; IL-1 receptor antagonist

Subject

Medicine and Pharmacology, Epidemiology and Infectious Diseases

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