The World Health Organization (WHO) has updated its patient care guidelines to include ‘interleukin-6 receptor blockers’, a class of medicines that are lifesaving in patients who are severely or critically ill with COVID-19, especially when administered alongside corticosteroids.
Patients severely or critically ill with COVID-19 often suffer from an overreaction of the immune system, which can be very harmful to the patient’s health. Interleukin-6 blocking drugs – tocilizumab and sarilumab – act to suppress this overreaction.
WHO says that these were the findings from a prospective and a living network meta-analysis initiated by it, the largest such analysis on the drugs to date.
The data was collected from over 10,000 patients enrolled in 27 clinical trials was considered.
These are the first drugs found to be effective against COVID-19 since corticosteroids were recommended by WHO in September 2020.
“These drugs offer hope for patients and families who are suffering from the devastating impact of severe and critical COVID-19,” WHO Director-General Dr. Tedros Adhanom Ghebreyesus said. “But IL-6 receptor blockers remain inaccessible and unaffordable for the majority of the world.”
Adhanom added that the inequitable distribution of vaccines means that people in low- and middle-income countries are most susceptible to severe forms of COVID-19.
The prospective and living network meta-analyses showed that in severely or critically ill patients, administering these drugs reduce the odds of death by 13%, compared to standard care.
“This means that there will be 15 fewer deaths per thousand patients, and as many as 28 fewer deaths for every thousand critically ill patients.”
“The odds of mechanical ventilation among severe and critical patients are reduced by 28%, compared with standard care. This translates to 23 fewer patients out of a thousand needing mechanical ventilation.” WHO said in a statement.
To increase access and affordability of these life-saving products, WHO calls on manufacturers to reduce prices and make supplies available to low- and middle-income countries, especially where COVID-19 is surging.
The UN Health Organization also encourages companies to agree to transparent, non-exclusive voluntary licensing agreements using the C-TAP platform and the Medicines Patent Pool, or to waive exclusivity rights.