Tocilizumab for Acute Chest Syndrome

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age12+
SponsorUniversity of Chicago

About this trial

The investigators are evaluating the role of a low dose of tocilizumab in treating acute chest syndrome in patients with sickle cell disease. Tocilizumab inhibits interleukin-6 (IL-6) receptors and is used to treat rheumatoid arthritis and severe cytokine release syndrome, which can be seen with chimeric antigen receptor T-cell (CAR-T) therapy, and it is also authorized for treatment of COVID-19. Since IL-6 levels are elevated in the sputum of patients with acute chest syndrome, the investigators are hopeful that this will be an effective strategy. The investigators will be looking at how a low dose of tocilizumab affects oxygen status, clinical outcomes, and laboratory markers in patients admitted to the hospital with acute chest syndrome.

Eligibility criteria

Qualifiers

Adults ≥ 12 years of age

Prior diagnosis of sickle cell disease (Hb SS, Hb SC, Hb Sb+, and Hb Sb0)

Disqualifiers

Pregnant patients or breastfeeding mothers.

Prior treatment with gene therapy or a stem cell transplant.

Current enrollment in a clinical trial involving an FDA-regulated drug or biologic.

Current neutropenia (absolute neutrophil count < 1000/mm^3)

Trial design

Treatments tested in this trial

  • Tocilizumab

Treatment groups

200 Participants
are divided into 2 treatment groups

Sponsors and collaborators