CIGB-258 immunomodulatory peptide for the treatment of critical and severe COVID-19 patients

Introduction: CIGB-258 is an immunomodulatory peptide with anti-inflammatory properties. Objectives: To establish the therapeutic schedule with CIGB-258 peptide for COVID-19 critically ill patients. In addition, to define the criteria for use and schedule of this peptide for COVID-19 seriously ill p...

Full description

Saved in:
Bibliographic Details
Main Authors: Rafael Venegas Rodríguez, Rubén Peña Ruiz, Raúl Santana Sánchez, Mónica Bequet-Romero, Mabel Hernández-Cedeño, Beatriz Santiesteban Licea, Ariana García, Pedro Rafel Aroche de Dios, Daniela Oliva Pérez, Leticia Rosario Cruz, Idelsis Esquivel Moynelo, Maura García Sánchez, Gillian Martínez-Donato, Gerardo Guillén-Nieto, María del Carmen Domínguez Horta
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas - ECIMED 2020-10-01
Series:Revista Cubana de Medicina Militar
Subjects:
Online Access:http://www.revmedmilitar.sld.cu/index.php/mil/article/view/926
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850262919766343680
author Rafael Venegas Rodríguez
Rubén Peña Ruiz
Raúl Santana Sánchez
Mónica Bequet-Romero
Mabel Hernández-Cedeño
Beatriz Santiesteban Licea
Ariana García
Pedro Rafel Aroche de Dios
Daniela Oliva Pérez
Leticia Rosario Cruz
Idelsis Esquivel Moynelo
Maura García Sánchez
Gillian Martínez-Donato
Gerardo Guillén-Nieto
María del Carmen Domínguez Horta
author_facet Rafael Venegas Rodríguez
Rubén Peña Ruiz
Raúl Santana Sánchez
Mónica Bequet-Romero
Mabel Hernández-Cedeño
Beatriz Santiesteban Licea
Ariana García
Pedro Rafel Aroche de Dios
Daniela Oliva Pérez
Leticia Rosario Cruz
Idelsis Esquivel Moynelo
Maura García Sánchez
Gillian Martínez-Donato
Gerardo Guillén-Nieto
María del Carmen Domínguez Horta
author_sort Rafael Venegas Rodríguez
collection DOAJ
description Introduction: CIGB-258 is an immunomodulatory peptide with anti-inflammatory properties. Objectives: To establish the therapeutic schedule with CIGB-258 peptide for COVID-19 critically ill patients. In addition, to define the criteria for use and schedule of this peptide for COVID-19 seriously ill patients. Methods: 9 critically ill patients and 3 seriously ill patients were included in this study. Clinical, radiological and laboratory evaluations were recorded according to the established protocol. Serum samples were obtained before and after treatment with CIGB-258, for the determination of the inflammation biomarkers. Results: The therapeutic protocol was established with the CIGB-258 peptide, which consists of intravenous administration of 1 mg of peptide every 12 hours for critically ill patients. The dose should be increased to 2 mg every 12 hours, for patients who do not show clinical and radiological improvement in 24 hours. After extubation, patients should receive 1 mg of CIGB-258 daily, for another three days. Seriously ill patients should receive 1 mg of CIGB-258 every 12 hours, until their clinical condition resolves. Conclusions: CIGB-258 showed an excellent safety profile. The established therapeutic protocol contributed to all critically ill patients recovering from respiratory distress and being extubated. Seriously ill patients improved considerably. The levels of the biomarkers associated with hyperinflammation and cytokines decreased significantly during treatment.
format Article
id doaj-art-bbc2ffd1daa040298becb1ca3dbb36f7
institution OA Journals
issn 1561-3046
1561-3046
language Spanish
publishDate 2020-10-01
publisher Editorial Ciencias Médicas - ECIMED
record_format Article
series Revista Cubana de Medicina Militar
spelling doaj-art-bbc2ffd1daa040298becb1ca3dbb36f72025-08-20T01:55:05ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30461561-30462020-10-01494e0200926e0200926324CIGB-258 immunomodulatory peptide for the treatment of critical and severe COVID-19 patientsRafael Venegas Rodríguez0Rubén Peña Ruiz1Raúl Santana Sánchez2Mónica Bequet-Romero3Mabel Hernández-Cedeño4Beatriz Santiesteban Licea5Ariana García6Pedro Rafel Aroche de Dios7Daniela Oliva Pérez8Leticia Rosario Cruz9Idelsis Esquivel Moynelo10Maura García Sánchez11Gillian Martínez-Donato12Gerardo Guillén-Nieto13María del Carmen Domínguez Horta14Hospítal Militar Central Dr. Luis Díaz SotoHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaHospital Militar Central "Dr. Luis Díaz Soto". Habana del Este, La HabanaCIGBCIGBCIGBCIGBCIGBIntroduction: CIGB-258 is an immunomodulatory peptide with anti-inflammatory properties. Objectives: To establish the therapeutic schedule with CIGB-258 peptide for COVID-19 critically ill patients. In addition, to define the criteria for use and schedule of this peptide for COVID-19 seriously ill patients. Methods: 9 critically ill patients and 3 seriously ill patients were included in this study. Clinical, radiological and laboratory evaluations were recorded according to the established protocol. Serum samples were obtained before and after treatment with CIGB-258, for the determination of the inflammation biomarkers. Results: The therapeutic protocol was established with the CIGB-258 peptide, which consists of intravenous administration of 1 mg of peptide every 12 hours for critically ill patients. The dose should be increased to 2 mg every 12 hours, for patients who do not show clinical and radiological improvement in 24 hours. After extubation, patients should receive 1 mg of CIGB-258 daily, for another three days. Seriously ill patients should receive 1 mg of CIGB-258 every 12 hours, until their clinical condition resolves. Conclusions: CIGB-258 showed an excellent safety profile. The established therapeutic protocol contributed to all critically ill patients recovering from respiratory distress and being extubated. Seriously ill patients improved considerably. The levels of the biomarkers associated with hyperinflammation and cytokines decreased significantly during treatment.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/926covi-19tormenta de citocinashiperinflamaciónhsp60cigb-258jusvinza.
spellingShingle Rafael Venegas Rodríguez
Rubén Peña Ruiz
Raúl Santana Sánchez
Mónica Bequet-Romero
Mabel Hernández-Cedeño
Beatriz Santiesteban Licea
Ariana García
Pedro Rafel Aroche de Dios
Daniela Oliva Pérez
Leticia Rosario Cruz
Idelsis Esquivel Moynelo
Maura García Sánchez
Gillian Martínez-Donato
Gerardo Guillén-Nieto
María del Carmen Domínguez Horta
CIGB-258 immunomodulatory peptide for the treatment of critical and severe COVID-19 patients
Revista Cubana de Medicina Militar
covi-19
tormenta de citocinas
hiperinflamación
hsp60
cigb-258
jusvinza.
title CIGB-258 immunomodulatory peptide for the treatment of critical and severe COVID-19 patients
title_full CIGB-258 immunomodulatory peptide for the treatment of critical and severe COVID-19 patients
title_fullStr CIGB-258 immunomodulatory peptide for the treatment of critical and severe COVID-19 patients
title_full_unstemmed CIGB-258 immunomodulatory peptide for the treatment of critical and severe COVID-19 patients
title_short CIGB-258 immunomodulatory peptide for the treatment of critical and severe COVID-19 patients
title_sort cigb 258 immunomodulatory peptide for the treatment of critical and severe covid 19 patients
topic covi-19
tormenta de citocinas
hiperinflamación
hsp60
cigb-258
jusvinza.
url http://www.revmedmilitar.sld.cu/index.php/mil/article/view/926
work_keys_str_mv AT rafaelvenegasrodriguez cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT rubenpenaruiz cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT raulsantanasanchez cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT monicabequetromero cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT mabelhernandezcedeno cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT beatrizsantiestebanlicea cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT arianagarcia cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT pedrorafelarochededios cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT danielaolivaperez cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT leticiarosariocruz cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT idelsisesquivelmoynelo cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT mauragarciasanchez cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT gillianmartinezdonato cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT gerardoguillennieto cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients
AT mariadelcarmendominguezhorta cigb258immunomodulatorypeptideforthetreatmentofcriticalandseverecovid19patients