Evidence map›Paper›PMID 32518419›Full record

ArticleLeukemia2020

The Janus kinase 1/2 inhibitor ruxolitinib in COVID-19 with severe systemic hyperinflammation.

F La Rosée, H C Bremer, I Gehrke, A Kehr, A Hochhaus, S Birndt, M Fellhauer, M Henkes, B Kumle, S G Russo and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 140 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed, 7 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

140 citing papers in PubMed, 7 syntheses or guidelines pooled it, 242 citations in OpenAlex.

  1. Pooled it
  2. Janus kinase inhibitors for the treatment of COVID-19.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. JAK inhibitors and COVID-19.Journal for immunotherapy of cancer · 2022
    Pooled it
  4. Pooled it
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  7. Severe COVID-19: what have we learned with the immunopathogenesis?Advances in rheumatology (London, England) · 2020
    Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Hemophagocytic lymphohistiocytosis: do we have a solution for TMI (too much inflammation)?Hematology. American Society of Hematology. Education Program · 2025
    Review
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  14. Article
  15. Article
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80 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

F La Rosée *Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-4310-3582
H C Bremer *Lungenzentrum Donaueschingen, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Germany.
I GehrkeKlinik für Innere Medizin IV, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Germany.
A KehrKlinik für Innere Medizin IV, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Germany.
A HochhausKlinik für Innere Medizin II, Universitätsklinikum Jena, Jena, Germany.
S BirndtKlinik für Innere Medizin II, Universitätsklinikum Jena, Jena, Germany.ORCID http://orcid.org/0000-0001-5430-899X
M FellhauerApotheke/Institut für Klinische Pharmazie, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Germany.
M HenkesKlinik für Innere Medizin II, Hämatologie, Onkologie, Immunologie, Infektiologie und Palliativmedizin, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Germany.
B KumleKlinik für Akut- und Notfallmedizin, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Germany.
S G RussoKlinik für Anästhesiologie, Intensiv-, Notfall- und Schmerzmedizin, Villingen-Schwenningen, Germany.
P La RoséeKlinik für Innere Medizin II, Hämatologie, Onkologie, Immunologie, Infektiologie und Palliativmedizin, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Germany. paul.larosee@sbk-vs.de.ORCID http://orcid.org/0000-0002-6758-7809
Schwarzwald-Baar Klinikum · DEJena University Hospital · DEUniversity Hospital Carl Gustav Carus · DEWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A subgroup of patients with severe COVID-19 suffers from progression to acute respiratory distress syndrome and multiorgan failure. These patients present with progressive hyperinflammation governed by proinflammatory cytokines. An interdisciplinary COVID-19 work flow was established to detect patients with imminent or full blown hyperinflammation. Using a newly developed COVID-19 Inflammation Score (CIS), patients were prospectively stratified for targeted inhibition of cytokine signalling by the Janus Kinase 1/2 inhibitor ruxolitinib (Rux). Patients were treated with efficacy/toxicity guided step up dosing up to 14 days. Retrospective analysis of CIS reduction and clinical outcome was performed. Out of 105 patients treated between March 30th and April 15th

Indexed as

AdultAgedAged, 80 and overAnti-Inflammatory AgentsBetacoronavirusClinical Trials as TopicCoronavirus InfectionsCOVID-19Cytokine Release SyndromeCytokinesDrug Administration ScheduleFemaleGene Expression RegulationHumansImmunity, InnateInflammationAnti-Inflammatory AgentsCytokinesJAK1 protein, humanJAK2 protein, humanJanus Kinase 1Janus Kinase 2NitrilesProtein Kinase InhibitorsPyrazolesPyrimidinesruxolitinib

Identifiers

PMID32518419
PMCPMC7282206
OpenAlexW3033175577

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.