Evidence map›Paper›PMID 32542785›Full record

ReviewPharmacotherapy2020

Baricitinib: A Review of Pharmacology, Safety, and Emerging Clinical Experience in COVID-19.

Sarah C J Jorgensen, Christopher L Y Tse, Lisa Burry, Linda D Dresser

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Pharmacotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06065046 (A Randomized Control Trial of Baricitinib Administration in Patients With Moderate and Severe Traumatic Intracerebral Hemorrhage/Contusions), which is not on this map. Cited by 117 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 4% 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.

NCT06065046 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

A Randomized Control Trial of Baricitinib Administration in Patients With Moderate and Severe Traumatic Intracerebral Hemorrhage/Contusions

TypeinterventionalSponsorTang-Du HospitalRan2023 to 2026Enrolled100ConditionsTraumatic Brain InjuryArmsBaricitinib 4 MG, Standard treatment
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 2 syntheses or guidelines pooled it, 221 citations in OpenAlex.

  1. JAK inhibitors and COVID-19.Journal for immunotherapy of cancer · 2022
    Pooled it
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  19. Antivirals in COVID-19: A Focus on Pediatric Cardiac Patients.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  20. Article

57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Sarah C J JorgensenDepartment of Pharmacy, Sinai Health System, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-1333-0378
Christopher L Y TseLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.
Lisa BurryDepartment of Pharmacy, Sinai Health System, Toronto, Ontario, Canada.
Linda D DresserLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.
University of Toronto · CASinai Health System · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A hyperinflammatory response to severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) infection, reminiscent of cytokine release syndrome, has been implicated in the pathophysiology of acute respiratory distress syndrome and organ damage in patients with coronavirus disease 2019 (COVID-19). Agents that inhibit components of the pro-inflammatory cascade have garnered interest as potential treatment options with hopes that dampening the proinflammatory process may improve clinical outcomes. Baricitinib is a reversible Janus-associated kinase (JAK)-inhibitor that interrupts the signaling of multiple cytokines implicated in COVID-19 immunopathology. It may also have antiviral effects by targeting host factors that viruses rely for cell entry and by suppressing type I interferon driven angiotensin-converting-enzyme-2 upregulation. However, baricitinib's immunosuppressive effects may be detrimental during acute viral infections by delaying viral clearance and increasing vulnerability to secondary opportunistic infections. The lack of reliable biomarkers to monitor patients' immune status as illness evolves complicates deployment of immunosuppressive drugs like baricitinib. Furthermore, baricitinib carries the risk of increased thromboembolic events, which is concerning given the proclivity towards a hypercoagulable state in patients with COVID-19. In this article, we review available data on baricitinib with an emphasis on immunosuppressive and antiviral pharmacology, pharmacokinetics, safety, and current progress in COVID-19 clinical trials.

Indexed as

Angiotensin-Converting Enzyme 2Antiviral AgentsArea Under CurveAzetidinesBetacoronavirusClinical Trials as TopicCoronavirus InfectionsCOVID-19CytokinesDrug InteractionsHumansInflammationInterferon Type IJanus KinasesMetabolic Clearance RatePandemicsACE2 protein, humanAngiotensin-Converting Enzyme 2Antiviral AgentsAzetidinesbaricitinibCytokinesInterferon Type IJanus KinasesPeptidyl-Dipeptidase APurinesPyrazolesSulfonamidesbaricitinibCOVID-19JAK-inhibitorJanus-associated kinase inhibitorSARS-CoV-2severe acute respiratory syndrome

Identifiers

PMID32542785
PMCPMC7323235
OpenAlexW3034660339

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.