Evidence map›Paper›PMID 34442045›Full record

ArticleJournal of clinical medicine2021

JAK Inhibition with Ruxolitinib in Patients with COVID-19 and Severe Pneumonia: Multicenter Clinical Experience from a Compassionate Use Program in Italy.

Alessandro Maria Vannucchi, Andrea Mortara, Andrea D'Alessio, Mara Morelli, Alberto Tedeschi, Moreno Benedetto Festuccia, Antonella D'Arminio Monforte, Enrico Capochiani, Carmine Selleri, Federico Simonetti and 14 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
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  5. Review
  6. Review
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

24 authors at 20 institutions in 3 countries.

Alessandro Maria VannucchiCenter Research Innovation of Myeloproliferative Neoplasms (CRIMM), SOD Hematology, University of Florence and AOU Careggi, 50134 Florence, Italy.
Andrea MortaraDepartment of Clinical Cardiology, Policlinico di Monza, 28100 Monza, Italy.
Andrea D'AlessioCOVID Medical Department, Policlinico S. Marco, Gruppo San Donato University and Research Hospital, 24040 Zingonia, Italy.ORCID 0000-0002-6797-0410
Mara MorelliNovartis Farma SpA, 21040 Origgio, Italy.
Alberto TedeschiU.O.C. Medicina Generale, Ospedale Bolognini, ASST Bergamo Est, 24068 Seriate, Italy.
Moreno Benedetto FestucciaAzienda USL della Valle d'Aosta, Internal Medicine Division, 11100 Aosta, Italy.
Antonella D'Arminio MonforteInstitute of Infectious Diseases, Department of Health Sciences, University of Milan, 20153 Milan, Italy.ORCID 0000-0003-0073-1789
Enrico CapochianiUOC Ematologia, Azienda USL Toscana Nord Ovest, 57124 Livorno, Italy.ORCID 0000-0002-3643-5861
Carmine SelleriHematology, Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0002-5861-8984
Federico SimonettiUOC Ematologia, Azienda USL Toscana Nord Ovest, 55049 Versilia, Italy.
Annalisa SaracinoClinica Malattie Infettive, Dip. Scienze Biomediche ed Oncologia Umana, Università degli Studi di Bari, 70124 Bari, Italy.
Davide RapezziS.C. Ematologia Ospedale S. Croce e Carle, 12100 Cuneo, Italy.
Maria Rita BadagliaccaUOS UFA UOC Farmacia Ospedaliera Distretto Ospedaliero CL1-P.O.S. Elia, Azienda Sanitaria Provinciale di Caltanissetta, 93100 Caltanissetta, Italy.
Katia FalascaClinic of Infectious Diseases, Department of Medicine and Science of Aging, University G. d'Annunzio, Chieti-Pescara, 66100 Chieti, Italy.
Alfredo MolteniUOC Ematologia e CTMO, ASST Cremona, 26100 Cremona, Italy.
Roberto PalazzoloAzienda Ospedaliera Valtellina Valchiavenna, 23100 Sondrio, Italy.
Giuliano SchettinoMalattie Infettive ASL Alessandria, 15121 Alessandria, Italy.
Monica BocchiaHematology Unit, University of Siena, Azienda Ospedaliero Universitaria Senese, 53100 Siena, Italy.ORCID 0000-0003-3538-3913
Mauro TurriniDivision of Hematology, Department of Medicine, Valduce Hospital, 22100 Como, Italy.ORCID 0000-0001-5299-8456
Paolo A AsciertoUnit of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale per lo Studio e la Cura dei Tumori IRCCS Fondazione G. Pascale, 80131 Naples, Italy.
Mike ZuurmanNovartis Farma SpA, 21040 Origgio, Italy.
Carole PaleyNovartis Oncology, East Hanover, NJ 07936, USA.
Paola CocoNovartis Farma SpA, 21040 Origgio, Italy.
Giuseppe SaglioDepartment of Clinical and Biological Sciences of the University of Turin, San Luigi University Hospital, 10143 Orbassano, Italy.
Azienda Usl Toscana Centro · ITNovartis (Italy) · ITAzienda Ospedaliera Bolognini Seriate · ITAzienda Ospedaliera di Valtellina e Valchiavenna · ITAzienda Sanitaria Locale Alessandria · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITAzienda USL della Valle d’Aosta · ITFondazione Lanza · ITIRCCS Policlinico San Donato · ITIstituti Ospitalieri di Cremona · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITNovartis (Netherlands) · NLNovartis (United States) · USOspedale Valduce · ITUniversity of Bari Aldo Moro · ITUniversity of Chieti-Pescara · ITUniversity of Florence · ITUniversity of Milan · ITUniversity of Salerno · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Jak inhibitors are potent anti-inflammatory drugs that have the potential to dampen the hyperactive inflammatory response associated with severe COVID-19. We reviewed the clinical outcomes of 218 patients with COVID-19 hospitalized for severe pneumonia and treated with ruxolitinib through a compassionate use program. Data on the duration of treatment; outcomes at 4, 7, 14, and 28 days; oxygen support requirements; clinical status; and laboratory parameters were retrospectively collected. Overall, according to the physician evaluation, 66.5% of patients showed improvement at follow-up; of these, 83.5% showed improvement by day 7. Oxygen support status also showed improvement, and by day 7, 21.6% of patients were on ambient air, compared with 1.4% at baseline, which increased to 48.2% by day 28. Significant decreases in C-reactive protein and increases in the lymphocyte total count were already observed by day 4, which seemed to correlate with a positive outcome. At the end of the observation period, 87.2% of patients were alive. No unexpected safety findings were observed, and grade 3/4 adverse events were reported in 6.9% of patients.

Indexed as

COVID-19hyperactive inflammatory responsepneumoniaruxolitinibSARS-CoV-2

Identifiers

PMID34442045
PMCPMC8397012
OpenAlexW3194583301

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Registered trials

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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.