Evidence map›Paper›PMID 34617700›Full record

Trial reportRevista de la Facultad de Ciencias Medicas (Cordoba, Argentina)2021

Ruxolitinib in severe COVID-19: Results of a multicenter, prospective, single arm, open-label clinical study to investigate the efficacy and safety of ruxolitinib in patients with COVID-19 and severe acute respiratory syndrome

Marcelo Iastrebner, Joaquín Castro, Edgardo García Espina, Carolina Lettieri, Silvio Payaslian, María Celia Cuesta, Pablo Gutiérrez Fernández, Araceli Mandrile, Angela Paola Contreras, Sebastián Gervasoni and 4 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Severe COVID-19: Drugs and Clinical Trials.Journal of clinical medicine · 2023
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. 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

14 authors.

Marcelo IastrebnerClínica Zabala. ruxopublication@protonmail.com.
Joaquín CastroClínica Zabala, Swiss Medical Group, Buenos Aires. drjoaquincastro@gmail.com.
Edgardo García EspinaClínica Zabala, Swiss Medical Group, Buenos Aires. edgardoge@gmail.com.
Carolina LettieriClínica Zabala, Swiss Medical Group, Buenos Aires. caroletti23@gmail.com.
Silvio PayaslianClínica Zabala, Swiss Medical Group, Buenos Aires. SilvioP@swissmedical.com.ar.
María Celia CuestaClínica Zabala, Swiss Medical Group, Buenos Aires. mcuesta@intramed.net.
Pablo Gutiérrez FernándezClínica Zabala, Swiss Medical Group, Buenos Aires. Pablo.Gutierrezfernandez@swissmedical.com.ar.
Araceli MandrileHospital General de Agudos "Parmenio Piñero", Buenos Aires. araceli_mandrile@hotmail.com.
Angela Paola ContrerasHospital General de Agudos "Parmenio Piñero", Buenos Aires. Dra.apcontreras2326@yahoo.com.
Sebastián GervasoniHospital General de Agudos "Parmenio Piñero", Buenos Aires. sebagerva@gmail.com.
Gabriel Verde. gverde@hotmail.com.
Cayetano GalettiSanatorio Allende, Córdoba. cgalletti21@gmail.com.
Estefanía MinoldoSanatorio Allende, Córdoba. estefaniaminoldo@hotmail.com.
Vanesa CarusoHospital General de Agudos "Parmenio Piñero", Buenos Aires. vanesacaruso060974@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: COVID-19 morbimortality is mainly associated with development of severe acute respiratory syndrome (SARS), which has been related to an augmented immune response of the host with elevated circulating cytokines. Methods: In this prospective, multicenter, single arm (compared with a historical control), add-on, experimental phase 2 study, ruxolitinib 5 mg BID was added to standard of care in COVID-19 patients. Main objective was to determine efficacy and safety of ruxolitinib in patients with COVID-19-related SARS. Results: Even though we could not show a significant reduction of COVID-19 pneumonia patients requiring intensive care unit admission and mechanical ventilation (primary endpoint), a trend to a lower mortality rate in critical ill patients receiving ruxolitinib was reported. Administered ruxolitinib dose had to be increased according to protocol in 32% of patients, without additional toxicity. Conclusion: Side effects profile was manageable, and no direct organ injury was caused by the study drug. Ruxolitinib had a fast anti-inflammatory effect, and one-third of patients felt well immediately after starting treatment.

Indexed as

COVID-19 Drug TreatmentHumansNitrilesProspective StudiesPyrazolesPyrimidinesNitrilesPyrazolesPyrimidinesruxolitinibadultcoronavirus infectionsJanus kinase inhibitorsrespiratory distress syndrome

Identifiers

PMID34617700
PMCPMC8760921

What OpenQuestion holds

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LicenceCC BY-NC
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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.