Evidence map›Paper›PMID 39504090›Full record

Trial reportEinstein (Sao Paulo, Brazil)2024

Laboratory profiles of patients hospitalized with COVID-19 pneumonia treated with tofacitinib or placebo: a post hoc analysis from the STOP-COVID trial.

Patrícia Oliveira Guimarães, Lucas Petri Damiani, Caio de Assis Moura Tavares, Ari Stiel Radu Halpern, J Jasper Deuring, Luiz Vicente Rizzo, Otavio Berwanger

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Einstein (Sao Paulo, Brazil), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04469114 (A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-design Trial of Tofacitinib in Hospitalized Participants With COVID-19 Pneumonia), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT04469114 phase3completednot on this map

A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-design Trial of Tofacitinib in Hospitalized Participants With COVID-19 Pneumonia

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2020 to 2021Enrolled289ConditionsCovid19ArmsTofacitinib 10 mg, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Patrícia Oliveira GuimarãesHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-0626-2250
Lucas Petri DamianiHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-5836-3379
Caio de Assis Moura TavaresHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-2366-3371
Ari Stiel Radu HalpernHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-3756-0928
J Jasper DeuringPfizer Inc., Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-5888-4230
Luiz Vicente RizzoHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-9949-9849
Otavio BerwangerImperial College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-4972-2958

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTofacitinib, an oral Janus kinase inhibitor, has been tested against a placebo in 289 patients with COVID-19 pneumonia. We analyzed the data from the tofacitinib- and placebo-treated patient cohorts to evaluate the laboratory profiles between baseline and day 7.

methodsWe performed post hoc analyses on the following laboratory tests over time during the first 7 days after randomization: hemoglobin, leukocytes, neutrophils, lymphocytes, platelets, alanine aminotransferase, and aspartate aminotransferase.

resultsThrough the first 7 days after randomization, the levels of hemoglobin, white blood cells, neutrophils, and platelet counts were not significantly different between patients treated with tofacitinib or a placebo (all p>0.05). Non-significant differences were observed in aspartate aminotransferase levels over time between treatment groups, whereas alanine aminotransferase levels (U/L) were higher among tofacitinib-treated patients compared to placebo-treated patients (mean ratio, 1.30 [95% confidence interval (95%CI) = 1.14-1.48; p<0.01)].

conclusionIn patients with COVID-19 pneumonia, the use of tofacitinib compared to placebo did not result in clinically meaningful changes in blood counts or liver enzymes over the first 7 days after randomization. REGISTRY OF CLINICAL TRIALS: NCT04469114.

Indexed as

Aspartate AminotransferasesCOVID-19 Drug TreatmentPiperidinesPyrimidinesAdultAgedAlanine TransaminaseCOVID-19Double-Blind MethodFemaleHospitalizationHumansMaleMiddle AgedProtein Kinase InhibitorsSARS-CoV-2Alanine TransaminaseAspartate AminotransferasesPiperidinesProtein Kinase InhibitorsPyrimidinestofacitinib

Identifiers

PMID39504090
PMCPMC11634338

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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.