Evidence map›Paper›PMID 40536568›Full record

SynthesisWiener klinische Wochenschrift2025

Efficacy and safety of imatinib in patients with COVID-19: a systematic review and meta-analysis.

Le Li, Chengxiao Zhao, Siyuan Hou

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Wiener klinische Wochenschrift, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

3 authors.

Le LiCritical Care Medicine, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, 121001, Jinzhou, Liaoning province, China.
Chengxiao ZhaoCritical Care Medicine, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, 121001, Jinzhou, Liaoning province, China.
Siyuan HouIntensive Care Unit, People's Hospital of Liaoning Province (Jinzhou Medical University Graduate Training Base), No. 33, Wenyi Road, Shenhe District, 110022, Shenyang, Liaoning province, China. siyuan_0525@163.com.ORCID http://orcid.org/0000-0002-7785-5387

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo inform treatment decisions in clinical practice, we conducted a meta-analysis to evaluate the efficacy and safety of imatinib in patients with COVID-19.

methodsA comprehensive systematic search was conducted across multiple electronic databases to identify relevant randomized controlled trials (RCTs) comparing imatinib with placebo in patients with COVID-19. A meta-analysis was performed using Review Manager software version 5.3 and followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

resultsThe analysis included 4 studies with a total of 717 patients. The risk ratio (RR) for 28-day mortality in the imatinib group compared to the placebo group was 0.79 (95% confidence interval. CI 0.51-1.21; p = 0.28). There were no statistically significant differences in the duration of oxygen supplementation (MD = -0.13, 95% CI -2.57-2.31; p = 0.92) or the number of ventilator-free days (MD = 4.71, 95% CI -6.97-16.38; p = 0.43). Imatinib treatment did not significantly reduce the duration of hospital or intensive care unit (ICU) stay. Additionally, there was no significant difference between imatinib and placebo in the risk of any adverse events (AEs) or serious AEs.

conclusionImatinib did not significantly improve clinical outcomes in patients with COVID-19. Future research should consider subgroup analyses based on the biological heterogeneity of COVID-19-associated acute respiratory distress syndrome (ARDS) or the concurrent use of interleukin 6 (IL-6) receptor inhibitors to identify patient populations that may benefit from imatinib treatment.

Indexed as

COVID-19 Drug TreatmentImatinib MesylateCOVID-19HumansRandomized Controlled Trials as TopicSARS-CoV-2Treatment OutcomeImatinib MesylateCOVID-19EfficacyImatinibMeta-analysisSafety

Identifiers

PMID40536568

What OpenQuestion holds

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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.