Evidence map›Paper›PMID 42649137›Full record

Trial reportNature communications2026

Low-dose baricitinib plus danazol in primary immune thrombocytopenia: a randomized, controlled phase 2 trial.

Peng Zhao, Zhuo-Yu An, Hai-Xia Fu, Yang Wang, Guo-Shuang Feng, Hui-Xin Liu, Dai-Hong Liu, Yi Liu, He-Bing Zhou, Hui Liu and 23 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05852847 (Low-dose Baricitinib Plus Danazol Versus Danazol for Patients With Steroid-resistant/Relapse Immune Thrombocytopenia), 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.

NCT05852847 phase2unknown statusnot on this map

Low-dose Baricitinib Plus Danazol Versus Danazol for Patients With Steroid-resistant/Relapse Immune Thrombocytopenia: A Multicenter, Randomized, Open-label Phase 2 Trial

TypeinterventionalSponsorPeking University People's HospitalRan2023 to 2025Enrolled216ConditionsImmune ThrombocytopeniaArmsBaricitinib 2 MG [Olumiant], Danazol
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

33 authors.

Peng Zhao *Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Zhuo-Yu An *Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Hai-Xia FuPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Yang WangBiological Information and Statistics Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0000-0002-5040-2492
Guo-Shuang FengBig Data Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Hui-Xin LiuDepartment of Clinical Epidemiology, Peking University People's Hospital, Beijing, China.
Dai-Hong LiuChinese PLA General Hospital & PLA Medical School, Beijing, China.ORCID http://orcid.org/0000-0003-3334-9113
Yi LiuThe Sixth Medical Center of PLA General Hospital, Beijing, China.
He-Bing ZhouThe Affiliated Beijing Luhe Hospital of Capital Medical University, Beijing, China.
Hui LiuDepartment of Hematology, Beijing Hospital, Beijing, China.ORCID http://orcid.org/0000-0002-8166-0216
Zhao WangDepartment of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yu-Jun DongDepartment of Hematology, Peking University First Hospital, Beijing, China.
Hong-Mei JingDepartment of Hematology, Peking University Third Hospital, Beijing, China.
Zhen-Ling LiDepartment of Hematology, China-Japan Friendship Hospital, Beijing, China.
Li-Hong LiDepartment of Hematology, Beijing Tsinghua Changgung Hospital, Beijing, China.
Li-Ping DouChinese PLA General Hospital & PLA Medical School, Beijing, China.ORCID http://orcid.org/0000-0001-7352-9560
Qiu-Sha HuangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Jin WuPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Li-Ping YangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Yue JinPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Zhi-Xue LiPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Chen-Cong WangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Qi ChenPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Xiao-Lu ZhuPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Yun HePeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Yuan-Yuan ZhangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Qian JiangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Hao JiangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Jin LuPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Ying-Jun ChangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Xiang-Yu ZhaoPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China.
Xiao-Jun HuangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China. xjhrm@medmail.com.cn.
Xiao-Hui ZhangPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China. zhangxh@bjmu.edu.cn.ORCID http://orcid.org/0000-0003-0245-6792

Funding

National Natural Science Foundation of China (National Science Foundation of China) No. 82230004National Natural Science Foundation of China (National Science Foundation of China) No. 82400157National Natural Science Foundation of China (National Science Foundation of China) No. 82430006Natural Science Foundation of Beijing Municipality (Beijing Natural Science Foundation) No. 7232188Natural Science Foundation of Beijing Municipality (Beijing Natural Science Foundation) No. 7242154
6 · The paper itself

Abstract

This multicenter, randomized, controlled study was conducted to explore the safety and efficacy of low-dose baricitinib plus danazol for ITP patients who had failed corticosteroids and at least one recommended subsequent treatment. Participants were randomly assigned to receive baricitinib plus danazol (n = 108) or danazol alone (n = 108) by a central, interactive web-based system. Patients and caregivers were not blinded to group assignment. Efficacy assessments were performed in the intention-to-treat population by investigators blinded to group assignment. The primary endpoint was 6-month durable response. Forty-nine (45.4%) patients in the combination arm and 22 (20.4%) patients in the monotherapy arm achieved 6-month durable response (P < 0.001). The safety analysis set included patients who received at least one dose of study medication (n = 108 in the combination arm and n = 105 in the monotherapy arm). Fifty-two (48.1%) patients receiving baricitinib plus danazol and 47 (44.7%) patients receiving danazol alone reported at least one adverse event. Each arm reported two patients who developed an adverse event causing study discontinuation and one patient who developed a grade 3 or more severe adverse event. Low-dose baricitinib plus danazol might be a novel option for difficult-to-treat ITP. Funding: National Key Research and Development Program of China (No. 2023YFC2507800), National Natural Science Foundation of China (No. 82230004, No. 82430006, No. 82400157), Capital Health Development and Research of Special (No. 2022-1-4082), and Beijing Natural Science Foundation (No. 7242154 and No. 7232188). ClinicalTrials.gov identifier: NCT05852847.

Indexed as

AzetidinesDanazolPurinesPurpura, Thrombocytopenic, IdiopathicPyrazolesSulfonamidesAdultAgedDrug Therapy, CombinationFemaleHumansMaleMiddle AgedTreatment OutcomeAzetidinesbaricitinibDanazolPurinesPyrazolesSulfonamides

Identifiers

PMID42649137
PMCPMC13518971

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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.