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BaricitinibWiki

Developed by Shray Alag
Clinical Trial MeSH HPO Drug Gene SNP Protein Mutation


Correlated Drug Terms (10)


Name (Synonyms) Correlation
drug317 Convalescent anti-SARS-CoV-2 plasma Wiki 0.50
drug854 Placebo Administration Wiki 0.50
drug375 Dociparastat sodium Wiki 0.50
drug1337 mRNA-1273 Wiki 0.50
drug799 Oral placebo Wiki 0.50
drug584 Injective placebo Wiki 0.50
drug659 Lucinactant Wiki 0.50
drug1012 Sarilumab Wiki 0.20
drug505 Hydroxychloroquine Wiki 0.11
drug850 Placebo Wiki 0.04

Correlated MeSH Terms (8)


Name (Synonyms) Correlation
D055370 Lung Injury NIH 0.25
D055371 Acute Lung Injury NIH 0.13
D012128 Respiratory Distress Syndrome, Adult NIH 0.11
D011014 Pneumonia NIH 0.07
D011024 Pneumonia, Viral NIH 0.07
D012127 Respiratory Distress Syndrome, Newborn NIH 0.06
D045169 Severe Acute Respiratory Syndrome NIH 0.06
D018352 Coronavirus Infections NIH 0.05

Correlated HPO Terms (1)


Name (Synonyms) Correlation
HP:0002090 Pneumonia HPO 0.07

There are 4 clinical trials

Clinical Trials


1 Safety and Efficacy of Baricitinib for COVID-19

This study plans to learn more about the effects of a medicine called baricitinib on the progression of COVID-19 (coronavirus disease of 2019), the medical condition caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Baricitinib is FDA-approved for the treatment of rheumatoid arthritis, an autoimmune condition. This study intends to define the impact of baricitinib on the severity and progression of COVID-19. This drug might to lower the hyperinflammation caused by the virus, which would prevent damage to the lungs and possibly other organs. The study will recruit patients who have been diagnosed with COVID-19. The goal is to recruit 80 patients.

NCT04340232 COVID-19 Drug: Baricitinib

Primary Outcomes

Description: Description: Grade 3 AEs are defined as events that interrupt usual activities of daily living, or significantly affects clinical status, or may require intensive therapeutic intervention. Severe events are usually incapacitating. Grade 4 AEs are defined as events that are potentially life threatening. AEs will be collected and graded daily and cumulative incidence will be reported.

Measure: Phase 2: Cumulative incidence of Grade 3 and 4 adverse events (AEs)

Time: Day 0 (screening) through Day 29

Description: Description: An SAE is defined as an AE that is life-threatening or results in death, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. SAEs will be collected and graded daily and cumulative incidence will be reported.

Measure: Phase 2: Cumulative incidence of serious adverse events (SAEs)

Time: Day 0 (screening) through Day 29

Description: Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as standard of care (SOC). Mean changes from baseline to Day 15 will be reported.

Measure: Phase 2: Changes in white blood cell count (CBC) through Day 15

Time: Day 1 to Day 15

Measure: Phase 2: Changes in hemoglobin through Day 15

Time: Day 1 to Day 15

Measure: Phase 2: Changes in platelets through Day 15

Time: Day 1 to Day 15

Measure: Phase 2: Changes in creatinine through Day 15

Time: Day 1 to Day 15

Measure: Phase 2: Changes in glucose through Day 15

Time: Day 1 to Day 15

Measure: Phase 2: Changes in prothrombin time (PT) through Day 15

Time: Day 1 to Day 15

Measure: Phase 2: Changes in total bilirubin through Day 15

Time: Day 1 to Day 15

Measure: Phase 2: Changes in ALT through Day 15

Time: Day 1 to Day 15

Measure: Phase 2: Changes in AST through Day 15

Time: Day 1 to Day 15

Description: Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as SOC. Mean changes from baseline to EOS will be reported.

Measure: Phase 2: Changes in white blood cell count (CBC) through End of Study (EOS)

Time: Day through Day 29 or hospital discharge, whichever is first

Measure: Phase 2: Changes in hemoglobin through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 2: Changes in platelets through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 2: Changes in creatinine through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 2: Changes in glucose through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 2: Changes in prothrombin time (PT) though End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 2: Changes in total bilirubin through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 2: Changes in ALT through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 2: Changes in AST through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Description: The 8-point ordinal scale described below, where a lower score indicates a worse outcome, will be performed daily or as recommended by participant's physician as SOC. The percent of participants scored at each severity will be reported on Day 15. The 8-point ordinal scale is as follows: Death Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) Hospitalized, on non-invasive ventilation or high flow oxygen devices Hospitalized, requiring supplemental oxygen Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise) Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care Not hospitalized, limitation on activities and/or requiring home oxygen Not hospitalized, no limitations on activities

Measure: Phase 3: Percentage of patients reporting each severity on an 8-point ordinal scale at Day 15

Time: Day 15

Secondary Outcomes

Description: The 8-point ordinal scale described above will be assessed using MR data collected as SOC or follow-up phone call on Day 29, where a lower score indicates a worse outcome. Mean changes from baseline to Day 29 will be reported.

Measure: Phase 2: Change in the 8-point ordinal scale

Time: Day 1 to Day 29

Description: The NEWS is a cumulative score (range: 0 - 20) based on 7 clinical parameters as depicted below and discriminates patients at risk of poor outcomes. A higher score indicates a higher risk. The assessment will be calculated daily using MR data collected as SOC. Mean changes from baseline to End of Study (Day 29 or discharge) will be reported.

Measure: Phase 2: Change in National Early Warning Score (NEWS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Description: The 8-point ordinal scale described above will be assessed daily using MR data collected as SOC or follow-up phone call, where a lower score indicates a worse outcome. Mean changes from baseline to Day 29 will be reported.

Measure: Phase 3: Change in the 8-point ordinal scale

Time: Day 1 to Day 29

Description: The NEWS is a cumulative score (range: 0 - 20) based on 7 clinical parameters as depicted below and discriminates patients at risk of poor outcomes. A higher score indicates a higher risk. The assessment will be calculated daily using MR data collected as SOC. Mean changes from baseline to End of Study (Day 29 or discharge) will be reported.

Measure: Phase 3: Change in National Early Warning Score (NEWS)

Time: Day 1 to Day 29 or hospital discharge, whichever is first

Description: The 8-point ordinal scale described above will be assessed daily using MR data collected as SOC, where a lower score indicates a worse outcome. Mean time in days to a one-category improvement will be reported.

Measure: Phase 3: Time to an improvement of one category using the 8-point ordinal scale

Time: Day 1 to Day 29 or hospital discharge, whichever is first

Description: The 8-point ordinal scale described above will be assessed daily, where a lower score indicates a worse outcome. Mean time in days to a two-category improvement will be reported.

Measure: Phase 3: Time to an improvement of two categories using the 8-point ordinal scale

Time: Day 1 to Day 29 or hospital discharge, whichever is first

Description: The NEWS will be calculated daily. Mean time in days to achieve a score of ≤2 and maintain this score for at least 24 hours OR to be discharged from the hospital, whichever occurs first, will be reported. A higher score indicates a higher risk. End of study is defined as day 29 or discharge, whichever occurs first.

Measure: Phase 3: Time to discharge or to a NEWS ≤2 and maintained for 24 hours, whichever occurs first

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Description: Grade 3 AEs are defined as events that interrupt usual activities of daily living, or significantly affects clinical status, or may require intensive therapeutic intervention. Severe events are usually incapacitating. Grade 4 AEs are defined as events that are potentially life threatening. AEs will be collected and graded daily and cumulative incidence will be reported.

Measure: Phase 3: Cumulative incidence of Grade 3 and 4 adverse events (AEs)

Time: Day 0 (screening) through Day 29

Description: An SAE is defined as an AE that is life-threatening or results in death, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. SAEs will be collected and graded daily and cumulative incidence will be reported.

Measure: Phase 3: Cumulative incidence of serious adverse events (SAEs)

Time: Day 0 (screening) through Day 29

Description: The mean duration of hospitalization will be reported, measured in days.

Measure: Phase 3: Duration of hospitalization

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Description: The mean duration of new oxygen use will be reported, measured in days.

Measure: Phase 3: Duration of new oxygen use

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Description: The mean duration of new ventilator or ECMO use will be reported, measured in days.

Measure: Phase 3: Duration of new ventilator or ECMO use

Time: Day 1 to Day 29 or hospital discharge, whichever is first

Description: The incidence of interruption of baricitinib treatment, along with mean duration and reasons for the interruptions, will be reported.

Measure: Phase 3: Incidence of discontinuation or temporary suspension of drug for any reason

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Description: The incidence of new oxygen use will be reported.

Measure: Phase 3: Incidence of new oxygen use

Time: Day 1 to Day 29 or hospital discharge, whichever is first

Description: The incidence of new ventilator or ECMO use will be reported.

Measure: Phase 3: Incidence of new ventilator use

Time: Day 1 to Day 29 or hospital discharge, whichever is first

Description: The mean number of days patients are free from use of oxygen will be reported.

Measure: Phase 3: Number of oxygen free days

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Description: The mean number of days patients are free from use of a ventilator or ECMO will be reported.

Measure: Phase 3: Number of ventilator or ECMO free days

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Description: The rate of participant death from Day 1 through Day 15 will be reported.

Measure: Phase 3: 14 day mortality rate

Time: Day 1 through Day 15

Description: The rate of participant death from Day 1 through Day 29 will be reported.

Measure: Phase 3: 28 day mortality rate

Time: Day 1 through Day 29

Measure: Phase 3: Changes in white blood cell count (CBC) through Day 15

Time: Day 1 to Day 15

Measure: Phase 3: Changes in hemoglobin through Day 15

Time: Day 1 to Day 15

Measure: Phase 3: Changes in platelets through Day 15

Time: Day 1 to Day 15

Measure: Phase 3: Changes in creatinine through Day 15

Time: Day 1 to Day 15

Measure: Phase 3: Changes in glucose through Day 15

Time: Day 1 to Day 15

Measure: Phase 3: Changes in prothrombin time (PT) through Day 15

Time: Day 1 to Day 15

Measure: Phase 3: Changes in total bilirubin through Day 15

Time: Day 1 to Day 15

Measure: Phase 3: Changes in ALT through Day 15

Time: Day 1 to Day 15

Measure: Phase 3: Changes in AST through Day 15

Time: Day 1 to Day 15

Description: Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as SOC. Mean changes from baseline to EOS will be reported.

Measure: Phase 3: Changes in white blood cell count (CBC) through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 3: Changes in hemoglobin through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 3: Changes in platelets through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 3: Changes in creatinine through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 3: Changes in glucose through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 3: Changes in prothrombin time (PT) though End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 3: Changes in total bilirubin through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 3: Changes in ALT through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

Measure: Phase 3: Changes in AST through End of Study (EOS)

Time: Day 1 through Day 29 or hospital discharge, whichever is first

2 Efficacy and Safety of Novel Treatment Options for Adults With COVID-19 Pneumonia. A Double-blinded, Randomized, Multi-stage, 6-armed Placebo-controlled Trial in the Framework of an Adaptive Trial Platform

CCAP is an investigator-initiated multicentre, randomized, double blinded, placebo-controlled, multi-stage trial, which aims to assess the safety and efficacy of novel treatment option of moderate-severe COVID-19. Participants will be randomized 1:1:1:1:1:1 to parallel treatment arms: Convalescent plasma, sarilumab, hydroxychloroquine, baricitinib, intravenous and subcutaneous placebo, or oral placebo. Primary outcome is a composite endpoint of all-cause mortality or need of invasive mechanical ventilation up to 28 days.

NCT04345289 COVID Corona Virus Infection Viral Pneumonia Biological: Convalescent anti-SARS-CoV-2 plasma Drug: Sarilumab Drug: Baricitinib Drug: Hydroxychloroquine Other: Injective placebo Other: Oral placebo
MeSH:Coronavirus Infections Severe Acute Respiratory Syndrome Pneumonia, Viral Pneumonia
HPO:Pneumonia

Primary Outcomes

Description: Composite outcome

Measure: All-cause mortality or need of invasive mechanical ventilation

Time: 28 days

Secondary Outcomes

Description: Number of participants with adverse events with possible relation to study drug

Measure: Frequency of adverse events

Time: 90 days

Description: Number of participants with serious adverse events according to International Council of Harmonisation-Good Clinical Practice (ICH-GCP) guidelines

Measure: Frequency of severe adverse events

Time: 90 days

Description: Number of days to improvement of at least 2 categories relative to baseline on the ordinal scale. Categories are as follows: Death; Hospitalized, in intensive care requiring Extracorporeal Membrane Oxygenation (ECMO) or mechanical ventilation; Hospitalized, on non-invasive ventilation or high-flow oxygen device; Hospitalized, requiring supplemental oxygen; Hospitalized, not requiring supplemental oxygen; Not hospitalized, limitation on activities and/or requiring home oxygen; Not hospitalized, no limitations on activities

Measure: Time to improvement of at least 2 categories relative to baseline on a 7-category ordinal scale of clinical status

Time: 90 days

Description: Number of days without mechanical ventilation

Measure: Ventilator-free days

Time: 28 days

Description: Number of days without organ-failure

Measure: Organ failure-free days

Time: 28 days

Description: Number of days in ICU

Measure: Duration of ICU stay

Time: 90 days

Description: Number of deaths by any cause

Measure: Mortality rate

Time: 7, 14, 21, 28 and 90 days

Description: Days from the date of hospital admission for COVID-19 to the date of discharge

Measure: Length of hospital stay

Time: 90 days

Description: Days requiring supplement oxygen

Measure: Duration of supplemental oxygen

Time: 90 days

3 A Phase II Randomized Double-Blind Trial of Baricitinib or Placebo Combined With Antiviral Therapy in Patients With Moderate and Severe COVID-19

This phase II trial studies the effect of baricitinib in combination with antiviral therapy for the treatment of patients with moderate or severe coronavirus disease-2019 (COVID-19). Treatment with antiviral medications such as hydroxychloroquine, lopinavir/ritonavir, and/or remdesivir may act against infection caused by the virus responsible for COVID-19. Baricitinib may reduce lung inflammation. Giving baricitinib in combination with antiviral therapy may reduce the risk of the disease from getting worse and may help prevent the need for being placed on a ventilator should the disease worsen compared to antiviral therapy alone.

NCT04373044 Symptomatic COVID-19 Infection Laboratory-Confirmed Drug: Baricitinib Drug: Hydroxychloroquine Drug: Placebo Administration
MeSH:Laboratory Infection

Primary Outcomes

Description: Descriptive statistics, including means, standard deviations, and ranges for continuous variables, as well as percentages and frequencies for categorical variables, will be provided to describe all the clinical findings in a cohort of symptomatic coronavirus disease 2019 (COVID-19)-infected subjects. The collected data will also be graphically presented in boxplots, histograms, and scatter plots. Investigations for outliers and assumptions for statistical analysis, e.g., normality and homoscedasticity, will be made. Group comparisons will be made using either the parametric tests such as t-test and analysis of variance (ANOVA), or the non-parametric statistical method such as Wilcoxon and Kruskal-Wallis tests for continuous variable and Chi-square test for categorical variables. Point estimates, along with the corresponding p-values and 95% confidence intervals will be reported.

Measure: Proportion of patients requiring invasive mechanical ventilation or dying

Time: Up to 14 days

Secondary Outcomes

Description: Body temperature will be measured in degrees Fahrenheit using an automated thermometer.

Measure: Identification of clinical features (vitals signs - body temperature)

Time: Up to 28 days

Description: Respiratory rate in times/minute

Measure: Identification of clinical features (vital signs - respiratory rate)

Time: Up to 28 days

Description: Heart rate in beats/minute

Measure: Identification of clinical features (vital signs - heart rate)

Time: Up to 28 days

Description: Blood pressure in mmHg

Measure: Identification of clinical features (vital signs - blood pressure)

Time: Up to 28 days

Description: Chest X-ray or pulmonary computed tomography (CT) will be performed

Measure: Identification of clinical features (Imaging)

Time: Up to 28 days

Description: Assessment via standard blood chemistry and metabolic panel

Measure: Identification of clinical features (Lab - White Blood Count)

Time: Up to 28 days

Description: Assessment via standard blood chemistry and metabolic panel

Measure: Identification of clinical features (Lab - Absolute Lymphocyte Count)

Time: Up to 28 days

Description: Assessment via standard blood chemistry and metabolic panel

Measure: Identification of clinical features (Lab - Hemoglobin)

Time: Up to 28 days

Description: Assessment via standard blood chemistry and metabolic panel

Measure: Identification of clinical features (Lab - Creatinine)

Time: Up to 28 days

Description: CRP is assessed by routinely used determination of CRP.

Measure: Identification of biomarkers (C-reactive protein)

Time: Up to 14 days

Description: IL-6 levels will be assessed using commercial ELISA method

Measure: Identification of biomarkers (Interleukin-6)

Time: Up to 14 days

Description: Tumor Necrosis Factor-alpha as measured in hospital laboratory

Measure: Identification of biomarkers (Tumor Necrosis Factor-alpha)

Time: Up to 14 days

Description: Descriptive statistics, including means, standard deviations, and ranges for continuous variables, as well as percentages and frequencies for categorical variables, will be provided to describe all the clinical findings in a cohort of symptomatic COVID-19-infected subjects. The collected data will also be graphically presented in boxplots, histograms, and scatter plots. Investigations for outliers and assumptions for statistical analysis, e.g., normality and homoscedasticity, will be made. Group comparisons will be made using either the parametric tests such as t-test and ANOVA, or the non-parametric statistical method such as Wilcoxon and Kruskal-Wallis tests for continuous variable and Chi-square test for categorical variables. Point estimates, along with the corresponding p-values and 95% confidence intervals will be reported.

Measure: Identification of adverse events

Time: Up to 14 days

Other Outcomes

Measure: Measurement of COVID19 viral burden

Time: Up to 14 days

4 A proof-of Concept Study of the Use of Janus Kinase 1 and 2 Inhibitor, Baricitinib, in the Treatment of COVID-19-related Pneumonia

The objective of the study is to assess the efficacy and safety of Baricitinib in the treatment of patients with COVID-19 pneumonia. This will be a proof-of-concept trial with an exploratory single-arm proof of concept Phase IIa study to assess the efficacy and safety profile of Baricitinib in a limited number of patients with severe acute respiratory syndrome (SARS)-CoV-2 pneumonia. If the initial proof of concept phase will lead to favourable results, an open-label, Phase II, randomized controlled trial will be then designed and performed to confirm the results obtained in the proof of concept phase. The proof-of-concept phase guarantees that no safety issues arise on a limited number of patients in the use of a drug new to the current condition being treated.

NCT04399798 Corona Virus Infection Drug: Baricitinib
MeSH:Coronavirus Infections Severe Acute Respiratory Syndrome Pneumonia
HPO:Pneumonia

Primary Outcomes

Description: A patient is consider responder in the absence of either moderate to severe oxygenation impairment according to Berlin criteria - measured as Partial pressure of oxygen/fraction inspired oxygen (PaO2/FiO2)

Measure: Response to treatment: absence of moderate to severe oxygenation impairment (Berlin criteria)

Time: 8 days

Description: Absence of death within 8 days from enrollment

Measure: Response to treatment: survival

Time: 8 days

Secondary Outcomes

Description: Moderate to severe oxygenation impairment according to Berlin criteria (measured as PaO2/FiO2)

Measure: To quantify the rate of each of: moderate or severe oxygenation impairment within 8 days

Time: 8 days

Description: Moderate to severe oxygenation impairment according to Berlin criteria (measured as PaO2/FiO2)

Measure: To quantify the rate of each of: moderate or severe oxygenation impairment within 15 days

Time: 15 days

Description: To quantify mortality within 8 and 15 days

Measure: Mortality

Time: 8 days and 15 days

Description: SpO2 will be assessed with the median and 25th-75th percentiles

Measure: Peripheral capillary oxygen saturation (SpO2)

Time: 8 days; 15 days

Description: PaO2/FiO2 will be assessed with the median and 25th-75th percentiles

Measure: Partial pressure of oxygen/fraction inspired oxygen (PaO2/FiO2)

Time: 8 days; 15 days

Description: Number of patients over the number of patients enrolled

Measure: To assess the rate of patients admitted to the intensive care unit

Time: 8 days; 15 days

Description: Median number of days and 25th-75th percentiles

Measure: To measure the length of hospital stay

Time: 8 days; 15 days

Description: To quantify 28-day mortality

Measure: 28-day mortality

Time: 28 days

Description: Number of patients readmitted over the number patients enrolled

Measure: To quantify the rate of re-admission within 28 days

Time: 28 days

Description: Number, type, and severity of adverse events

Measure: To quantify the cumulative incidence and severity of adverse events

Time: 28 days

Description: Serial serum assessments from baseline up to 15 days

Measure: Interleukin (IL)-1; IL-2; IL-10; IL-6; IL-8; IL-17; IL-2 receptor levels;

Time: 15 days

Description: Serial serum assessments from baseline up to 15 days

Measure: TNFalpha; vascular endothelial growth factor (VEGF); interferon gamma (IFNgamma) levels

Time: 15 days

Description: Serial assessments from baseline up to 15 days for viral load persistence

Measure: Viral load analyses

Time: 15 days


Related HPO nodes (Using clinical trials)