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10.1038/s41375-020-01018-y

http://scihub22266oqcxt.onion/10.1038/s41375-020-01018-y
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32814839!7437386!32814839
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suck abstract from ncbi


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pmid32814839      Leukemia 2021 ; 35 (4): 1121-1133
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  • Compassionate use of JAK1/2 inhibitor ruxolitinib for severe COVID-19: a prospective observational study #MMPMID32814839
  • Vannucchi AM; Sordi B; Morettini A; Nozzoli C; Poggesi L; Pieralli F; Bartoloni A; Atanasio A; Miselli F; Paoli C; Loscocco GG; Fanelli A; Para O; Berni A; Tassinari I; Zammarchi L; Maggi L; Mazzoni A; Scotti V; Falchetti G; Malandrino D; Luise F; Millotti G; Bencini S; Capone M; Piccinni MP; Annunziato F; Guglielmelli P
  • Leukemia 2021[Apr]; 35 (4): 1121-1133 PMID32814839show ga
  • Overwhelming inflammatory reactions contribute to respiratory distress in patients with COVID-19. Ruxolitinib is a JAK1/JAK2 inhibitor with potent anti-inflammatory properties. We report on a prospective, observational study in 34 patients with COVID-19 who received ruxolitinib on a compassionate-use protocol. Patients had severe pulmonary disease defined by pulmonary infiltrates on imaging and an oxygen saturation /= 2 comorbidities. Median exposure time to ruxolitinib was 13 days, median dose intensity was 20 mg/day. Overall survival by day 28 was 94.1%. Cumulative incidence of clinical improvement of >/=2 points in the ordinal scale was 82.4% (95% confidence interval, 71-93). Clinical improvement was not affected by low-flow versus high-flow oxygen support but was less frequent in patients with PaO2/FiO2 < 200 mmHg. The most frequent adverse events were anemia, urinary tract infections, and thrombocytopenia. Improvement of inflammatory cytokine profile and activated lymphocyte subsets was observed at day 14. In this prospective cohort of aged and high-risk comorbidity patients with severe COVID-19, compassionate-use ruxolitinib was safe and was associated with improvement of pulmonary function and discharge home in 85.3%. Controlled clinical trials are necessary to establish efficacy of ruxolitinib in COVID-19.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Compassionate Use Trials[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Biomarkers[MESH]
  • |COVID-19/diagnosis/metabolism/*virology[MESH]
  • |Combined Modality Therapy[MESH]
  • |Comorbidity[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Janus Kinase 1/*antagonists & inhibitors[MESH]
  • |Janus Kinase 2/*antagonists & inhibitors[MESH]
  • |Janus Kinase Inhibitors/pharmacology/*therapeutic use[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nitriles[MESH]
  • |Prospective Studies[MESH]
  • |Pyrazoles/pharmacology/therapeutic use[MESH]
  • |Pyrimidines[MESH]
  • |SARS-CoV-2/*drug effects[MESH]
  • |Severity of Illness Index[MESH]
  • |Treatment Outcome[MESH]


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