Baricitinib Treatment of Coronavirus Disease 2019 Is Associated With a Reduction in Secondary Infections

被引:5
作者
Sweeney, Daniel A. [1 ]
Tuyishimire, Bonifride [2 ]
Ahuja, Neera [3 ]
Beigel, John H. [4 ]
Beresnev, Tatiana [4 ]
Cantos, Valeria D. [5 ]
Castro, Jose G. [6 ]
Cohen, Stuart H. [7 ]
Cross, Kaitlyn [2 ]
Dodd, Lori E. [4 ]
Erdmann, Nathan [8 ]
Fung, Monica [9 ]
Ghazaryan, Varduhi [4 ]
George, Sarah L. [10 ,11 ]
Grimes, Kevin A. [12 ]
Hynes, Noreen A. [13 ]
Julian, Kathleen G. [14 ]
Kandiah, Sheetal [5 ]
Kim, Hannah Jang [15 ,16 ]
Levine, Corri B. [17 ]
Lindholm, David A. [18 ,19 ]
Lye, David C. [20 ,21 ,22 ,23 ]
Maves, Ryan C. [24 ,25 ]
Oh, Myoung-don [26 ]
Paules, Catharine [14 ]
Rapaka, Rekha R. [27 ]
Short, Willam R. [28 ]
Tomashek, Kay M. [4 ]
Wolfe, Cameron R. [29 ]
Kalil, Andre C. [30 ]
机构
[1] Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA
[2] Emmes Co LLC, Rockville, MD USA
[3] Stanford Univ, Dept Med, Palo Alto, CA USA
[4] NIAID, NIH, Bethesda, MD USA
[5] Emory Univ, Dept Med, Atlanta, GA USA
[6] Univ Miami, Dept Med, Miami, FL USA
[7] Univ Calif Davis, Dept Internal Med, Sacramento, CA USA
[8] Univ Alabama Birmingham UAB, Dept Med, Birmingham, AL USA
[9] Univ Calif San Francisco, Dept Med, San Francisco, CA USA
[10] St Louis Univ, Dept Med, St Louis, MO USA
[11] St Louis VA Med Ctr, St Louis, MO USA
[12] Houston Methodist, Dept Med, Houston, TX USA
[13] Johns Hopkins Univ, Dept Med, Sch Med, Baltimore, MD USA
[14] Penn State Hlth Milton S Hershey Med Ctr, Dept Med, Hershey, PA USA
[15] Univ Calif San Francisco, Community Hlth Syst Dept, San Francisco, CA USA
[16] Kaiser Permanente Natl Patient Care Serv, Dept Nursing, Oakland, CA USA
[17] Univ Texas Med Branch, Dept Internal Med Galveston, Galveston, TX USA
[18] Uniformed Serv Univ Hlth Sci, Dept Med, Bethesda, MD USA
[19] Brooke Army Med Ctr, Dept Med, Joint Base San Antonio Ft, TX USA
[20] Natl Ctr Infect Dis, Singapore, Singapore
[21] Tan Tock Seng Hosp, Dept Infect Dis, Singapore, Singapore
[22] Lee Kong Chian Sch Med, Singapore, Singapore
[23] Yong Loo Lin Sch Med, Singapore, Singapore
[24] Wake Forest Univ, Dept Internal Med, Winston Salem, NC USA
[25] Wake Forest Univ, Dept Anesthesiol, Winston Salem, NC USA
[26] Seoul Natl Univ Hosp, Dept Internal Med, Coll Med, Seoul, South Korea
[27] Univ Maryland, Ctr Vaccine Dev & Global Hlth, Dept Med, Sch Med, Baltimore, MD USA
[28] Univ Penn, Dept Med, Philadelphia, PA USA
[29] Duke Univ, Dept Med, Durham, NC USA
[30] Univ Nebraska Med Ctr, Dept Internal Med, Omaha, NE 68198 USA
来源
OPEN FORUM INFECTIOUS DISEASES | 2023年 / 10卷 / 05期
关键词
baricitinib; COVID-19; secondary infections;
D O I
10.1093/ofid/ofad205
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We performed a secondary analysis of the National Institutes of Health-sponsored Adaptive COVID-19 Treatment Trial (ACTT-2) randomized controlled trial and found that baricitinib was associated with a 50% reduction in secondary infections after controlling for baseline and postrandomization patient characteristics. This finding provides a novel mechanism of benefit for baricitinib and supports the safety profile of this immunomodulator for the treatment of coronavirus disease 2019.
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页数:4
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