Status:

UNKNOWN

Ruxolitinib for the Treatment of Acute Respiratory Distress Syndrome in Patients With COVID-19 Infection

Lead Sponsor:

Azienda USL Toscana Nord Ovest

Collaborating Sponsors:

Fondazione C.N.R./Regione Toscana "G. Monasterio", Pisa, Italy

Azienda Ospedaliera Universitaria Senese

Conditions:

Severe Acute Respiratory Syndrome Coronavirus 2

Eligibility:

All Genders

18+ years

Brief Summary

It is an observational, cohort, retrospective, monocentric, non-profit study. The primary objective is to evaluate the efficacy and safety of ruxolitinib in acute respiratory distress syndrome in pati...

Detailed Description

It is an observational, cohort, retrospective, monocentric, non-profit study. Patients with SARS-CoV-2 COVID-19 pneumonia who started off-label Ruxolitinib treatment in the period between 25/03/2020 a...

Eligibility Criteria

Inclusion

  • positive analysis for RT PCR (Shanghai BioTec or Sansure Biotech) for SARS-CoV-2 in a respiratory tract sample;
  • Imaging (CT / ECO / RX) positive for pneumonia;
  • Oxygen saturation (SaO2) of 93% or less in the environment;
  • Partial oxygen pressure ratio (PaO2) on inspired oxygen fraction (FiO2) (PaO2 / FiO2) lower than 250 mg / Hg, but not lower than 100 mg / Hg;
  • Rapid clinical evolution with worsening of respiratory parameters in the last 12 hours.
  • Release of informed consent.

Exclusion

  • Pregnancy and breastfeeding;
  • Patients already in assisted breathing with tracheal cannula;
  • Patients with active and uncompensated serious pathologies previously to the COVID 19 infection;
  • Known hypersensitivity to ruxolitinib or to any of the excipients listed in section 6.1 of the SPC;
  • Patients with renal insufficiency;
  • Patients with positive quantiferon;
  • Patients with documented uncontrolled bacterial sepsis (excluding procalcitonin increase in the presence of negative blood cultures);
  • Patients with neutropenia equal to or less than 1000 PMN / mmc;
  • Patients with thrombocytopenia equal to or less than 100000 / mmc.
  • HCV and / or HBV positive patients, HIV.

Key Trial Info

Start Date :

April 25 2020

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

May 31 2020

Estimated Enrollment :

13 Patients enrolled

Trial Details

Trial ID

NCT04361903

Start Date

April 25 2020

End Date

May 31 2020

Last Update

April 24 2020

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