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Propensity-Score Matched Analysis of the Effectiveness of Baricitinib in Patients With Coronavirus Disease 2019 (COVID-19) Using Nationwide Real-World Data: An Observational Matched Cohort Study From the Japan COVID-19 Task Force.

Authors :
Tanaka, Hiromu
Chubachi, Shotaro
Namkoong, Ho
Sato, Yasunori
Asakura, Takanori
Lee, Ho
Azekawa, Shuhei
Otake, Shiro
Nakagawara, Kensuke
Fukushima, Takahiro
Watase, Mayuko
Sakurai, Kaori
Kusumoto, Tatsuya
Kondo, Yasushi
Masaki, Katsunori
Kamata, Hirofumi
Ishii, Makoto
Kaneko, Yuko
Hasegawa, Naoki
Ueda, Soichiro
Source :
Open Forum Infectious Diseases. Jul2023, Vol. 10 Issue 7, p1-10. 10p.
Publication Year :
2023

Abstract

Background To determine the effectiveness of baricitinib in patients with coronavirus disease 2019 (COVID-19), investigate whether baricitinib prevents the need for invasive mechanical ventilation and identify patient subgroups that would benefit from baricitinib. Methods This observational matched-cohort study was conducted by the Japan COVID-19 Task Force, a nationwide multicenter consortium. Patients with COVID-19 aged ≥18 years were identified from 70 hospitals in Japan. Among patients with confirmed COVID-19 from February 2020 to September 2021, those receiving baricitinib were propensity-score matched with controls. Results Among 3309 patients, 144 propensity score-matched pairs were identified. Thirteen (9.0%) patients in the baricitinib group and 27 (18.8%) in the control group required invasive mechanical ventilation during the disease course (odds ratio, 0.43). Although the baricitinib group had more severe disease, there were no significant differences in the intensive care unit admission rates (odds ratio, 1.16) and mortality rates (odds ratio, 0.74) between groups. In subgroup analyses, baricitinib was associated with a significant reduction in the need for invasive mechanical ventilation in patients requiring oxygen support (odds ratio, 0.28), with rapid shadow spread on chest radiography (odds ratio, 0.11), or treated with remdesivir (odds ratio, 0.27), systemic corticosteroids (odds ratio, 0.31), or anticoagulants (odds ratio, 0.17). Conclusions Baricitinib is effective at preventing the need for invasive mechanical ventilation in patients with COVID-19. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
23288957
Volume :
10
Issue :
7
Database :
Academic Search Index
Journal :
Open Forum Infectious Diseases
Publication Type :
Academic Journal
Accession number :
169828597
Full Text :
https://doi.org/10.1093/ofid/ofad311