A Phase 3 interventional study of Placebo and Ruxolitinib in COVID-19, sponsored by Incyte Corporation. Terminated at 36 sites in 2 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2022-01-19.
Sponsored by Incyte Corporation · Phase 3, Interventional, and Treatment
The purpose of this study is to evaluate the efficacy and safety of ruxolitinib in the treatment of participants with COVID-19-associated Acute Respiratory Distress Syndrome (ARDS) who require mechanical ventilation.
7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.
This study's enrollment of 211 is above the median of 100 across 4,099 interventional studies indexed under COVID-19.
Browse COVID-19 studies →Incyte Corporation is the lead sponsor of 286 studies on the registry; 37 are open to participants now.
Of its 144 completed or terminated interventional studies of FDA-regulated products, 93 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Participants with lung imaging showing bilateral or diffuse pulmonary infiltrates on chest x-ray or CT scan.
Exclusion Criteria:
Matching Placebo will be administered BID approximately 12 hours apart without regard to food/feeding via enteric feeding tube or oral.
Drug: Placebo
Ruxolitinib 5mg will be administered BID approximately 12 hours apart without regard to food/feeding via enteric feeding tube or oral.
Drug: Ruxolitinib
Ruxolitinib 15mg will be administered BID approximately 12 hours apart without regard to food/feeding via enteric feeding tube or oral.
Drug: Ruxolitinib
Placebo administered BID approximately 12 hours apart
Ruxolitinb administered BID approximately 12 hours apart
Also known as: INCB018424, Oral Jak Inhibitor
Percentage of Participants Who Have Died Due to Any Cause
To evaluate the 28-day mortality rate of ruxolitinib 5 mg BID + SoC therapy and ruxolitinib 15 mg BID + SoC compared with placebo + SoC therapy, in participants with COVID-19-associated ARDS who require mechanical ventilation.
Time frame: Study start to Day 29
Number of Ventilator Free Days
Number of days participant did not require mechanical ventilation
Time frame: Study start to Day 29
Number of ICU Free Days
Number of days participant is out of the ICU
Time frame: Study start to Day 29
Oxygen Free Days
Number of days participant did not receive supplemental oxygen
Time frame: Study start to Day 29
Vasopressor Free Days
Number of days without use of vasopressor therapy
Time frame: Study start to Day 29
Hospital Free Days
Number of days Partcipant is out of the hospital
Time frame: Study start to Day 29
Percentage of Participants With at Least 2-point Improvement in the COVID-19 Ordinal Scale
Participants with at least 2-point improvement at Day 15 and 29 based on participant state. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
Time frame: Study start to Days 15 and 29
Percentage of Participants With at Least 1-point Improvement in the COVID-19 Ordinal Scale
Participants with at lest 1-point improvement in clinical status at Days 15 and 29 based on participant state. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
Time frame: Study start to Days 15 and 29
Time to Improvement From Baseline Category to Earliest 1-point Improvement in the COVID-19 Ordinal Scale
TIme to improvement compared to baseline. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
Time frame: Study Start to Day 29
Percentage of Participants With the COVID-19 Ordinal Scale Reported
Clinical status of participant at Day 29 based on participant state. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
Time frame: Study start to Day 29
Change in the COVID-19 9-point Ordinal Scale
Change in the Clinical status of participant at Days 15 and 29 based on participant state. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
Time frame: Study start to Days 15 and 29
Change in SOFA Score
Sequential Organ Failure Assessment (SOFA) score is a scoring system to determine the extent of a person's organ function or rate of failure. The score is based on 6 different scores, 1 each for the respiratory, cardiovascular, hepatic, coagulation, renal, and neurological systems. Each system gets a score from 0 (normal) to 4 (abnormal) and the sum of each score defines the final SOFA score, which 24 is the maximum score (high risk of morality) and 0 is the minimum score (low risk of mortality).
Time frame: from baseline to Days 3, 5, 8, 11, 15, and 29
Number and Percentage of Participants With Treatment-related Side Effects and Serious Adverse Events
Treatment-emergent AEs are judged as related by the investigator or have a missing causality.
Time frame: Study start to Day 29
This study was conducted at 33 study centers in the United States (29) and Russia (4), and 211 participants were enrolled and analyzed for efficacy.; 209 participants were analyzed for safety. Enrollment in this study was stopped early and was not due to safety reasons.
| Milestone | Ruxolitininb 15mg + Standard of Care | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Started | 77 | 87 | 47 |
| Completed | 35 | 37 | 11 |
| Not completed | 42 | 50 | 36 |
| Withdrew: Death | 42 | 48 | 36 |
| Withdrew: Withdrawal by subject | 0 | 2 | 0 |
To evaluate the 28-day mortality rate of ruxolitinib 5 mg BID + SoC therapy and ruxolitinib 15 mg BID + SoC compared with placebo + SoC therapy, in participants with COVID-19-associated ARDS who require mechanical ventilation.
| Percentage | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Percentage of Participants Who Have Died Due to Any Cause | 50.6 | 52.9 | 70.2 |
Number of days participant did not require mechanical ventilation
| Days | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Number of Ventilator Free Days | 6.31 ± 9.047 | 4.92 ± 8.398 | 2.98 ± 7.228 |
Number of days participant is out of the ICU
| Days | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Number of ICU Free Days | 4.75 ± 7.716 | 4.00 ± 7.517 | 2.45 ± 6.362 |
Number of days participant did not receive supplemental oxygen
| Days | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Oxygen Free Days | 2.66 ± 6.073 | 2.98 ± 6.745 | 1.53 ± 4.690 |
Number of days without use of vasopressor therapy
| Days | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Vasopressor Free Days | 8.95 ± 11.738 | 7.53 ± 10.861 | 4.47 ± 9.322 |
Number of days Partcipant is out of the hospital
| Days | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Hospital Free Days | 2.09 ± 4.889 | 2.35 ± 5.259 | 1.38 ± 3.976 |
Participants with at least 2-point improvement at Day 15 and 29 based on participant state. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
| Percentage of Participants | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Day 15 | 22.1 (13.4 to 33.) | 15.3 (8.4 to 24.7) | 10.6 (3.5 to 23.1) |
| Day 29 | 29.7 (19.7 to 41.5) | 25.3 (16.4 to 36.0) | 17.0 (7.6 to 30.8) |
Participants with at lest 1-point improvement in clinical status at Days 15 and 29 based on participant state. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
| Percentage of Participants | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Day 15 | 41.6 (30.4 to 53.4) | 32.9 (23.1 to 44.0) | 21.3 (10.7 to 35.7) |
| Day 29 | 43.2 (31.8 to 55.3) | 32.5 (22.6 to 43.7) | 17.0 (7.6 to 30.8) |
TIme to improvement compared to baseline. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
| Days | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Time to Improvement From Baseline Category to Earliest 1-point Improvement in the COVID-19 Ordinal Scale | 0.91 (0.711 to 0.992) | 0.75 (0.614 to 0.867) | 0.61 (0.408 to 0.818) |
Clinical status of participant at Day 29 based on participant state. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
| Percentage | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Score 0 = Uninfected | 0 | 4.6 | 0 |
| Score 1 = Ambulatory (no limitation of activities) | 2.6 | 0 | 2.1 |
| Score 2 = Ambulatory (limitation of activities) | 16.9 | 16.1 | 10.6 |
| Score 3 = Hospitalized/Mild Disease (no oxygen therapy) | 0 | 1.1 | 0 |
| Score 4 = Hospitalized/Mild Disease (oxygen therapy via mask or nasal prongs) | 9.1 | 1.1 | 4.3 |
| Score 5 = Hospitalized/Severe Disease (non-invasive ventilation or high-flow oxygen) | 3.9 | 4.6 | 0.0 |
| Score 6 = Hospitalized/Severe Disease (intubationand mechanical ventilization) | 10.4 | 8.0 | 2.1 |
| Score 7 = Hospitalized/Severe Disease (ventilation + additional organ support) | 2.6 | 8.0 | 10.6 |
| Score 8 - Death | 50.6 | 51.7 | 70.2 |
Change in the Clinical status of participant at Days 15 and 29 based on participant state. The scale ranges from 0-8 with 0 being no clinical or virological evidence of infection and 8 being dead
| Score on a Scale | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Change from Day 1 to Day 15 | -0.4 ± 1.80 | -0.2 ± 1.73 | 0.6 ± 1.69 |
| Change from Day 1 to Day 29 | -0.5 ± 2.53 | -0.4 ± 2.57 | 0.4 ± 2.23 |
Sequential Organ Failure Assessment (SOFA) score is a scoring system to determine the extent of a person's organ function or rate of failure. The score is based on 6 different scores, 1 each for the respiratory, cardiovascular, hepatic, coagulation, renal, and neurological systems. Each system gets a score from 0 (normal) to 4 (abnormal) and the sum of each score defines the final SOFA score, which 24 is the maximum score (high risk of morality) and 0 is the minimum score (low risk of mortality).
| Scores on a Scale | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Baseline - Day 1 | 9.2 ± 2.35 | 9.6 ± 2.53 | 9.4 ± 2.69 |
| Day 3 | -0.1 ± 2.77 | 0.4 ± 3.14 | 2.6 ± 5.89 |
| Day 5 | 0.2 ± 4.27 | 0.7 ± 4.58 | 3.3 ± 6.60 |
| Day 8 | 1.9 ± 6.77 | 2.0 ± 6.30 | 4.5 ± 7.87 |
| Day 11 | 2.5 ± 7.64 | 2.0 ± 7.02 | 6.5 ± 8.26 |
| Day 15 | 4.2 ± 9.24 | 4.1 ± 7.72 | 10.3 ± 7.89 |
| Day 29 | 10.3 ± 8.54 | 10.4 ± 7.04 | 12.8 ± 5.41 |
Treatment-emergent AEs are judged as related by the investigator or have a missing causality.
| Participants | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) |
|---|---|---|---|
| Treatment-Emergent Adverse Events (TEAEs) | 22 | 23 | 11 |
| Serious TEAEs | 23 | 21 | 11 |
Collected over Up to approximately 2 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Ruxolitinib 15 mg BID | 42/77 (54.5%) | 23/77 (29.9%) | 35/77 (45.5%) |
| Ruxolitinib 5 mg BID | 48/87 (55.2%) | 21/87 (24.1%) | 46/87 (52.9%) |
| Placebo | 36/47 (76.6%) | 11/45 (24.4%) | 21/45 (46.7%) |
| Total | 124/209 (59.3%) | 55/209 (26.3%) | 102/209 (48.8%) |
| Event | Ruxolitinib 15 mg BID | Ruxolitinib 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| HypoxiaRespiratory, thoracic and mediastinal disorders | 1/77 | 1/87 | 3/45 | 5/209 |
| PneumoniaInfections and infestations | 2/77 | 4/87 | 2/45 | 8/209 |
| Alanine aminotransferase increasedInvestigations | 3/77 | 1/87 | 1/45 | 5/209 |
| PneumothoraxRespiratory, thoracic and mediastinal disorders | 3/77 | 0/87 | 1/45 | 4/209 |
| SepsisInfections and infestations | 3/77 | 1/87 | 0/45 | 4/209 |
| HypotensionVascular disorders | 1/77 | 3/87 | 1/45 | 5/209 |
| Aspartate aminotransferase increasedInvestigations | 2/77 | 1/87 | 1/45 | 4/209 |
| HypertensionVascular disorders | 2/77 | 1/87 | 0/45 | 3/209 |
| Acute kidney injuryRenal and urinary disorders | 1/77 | 2/87 | 0/45 | 3/209 |
| Blood alkaline phosphatase increasedInvestigations | 0/77 | 2/87 | 0/45 | 2/209 |
| Event | Ruxolitinib 15 mg BID | Ruxolitinib 5 mg BID | Placebo | Total |
|---|---|---|---|---|
| AnaemiaBlood and lymphatic system disorders | 12/77 | 21/87 | 9/45 | 42/209 |
| HypernatraemiaMetabolism and nutrition disorders | 8/77 | 7/87 | 7/45 | 22/209 |
| Alanine aminotransferase increasedInvestigations | 9/77 | 12/87 | 5/45 | 26/209 |
| Aspartate aminotransferase increasedInvestigations | 10/77 | 11/87 | 3/45 | 24/209 |
| HypertensionVascular disorders | 5/77 | 11/87 | 5/45 | 21/209 |
| HypokalaemiaMetabolism and nutrition disorders | 9/77 | 9/87 | 4/45 | 22/209 |
| HyperglycaemiaMetabolism and nutrition disorders | 3/77 | 8/87 | 1/45 | 12/209 |
| HypoalbuminaemiaMetabolism and nutrition disorders | 1/77 | 7/87 | 4/45 | 12/209 |
| PyrexiaGeneral disorders | 2/77 | 5/87 | 4/45 | 11/209 |
| AnxietyPsychiatric disorders | 6/77 | 4/87 | 1/45 | 11/209 |
Intent-to-treat (ITT) population included all participants who were randomized to the study.
| Age, Continuous(Years) | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) | Total |
|---|---|---|---|---|
| Mean | 63.6 ± 12.92 | 63.6 ± 12.25 | 62.5 ± 13.34 | 63.4 ± 12.69 |
| Sex: Female, Male(Participants) | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) | Total |
|---|---|---|---|---|
| Female | 29 | 32 | 13 | 74 |
| Male | 48 | 55 | 34 | 137 |
| Ethnicity (NIH/OMB)(Participants) | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) | Total |
|---|---|---|---|---|
| Hispanic or Latino | 21 | 21 | 12 | 54 |
| Not Hispanic or Latino | 53 | 64 | 34 | 151 |
| Unknown or Not Reported | 3 | 2 | 1 | 6 |
| Race (NIH/OMB)(Participants) | Ruxolitininb 15mg + Standard of Care (SoC) | Ruxolitinib 5mg + Standard of Care (SoC) | Placebo + Standard of Care (SoC) | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 2 | 2 |
| Asian | 3 | 3 | 1 | 7 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 9 | 12 | 5 | 26 |
| White | 57 | 61 | 31 | 149 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 8 | 11 | 8 | 27 |
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Incyte Corporation