TABLE 1.
Characteristics of studies included in the meta-analysis.
| References | Sample size | Design | Overall age mean ± SD | Outcome | Type of JAK—inhibitor | Regimen of JAK—inhibitor | Regimen of standard of care | Patient category | JAK—inhibitor vs. control n (%) |
| Kalil et al. (19) | 1,033 | Double-blind randomized clinical trial | 55.4 ± 15.7 | (1) Mortality (2) Safety |
Baricitinib | 4 mg/day for 2 weeks | Placebo | Moderate to severe | 515 (49.8%) vs. 518 (50.2%) |
| Marconi et al. (20) | 1,525 | Double-blind Randomized clinical trial | 57.6 ± 14.1 | (1) Mortality (2) Safety |
Baricitinib | 4 mg/day for 2 weeks | Placebo + standard of care | Moderate to severe | 764 (50.1%) vs. 761 (49.9%) |
| Ely et al. (45) | 101 | Double-blind randomized clinical trial | 58.598 ± 13.788 | (1) Mortality (2) Safety |
Baricitinib | 4 mg/day for up to 14 days or until hospital discharge | Placebo + standard of care | Severe | 51 (50.5%) vs. 50 (49.5%) |
| Wolfe et al. (43) | 1,010 | Double-blind randomized clinical trial | 58.3 ± 14.0 | (1) Mortality (2) Safety |
Baricitinib + remdesivir | 4 mg/day for up to 14 days or until hospital discharge | Dexamethasone + remdesivir + placebo | Moderate to severe | 516 (51.1%) vs. 494 (48.9%) |
| Incyte Corporation (NCT04377620) et al. (40) | 211 | Double-blind Randomized clinical trial | 63.4 ± 12.69 | (1) Mortality (2) Safety |
Ruxolitinib | 5 mg or 1 mg twice daily | placebo + standard of care | Moderate to severe | 164(77.7%) vs. 47 (22.3%) |
| Cao et al. (21) | 41 | Single-blind Randomized clinical trial | 63 ± 7.4 | (1) Mortality (2) Safety |
Ruxolitinib | 5 mg, twice daily for 2 weeks | Placebo (Vitamin C) + standard of care | Severe | 20 (48.8%) vs. 21 (51.2%) |
| Han et al. (44) | 432 | Double-blind randomized clinical trial | 56.5 ± 13.3 | (1) Mortality (2) Safety |
Ruxolitinib | 5 mg twice daily | Placebo tablets 5 mg twice per day for 14 days | Moderate to severe | 287 (66.4%) vs. 145 (33.6%) |
| Guimar aes et al. (22) | 289 | Double-blind randomized clinical trial | 56 ± 14 | (1) Mortality (2) Safety |
Tofacitinib | 10-mg twice daily for 14 days or until hospital discharge | Placebo 10 mg twice daily for up to 14 days + standard of care | Moderate to severe | 144 (49.8%) vs. 145 (50.2%) |
| Singh et al. (46) | 25 | Double-blind randomized clinical trial | 57.32 ± 12.86 | (1) Mortality | Nezulcitini | 1, 3 10 mg daily for up to 7 days | Placebo inhalation | Moderate to severe | 19 (76%) vs. 6 (23%) |
| D’Alessio et al. (27) | 75 | Non-randomized clinical trial | 67.6 ± 5.1 | (1) Mortality | Ruxolitinib | 5 mg, twice daily for 7 days, then tapered to 5 mg/day for a total of 10 days | Hydroxychloroquine + lopinavir/ritonavir | Severe | 32 (42.6%) vs. 43 (57.4%) |
| Iastrebner et al. (28) | 102 | Clinical trial | 57.26 ± 11.41 | (1) Mortality (2) Safety |
Ruxolitinib | 5 mg twice daily | Standard of care | Severe | 51 (50.0%) vs. 51 (50.0%) |
| Rodriguez-Garcia et al. (23) | 387 | Prospective cohort | 62.3 ± 14.8 | (1) Mortality (2) Safety |
Baricitinib | 4 mg/day for 5–10 days | Standard of care + corticosteroids | Moderate to severe | 117 (30.2%) vs. 270 (69.8%) |
| Bronte et al. (24) | 76 | Prospective cohort | 73.5 ± 13.8 | (1) Mortality | Baricitinib | 4 mg, twice daily for 2 days, followed by 4 mg/day for the remaining 7 days | Hydroxychloroquine + lopinavir/ritonavir + supportive care | Severe | 20 (26.3%) vs. 56 (73.7%) |
| Masia et al. (25) | 190 | Prospective cohort | 60.11 ± 3.41 | (1) Mortality (2) Safety |
Baricitinib | Not available | Standard of care (tocilizumab + corticosteroids) | Severe | 95 (50%) vs. 95 (50%) |
| Abizanda et al. (26) | 156 | Prospective cohort | 68.5 ± 12.4 | (1) Mortality | Baricitinib | Not available | Standard of care | Moderate to severe | 78 (50%) vs. 78 (50%) |
| Stanevich et al. (29) | 292 | Prospective cohort | 58.1 ± 13.3 | (1) Mortality (2) Safety |
Ruxolitinib | 5–10 mg/day until oxygen support withdrawal | Dexamethasone for 5– 10 days | Severe | 146 (50%) vs. 146 (50%) |
| Giudice et al. (30) | 17 | Prospective cohort | 63.5 ± 12.5 | (1) Mortality (2) Safety |
Ruxolitinib | 10 mg, twice daily for 14 days | Hydroxychloroquine + supportive care | Severe | 7 (41.1%) vs. 10 (58.9%) |
| Pérez-Alba et al. (32) | 197 | Retrospective cohort | 59.9 ± 14.9 | (1) Mortality (2) Safety |
Baricitinib | 4 mg/day for 2 weeks | Dexamethasone 6 mg/day for 10 days | Moderate to severe | 123 (62.4%) vs. 74 (37.6%) |
| Cantini et al. (34) | 191 | Retrospective cohort | 67 ± 14 | (1) Mortality (2) Safety |
Baricitinib | 4 mg/day for 2 weeks | Hydroxychloroquine + lopinavir/ritonavir | Mild to moderate | 113 (59.1%) vs. 78 (40.9%) |
| Rosas et al. (33) | 29 | Retrospective cohort | 67.8 ± 13.6 | (1) Mortality | Baricitinib | 4 mg/day for 2 weeks | Standard of care | Moderate to severe | 12 (41.3%) vs. 17 (58.7%) |
| Stebbing et al. (35) | 179 | Prospective cohort | 66 ± 26.6 | (1) Mortality (2) Safety |
Baricitinib | 4 mg/day for 2 weeks | Standard of care | Moderate to severe | 37 (20.6%) vs. 142 (79.4%) |
| Falcone et al. (37) | 278 | Retrospective cohort | 69.92 ± 3.99 | (1) Mortality | Baricitinib | Not available | Standard of care | Moderate to severe | 40 (14.4%) vs. 238 (85.6%) |
| Tziolos et al. (36) | 369 | Retrospective cohort | 65.2 ± 13.6 | (1) Mortality | Baricitinib | 4 mg once a day for up to 14 days or until hospital discharge | Standard of care | severe | 193 (52.3%) vs. 176 (47.7%) |
| Maslennikov et al. (31) | 62 | Retrospective cohort | 64.3 ± 12.5 | (1) Mortality (2) Safety |
Tofacitinib | 10 mg, twice daily on the first day, then 5 mg, twice daily for 4 days | Standard of care | Moderate to severe | 32 (51.6%) vs. 30 (48.4%) |
| Hayek et al. (38) | 269 | Retrospective cohort | 63.92 ± 14.23 | (1) Mortality (2) Safety |
Tofacitinib | 10-mg twice daily for 5 days | Dexamethasone | severe | 138 (51.3%) vs. 131 (48.7%) |
| Singh et al. (39) | 50 | Retrospective cohort | 46.12 ± 13.49 | (1) Mortality | Tofacitinib | 10 mg, twice daily | Standard of care | severe | 25 (50.0%) vs. 25 (50.0%) |
| Melikhov et al. (41) | 522 | Prospective cohort | 58.62 ± 12.59 | (1) Mortality (2) Safety |
Tofacitinib | 10 mg for 7–14 days | Baricitinib 4 mg for 7–14 days | Mild to severe | 320 (61.3%) vs. 202 (38.7%) |
| Kojima et al. (42) | 98 | Retrospective cohort | 60.68 ± 3.27 | (1) Mortality (2) Safety |
Tofacitinib | Not available | Baricitinib | Mild to severe | 64 (65.3%) vs. 34 (34.7%) |
JAK, inhibitor; Janus kinase inhibitor; SD; standard deviation.