Meta-Analysis
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Meta-Anal. Apr 18, 2023; 11(4): 125-133
Published online Apr 18, 2023. doi: 10.13105/wjma.v11.i4.125
Role of baricitinib in COVID-19 patients: A systematic review and meta-analysis
Manisha Thakur, Akhil Babu, Gopal Lal Khatik, Ashok Kumar Datusalia, Ramchander Khatri, Anoop Kumar
Manisha Thakur, Ashok Kumar Datusalia, Department of Regulatory Toxicology, National Institute of Pharmaceutical Education and Research, Raebareli, Raebareli 226002, India
Akhil Babu, Gopal Lal Khatik, Department of Medicinal Chemistry, National Institute of Pharmaceutical Education and Research, Raebareli, Raebareli 226002, India
Ramchander Khatri, Department of Pharmacognosy, Delhi Pharmaceutical Sciences and Research University, New Delhi 110017, India
Anoop Kumar, Department of Pharmacology and Clinical Research, Delhi Pharmaceutical Sciences and Research University, New Delhi 110017, Delhi, India
Author contributions: Thakur M and Babu A contributed to searching and selection of studies, extraction of data; Khatik GL, Datusalia AK, and Khatri R contributed to cross verification of data; Khatik GL contributed to first draft of the manuscript; Datusalia AK and Khatri R contributed to revision; Kumar A contributed to design, analysis and final rthe evision of manuscript; All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Anoop Kumar, PhD, Assistant Professor, Department of Pharmacology and Clinical Research, Delhi Pharmaceutical Sciences and Research University, New Delhi 110017, Delhi, India. abitmesra@gmail.com
Received: October 31, 2022
Peer-review started: October 31, 2022
First decision: January 17, 2023
Revised: January 27, 2023
Accepted: March 29, 2023
Article in press: March 29, 2023
Published online: April 18, 2023
Processing time: 179 Days and 7.3 Hours
ARTICLE HIGHLIGHTS
Research background

More research is needed to draw a valid conclusion about the use of baricitinib in the reduction of coronavirus disease 2019 (COVID-19) patient deaths.

Research motivation

More research is needed to confirm the role of baricitinib in COVID-19 patient deaths.

Research objectives

A total of 11 studies (4 observational and 7 clinical trials) were found relevant for analysis. The overall estimate measure in terms of odds ratio for observational studies was 0.42 [0.11, 1.67], whereas for clinical trials it was 0.37 [0.09, 1.46], indicating a non-significant reduction in COVID-19 patient deaths in the baricitinib group versus the non-baricitinib group. The degree of heterogeneity among studies was also discovered to be high.

Research methods

The study was conducted as per the PRISMA guideline using RevMan 5 software.

Research results

To investigate the role of baricitininb in the reduction of COVID-19 patient deaths.

Research conclusions

Can baricitinib reduce the deaths of COVID-19 patients?

Research perspectives

Emerging reports have indicated the use of baricitinib in hospitalized COVID-19 patients. However, the use of baricitinib in COVID-19 patients is unclear so far.