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Can existing drugs stop COVID-19 from getting worse?

NCT ID NCT04581954

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested two drugs, ruxolitinib and fostamatinib, in hospitalized adults with mild to moderate COVID-19 pneumonia. The goal was to see if either drug could prevent the disease from becoming severe. 185 patients were randomly assigned to receive one of the drugs or standard care for 14 days, and their progress was tracked for 28 days.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
ruxolitinib and fostamatinib
What this could lead to
If successful, these drugs could offer a new treatment option to prevent severe COVID-19 pneumonia in hospitalized patients.
What could go wrong
This was a relatively small, early-phase trial (Phase 1/2) with 185 participants, so results may not apply to everyone. The drugs also have known side effects like infection risk.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 1/2

Runs two stages together: safety and dose first, then whether the treatment works.

Participants

185 people

The number who actually took part.

Started

Oct 2020

Finished

Sep 2023

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Patients age ≥ 18 years at screening * Patients with mild or moderate C19 pneumonia, defined as Grade 3 or 4 severity by the WHO COVID-19 Ordinal Scale by * Patients meeting criteria: Hospitalization AND SARS-CoV2 infection (clinically suspected\* or laboratory-confirmed) AND Radiological change consistent with COVID-19 disease * C-reactive protein (CRP) greater than or equal to 30mg/L * Informed consent from patient or personal or professional representative * No medical history that might, in the opinion of the responsible clinician, put the patient at significant risk if he/she were to participate in the trial * Agreement to abstain from sexual intercourse or use contraception that is \>99% effective for all participants of childbearing potential for 42 days after the last dose of study drug. For male participants, agreement to abstain from sperm donation for 42 days after the last dose of study drug. * Able to read English. Non-English speakers will be able to join the study. If patients are unable to understand verbal or written information in English - hospital translation services will be requested at the participating site for the participant where possible. Exclusion Criteria: * Requiring either invasive or non-invasive ventilation including CPAP or high flow nasal oxygen at any point after hospital admission and before baseline not related to a pre-existing condition (e.g. obstructive sleep apnoea) * Grade ≥ 5 severity on the modified WHO COVID-19 Ordinal Scale, viz. O2 saturation \< 90% on ≥ 60% inspired oxygen at baseline; non-invasive ventilation; or invasive mechanical ventilation at any point since hospital admission. * In the opinion of the investigator, progression to death is inevitable within the next 24 hours, irrespective of the provision of therapy * Known severe allergic reactions to the investigational agents * Child Pugh B or C grade hepatic dysfunction * Use of drugs within the preceding 14 days that are known to interact with any study treatment (FOS or RUX), as listed in the Summary of Product Characteristics * Pregnant or breast feeding * Any medical condition or concomitant medication that in the opinion of the investigator would compromise subjects' safety or compliance with study procedures. * Any medical condition which in the opinion of the principal investigator would compromise the scientific integrity of the study * Pregnant or breast feeding

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Imperial College Healthcare NHS Trust

    London, W12 0HS, United Kingdom

  • London North West University Healthcare

    London, HA1 3UJ, United Kingdom

  • Royal Berkshire NHS Foundation Trust

    Reading, RG1 5AN, United Kingdom

  • Sheffield Teaching Hospitals NHS Foundation Trust - Royal Hallamshire Hospital

    Sheffield, S10 2JF, United Kingdom

  • The Leeds Teaching Hospital - St James University Hospitals NHS Trust

    Leeds, LS9 7TF, United Kingdom

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