Janus Kinase Inhibition to Prevent Ventilator-induced Diaphragm Dysfunction

NCT ID: NCT03681275

Last Updated: 2024-11-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-03

Study Completion Date

2026-11-30

Brief Summary

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We intend, with this study, to prove that blocking the molecular mechanisms whose blockade prevents VIDD in animals, will indeed prevent the development of VIDD in humans as well. We believe that this evidence will serve as the required basis for proceeding with large, ICU-based clinical trial(s) of a drug to prevent VIDD.

Detailed Description

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Conditions

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Diaphragm Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Tofacitinib

Patient will receive two days treatment with tofacitinib prior to the surgery.

Group Type EXPERIMENTAL

Tofacitinib 10 MG [Xeljanz]

Intervention Type DRUG

administered twice daily for two days

Placebo

Patient will receive two days treatment with placebo prior to the surgery.

Group Type PLACEBO_COMPARATOR

Placebo to match Tofacitinib

Intervention Type DRUG

administered twice daily for two days

Interventions

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Tofacitinib 10 MG [Xeljanz]

administered twice daily for two days

Intervention Type DRUG

Placebo to match Tofacitinib

administered twice daily for two days

Intervention Type DRUG

Other Intervention Names

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XELJANZ

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing esophagectomy

Exclusion Criteria

* Patients with more than mild pulmonary dysfunction
* Patients with any neuromuscular disease that might compromise diaphragm function
* Patients with abnormal liver or kidney function
* Patients taking any immunosuppressant medication (including prednisone) or antifungal medications
* History of tuberculosis
* Weight loss of \>5% of body weight over previous 6 months
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Joseph B. Shrager, MD

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joseph Shrager, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford University Medical Center

Stanford, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Cheyenne A Clinical Research Coordinator, B.S, M.S

Role: CONTACT

3107201689

Facility Contacts

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Study Team

Role: primary

650-721-6561

References

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Shrager JB, Wang Y, Lee M, Nesbit S, Trope W, Konsker H, Fatodu E, Berry MS, Poulstides G, Norton J, Burdon T, Backhus L, Cooke R, Tang H. Rationale and design of a mechanistic clinical trial of JAK inhibition to prevent ventilator-induced diaphragm dysfunction. Respir Med. 2021 Nov-Dec;189:106620. doi: 10.1016/j.rmed.2021.106620. Epub 2021 Sep 21.

Reference Type BACKGROUND
PMID: 34655959 (View on PubMed)

Shrager JB, Randle R, Lee M, Ahmed SS, Trope W, Lui N, Poultsides G, Liou D, Visser B, Norton JA, Nesbit SM, He H, Kapula N, Wallen B, Fatodu E, Sadeghi CA, Konsker HB, Elliott I, Guenthart B, Backhus L, Cooke R, Berry M, Tang H. JAK inhibition with tofacitinib rapidly increases contractile force in human skeletal muscle. Life Sci Alliance. 2024 Aug 9;7(11):e202402885. doi: 10.26508/lsa.202402885. Print 2024 Nov.

Reference Type BACKGROUND
PMID: 39122555 (View on PubMed)

Other Identifiers

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3R01AG069858-02W1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB-47826

Identifier Type: -

Identifier Source: org_study_id

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