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NCT03681275
Janus Kinase Inhibition to Prevent Ventilator-induced Diaphragm Dysfunction
Phase 2 trial testing Tofacitinib 10 MG [Xeljanz] in Diaphragm Injury in 70 participants. Currently enrolling.
30 November 2025
Quick facts
| Lead sponsor | Stanford University |
|---|---|
| Phase | Phase 2 |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | prevention |
| Enrollment | 70 |
| Start date | 3 September 2019 |
| Primary completion | 30 November 2025 |
| Estimated completion | 30 November 2026 |
| Sites | 1 location across United States |
Drugs / interventions tested
- Tofacitinib 10 MG [Xeljanz] — full drug profile →
- Placebo to match Tofacitinib — full drug profile →
Conditions studied
- Diaphragm Injury — all drugs for Diaphragm Injury →
Sponsor
Stanford University
Who can join
18 and older, any sex, with Diaphragm Injury. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
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.
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
-
JAK-STAT signaling in human disease: From genetic syndromes to clinical inhibition.
Luo Y, Alexander M, Gadina M, O'Shea JJ, et al · · 2021 · cited 92× · PMID 34625141 · DOI 10.1016/j.jaci.2021.08.004 -
Janus kinase inhibitors are potential therapeutics for amyotrophic lateral sclerosis.
Richardson PJ, Smith DP, de Giorgio A, Snetkov X, et al · · 2023 · cited 16× · PMID 37828541 · DOI 10.1186/s40035-023-00380-y -
Rationale and design of a mechanistic clinical trial of JAK inhibition to prevent ventilator-induced diaphragm dysfunction.
Shrager JB, Wang Y, Lee M, Nesbit S, et al · · 2021 · cited 6× · PMID 34655959 · DOI 10.1016/j.rmed.2021.106620 -
JAK inhibition with tofacitinib rapidly increases contractile force in human skeletal muscle.
Shrager JB, Randle R, Lee M, Ahmed SS, et al · · 2024 · PMID 39122555 · DOI 10.26508/lsa.202402885
Verify or expand the search:
- PubMed search for NCT03681275
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
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Currently open trials in the same condition.
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- NCT05857774 — Respiratory Muscle Structure and Function in Mechanically Ventilated Patients and Long-term Outcomes · recruiting
- NCT03667027 — Diaphragm Structure and Pathobiology in Patients Being Bridged to Lung Transplant · recruiting
Other Stanford University trials
Trials by the same sponsor.
- NCT05945147 — Ketamine and Midazolam Infusions for CRPS: Feasibility Study · Phase 2 · withdrawn
- NCT04225949 — Patients Understanding of PROM Graphs · NA · withdrawn
- NCT06273098 — School-Based Bladder Health Intervention · NA · withdrawn
- NCT04652635 — Management of Nailbed Injuries · NA · withdrawn
- NCT05443503 — Stanford Spine Keeper - Managing Your Low Back Pain · NA · suspended
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT03681275 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Stanford University
- Last refreshed: 25 November 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03681275.
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