FDA grants Emergency Use Authorisation for baricitinib in hospitalised COVID-19 patients nine months after initial hypothesis was published by BenevolentAI

  • Baricitinib was identified by researchers at BenevolentAI as a potential treatment for COVID-19 in early February 2020  
  • The FDA authorisation enables immediate use of baricitinib in combination with remdesivir to treat hospitalised COVID-19 patients 
  • ACTT-2 data demonstrated baricitinib improved clinical outcomes and increased recovery rates of hospitalised COVID-19 patients
  • There was a 35% lower mortality rate overall in the group taking baricitinib (5.1% vs 7.8%)

London, 20 November 2020: BenevolentAI announced today that baricitinib, a drug it first identified as a potential treatment for COVID-19 by the company has been granted Emergency Use Authorization (EUA) by the U.S. Food and Drug Administration (FDA). The rheumatoid arthritis drug, owned and marketed by Eli Lilly under the brand name Olumiant™, is now authorised for use in hospitalised COVID-19 patients who require supplemental oxygen or invasive mechanical ventilation.

This EUA decision was based on data from clinical updates released from the NIAID ACTT-2 trial and further validates the AI-derived hypothesis of baricitinib as a potential treatment for COVID-19, first published by BenevolentAI in The Lancet on February 4, 2020. The speed at which baricitinib entered clinical trials reflected the urgency of the pandemic and is testament to the strength of BenevolentAI’s initial hypothesis. This action from the FDA for the EUA of baricitinib is an important milestone that has progressed at an unprecedented pace, moving from computer to bench to bedside in nine months.

Joanna Shields, CEO of BenevolentAI commented, “I am immensely proud that our research is playing a part in the global fight against COVID-19. The NIAID ACTT-2 trial data confirmed our initial hypothesis that baricitinib could be an effective treatment for hospitalised patients with COVID-19. With infection rates soaring, physicians will now have this valuable treatment in their armamentarium to combat the deadly virus.”

Ahead of a full analysis expected to be published imminently in a peer-reviewed journal from NIAID and study investigators, the key findings and scientific evidence supporting this EUA  include: 

  • The phase III ACTT-2 trial showed the proportion of patients who progressed to ventilation (non-invasive or invasive) or died by Day 29 was lower in baricitinib in combination with remdesivir (23%) compared to remdesivir alone (28%).
  • There was a 35% lower mortality rate overall in the group taking baricitinib (5.1% vs 7.8%). This reduction in mortality was more pronounced in patients receiving oxygen, as mortality at Day 29 was 60% lower for those on supplemental oxygen, and 43% lower for those on high-flow oxygen/non-invasive ventilation.
  • The trial met the primary endpoint of reducing time to recovery (discharge from hospital) by one day (12.5%) compared to remdesivir alone. The most significant benefits were observed in patients requiring supplemental oxygen and in those needing high-flow oxygen/non-invasive ventilation. 

The FDA grants Emergency use authorisation to provide availability of a medicine that may help diagnose, treat or prevent a life-threatening disease when no adequate and approved alternatives are available. The recommended dose for this EUA is baricitinib 4-mg once daily for 14 days or until hospital discharge. 
The ACTT-2 randomised control trial included more than 1,000 patients. It began on May 8 to assess the efficacy and safety of baricitinib plus remdesivir versus remdesivir alone in hospitalised patients with COVID-19 and was conducted in 8 countries, including the UK. 

Media enquiries

Rajin Kang 

Note to editors: Baricitinib is approved for the treatment of rheumatoid arthritis and other diseases. It is administered orally and has been used to treat COVID-19 patients in more than 14 clinical trials worldwide, including the randomised clinical trials by the NIAID. Eli Lilly is conducting a Phase 3 randomised, double-blind, placebo-controlled study (COV-BARRIER) to evaluate the efficacy and safety of baricitinib in hospitalised adults with COVID-19. 

BenevolentAI’s research on baricitinib as a treatment for COVID-19 has been published in The Lancet, The Lancet Infectious Diseases, EMBO Molecular Medicine, and Science Advances.

About BenevolentAI (

BenevolentAI creates and applies AI and machine learning to transform the way medicines are discovered and developed. Benevolent integrates its technology into every step of the drug discovery process, from hypothesis generation to early-stage clinical development. BenevolentAI is headquartered in London with a research facility in Cambridge (UK) and additional offices in New York. BenevolentAI has active R&D drug programmes in disease areas such as Amyotrophic Lateral Sclerosis, Ulcerative Colitis and Glioblastoma and has research and commercial collaborations with AstraZeneca and Novartis.

More Posts

You Might Also Like

Transforming drug discovery with AI: how we’re building and nurturing the best talent for the job
At BenevolentAI, we are on a mission to bring life-changing medicines to patients, and we are looking for collaborative, mission-driven people to join our tech, drug discovery and business operations teams in London, Cambridge and New York.
Oct 17, 2021
BenevolentAI identifies novel target for ulcerative colitis and advances candidate to IND/CTA-enabling studies
BenevolentAI’s AI-Drug Discovery platform uncovered a novel target not previously linked to ulcerative colitis and advanced candidate to preclinical studies.
Oct 14, 2021
Measuring bias: moving towards more inclusive health research outcomes #stateofai
Having shared our open-source Diversity Analysis Tool last year, we were tasked to investigate and demonstrate the lack of diversity in biomedical data as part of the State of AI Report 2021.
Oct 12, 2021
Expert-augmented computational drug discovery for rare diseases
Combining scientific expertise, computational tools and our AI-enhanced biomedical knowledge graph to successfully uncover a new drug combination for treating a rare brain cancer in children.
Sep 28, 2021
BenevolentAI appoints Dr John Orloff to its Board of Directors
Biopharmaceutical veteran Dr John Orloff joins the BenevolentAI Board as a Non-Executive Director as it scales the development of its leading AI-derived drug pipeline.
Sep 9, 2021
AI in Drug Discovery
This blog seeks to demystify the application of artificial intelligence (AI) and machine learning (ML) in drug discovery by exploring some of the challenges, opportunities and progress that has been achieved in the field so far.
Jul 13, 2021