Baricitinib for Long COVID-related memory and thinking problems

REVERSE-Long COVID: A Multicenter Randomized, Placebo-Controlled Clinical Trial of Immunomodulation (with Baricitinib) for Long COVID Related ADRD

NIH-funded research Vanderbilt University Medical Center · NIH-11303303

Seeing if the medicine baricitinib can help adults with Long COVID who have new or worsening memory, thinking, or breathing problems.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionVanderbilt University Medical Center NIH-funded
Lab location1 site (Nashville, United States)
Project IDNIH-11303303 on NIH RePORTER

What this research studies

If you had COVID and now have lasting problems with thinking, memory, or physical endurance, this trial will randomly give participants either baricitinib or a placebo to compare outcomes. Baricitinib is a pill that dampens specific immune signals (JAK1/2) that may drive ongoing inflammation in the brain and lungs after infection. Participants will have regular clinic visits for cognitive tests, physical function measurements, and safety checks while on the drug or placebo. The study aims to see whether reducing inflammation improves cognitive symptoms and cardiopulmonary function compared with placebo.

Who could benefit from this research

Good fit: Adults aged 21 and older with Long COVID who have new or worsening cognitive problems or cardiopulmonary symptoms after COVID-19 are the likely candidates for this trial.

Not a fit: People without Long COVID symptoms, those under 21, pregnant people, or anyone with medical reasons that make baricitinib unsafe (for example active serious infection or certain immune problems) are unlikely to benefit from joining.

Why it matters

Potential benefit: If successful, this could reduce inflammation and improve thinking, memory, and physical function in people with Long COVID.

How similar studies have performed: Baricitinib is already approved for acute COVID-19 and some autoimmune diseases and has shown anti-inflammatory effects, but using it to treat Long COVID-related dementia symptoms is a relatively new and unproven approach.

Where this research is happening

Nashville, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.