Evidence map›Paper›PMID 19223621›Full record

Trial reportAntimicrobial agents and chemotherapy2009

ST-246 antiviral efficacy in a nonhuman primate monkeypox model: determination of the minimal effective dose and human dose justification.

Robert Jordan, Arthur Goff, Annie Frimm, Michael L Corrado, Lisa E Hensley, Chelsea M Byrd, Eric Mucker, Josh Shamblin, Tove' C Bolken, Carly Wlazlowski and 8 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06156566 (European Randomised Clinical Trial on mPOX Infection), which is not on this map. Cited by 84 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06156566 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

European Randomised Clinical Trial on mPOX Infection

TypeinterventionalSponsorMiquel EkkelenkampRan2024 to 2026Enrolled150ConditionsMonkeypoxArmsTecovirimat Oral Capsule, Placebo
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 2 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Therapeutics for treating mpox in humans.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Oral Tecovirimat for the Treatment of Smallpox.The New England journal of medicine · 2018
    Trial
  4. Trial
  5. Review
  6. Article
  7. A comprehensive overview of monkeypox virus disease.Tropical medicine and health · 2026
    Review
  8. Tecovirimat for the Treatment of Mpox.The New England journal of medicine · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 4 institutions in 1 country.

Robert JordanSIGA Technologies, Inc., 4575 SW Research Way, Suite 230, Corvallis, OR 97333, USA.
Arthur Goff
Annie Frimm
Michael L Corrado
Lisa E Hensley
Chelsea M Byrd
Eric Mucker
Josh Shamblin
Tove' C Bolken
Carly Wlazlowski
Wendy Johnson
Jennifer Chapman
Nancy Twenhafel
Shanthakumar Tyavanagimatt
Adams Amantana
Jarasvech Chinsangaram
Dennis E Hruby
John Huggins
Siga Technologies (United States) · USUnited States Department of the Army · USUnited States Army Medical Research Institute of Infectious Diseases · USINC Research (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Therapeutics for the treatment of pathogenic orthopoxvirus infections are being sought. In the absence of patients with disease, animal models of orthopoxvirus disease are essential for evaluation of the efficacies of antiviral drugs and establishment of the appropriate dose and duration of human therapy. Infection of nonhuman primates (NHP) by the intravenous injection of monkeypox virus has been used to evaluate a promising therapeutic drug candidate, ST-246. ST-246 administered at 3 days postinfection (which corresponds to the secondary viremia stage of disease) at four different doses (from 100 mg/kg of body weight down to 3 mg/kg) once a day for 14 days was able to offer NHP 100% protection from a lethal infection with monkeypox virus and reduce the viral load and lesion formation. In NHP, the administration of ST-246 at a dose of 10 mg/kg/day for 14 days resulted in levels of blood exposure comparable to the levels attained in humans administered 400 mg in the fed state. These results suggest that administration of an oral dosage of 400 mg once daily for 14 days will be effective for the prevention or treatment of smallpox or monkeypox infections in humans.

Indexed as

Antiviral AgentsBenzamidesIsoindolesAnimalsDisease Models, AnimalDose-Response Relationship, DrugHumansMacaca fascicularisMonkeypox virusMpox, MonkeypoxPhthalimidesTreatment OutcomeAntiviral AgentsBenzamidesIsoindolesPhthalimidestecovirimat

Identifiers

PMID19223621
PMCPMC2681496
OpenAlexW2114782042

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.