Evidence map›Paper›PMID 21443904›Full record

ArticleAntiviral research2011

Human cytomegalovirus kinetics following institution of artesunate after hematopoietic stem cell transplantation.

Dana G Wolf, Avichai Shimoni, Igor B Resnick, Thomas Stamminger, Avidan U Neumann, Sunwen Chou, Thomas Efferth, Orit Caplan, Jessica Rose, Arnon Nagler and 1 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Antiviral research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. An artesunate-containing antimalarial treatment regimen did not suppress cytomegalovirus viremia.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2013
    Trial
  4. Article
  5. Anti-CMV therapy, what next? A systematic review.Frontiers in microbiology · 2023
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Moving Past Ganciclovir and Foscarnet: Advances in CMV Therapy.Current hematologic malignancy reports · 2020
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

11 authors at 6 institutions in 3 countries.

Dana G WolfClinical Virology Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel. dana.wolf@ekmd.huji.ac.il
Avichai Shimoni
Igor B Resnick
Thomas Stamminger
Avidan U Neumann
Sunwen Chou
Thomas Efferth
Orit Caplan
Jessica Rose
Arnon Nagler
Manfred Marschall
Hadassah Medical Center · ILBar-Ilan University · ILSheba Medical Center · ILUniversitätsklinikum Erlangen · DEHeidelberg University · DEOregon Health & Science University · US

Funding

ANTIVIRAL DRUG RESISTANCE IN HUMAN CYTOMEGALOVIRUSR01AI039938 · NIAID · OREGON HEALTH & SCIENCE UNIVERSITY · PI CHOU, SUNWEN · 1996 to 2013
$3.4M
NIAID NIH HHS AI39938NIAID NIH HHS R01 AI039938
6 · The paper itself

Abstract

The anti-malaria drug artesunate has been shown to be an effective inhibitor of cytomegalovirus (CMV) in vitro, in an experimental animal model, and in a recent single-case clinical use. In this first case-series of 6 stem cell transplant recipients who received preemptive artesunate treatment for CMV infection, we have examined the viral kinetics following institution of artesunate, and employed first-phase viral kinetics studies to calculate its antiviral effectiveness. Two patients demonstrated a rapid 0.8-2.1 log viral load decline by 7 days, with a viral decay half-live of 0.9-1.9 days. Four patients demonstrated a continued yet stalled viral growth slope during treatment. No adverse events were noted in treatment courses of up to 28 days. Overall, a divergent antiviral efficacy was revealed, ranging from 43% to 90%, which appeared to be primarily dependent on the virus baseline growth dynamics. Further dose escalation studies are needed to examine the role of artesunate in the treatment of CMV infection in the transplantation setting.

Indexed as

AdultAgedAntiviral AgentsArtemisininsArtesunateChildCytomegalovirusCytomegalovirus InfectionsFemaleHematopoietic Stem Cell TransplantationHumansKineticsMaleMiddle AgedViral LoadAntiviral AgentsArtemisininsArtesunate

Identifiers

PMID21443904
PMCPMC3253856
OpenAlexW2061593050

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.