Evidence map›Paper›PMID 26180101›Full record

ArticleScience translational medicine2015

A long-duration dihydroorotate dehydrogenase inhibitor (DSM265) for prevention and treatment of malaria.

Margaret A Phillips, Julie Lotharius, Kennan Marsh, John White, Anthony Dayan, Karen L White, Jacqueline W Njoroge, Farah El Mazouni, Yanbin Lao, Sreekanth Kokkonda and 43 more

Abstract read
In one paragraph

Article in Science translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 177 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed, 1 pooled it
21.2field-weighted citation impact, top 1% 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

177 citing papers in PubMed, 1 synthesis or guideline pooled it, 369 citations in OpenAlex.

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  20. A Framework for Autonomous AI-Driven Drug Discovery.bioRxiv : the preprint server for biology · 2026
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117 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

53 authors at 13 institutions in 5 countries.

Margaret A PhillipsDepartment of Pharmacology, University of Texas Southwestern Medical Center at Dallas, 6001 Forest Park Boulevard, Dallas, TX 75390-9041, USA. margaret.phillips@utsouthwestern.edu susan.charman@monash.edu.
Julie LothariusMedicines for Malaria Venture, 1215 Geneva, Switzerland.
Kennan MarshAbbvie, 1 North Waukegan Road, North Chicago, IL 60064-6104, USA.
John WhiteDepartments of Chemistry and Global Health, University of Washington, Seattle, WA 98195, USA.
Anthony DayanMedicines for Malaria Venture, 1215 Geneva, Switzerland.
Karen L WhiteCentre for Drug Candidate Optimisation, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, Victoria 3052, Australia.
Jacqueline W NjorogeDepartment of Pharmacology, University of Texas Southwestern Medical Center at Dallas, 6001 Forest Park Boulevard, Dallas, TX 75390-9041, USA.
Farah El MazouniDepartment of Pharmacology, University of Texas Southwestern Medical Center at Dallas, 6001 Forest Park Boulevard, Dallas, TX 75390-9041, USA.
Yanbin LaoAbbvie, 1 North Waukegan Road, North Chicago, IL 60064-6104, USA.
Sreekanth KokkondaDepartments of Chemistry and Global Health, University of Washington, Seattle, WA 98195, USA.
Diana R TomchickDepartment of Biophysics, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390-9041, USA.
Xiaoyi DengDepartment of Pharmacology, University of Texas Southwestern Medical Center at Dallas, 6001 Forest Park Boulevard, Dallas, TX 75390-9041, USA.
Trevor LairdMedicines for Malaria Venture, 1215 Geneva, Switzerland.
Sangeeta N BhatiaHealth Sciences and Technology/Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Sandra MarchHealth Sciences and Technology/Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Caroline L NgDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY 10032, USA.
David A FidockDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY 10032, USA. Division of Infectious Diseases, Department of Medicine, Columbia University Medical Center, New York, NY 10032, USA.
Sergio WittlinSwiss Tropical and Public Health Institute, Socinstrasse 57, 4002 Basel, Switzerland. University of Basel, 4003 Basel, Switzerland.
Maria Lafuente-MonasterioGlaxoSmithKline (GSK), Tres Cantos Medicines Development Campus, Severo Ochoa, Madrid 28760, Spain.
Francisco Javier Gamo BenitoGlaxoSmithKline (GSK), Tres Cantos Medicines Development Campus, Severo Ochoa, Madrid 28760, Spain.
Laura Maria Sanz AlonsoGlaxoSmithKline (GSK), Tres Cantos Medicines Development Campus, Severo Ochoa, Madrid 28760, Spain.
Maria Santos MartinezGlaxoSmithKline (GSK), Tres Cantos Medicines Development Campus, Severo Ochoa, Madrid 28760, Spain.
Maria Belen Jimenez-DiazGlaxoSmithKline (GSK), Tres Cantos Medicines Development Campus, Severo Ochoa, Madrid 28760, Spain.
Santiago Ferrer BazagaGlaxoSmithKline (GSK), Tres Cantos Medicines Development Campus, Severo Ochoa, Madrid 28760, Spain.
Iñigo Angulo-BarturenGlaxoSmithKline (GSK), Tres Cantos Medicines Development Campus, Severo Ochoa, Madrid 28760, Spain.
John N HaseldenGlaxoSmithKline (GSK), Tres Cantos Medicines Development Campus, Severo Ochoa, Madrid 28760, Spain.
James LouttitGSK, Park Road, Ware, Hertfordshire SG12 0DP, UK.
Yi CuiGSK, Park Road, Ware, Hertfordshire SG12 0DP, UK.
Arun SridharGSK, Park Road, Ware, Hertfordshire SG12 0DP, UK.
Anna-Marie ZeemanBiomedical Primate Research Centre, P.O. Box 3306, 2280 GH Rijswijk, Netherlands.
Clemens KockenBiomedical Primate Research Centre, P.O. Box 3306, 2280 GH Rijswijk, Netherlands.
Robert SauerweinTropIQ Health Sciences, 6525 GA Nijmegen, Netherlands.
Koen DecheringTropIQ Health Sciences, 6525 GA Nijmegen, Netherlands.
Vicky M AveryDiscovery Biology, Eskitis Institute for Drug Discovery, Griffith University, Nathan, Queensland 4111, Australia.
Sandra DuffyDiscovery Biology, Eskitis Institute for Drug Discovery, Griffith University, Nathan, Queensland 4111, Australia.
Michael DelvesImperial College of Science Technology and Medicine, London SW7 2AY, UK.
Robert SindenImperial College of Science Technology and Medicine, London SW7 2AY, UK.
Andrea RueckerImperial College of Science Technology and Medicine, London SW7 2AY, UK.
Kristina S WickhamState University of New York Upstate Medical University, Syracuse, NY 13210, USA.
Rosemary RochfordState University of New York Upstate Medical University, Syracuse, NY 13210, USA.
Janet GahagenSRI International, Menlo Park, CA 94025, USA.
Lalitha IyerSRI International, Menlo Park, CA 94025, USA.
Ed RiccioSRI International, Menlo Park, CA 94025, USA.
Jon MirsalisSRI International, Menlo Park, CA 94025, USA.
Ian BathhurstMedicines for Malaria Venture, 1215 Geneva, Switzerland.
Thomas RueckleMedicines for Malaria Venture, 1215 Geneva, Switzerland.
Xavier DingMedicines for Malaria Venture, 1215 Geneva, Switzerland.
Brice CampoMedicines for Malaria Venture, 1215 Geneva, Switzerland.
Didier LeroyMedicines for Malaria Venture, 1215 Geneva, Switzerland.
M John RogersNational Institutes for Allergy and Infectious Diseases, 6610 Rockledge Drive, Bethesda, MD 20892, USA.
Pradipsinh K RathodDepartments of Chemistry and Global Health, University of Washington, Seattle, WA 98195, USA.
Jeremy N BurrowsMedicines for Malaria Venture, 1215 Geneva, Switzerland.
Susan A CharmanCentre for Drug Candidate Optimisation, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, Victoria 3052, Australia. margaret.phillips@utsouthwestern.edu susan.charman@monash.edu.
Medicines for Malaria Venture · CHImperial College London · GBSRI International · USUniversity of Hertfordshire · GBUniversity of Washington · USBiomedical Primate Research Centre · NLColumbia University Irving Medical Center · USGriffith University · AUMassachusetts Institute of Technology · USMonash University · AUSUNY Upstate Medical University · USMenlo School · USUniversity of Basel · CH

Funding

Shared TechnologyU19AI089688 · NIAID · UNIVERSITY OF WASHINGTON · PI TULJAPURKAR, SHRIPAD D. · 2010 to 2023
$22.4M
Lead Optimization of DHODH Inhibitors for MalariaR01AI103947 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI Margaret A. Phillips · 2013 to 2026
$9.7M
Optimizing Novel Dihydroorotate Dehydrogenase Inhibitors for Treating MalariaU01AI075594 · NIAID · MEDICINES FOR MALARIA VENTURE · PI WATERSON, DAVID · 2007 to 2011
$5.5M
Targeting Malarial Dihydroorotate DehydrogenaseR56AI053680 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI PHILLIPS, MARGARET A., RATHOD, PRADIPSINH K. · 2010 to 2010
$486k
NIAID NIH HHS R01 AI103947NIAID NIH HHS R01AI103947NIAID NIH HHS R56 AI053680NIAID NIH HHS U01 AI075594NIAID NIH HHS U01AI075594NIAID NIH HHS U19 AI089688Wellcome TrustWellcome Trust WT078285
6 · The paper itself

Abstract

Malaria is one of the most significant causes of childhood mortality, but disease control efforts are threatened by resistance of the Plasmodium parasite to current therapies. Continued progress in combating malaria requires development of new, easy to administer drug combinations with broad-ranging activity against all manifestations of the disease. DSM265, a triazolopyrimidine-based inhibitor of the pyrimidine biosynthetic enzyme dihydroorotate dehydrogenase (DHODH), is the first DHODH inhibitor to reach clinical development for treatment of malaria. We describe studies profiling the biological activity, pharmacological and pharmacokinetic properties, and safety of DSM265, which supported its advancement to human trials. DSM265 is highly selective toward DHODH of the malaria parasite Plasmodium, efficacious against both blood and liver stages of P. falciparum, and active against drug-resistant parasite isolates. Favorable pharmacokinetic properties of DSM265 are predicted to provide therapeutic concentrations for more than 8 days after a single oral dose in the range of 200 to 400 mg. DSM265 was well tolerated in repeat-dose and cardiovascular safety studies in mice and dogs, was not mutagenic, and was inactive against panels of human enzymes/receptors. The excellent safety profile, blood- and liver-stage activity, and predicted long half-life in humans position DSM265 as a new potential drug combination partner for either single-dose treatment or once-weekly chemoprevention. DSM265 has advantages over current treatment options that are dosed daily or are inactive against the parasite liver stage.

Indexed as

Administration, OralAnimalsAntimalarialsArea Under CurveCaco-2 CellsCrystallography, X-RayDihydroorotate DehydrogenaseDogsDrug Evaluation, PreclinicalEnzyme InhibitorsHaplorhiniHumansInhibitory Concentration 50Malaria, FalciparumMiceMice, Inbred NODAntimalarialsDihydroorotate DehydrogenaseDSM265Enzyme InhibitorsOxidoreductases Acting on CH-CH Group DonorsPyrimidinesTriazoles

Identifiers

PMID26180101
PMCPMC4539048
OpenAlexW2146694756

What OpenQuestion holds

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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.