Evidence map›Paper›PMID 26185620›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2015

Successful Treatment of Parainfluenza Virus Respiratory Tract Infection With DAS181 in 4 Immunocompromised Children.

Alpana Waghmare, Thor Wagner, Robert Andrews, Sherilyn Smith, Jane Kuypers, Michael Boeckh, Ronald Moss, Janet A Englund

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 53 citations in OpenAlex.

  1. Risk Factors for Parainfluenza Virus Lower Respiratory Tract Disease after Hematopoietic Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  2. Review
  3. Article
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  5. Article
  6. Article
  7. Host-Directed Antiviral Therapy.Clinical microbiology reviews · 2020
    Review
  8. Article
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  11. Article
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  15. Article
  16. Article
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  19. Antiviral Treatments.Clinics in chest medicine · 2017
    Review
  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

8 authors at 4 institutions in 1 country.

Alpana WaghmareSeattle Children's Hospital , Washington ; University of Washington , Seattle ; Fred Hutchinson Cancer Research Center , Seattle, Washington.
Thor WagnerSeattle Children's Hospital , Washington ; University of Washington , Seattle.
Robert AndrewsSeattle Children's Hospital , Washington ; University of Washington , Seattle ; Fred Hutchinson Cancer Research Center , Seattle, Washington.
Sherilyn SmithSeattle Children's Hospital , Washington ; University of Washington , Seattle.
Jane KuypersUniversity of Washington , Seattle.
Michael BoeckhUniversity of Washington , Seattle ; Fred Hutchinson Cancer Research Center , Seattle, Washington.
Ronald MossAnsun BioPharma, San Diego, California.
Janet A EnglundSeattle Children's Hospital , Washington ; University of Washington , Seattle.
Fred Hutch Cancer Center · USSeattle University · USSeattle Children's Hospital · USUniversity of Washington · US

Funding

ACADEMIC PEDIATRIC INFECTIOUS DISEASET32HD007233 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI KEVIN B URDAHL · 1985 to 2026
$6.7M
NICHD NIH HHS T32 HD007233
6 · The paper itself

Abstract

backgroundParainfluenza virus (PIV), a common pediatric pathogen, is associated with significant morbidity in immunocompromised (IC) hosts. DAS181, a novel sialidase fusion protein inhibitor, seems to be effective against PIV in vitro and in vivo; its use in IC children has not been evaluated.

methodsPatients were diagnosed with PIV infection using a quantitative reverse transcription-polymerase chain reaction. DAS181 was obtained under emergency investigational new drug applications and was administered via aerosol chamber or nebulizer. Patients were assessed daily for their clinical condition and adverse outcomes.

resultsFour pediatric hematopoietic cell transplantation (HCT) patients with PIV detected in respiratory specimens were identified and treated with DAS 181. Patients 1 and 2 were diagnosed with PIV lower respiratory tract infection (LRTI) by bronchoalveolar lavage at 9 months and 2 days after allogeneic transplantation, respectively. Patient 3 was on chemotherapy prior to planned autologous HCT at time of PIV diagnosis from a nasal swab. Patient 4 was diagnosed with PIV via nasal wash 2 days after HCT. Patients 1-3 had clinical symptoms and chest imaging consistent with LRTI. Inhaled DAS181 was administered for 5-10 days. All 4 patients tolerated therapy well. Clinical improvement in oxygen requirement and respiratory rate was observed in all patients who required oxygen at therapy initiation. Viral load decreased in all patients within 1 week of therapy and became undetectable by day 3 of therapy in patient 3.

conclusionDAS181 was used to treat 4 severely IC pediatric patients with PIV disease. The drug was well tolerated. Improvement in both viral loads and symptoms after initiation of therapy was observed in all cases. This report supports prospective, randomized studies in IC patients with PIV infection.

Indexed as

Alanine TransaminaseAspartate AminotransferasesChildChild, PreschoolHumansImmunocompromised HostInfantLeukemia, Myeloid, AcuteMaleNeuroblastomaParainfluenza Virus 2, HumanParainfluenza Virus 3, HumanPrecursor Cell Lymphoblastic Leukemia-LymphomaProspective StudiesRandom AllocationRecombinant Fusion ProteinsAlanine TransaminaseAspartate AminotransferasesoplunofuspRecombinant Fusion Proteinsantiviral therapyhematopoietic cell transplantationparainfluenza virus

Identifiers

PMID26185620
PMCPMC4501511
OpenAlexW2114197667

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.