Evidence map›Paper›PMID 26198719›Full record

ArticleThe Journal of infectious diseases2015

Treatment With Lopinavir/Ritonavir or Interferon-β1b Improves Outcome of MERS-CoV Infection in a Nonhuman Primate Model of Common Marmoset.

Jasper Fuk-Woo Chan, Yanfeng Yao, Man-Lung Yeung, Wei Deng, Linlin Bao, Lilong Jia, Fengdi Li, Chong Xiao, Hong Gao, Pin Yu and 6 more

5 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 415 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
415citing papers in PubMed, 4 pooled it
11.3field-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.

NCT04365582 phase3withdrawnnot on this mapstarted 2020, after this paper: background citation

A Randomized Trial of Efficacy and Safety of an Early OUTpatient Treatment of COVID-19 in Patients With Risk Factor for Poor Outcome: a Strategy to Prevent Hospitalization

TypeinterventionalSponsorFondation Hôpital Saint-JosephRan2020 to 2021Enrolled0ConditionsCOVIDArmsAzithromycin, Hydroxychloroquine, Lopinavir 200Mg/Ritonavir 50Mg Tab
NCT04372628 phase2completednot on this mapstarted 2020, after this paper: background citation

Trial of Early Therapies During Non-hospitalized Outpatient Window (TREAT NOW) for COVID-19

TypeinterventionalSponsorVanderbilt University Medical CenterRan2020 to 2022Enrolled452ConditionsCOVID-19ArmsLopinavir/Ritonavir 400 mg/100 mg, Placebo
NCT04465695 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

An Open-label Randomised Controlled Trial on Dual Therapy With Interferon Beta-1b and Clofazimine Combination, as Treatment for COVID-19 Infection

TypeinterventionalSponsorThe University of Hong KongRan2020 to 2021Enrolled81ConditionsCOVID-19ArmsInterferon beta-1b, Clofazimine
NCT04494399 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

An Open-label Randomised Controlled Trial on IFN Beta-1b and Ribavirin Combination, as Treatment for Covid-19 Infection

TypeinterventionalSponsorThe University of Hong KongRan2020 to 2022Enrolled96ConditionsCovid19ArmsInterferon beta-1b, Ribavirin
NCT04647695 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

An Open-label Randomized Controlled Trial on Interferon β-1b and Remdesivir Combination Versus Remdesivir as Treatment for COVID-19 Infection

TypeinterventionalSponsorThe University of Hong KongRan2020 to 2021Enrolled100ConditionsCovid19ArmsInterferon beta-1b, Remdesivir
3 · Its place in the literature

Who cites it

415 citing papers in PubMed, 4 syntheses or guidelines pooled it, 622 citations in OpenAlex.

  1. Pooled it
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  4. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Pooled it
  5. Lopinavir/ritonavir for treatment of non-hospitalized patients with COVID-19: a randomized clinical trial.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    Trial
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  11. Article
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  14. Harnessing Antiviral Peptides: From Molecular Mechanisms to Clinical Translation.Current research in pharmacology and drug discovery · 2025
    Review
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355 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

16 authors at 3 institutions in 2 countries.

Jasper Fuk-Woo ChanState Key Laboratory of Emerging Infectious Diseases Department of Microbiology Research Centre of Infection and Immunology Carol Yu Centre for Infection, The University of Hong Kong, Hong Kong Special Administrative Region.
Yanfeng YaoInstitute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences, Beijing, China.
Man-Lung YeungDepartment of Microbiology.
Wei DengInstitute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences, Beijing, China.
Linlin BaoInstitute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences, Beijing, China.
Lilong JiaDepartment of Microbiology.
Fengdi LiInstitute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences, Beijing, China.
Chong XiaoInstitute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences, Beijing, China.
Hong GaoInstitute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences, Beijing, China.
Pin YuInstitute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences, Beijing, China.
Jian-Piao CaiDepartment of Microbiology.
Hin ChuDepartment of Microbiology.
Jie ZhouDepartment of Microbiology.
Honglin ChenState Key Laboratory of Emerging Infectious Diseases Department of Microbiology Research Centre of Infection and Immunology Carol Yu Centre for Infection, The University of Hong Kong, Hong Kong Special Administrative Region.
Chuan QinInstitute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences, Beijing, China.
Kwok-Yung YuenState Key Laboratory of Emerging Infectious Diseases Department of Microbiology Research Centre of Infection and Immunology Carol Yu Centre for Infection, The University of Hong Kong, Hong Kong Special Administrative Region.
Institute of Laboratory Animal Science · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Middle East respiratory syndrome coronavirus (MERS-CoV) causes severe disease in human with an overall case-fatality rate of >35%. Effective antivirals are crucial for improving the clinical outcome of MERS. Although a number of repurposed drugs, convalescent-phase plasma, antiviral peptides, and neutralizing antibodies exhibit anti-MERS-CoV activity in vitro, most are not readily available or have not been evaluated in nonhuman primates. We assessed 3 repurposed drugs with potent in vitro anti-MERS-CoV activity (mycophenolate mofetil [MMF], lopinavir/ritonavir, and interferon-β1b) in common marmosets with severe disease resembling MERS in humans. The lopinavir/ritonavir-treated and interferon-β1b-treated animals had better outcome than the untreated animals, with improved clinical (mean clinical scores ↓50.9%-95.0% and ↓weight loss than the untreated animals), radiological (minimal pulmonary infiltrates), and pathological (mild bronchointerstitial pneumonia) findings, and lower mean viral loads in necropsied lung (↓0.59-1.06 log10 copies/glyceraldehyde 3-phosphate dehydrogenase [GAPDH]; P < .050) and extrapulmonary (↓0.11-1.29 log10 copies/GAPDH; P < .050 in kidney) tissues. In contrast, all MMF-treated animals developed severe and/or fatal disease with higher mean viral loads (↑0.15-0.54 log10 copies/GAPDH) than the untreated animals. The mortality rate at 36 hours postinoculation was 67% (untreated and MMF-treated) versus 0-33% (lopinavir/ritonavir-treated and interferon-β1b-treated). Lopinavir/ritonavir and interferon-β1b alone or in combination should be evaluated in clinical trials. MMF alone may worsen MERS and should not be used.

Indexed as

AnimalsAntiviral AgentsCallithrixCoronavirus InfectionsDisease Models, AnimalDrug RepositioningInterferon-betaLopinavirMaleMiddle East Respiratory Syndrome CoronavirusRitonavirSurvival AnalysisTreatment OutcomeViral LoadAntiviral AgentsInterferon-betaLopinavirRitonaviranimalcommon marmosetcoronavirusinterferonKaletralopinavirMERSmycophenolateprimatetreatment

Identifiers

PMID26198719
PMCPMC7107395
OpenAlexW1945961678

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.