Evidence map›Paper›PMID 26711745›Full record

ArticleAntimicrobial agents and chemotherapy2015

Synergistic Activity of Combined NS5A Inhibitors.

Donald R O'Boyle, Peter T Nower, Min Gao, Robert Fridell, Chunfu Wang, Piyasena Hewawasam, Omar Lopez, Yong Tu, Nicholas A Meanwell, Makonen Belema and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 1 institution in 1 country.

Donald R O'BoyleDepartment of Virology, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA oboyled@bms.com.
Peter T NowerDepartment of Virology, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Min GaoDepartment of Virology, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Robert FridellDepartment of Virology, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Chunfu WangDepartment of Virology, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Piyasena HewawasamDepartment of Discovery Chemistry, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Omar LopezDepartment of Discovery Chemistry, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Yong TuDepartment of Discovery Chemistry, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Nicholas A MeanwellDepartment of Discovery Chemistry, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Makonen BelemaDepartment of Discovery Chemistry, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Susan B RobertsDepartment of Virology, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Mark CockettDepartment of Virology, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Jin-Hua SunDepartment of Virology, Bristol-Myers Squibb Research and Development, Wallingford, Connecticut, USA.
Bristol-Myers Squibb (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Daclatasvir (DCV) is a first-in-class hepatitis C virus (HCV) nonstructural 5A replication complex inhibitor (NS5A RCI) that is clinically effective in interferon-free combinations with direct-acting antivirals (DAAs) targeting alternate HCV proteins. Recently, we reported NS5A RCI combinations that enhance HCV inhibitory potential in vitro, defining a new class of HCV inhibitors termed NS5A synergists (J. Sun, D. R. O'Boyle II, R. A. Fridell, D. R. Langley, C. Wang, S. Roberts, P. Nower, B. M. Johnson F. Moulin, M. J. Nophsker, Y. Wang, M. Liu, K. Rigat, Y. Tu, P. Hewawasam, J. Kadow, N. A. Meanwell, M. Cockett, J. A. Lemm, M. Kramer, M. Belema, and M. Gao, Nature 527:245-248, 2015, doi:10.1038/nature15711). To extend the characterization of NS5A synergists, we tested new combinations of DCV and NS5A synergists against genotype (gt) 1 to 6 replicons and gt 1a, 2a, and 3a viruses. The kinetics of inhibition in HCV-infected cells treated with DCV, an NS5A synergist (NS5A-Syn), or a combination of DCV and NS5A-Syn were distinctive. Similar to activity observed clinically, DCV caused a multilog drop in HCV, followed by rebound due to the emergence of resistance. DCV-NS5A-Syn combinations were highly efficient at clearing cells of viruses, in line with the trend seen in replicon studies. The retreatment of resistant viruses that emerged using DCV monotherapy with DCV-NS5A-Syn resulted in a multilog drop and rebound in HCV similar to the initial decline and rebound observed with DCV alone on wild-type (WT) virus. A triple combination of DCV, NS5A-Syn, and a DAA targeting the NS3 or NS5B protein cleared the cells of viruses that are highly resistant to DCV. Our data support the observation that the cooperative interaction of DCV and NS5A-Syn potentiates both the genotype coverage and resistance barrier of DCV, offering an additional DAA option for combination therapy and tools for explorations of NS5A function.

Indexed as

Antiviral AgentsBiphenyl CompoundsCarbamatesCell LineDrug SynergismDrug Therapy, CombinationHepacivirusHumansImidazolesMolecular Docking SimulationPyrrolidinesRepliconRNA-Dependent RNA PolymeraseValineViral Nonstructural ProteinsVirus ReplicationAntiviral AgentsBiphenyl CompoundsCarbamatesdaclatasvirImidazolesNS-5 protein, hepatitis C virusPyrrolidinesRNA-Dependent RNA PolymeraseSyn-395ValineViral Nonstructural Proteins

Identifiers

PMID26711745
PMCPMC4775965
OpenAlexW2211522787

What OpenQuestion holds

Textmetadata
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.