Evidence map›Paper›PMID 26832756›Full record

ArticleThe Journal of antimicrobial chemotherapy2016

Treatment of Clostridium difficile infection using SQ641, a capuramycin analogue, increases post-treatment survival and improves clinical measures of disease in a murine model.

John H Moore, Edward van Opstal, Glynis L Kolling, Jae Hyun Shin, Elena Bogatcheva, Boris Nikonenko, Leo Einck, Andrew J Phipps, Richard L Guerrant, Marina Protopopova and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Correlating Antibiotic-Induced Dysbiosis toACS infectious diseases · 2023
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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 2 institutions in 1 country.

John H MooreDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA 22908, USA.
Edward van OpstalDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA 22908, USA.
Glynis L KollingDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA 22908, USA.
Jae Hyun ShinDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA 22908, USA.
Elena BogatchevaSequella Inc., Rockville, MD 20850, USA.
Boris NikonenkoSequella Inc., Rockville, MD 20850, USA.
Leo EinckSequella Inc., Rockville, MD 20850, USA.
Andrew J PhippsSequella Inc., Rockville, MD 20850, USA.
Richard L GuerrantDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA 22908, USA.
Marina ProtopopovaSequella Inc., Rockville, MD 20850, USA.
Cirle Alcantara WarrenDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA 22908, USA ca6t@virginia.edu.
University of Virginia · USSequella (United States) · US

Funding

INFECTIOUS DISEASES TRAINING PROGRAMT32AI007046 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Alison K Criss, William A Petri · 1985 to 2026
$15.3M
Development of a New Diamine (SQ109) for the Treatment of C. difficile InfectionR01AI094458 · NIAID · SEQUELLA, INC. · PI EINCK, LEO · 2011 to 2015
$3.7M
NIAID NIH HHS 5R01AI094458-05NIAID NIH HHS R01 AI094458NIAID NIH HHS T32 AI007046
6 · The paper itself

Abstract

objectivesClostridium difficile infection (CDI) is a primary cause of antibiotic-associated diarrhoeal illness. Current therapies are insufficient as relapse rates following antibiotic treatment range from 25% for initial treatment to 60% for treatment of recurrence. In this study, we looked at the efficacy of SQ641 in a murine model of CDI. SQ641 is an analogue of capuramycin, a naturally occurring nucleoside-based compound produced by Streptomyces griseus.

methodsIn a series of experiments, C57BL/6 mice were treated with a cocktail of antibiotics and inoculated with C. difficile strain VPI10463. Animals were treated orally with SQ641 for 5 days at a dose range of 0.1-300 mg/kg/day, 20 mg/kg/day vancomycin or drug vehicle. Animals were monitored for disease severity, clostridial shedding and faecal toxin levels for 14 days post-infection.

resultsFive day treatment of CDI with SQ641 resulted in higher 14 day survival rates in mice compared with either vancomycin or vehicle alone. CDI survival rates were 100% (13 of 13) and 94% (32 of 34), respectively, in the 1 and 10 mg/kg/day SQ641 treatment groups, 37% (7 of 19) with vancomycin treatment at 20 mg/kg/day and 32% (14 of 44) in the vehicle-only control group. Secondary measures of efficacy, such as prevention of weight loss, decreased disease severity, decreased C. difficile shedding and decreased toxin in faeces, were observed with SQ641 and vancomycin treatment.

conclusionsSQ641 is effective for CDI treatment with prevention of relapse in the murine model of CDI.

Indexed as

Administration, OralAminoglycosidesAnimalsAnti-Bacterial AgentsBacterial SheddingBacterial ToxinsClostridioides difficileDisease Models, AnimalEnterocolitis, PseudomembranousFecesMaleMice, Inbred C57BLSeverity of Illness IndexSurvival AnalysisTreatment OutcomeUridineAminoglycosidesAnti-Bacterial AgentsBacterial ToxinscapuramycinSQ-641Uridine

Identifiers

PMID26832756
PMCPMC4830414
OpenAlexW2288811224

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.