Evidence map›Paper›PMID 26895228›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2016

Effect of artemether-lumefantrine (Coartem) on cytomegalovirus urine viral load during and following treatment for malaria in children.

Breanna Barger-Kamate, Michael Forman, Cheik Oumar Sangare, Aboubecrin Sedhigh A Haidara, Hamma Maiga, Dhananjay Vaidya, Abdoulaye Djimde, Ravit Arav-Boger

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Applicability of Redirecting Artemisinins for New Targets.Global challenges (Hoboken, NJ) · 2023
    Review
  3. Machine Learning Models Identify Inhibitors of SARS-CoV-2.Journal of chemical information and modeling · 2021
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Absence of Cytomegalovirus in Glioblastoma and Other High-grade Gliomas by Real-time PCR, Immunohistochemistry, andClinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  9. 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 2 institutions in 2 countries.

Breanna Barger-KamateJohns Hopkins University, Department of Pediatrics, Division of Pediatric Emergency Medicine, Baltimore, MD, USA.
Michael FormanJohns Hopkins University School of Medicine, Department of Pathology, Baltimore, MD, USA.
Cheik Oumar SangareMalaria Research and Training Center, Bamako, Mali.
Aboubecrin Sedhigh A HaidaraMalaria Research and Training Center, Bamako, Mali.
Hamma MaigaMalaria Research and Training Center, Bamako, Mali.
Dhananjay VaidyaJohns Hopkins University, Department of Medicine, Baltimore, MD, USA.
Abdoulaye DjimdeMalaria Research and Training Center, Bamako, Mali.
Ravit Arav-BogerJohns Hopkins University, Department of Pediatrics, Division of Pediatric Infectious Disease, Baltimore, MD, USA. Electronic address: boger@jhmi.edu.
Johns Hopkins University · USUniversity of Bamako · ML

Funding

Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
Translational Neuroscience CoreU54HD079123 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI FATEMI, S. ALI, SCHLAGGAR, BRADLEY L · 2014 to 2019
$7.9M
Research Training in Pediatric Infectious DiseasesT32AI052071 · NIAID · JOHNS HOPKINS UNIVERSITY · PI AARON M MILSTONE · 2002 to 2026
$5.2M
Novel Artemisinin Derivatives for Cytomegalovirus TherapyR01AI093701 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BOGER, RAVIT · 2011 to 2015
$2.0M
High Throughput Screening for Identification of Human Cytomegalovirus InhibitorsR01DC013550 · NIDCD · MEDICAL COLLEGE OF WISCONSIN · PI BOGER, RAVIT · 2014 to 2016
$913k
FIC NIH HHS R24 TW007988NIAID NIH HHS 1R01AI093701NIAID NIH HHS R01 AI093701NIAID NIH HHS T32 AI052071NICHD NIH HHS U54 HD079123NIDCD NIH HHS R01 DC013550
6 · The paper itself

Abstract

backgroundArtemisinins, commonly used to treat malaria, have shown activity against cytomegalovirus (CMV) in vitro, in an animal model, and in case reports; however, the in vivo anti-CMV activity has not been well investigated.

objectivesTo evaluate whether artemisinins affect CMV shedding among subjects co-infected with CMV and malaria. STUDY

designA prospective observational study of children in Mali (6 month-10 year) presenting with fever. Urine samples were collected at day 0, 3, and 14 from children treated with artemether-lumefantrine (Coartem(®)) for malaria and those who had other illnesses not treated with Coartem. CMV DNA was quantified using a real-time PCR. Resulting urine viral loads were compared between the groups at three time points.

results164 malaria cases and 143 non-malaria comparisons were enrolled. Eighty-one (49%) cases and 88 (62%) comparisons shed CMV at day 0. Day 0 and day 3 viral loads were similar, but at day 14 the median viral load of cases was lower than that of comparisons (360 vs 720 copies/mL or 2.56 vs 2.86 log10), p=0.059. A stratified analysis of day 0 high viral shedders (defined as >1000 copies/mL) showed significantly lower median viral load at day 14 among cases (490 copies/mL, 2.69 log10) vs comparisons (1200 copies/mL, 3.08 log10), p=0.045.

conclusionA high rate of urinary CMV shedding was found in a malaria-endemic area. Among high virus shedders artemether-lumefantrine decreased urine viral load, but the effect was not observed when analysis of both high and low shedders was performed. These results support additional studies of artemisinin dosing and duration in CMV infection.

Indexed as

CoinfectionViral LoadArtemether, Lumefantrine Drug CombinationArtemisininsChildChild, PreschoolCytomegalovirusCytomegalovirus InfectionsDrug CombinationsEthanolaminesFemaleFluorenesFollow-Up StudiesHumansInfantMalariaArtemether, Lumefantrine Drug CombinationArtemisininsDrug CombinationsEthanolaminesFluorenesArtemether-lumefantrineCytomegalovirusMalariaUrine viral load

Identifiers

PMID26895228
PMCPMC4792724
OpenAlexW2267970607

What OpenQuestion holds

Textmetadata
LicenceTDM
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.