Evidence map›Paper›PMID 27056950›Full record

Trial reportThe Journal of infectious diseases2016

No Evidence of Pritelivir Resistance Among Herpes Simplex Virus Type 2 Isolates After 4 Weeks of Daily Therapy.

Paul T Edlefsen, Alexander Birkmann, Meei-Li Huang, Craig A Magaret, Jia Jin Kee, Kurt Diem, Thomas Goldner, Burkhard Timmler, Susanne Stoelben, Helga Ruebsamen-Schaeff and 4 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% 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, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Antiviral Drugs Against Herpesviruses.Advances in experimental medicine and biology · 2021
    Article
  8. Review
  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

14 authors at 5 institutions in 3 countries.

Paul T EdlefsenVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center Department of Biostatistics.
Alexander BirkmannAiCuris Anti-infective Cures GmbH, Wuppertal, Germany.
Meei-Li HuangVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center Department of Laboratory Medicine.
Craig A MagaretVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center.
Jia Jin KeeVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center Department of Biostatistics.
Kurt DiemVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center Department of Laboratory Medicine.
Thomas GoldnerAiCuris Anti-infective Cures GmbH, Wuppertal, Germany.
Burkhard TimmlerAiCuris Anti-infective Cures GmbH, Wuppertal, Germany.
Susanne StoelbenAiCuris Anti-infective Cures GmbH, Wuppertal, Germany.
Helga Ruebsamen-SchaeffAiCuris Anti-infective Cures GmbH, Wuppertal, Germany.
Holger ZimmermannAiCuris Anti-infective Cures GmbH, Wuppertal, Germany.
Terri WarrenWestover Heights Clinic, Portland, Oregon.
Anna WaldVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center Department of Laboratory Medicine Department of Epidemiology Department of Medicine, University of Washington, Seattle.
Lawrence CoreyVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center Department of Laboratory Medicine Department of Medicine, University of Washington, Seattle.
AiCuris (Germany) · DECancer Research Center · USFred Hutch Cancer Center · USCape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa · ZAWestover Heights Clinic · US

Funding

THE PERINATAL COMPLICATIONS OF ASYMPTOMATIC GENITAL HERPES SIMPLEX VIRUSP01AI030731 · NIAID · UNIVERSITY OF WASHINGTON · PI ZHU, JIA · 1991 to 2017
$34.3M
CYTOTOXIC T CELL RESPONSES TO HSV IN HIV INFECTIONR01AI042528 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE, ZHU, JIA · 1998 to 2016
$2.7M
NIAID NIH HHS P01 AI030731NIAID NIH HHS R01 AI042528
6 · The paper itself

Abstract

backgroundPritelivir is a novel helicase-primase inhibitor in clinical development for treatment of herpes simplex virus type 2 (HSV-2) infections. In preclinical work, resistance-mediating mutations were identified in the HSV-2 genome at 3 loci in the UL5 gene and 1 locus in UL52.

methodsTo evaluate whether daily pritelivir treatment results in emergence of resistance-mediating mutations, we analyzed HSV-2 strains detected in genital swab specimens from trial participants who were randomly assigned to receive different dosages of pritelivir. We sequenced resistance regions from 87 participants' samples, the UL5 gene in 73 samples from 44 participants, and the UL52 gene in 71 samples from 43 participants.

resultsWe found no evidence that pritelivir induced known resistance-mediating mutations or for amino acid variation at other loci. In one participant's HSV-2 isolate, we found a previously unidentified mutation close to the putative resistance-mediating region in UL5 and subsequently determined in vitro susceptibility to pritelivir. We characterized mutations from 32 cultivated HSV-2 isolates previously found to be susceptible to pritelivir in vitro and identified several novel mutations that most likely reflect preexisting variation in circulating HSV-2.

conclusionsThis study demonstrates evidence of retained susceptibility of HSV-2 to pritelivir in immunocompetent persons following daily therapy for up to 28 days.

Indexed as

Drug Resistance, ViralAntiviral AgentsFemaleHerpes GenitalisHerpesvirus 2, HumanHumansMaleMutationPyridinesSequence Analysis, DNASulfonamidesThiazolesViral ProteinsAntiviral AgentspritelivirPyridinesSulfonamidesThiazolesViral Proteinsdrug resistancehelicase-primase inhibitorherpes simplex virus 2viral genomics pritelivir

Identifiers

PMID27056950
PMCPMC4918824
OpenAlexW2354273383

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.