Evidence map›Paper›PMID 27118785›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Long-acting Neuraminidase Inhibitor Laninamivir Octanoate as Post-exposure Prophylaxis for Influenza.

Seizaburo Kashiwagi, Akira Watanabe, Hideyuki Ikematsu, Mitsutoshi Uemori, Shinichiro Awamura, Laninamivir Prophylaxis Study Group

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Antiviral Approaches against Influenza Virus.Clinical microbiology reviews · 2023
    Review
  10. Review
  11. Review
  12. Article
  13. Antiviral Drugs in Influenza.International journal of environmental research and public health · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Journal of virology · 2019
    Article
  18. Article
  19. Review
  20. Review
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

6 authors at 3 institutions in 1 country.

Seizaburo KashiwagiJapan Physicians Association, Tokyo.
Akira WatanabeResearch Division for Development of Anti-Infective Agents, Institute of Development, Aging and Cancer, Tohoku University, Sendai.
Hideyuki IkematsuJapan Physicians Association, Tokyo.
Mitsutoshi UemoriBiostatistics & Data Management Department.
Shinichiro AwamuraClinical Development Department, Daiichi Sankyo Co., Ltd., Tokyo, Japan.
Laninamivir Prophylaxis Study Group
Japan Medical Association · JPDaiichi-Sankyo (Japan) · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA single administration of laninamivir octanoate, a long-acting neuraminidase inhibitor, has been proven to be effective in the treatment of influenza but not for post-exposure prophylaxis.

methodsWe conducted a double-blind, multicenter, randomized, placebo-controlled study to determine if a single administration of laninamivir octanoate 40 mg was superior to placebo for post-exposure prophylaxis. Eligible participants who had cohabited with an influenza patient within 48 hours of symptom onset were randomly assigned (1:1:1) to 1 of 3 groups: 40 mg of laninamivir octanoate single administration (LO-40SD), 20 mg of laninamivir octanoate once daily for 2 days (LO-20TD), or placebo. The primary efficacy endpoint was the proportion of participants who developed clinical influenza (defined as influenza virus positive, an axillary temperature >37.5°C, and at least 2 symptoms) over a 10-day period.

resultsA total of 803 participants were enrolled, with 801 included in the primary analysis. The proportions of participants with clinical influenza were 4.5% (12/267), 4.5% (13/269), and 12.1% (32/265) in the LO-40SD, LO-20TD, and placebo groups, respectively. A single administration of laninamivir octanoate 40 mg significantly reduced the development of influenza compared with placebo (P = .001). The relative risk reductions compared with the placebo group were 62.8% and 63.1% for the LO-40SD and LO-20TD groups, respectively. The incidence of adverse events in the LO-40SD group was similar to that of the LO-20TD and placebo groups.

conclusionsA single administration of laninamivir octanoate was effective and well tolerated as post-exposure prophylaxis to prevent the development of influenza. CLINICAL TRIALS REGISTRATION: JapicCTI-142679.

Indexed as

Administration, InhalationAdolescentAdultAntiviral AgentsChildDouble-Blind MethodEnzyme InhibitorsFamily CharacteristicsFemaleGuanidinesHumansInfluenza, HumanMaleMiddle AgedNeuraminidasePost-Exposure ProphylaxisAntiviral AgentsEnzyme InhibitorsGuanidineslaninamivirNeuraminidasePyransSialic AcidsZanamivirinfluenzalaninamivirneuraminidase inhibitorpost-exposureprophylaxis

Identifiers

PMID27118785
PMCPMC4946013
OpenAlexW2344621835

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.