Evidence map›Paper›PMID 29511170›Full record

Trial reportEmerging microbes & infections2018

Targeting intracellular signaling as an antiviral strategy: aerosolized LASAG for the treatment of influenza in hospitalized patients.

Gerhard Scheuch, Sebastian Canisius, Karlheinz Nocker, Thomas Hofmann, Rolf Naumann, Stephan Pleschka, Stephan Ludwig, Tobias Welte, Oliver Planz

Open access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Emerging microbes & infections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. The ribosomal landscape in influenza A virus infection: from molecular mechanisms to clinical relevance.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  2. COVID-19 Molecular Pathophysiology: Acetylation of Repurposing Drugs.International journal of molecular sciences · 2022
    Review
  3. Article
  4. Further evidence for the use of aspirin in COVID-19.International journal of cardiology · 2022
    Article
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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

9 authors at 3 institutions in 1 country.

Gerhard ScheuchBio-Inhalation GmbH, 35285, Gemuenden/Wohra, Hessen, Germany.
Sebastian CanisiusVentaleon GmbH, 35285, Gemuenden/Wohra, Hessen, Germany.ORCID http://orcid.org/0000-0002-2639-1180
Karlheinz NockerVentaleon GmbH, 35285, Gemuenden/Wohra, Hessen, Germany.
Thomas HofmannAumapharma LLC, Doylestown, PA, 18901, USA.
Rolf NaumannVentaleon GmbH, 35285, Gemuenden/Wohra, Hessen, Germany.
Stephan PleschkaInstitute of Medical Virology, Justus Liebig University Giessen, 35392, Giessen, Hessen, Germany.
Stephan LudwigInstitute of Virology (IVM), Westfaelische Wilhelms-University Muenster, 48149, Muenster, North Rhine-Westphalia, Germany.
Tobias WeltePneumology Clinic, Medical University Hannover, 30625, Hannover, Lower Saxony, Germany.
Oliver PlanzInterfaculty Institute for Cell Biology, Department of Immunology, Eberhard Karls Tuebingen University, 72076, Tuebingen, Baden-Württemberg, Germany. oliver.planz@uni-tuebingen.de.
Justus-Liebig-Universität Gießen · DEUniversity of Münster · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Influenza has been a long-running health problem and novel antiviral drugs are urgently needed. In pre-clinical studies, we demonstrated broad antiviral activity of D, L-lysine-acetylsalicylate glycine (LASAG) against influenza virus (IV) in cell culture and protection against lethal challenge in mice. LASAG is a compound with a new antiviral mode of action. It inhibits the NF-κB signal transduction module that is essential for IV replication. Our goal was to determine whether aerosolized LASAG would also show a therapeutic benefit in hospitalized patients suffering from severe influenza. The primary endpoint was time to alleviation of clinical influenza symptoms. The primary analysis was based on the modified intention-to-treat (MITT) population. This included all patients with confirmed influenza virus infection who received at least one treatment. The per protocol (PP) analysis set included all subjects from the MITT population who underwent at least 13 inhalations. In the MITT group, 48 (41.7%) participants (29 LASAG; 19 placebo) had severe influenza. The mean time to symptom alleviation was 56.2 h in the placebo group and 43.0 h in the LASAG group. The PP set consisted of 41 patients (24 LASAG; 17 placebo). The mean time to symptom alleviation in the LASAG group (38.3 h; P = 0.0365) was lower than that in the placebo group (56.2 h). In conclusion, LASAG improved the time to alleviation of influenza symptoms in hospitalized patients. The present phase II proof-of-concept (PoC) study demonstrates that targeting an intra-cellular signaling pathway using aerosolized LASAG improves the time to symptom alleviation compared to standard treatment.

Indexed as

AdultAnimalsAntiviral AgentsAspirinDrug CombinationsFemaleGlycineHospitalizationHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanLysineMaleMiceMice, Inbred C57BLMiddle Agedacetylsalicylate, glycine, lysine drug combinationAntiviral AgentsAspirinDrug CombinationsGlycineLysine

Identifiers

PMID29511170
PMCPMC5841227
OpenAlexW2789357177

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.