Evidence map›Paper›PMID 29698504›Full record

ArticlePLoS neglected tropical diseases2018

Addressing the most neglected diseases through an open research model: The discovery of fenarimols as novel drug candidates for eumycetoma.

Wilson Lim, Youri Melse, Mickey Konings, Hung Phat Duong, Kimberly Eadie, Benoît Laleu, Benjamin Perry, Matthew H Todd, Jean-Robert Ioset, Wendy W J van de Sande

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
10.5field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 44 citations in OpenAlex.

  1. Mycetoma.PLoS neglected tropical diseases · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Antibiotics (Basel, Switzerland) · 2021
    Review
  15. Article
  16. Article
  17. In vitro susceptibility testing for black grain eumycetoma causative agents.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2021
    Article
  18. Review
  19. Microbiology (Reading, England) · 2020
    Article
  20. Microorganisms · 2020
    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

10 authors at 4 institutions in 3 countries.

Wilson LimErasmus MC, Department of Medical Microbiology and Infectious Diseases, Rotterdam, The Netherlands.ORCID 0000-0002-7883-3825
Youri MelseErasmus MC, Department of Medical Microbiology and Infectious Diseases, Rotterdam, The Netherlands.
Mickey KoningsErasmus MC, Department of Medical Microbiology and Infectious Diseases, Rotterdam, The Netherlands.
Hung Phat DuongSchool of Chemistry, The University of Sydney, Sydney, Australia.
Kimberly EadieErasmus MC, Department of Medical Microbiology and Infectious Diseases, Rotterdam, The Netherlands.
Benoît LaleuMedicines for Malaria Venture (MMV), Geneva, Switzerland.
Benjamin PerryDrugs for Neglected Diseases initiative (DNDi), Geneva, Switzerland.
Matthew H ToddSchool of Chemistry, The University of Sydney, Sydney, Australia.ORCID 0000-0001-7096-4751
Jean-Robert IosetDrugs for Neglected Diseases initiative (DNDi), Geneva, Switzerland.
Wendy W J van de SandeErasmus MC, Department of Medical Microbiology and Infectious Diseases, Rotterdam, The Netherlands.
Erasmus MC · NLDrugs for Neglected Diseases Initiative · CHThe University of Sydney · AUMedicines for Malaria Venture · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eumycetoma is a chronic infectious disease characterized by a large subcutaneous mass, often caused by the fungus Madurella mycetomatis. A combination of surgery and prolonged medication is needed to treat this infection with a success rate of only 30%. There is, therefore, an urgent need to find more effective drugs for the treatment of this disease. In this study, we screened 800 diverse drug-like molecules and identified 215 molecules that were active in vitro. Minimal inhibitory concentrations were determined for the 13 most active compounds. One of the most potent compounds, a fenarimol analogue for which a large analogue library is available, led to the screening of an additional 35 compounds for their in vitro activity against M. mycetomatis hyphae, rendering four further hit compounds. To assess the in vivo potency of these hit compounds, a Galleria mellonella larvae model infected with M. mycetomatis was used. Several of the compounds identified in vitro demonstrated promising efficacy in vivo in terms of prolonged larval survival and/or reduced fungal burden. The results presented in this paper are the starting point of an Open Source Mycetoma (MycetOS) approach in which members of the global scientific community are invited to participate and contribute as equal partners. We hope that this initiative, coupled with the promising new hits we have reported, will lead to progress in drug discovery for this most neglected of neglected tropical diseases.

Indexed as

AnimalsAntifungal AgentsFemaleHyphaeLarvaMadurellaMycetomaNeglected DiseasesPyrimidinesAntifungal AgentsfenarimolPyrimidines

Identifiers

PMID29698504
PMCPMC5940239
OpenAlexW2951263089

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.