Evidence map›Paper›PMID 29967017›Full record

ArticleAntimicrobial agents and chemotherapy2018

Clinical Regimens of Favipiravir Inhibit Zika Virus Replication in the Hollow-Fiber Infection Model.

Camilly P Pires de Mello, Xun Tao, Tae Hwan Kim, Michael Vicchiarelli, Jürgen B Bulitta, Ajeet Kaushik, Ashley N Brown

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 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
3.9field-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

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Dose Optimization of Tilmicosin againstJournal of agricultural and food chemistry · 2026
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  3. Review
  4. DynamicAntibiotics (Basel, Switzerland) · 2024
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  7. Treatment of Respiratory Viral Coinfections.Epidemiologia (Basel, Switzerland) · 2022
    Article
  8. Development and validation of a sensitive, fast and simple LC-MS / MS method for the quantitation of favipiravir in human serum.Journal of chromatography. B, Analytical technologies in the biomedical and life sciences · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Drug repurposing approach to fight COVID-19.Pharmacological reports : PR · 2020
    Review
  13. Article
  14. Review
  15. Article
  16. Generating Robust and Informative NonclinicalAntimicrobial agents and chemotherapy · 2019
    Review
  17. 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

7 authors at 2 institutions in 1 country.

Camilly P Pires de Mello *Institute for Therapeutic Innovation, Department of Medicine, College of Medicine, University of Florida, Orlando, Florida, USA.
Xun Tao *Center for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Florida, Orlando, Florida, USA.
Tae Hwan KimCenter for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Florida, Orlando, Florida, USA.
Michael VicchiarelliInstitute for Therapeutic Innovation, Department of Medicine, College of Medicine, University of Florida, Orlando, Florida, USA.
Jürgen B BulittaCenter for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Florida, Orlando, Florida, USA.ORCID 0000-0001-7352-3097
Ajeet KaushikCenter for Personalized Nanomedicine, Institute of Neuroimmune Pharmacology, Department of Immunology, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.
Ashley N BrownInstitute for Therapeutic Innovation, Department of Medicine, College of Medicine, University of Florida, Orlando, Florida, USA Ashley.Brown@medicine.ufl.edu.
University of Florida · USFlorida International University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zika virus (ZIKV) infection is associated with serious, long-term neurological manifestations. There are currently no approved therapies for the treatment or prevention of ZIKV infection. Favipiravir (FAV) is a viral polymerase inhibitor with broad-spectrum activity. Our prior studies used static FAV concentrations and demonstrated promising activity. However, the anti-ZIKV activity of dynamic FAV concentrations has never been evaluated in a human cell line. Here we employed the hollow-fiber infection model (HFIM) to simulate the human pharmacokinetic (PK) profiles associated with the clinically utilized FAV dosage regimens against influenza and Ebola viruses and assessed the viral burden profiles. Clinically achievable FAV concentrations inhibited ZIKV replication in HUH-7 cells in a dose-dependent fashion (50% effective concentration = 236.5 μM). The viral burden profiles under dynamic FAV concentrations were predicted by use of a mechanism-based mathematical model (MBM) and subsequently successfully validated in the HFIM. This validated, translational MBM can now be used to predict the anti-ZIKV activity of other FAV dosage regimens in the presence of between-patient variability in pharmacokinetics. This approach can be extended to rationally optimize FAV combination dosage regimens which hold promise to treat ZIKV infections in nonpregnant patients.

Indexed as

AmidesAnimalsAntiviral AgentsCell LineChlorocebus aethiopsHumansModels, TheoreticalPyrazinesVero CellsViral LoadVirus ReplicationZika VirusZika Virus InfectionAmidesAntiviral AgentsfavipiravirPyrazinesantiviral therapyfavipiravirhollow-fiber infection modelmathematical modelingpharmacodynamicspharmacokineticsZika virus

Identifiers

PMID29967017
PMCPMC6125552
OpenAlexW2811045118

What OpenQuestion holds

Textmetadata
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.