Evidence map›Paper›PMID 31107922›Full record

ArticlePloS one2019

Baloxavir marboxil, a novel cap-dependent endonuclease inhibitor potently suppresses influenza virus replication and represents therapeutic effects in both immunocompetent and immunocompromised mouse models.

Keita Fukao, Yoshinori Ando, Takeshi Noshi, Mitsutaka Kitano, Takahiro Noda, Makoto Kawai, Ryu Yoshida, Akihiko Sato, Takao Shishido, Akira Naito

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05170009 (Randomized Double-blind, Placebo-controlled Single Center Pilot Study to Evaluate the Efficacy and Safety of Baloxavir in Combination With Oseltamivir in Adult Allogeneic Bone Marrow Transplant Recipients With Influenza), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.9field-weighted citation impact, top 4% 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.

NCT05170009 phase2 / phase3terminatednot on this mapstarted 2022, after this paper: background citation

Randomized Double-blind, Placebo-controlled Single Center Pilot Study to Evaluate the Efficacy and Safety of Baloxavir in Combination With Oseltamivir in Adult Allogeneic Bone Marrow Transplant Recipients With Influenza

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2022 to 2024Enrolled2ConditionsInfluenzaArmsBaloxavir Marboxil, Placebo, Oseltamivir
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 47 citations in OpenAlex.

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  10. Targeted recruitment of immune effector cells for rapid eradication of influenza virus infections.Proceedings of the National Academy of Sciences of the United States of America · 2024
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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

10 authors at 1 institution in 1 country.

Keita FukaoShionogi & Co., Ltd., Osaka, Japan.
Yoshinori AndoShionogi & Co., Ltd., Osaka, Japan.
Takeshi NoshiShionogi & Co., Ltd., Osaka, Japan.
Mitsutaka KitanoShionogi & Co., Ltd., Osaka, Japan.
Takahiro NodaShionogi Techno Advance Research Co., Ltd., Osaka, Japan.
Makoto KawaiShionogi & Co., Ltd., Osaka, Japan.
Ryu YoshidaShionogi & Co., Ltd., Osaka, Japan.
Akihiko SatoShionogi & Co., Ltd., Osaka, Japan.
Takao ShishidoShionogi & Co., Ltd., Osaka, Japan.ORCID 0000-0002-2549-0945
Akira NaitoShionogi & Co., Ltd., Osaka, Japan.
Shionogi (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Baloxavir marboxil (BXM) is an orally available small molecule inhibitor of cap-dependent endonuclease (CEN), an essential enzyme in the initiation of mRNA synthesis of influenza viruses. In the present study, we evaluated the efficacy of BXM against influenza virus infection in mouse models. Single-day oral administration of BXM completely prevented mortality due to infection with influenza A and B virus in mice. Moreover, 5-day repeated administration of BXM was more effective for reducing mortality and body weight loss in mice infected with influenza A virus than oseltamivir phosphate (OSP), even when the treatment was delayed up to 96 hours post infection (p.i.). Notably, administration of BXM, starting at 72 hours p.i. led to significant decrease in virus titers of >2-log10 reduction compared to the vehicle control within 24 hours after administration. Virus reduction in the lung was significantly greater than that observed with OSP. In addition, profound and sustained reduction of virus titer was observed in the immunocompromised mouse model without emergence of variants possessing treatment-emergent amino acid substitutions in the target protein. In our immunocompetent and immunocompromised mouse models, delayed treatment with BXM resulted in rapid and potent reduction in infectious virus titer and prevention of signs of influenza infection, suggesting that BXM could extend the therapeutic window for patients with influenza virus infection regardless of the host immune status.

Indexed as

Administration, OralAnimalsAntiviral AgentsDibenzothiepinsDisease Models, AnimalDrug Administration ScheduleEnzyme InhibitorsFemaleHost Microbial InteractionsHumansImmunocompetenceImmunocompromised HostInfluenza A virusInfluenza B virusInfluenza, HumanMiceAntiviral AgentsbaloxavirDibenzothiepinsEnzyme InhibitorsMorpholinesOseltamivirOxazinesPyridinesPyridonesThiepinsTriazines

Identifiers

PMID31107922
PMCPMC6527232
OpenAlexW2945112858

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.