Evidence map›Paper›PMID 32516282›Full record

Trial reportThe Pediatric infectious disease journal2020

Baloxavir Marboxil Single-dose Treatment in Influenza-infected Children: A Randomized, Double-blind, Active Controlled Phase 3 Safety and Efficacy Trial (miniSTONE-2).

Jeffrey Baker, Stanley L Block, Balpreet Matharu, Laura Burleigh Macutkiewicz, Steffen Wildum, Sophie Dimonaco, Neil Collinson, Barry Clinch, Pedro A Piedra

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Pediatric infectious disease journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT03629184 phase3completednot on this map

A Multicenter, Randomized, Double-Blind, Active (Oseltamivir)-Controlled Study to Assess the Safety, Pharmacokinetics, and Efficacy of Baloxavir Marboxil in Otherwise Healthy Pediatric Patients 1 to <12 Years of Age With Influenza-Like Symptoms

TypeinterventionalSponsorHoffmann-La RocheRan2018 to 2019Enrolled173ConditionsInfluenzaArmsBaloxavir Marboxil, Oseltamivir
NCT06161454 phase4completednot on this mapstarted 2023, after this paper: background citation

A Feasibility Study of Xofluza Treatment of Influenza in Pediatric Transplant Recipients, Waitlisted Subjects and Household Members After Early Infection Alerting Using Wearable Devices

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2023 to 2025Enrolled498ConditionsInfection, Coronavirus, Infections, Influenza, TransplantArmsBaloxavir Marboxil
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Clinical efficacy of antiviral agents against coronavirus disease 2019: A systematic review of randomized controlled trials.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2021
    Pooled it
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  11. Observational
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  14. Review
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  18. Update on Influenza.The American journal of the medical sciences · 2026
    Review
  19. Review
  20. Development of Antiviral Drugs for Influenza.Internal medicine (Tokyo, Japan) · 2026
    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

9 authors.

Jeffrey BakerFrom the Clinical Research Prime, Idaho Falls, Idaho.
Stanley L BlockKentucky Pediatric and Adult Research Inc., Bardstown, Kentucky.
Balpreet MatharuF. Hoffmann-La Roche Ltd, Welwyn Garden City, Hertfordshire, United Kingdom.
Laura Burleigh MacutkiewiczF. Hoffmann-La Roche Ltd, Welwyn Garden City, Hertfordshire, United Kingdom.
Steffen WildumF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Sophie DimonacoF. Hoffmann-La Roche Ltd, Welwyn Garden City, Hertfordshire, United Kingdom.
Neil CollinsonF. Hoffmann-La Roche Ltd, Welwyn Garden City, Hertfordshire, United Kingdom.
Barry ClinchF. Hoffmann-La Roche Ltd, Welwyn Garden City, Hertfordshire, United Kingdom.
Pedro A PiedraBaylor College of Medicine, Houston, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBaloxavir marboxil (baloxavir) is a novel, cap-dependent endonuclease inhibitor that has previously demonstrated efficacy in the treatment of influenza in adults and adolescents. We assessed the safety and efficacy of baloxavir in otherwise healthy children with acute influenza.

methodsMiniSTONE-2 (Clinicaltrials.gov: NCT03629184) was a double-blind, randomized, active controlled trial enrolling children 1-<12 years old with a clinical diagnosis of influenza. Children were randomized 2:1 to receive either a single dose of oral baloxavir or oral oseltamivir twice daily for 5 days. The primary endpoint was incidence, severity and timing of adverse events (AEs); efficacy was a secondary endpoint.

resultsIn total, 173 children were randomized and dosed, 115 to the baloxavir group and 58 to the oseltamivir group. Characteristics of participants were similar between treatment groups. Overall, 122 AEs were reported in 84 (48.6%) children. Incidence of AEs was similar between baloxavir and oseltamivir groups (46.1% vs. 53.4%, respectively). The most common AEs were gastrointestinal (vomiting/diarrhea) in both groups [baloxavir: 12 children (10.4%); oseltamivir: 10 children (17.2%)]. No deaths, serious AEs or hospitalizations were reported. Median time (95% confidence interval) to alleviation of signs and symptoms of influenza was similar between groups: 138.1 (116.6-163.2) hours with baloxavir versus 150.0 (115.0-165.7) hours with oseltamivir.

conclusionsOral baloxavir is well tolerated and effective at alleviating symptoms in otherwise healthy children with acute influenza. Baloxavir provides a new therapeutic option with a simple oral dosing regimen.

Indexed as

Acute DiseaseAdministration, OralAntiviral AgentsChildChild, PreschoolDibenzothiepinsDouble-Blind MethodDrug Administration ScheduleEndonucleasesFemaleGlobal HealthHumansInfantInfluenza, HumanMaleMorpholinesAntiviral AgentsbaloxavirDibenzothiepinsEndonucleasesMorpholinesPyridonesTriazines

Identifiers

PMID32516282
PMCPMC7360097

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.