Evidence map›Paper›PMID 32533654›Full record

ArticleInfluenza and other respiratory viruses2020

The antiviral effects of baloxavir marboxil against influenza A virus infection in ferrets.

Mitsutaka Kitano, Takanobu Matsuzaki, Ryoko Oka, Kaoru Baba, Takahiro Noda, Yuki Yoshida, Kenji Sato, Kohei Kiyota, Tohru Mizutare, Ryu Yoshida and 4 more

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 10 citations in OpenAlex.

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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

14 authors at 1 institution in 1 country.

Mitsutaka KitanoShionogi & Co., Ltd., Toyonaka, Japan.ORCID 0000-0003-0167-4974
Takanobu MatsuzakiShionogi & Co., Ltd., Toyonaka, Japan.ORCID 0000-0003-1439-2431
Ryoko OkaShionogi & Co., Ltd., Toyonaka, Japan.
Kaoru BabaShionogi TechnoAdvance Research, Co., Ltd., Toyonaka, Japan.
Takahiro NodaShionogi TechnoAdvance Research, Co., Ltd., Toyonaka, Japan.
Yuki YoshidaShionogi & Co., Ltd., Toyonaka, Japan.
Kenji SatoShionogi & Co., Ltd., Toyonaka, Japan.
Kohei KiyotaShionogi & Co., Ltd., Toyonaka, Japan.
Tohru MizutareShionogi & Co., Ltd., Toyonaka, Japan.
Ryu YoshidaShionogi & Co., Ltd., Toyonaka, Japan.
Akihiko SatoShionogi & Co., Ltd., Toyonaka, Japan.
Hiroshi KamimoriShionogi & Co., Ltd., Toyonaka, Japan.
Takao ShishidoShionogi & Co., Ltd., Toyonaka, Japan.
Akira NaitoShionogi & Co., Ltd., Toyonaka, Japan.
Shionogi (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBaloxavir marboxil (BXM), the oral prodrug of baloxavir acid (BXA), greatly reduces virus titers as well as influenza symptoms of uncomplicated influenza in patients.

objectivesTo investigate the pharmacokinetic profiles of BXA and its efficacy against influenza A virus infection in ferrets.

methodsFerrets were dosed orally with BXM (10 and 30 mg/kg twice daily for 1 day), oseltamivir phosphate (OSP) (5 mg/kg twice daily for 2 days) or vehicle to measure the antiviral effects of BXM and OSP. The pharmacokinetic parameters of BXA was determined after single oral dosing of BXM.

resultsThe maximum plasma concentrations of BXA were observed at 1.50 and 2.00 hours with the two BXM doses, which then declined with an elimination half-life of 6.91 and 4.44 hours, respectively. BXM at both doses remained detectable in the plasma in ferrets, which may be due to higher stability in liver microsomes. BXM (10 and 30 mg/kg twice daily) treatment at Day 1 post-infection (p.i.) reduced virus titers by ≥3 log10 of the 50% tissue culture infective doses by Day 2, which was significantly different compared with vehicle or OSP. Body temperature drops over time were significantly greater with BXM than with vehicle or OSP. Significant reduction in virus titers was also demonstrated when BXM was administrated after symptom onset at Day 2 p.i. compared with vehicle and OSP, although body temperature changes largely overlapped between Day 2 and Day 4.

conclusionsThe results highlight the rapid antiviral action of BXM with post-exposure prophylaxis or therapeutic dosing in ferrets and offer support for further research on prevention of influenza virus infection and transmission.

Indexed as

AnimalsAntiviral AgentsBody TemperatureDibenzothiepinsFerretsHumansInfluenza A virusInfluenza, HumanMicrosomesMorpholinesOrthomyxoviridae InfectionsOseltamivirPyridonesTriazinesViral LoadAntiviral AgentsbaloxavirDibenzothiepinsMorpholinesOseltamivirPyridonesTriazinesbaloxavir marboxilferretsinfluenza A viruspharmacodynamicspharmacokinetics

Identifiers

PMID32533654
PMCPMC7578299
OpenAlexW3035469718

What OpenQuestion holds

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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.