Evidence map›Paper›PMID 34271264›Full record

ReviewCurrent opinion in virology2021

Developing a direct acting, orally available antiviral agent in a pandemic: the evolution of molnupiravir as a potential treatment for COVID-19.

George R Painter, Michael G Natchus, Oren Cohen, Wendy Holman, Wendy P Painter

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 1 synthesis or guideline pooled it, 172 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Article
  6. Review
  7. Detection of developmental toxicity of the anti-COVID-19 drug molnupiravir using gastruloid-based in vitro assays.Toxicological sciences : an official journal of the Society of Toxicology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. COVID-19 therapeutics.Clinical microbiology reviews · 2024
    Review
  18. Article
  19. Article
  20. Review

26 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 2 countries.

George R PainterEmory Institute for Drug Development (EIDD), Emory University, Atlanta, GA, USA; Drug Innovation Ventures at Emory (DRIVE), Atlanta, GA, USA; Department of Pharmacology, Emory University School of Medicine, Atlanta, GA, USA. Electronic address: George.r.painter@emory.edu.
Michael G NatchusEmory Institute for Drug Development (EIDD), Emory University, Atlanta, GA, USA.
Oren CohenCovance Clinical Research Unit Ltd., Springfield House, Hyde Street, Leeds LS2 9LH, UK.
Wendy HolmanRidgeback Biotherapeutics LP, 3480 Main Highway, Unit 402, Miami, Florida 33133, USA.
Wendy P PainterRidgeback Biotherapeutics LP, 3480 Main Highway, Unit 402, Miami, Florida 33133, USA.
Emory University · USCovance (United Kingdom) · GB

Funding

Advanced Development of Medical Countermeasures for Infectious Diseases - COVID-19 Related Studies75N93019C00058 · NIAID · EMORY UNIVERSITY · PI PAINTER, GEORGE · 2019 to 2020
$1.7M
NIAID NIH HHS 75N93019C00058NIAID NIH HHS HHSN272201500008C
6 · The paper itself

Abstract

Despite the availability of vaccines, there remains an urgent need for antiviral drugs with potent activity against SARS-CoV-2, the cause of COVID-19. Millions of people are immune-suppressed and may not be able to mount a fully protective immune response after vaccination. There is also an increasingly critical need for a drug to cover emerging SARS-CoV-2 variants, against which existing vaccines may be less effective. Here, we describe the evolution of molnupiravir (EIDD-2801, MK-4482), a broad-spectrum antiviral agent originally designed for the treatment of Alphavirus infections, into a potential drug for the prevention and treatment of COVID-19. When the pandemic began, molnupiravir was in pre-clinical development for the treatment of seasonal influenza. As COVID-19 spread, the timeline for the development program was moved forward significantly, and focus shifted to treatment of coronavirus infections. Real time consultation with regulatory authorities aided in making the acceleration of the program possible.

Indexed as

COVID-19 Drug TreatmentAdministration, OralAntiviral AgentsCytidineHumansHydroxylaminesSARS-CoV-2Antiviral AgentsCytidineHydroxylaminesmolnupiravir

Identifiers

PMID34271264
PMCPMC8277160
OpenAlexW3175729718

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.