Evidence map›Paper›PMID 34363859›Full record

ReviewAntiviral research2021

Influenza polymerase inhibitor resistance: Assessment of the current state of the art - A report of the isirv Antiviral group.

Michael G Ison, Frederick G Hayden, Alan J Hay, Larisa V Gubareva, Elena A Govorkova, Emi Takashita, Jennifer L McKimm-Breschkin

Open access · greenAbstract readReview
In one paragraph

Review in Antiviral research, 2021. 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
4.5field-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.

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, 39 citations in OpenAlex.

  1. Trial
  2. Article
  3. Baloxavir susceptibility of seasonal influenza viruses during the first seven seasons of clinical use in Japan, 2017/18 to 2023/24.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  4. Article
  5. Article
  6. Small Molecule Drugs Targeting Viral Polymerases.Pharmaceuticals (Basel, Switzerland) · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
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 7 institutions in 4 countries.

Michael G IsonDivisions of Infectious Diseases and Organ Transplantation, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. Electronic address: mgison@northwestern.edu.
Frederick G HaydenDivision of Infectious Diseases and International Health, University of Virginia School of Medicine, Charlottesville, VA, USA. Electronic address: fgh@virginia.edu.
Alan J HayThe Francis Crick Institute, London, UK. Electronic address: Alan.Hay@crick.ac.uk.
Larisa V GubarevaInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: LGubareva@cdc.gov.
Elena A GovorkovaDepartment of Infectious Diseases, St Jude Children's Research Hospital, Memphis, TN, USA. Electronic address: Elena.Govorkova@stjude.org.
Emi TakashitaNational Institute of Infectious Diseases, Tokyo, Japan. Electronic address: emitaka@nih.go.jp.
Jennifer L McKimm-BreschkinDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Victoria, Australia. Electronic address: jmbvirology@gmail.com.
Centers for Disease Control and Prevention · USNational Institute of Infectious Diseases · JPNorthwestern University · USSt. Jude Children's Research Hospital · USThe Francis Crick Institute · GBThe University of Melbourne · AUUniversity of Virginia Health System · US

Funding

NIAID Centers of Excellence for Influenza Research and Response: Universal Influenza Vaccine Research Activities75N93021C00016 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WEBBY, RICHARD · 2021 to 2025
$91.4M
Intramural CDC HHS CC999999NIAID NIH HHS 75N93021C00016NIAID NIH HHS HHSN272201400006C
6 · The paper itself

Abstract

It is more than 20 years since the neuraminidase inhibitors, oseltamivir and zanamivir were approved for the treatment and prevention of influenza. Guidelines for global surveillance and methods for evaluating resistance were established initially by the Neuraminidase Inhibitor Susceptibility Network (NISN), which merged 10 years ago with the International Society for influenza and other Respiratory Virus Diseases (isirv) to become the isirv-Antiviral Group (isirv-AVG). With the ongoing development of new influenza polymerase inhibitors and recent approval of baloxavir marboxil, the isirv-AVG held a closed meeting in August 2019 to discuss the impact of resistance to these inhibitors. Following this meeting and review of the current literature, this article is intended to summarize current knowledge regarding the clinical impact of resistance to polymerase inhibitors and approaches for surveillance and methods for laboratory evaluation of resistance, both in vitro and in animal models. We highlight limitations and gaps in current knowledge and suggest some strategies for addressing these gaps, including the need for additional clinical studies of influenza antiviral drug combinations. Lessons learned from influenza resistance monitoring may also be helpful for establishing future drug susceptibility surveillance and testing for SARS-CoV-2.

Indexed as

AnimalsAntiviral AgentsDibenzothiepinsDrug Resistance, ViralEnzyme InhibitorsHumansInfluenza, HumanKnowledgeMorpholinesNeuraminidaseOseltamivirPyridonesSARS-CoV-2TriazinesVirus ReplicationZanamivirAntiviral AgentsbaloxavirDibenzothiepinsEnzyme InhibitorsMorpholinesNeuraminidaseOseltamivirPyridonesTriazinesZanamivirAntiviralBaloxavirDrug resistanceFitnessInfluenza virusPolymerase inhibitor

Identifiers

PMID34363859
PMCPMC9012257
OpenAlexW3190561370

What OpenQuestion holds

Textmetadata
LicenceTDM
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.