Evidence map›Paper›PMID 35271729›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Pharmacokinetics of ß-d-N4-Hydroxycytidine, the Parent Nucleoside of Prodrug Molnupiravir, in Nonplasma Compartments of Patients With Severe Acute Respiratory Syndrome Coronavirus 2 Infection.

Richard FitzGerald, Laura Dickinson, Laura Else, Thomas Fletcher, Colin Hale, Alieu Amara, Lauren Walker, Sujan Dilly Penchala, Rebecca Lyon, Victoria Shaw and 9 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04746183 (AGILE), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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.

NCT04746183 phase1 / phase2recruitingnot on this map

AGILE: Seamless Phase I/IIa Platform for the Rapid Evaluation of Candidates for COVID-19 Treatment

TypeinterventionalSponsorUniversity of LiverpoolRan2020 to 2027Enrolled600ConditionsCovid19ArmsCST-2: EIDD-2801, CST-2: Placebo, Nitazoxanide, VIR-7832, VIR-7831
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Observational
  7. Article
  8. Article
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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

19 authors.

Richard FitzGeraldNational Institute for Health Research Royal Liverpool & Broadgreen Clinical Research Facility, Liverpool University Hospital NHS Foundation Trust, Liverpool, United Kingdom.
Laura DickinsonDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Laura ElseDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Thomas FletcherDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Colin HaleNational Institute for Health Research Royal Liverpool & Broadgreen Clinical Research Facility, Liverpool University Hospital NHS Foundation Trust, Liverpool, United Kingdom.
Alieu AmaraDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Lauren WalkerNational Institute for Health Research Royal Liverpool & Broadgreen Clinical Research Facility, Liverpool University Hospital NHS Foundation Trust, Liverpool, United Kingdom.
Sujan Dilly PenchalaDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Rebecca LyonNational Institute for Health Research Royal Liverpool & Broadgreen Clinical Research Facility, Liverpool University Hospital NHS Foundation Trust, Liverpool, United Kingdom.
Victoria ShawDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
William GreenhalfDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Katie BullockDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Lara Lavelle-LanghamDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Helen ReynoldsDepartment of Pharmacology & Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Wendy PainterRidgeback Biotherapeutics, Miami, Florida, USA.
Wayne HolmanRidgeback Biotherapeutics, Miami, Florida, USA.
Sean EwingsNational Institute for Health Research Southampton Clinical Trials Unit, University of Southampton, Southampton, United Kingdom.
Gareth GriffithsNational Institute for Health Research Southampton Clinical Trials Unit, University of Southampton, Southampton, United Kingdom.
Saye KhooNational Institute for Health Research Royal Liverpool & Broadgreen Clinical Research Facility, Liverpool University Hospital NHS Foundation Trust, Liverpool, United Kingdom.

Funding

Department of HealthMedical Research Council MR/V028391/1Wellcome Trust 221590/Z/20/Z
6 · The paper itself

Abstract

ß-d-N4-hydroxycytidine (NHC), the parent nucleoside of molnupiravir, a COVID-19 antiviral, was quantified at SARS-CoV-2 transmission sites in 12 patients enrolled in AGILE Candidate-Specific Trial-2. Saliva, nasal, and tear NHC concentrations were 3%, 21%, and 22% that of plasma. Saliva and nasal NHC were significantly correlated with plasma (P < .0001). Clinical Trials Registration. NCT04746183.

Indexed as

COVID-19 Drug TreatmentProdrugsAntiviral AgentsCytidineHumansHydroxylaminesNucleosidesParentsSARS-CoV-2Antiviral AgentsCytidineHydroxylaminesmolnupiravirN(4)-hydroxycytidineNucleosidesProdrugsCOVID-19molnupiravirnonplasmapharmacokineticsSARS-CoV-2

Identifiers

PMID35271729
PMCPMC8992239

What OpenQuestion holds

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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.