Evidence map›Paper›PMID 36702798›Full record

ArticleInfluenza and other respiratory viruses2023

Investigating the transmission of baloxavir-resistant influenza viruses from treated index patients to untreated household contacts in the BLOCKSTONE study.

Joanne Harding, Corrado Bernasconi, Sarah Williams, Steffen Wildum, Masahiro Kinoshita, Takeki Uehara, Aeron C Hurt

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Review
  3. Understanding and controlling pandemic influenza.Proceedings of the Japan Academy. Series B, Physical and biological sciences · 2026
    Review
  4. Review
  5. Article
  6. Practical updates in clinical antiviral resistance testing.Journal of clinical microbiology · 2024
    Review
  7. 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 3 institutions in 3 countries.

Joanne HardingRoche Products Ltd., Welwyn Garden City, UK.
Corrado BernasconiF. Hoffmann-La Roche Ltd., Basel, Switzerland.
Sarah WilliamsRoche Products Ltd., Welwyn Garden City, UK.
Steffen WildumF. Hoffmann-La Roche Ltd., Basel, Switzerland.ORCID 0000-0001-9779-5740
Masahiro KinoshitaShionogi & Co., Ltd., Osaka, Japan.
Takeki UeharaShionogi & Co., Ltd., Osaka, Japan.
Aeron C HurtF. Hoffmann-La Roche Ltd., Basel, Switzerland.ORCID 0000-0001-9731-3481
Roche (Switzerland) · CHRoche (United Kingdom) · GBShionogi (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a post-hoc analysis of the phase 3 BLOCKSTONE study (JapicCTI-184180), we investigated household transmission of baloxavir-resistant (PA/I38X) influenza viruses. Using baloxavir resistance rates from prior clinical trials and the rate of influenza transmission observed in the study, the predicted number of PA/I38X transmission events was 4.8, assuming wild type and PA/I38X viruses were equally transmissible. However, no PA/I38X viruses were observed. These results suggest a low potential for baloxavir-resistant influenza virus transmission from treated to untreated individuals, potentially due to reduced viral/transmission fitness for PA/I38X viruses and/or low viral titres at the time when resistant viruses arise.

Indexed as

Antiviral AgentsInfluenza, HumanClinical Trials, Phase III as TopicDibenzothiepinsDrug Resistance, ViralHumansMorpholinesPyridinesPyridonesThiepinsTriazinesAntiviral AgentsbaloxavirDibenzothiepinsMorpholinesPyridinesPyridonesThiepinsTriazinesantiviral agentsbaloxavirdrug resistanceinfluenzatransmissionviral

Identifiers

PMID36702798
PMCPMC9849088
OpenAlexW4317369551

What OpenQuestion holds

Textmetadata
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.