Evidence map›Paper›PMID 39327677›Full record

ArticleJournal of veterinary internal medicine

Open label clinical trial of orally administered molnupiravir as a first-line treatment for naturally occurring effusive feline infectious peritonitis.

Krystle L Reagan, Terza Brostoff, Jully Pires, Amy Rose, Diego Castillo, Brian G Murphy

Abstract readClinical Trial, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Molnupiravir Inhibits Replication of MultiplePathogens (Basel, Switzerland) · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

6 authors.

Krystle L ReaganDepartment of Veterinary Medicine and Epidemiology, University of California, Davis, School of Veterinary Medicine, Davis, California, USA.ORCID https://orcid.org/0000-0003-3426-6352
Terza BrostoffDepartment of Pathology, Microbiology, and Immunology, University of California, Davis, School of Veterinary Medicine, Davis, California, USA.
Jully PiresVeterinary Center for Clinical Trials, University of California, Davis, School of Veterinary Medicine, Davis, California, USA.
Amy RoseVeterinary Center for Clinical Trials, University of California, Davis, School of Veterinary Medicine, Davis, California, USA.
Diego CastilloDepartment of Pathology, Microbiology, and Immunology, University of California, Davis, School of Veterinary Medicine, Davis, California, USA.
Brian G MurphyDepartment of Pathology, Microbiology, and Immunology, University of California, Davis, School of Veterinary Medicine, Davis, California, USA.

Funding

EveryCat Health Foundation EC22-007SOCK FIP and Center for Companion Animal Health
6 · The paper itself

Abstract

backgroundBefore the discovery of effective antiviral drugs, feline infectious peritonitis (FIP) was a uniformly fatal disease of cats. Multiple antiviral treatments have been recognized, but optimization of treatment protocols is needed.

objectiveTo evaluate the efficacy of PO molnupiravir (MPV; EIDD-2801) to treat effusive FIP. ANIMALS: Ten cats with naturally occurring effusive FIP and 10 historical control cats with effusive FIP treated with PO GS-441524.

methodsA single-center, prospective, open-label longitudinal, non-inferiority trial with historical controls. Ten cats with FIP were enrolled and treated with PO MPV (10-15 mg/kg PO q12h) for 84 days. Cats were evaluated at 0, 6, and 16 weeks, and the proportion of cats in clinical remission at 16 weeks was determined. Survival and clinicopathologic features were compared with historical control cats with effusive FIP treated with PO GS-441524.

resultsEight of the 10 cats treated with MPV survived and were in remission at 16 weeks. The 2 non-survivors died in the first 24 hours of treatment. No adverse events that necessitated discontinuation of treatment were observed. Survival of cats treated with PO MPV was non-inferior to historic control cats treated with PO GS-441524 (5/9 [55%] survived), with a difference in survival of 25% (90% confidence interval, -9.3% to 59.3%). Clinicopathologic features associated with FIP normalized during the study period, and no differences in clinicopathologic data at each study time point were observed when comparing cats treated with MPV and GS-441524. CONCLUSIONS AND CLINICAL IMPORTANCE: Molnupiravir is an effective antiviral treatment for effusive FIP.

Indexed as

Antiviral AgentsFeline Infectious PeritonitisHydroxylaminesAdenosineAdministration, OralAnimalsCatsCytidineFemaleLongitudinal StudiesMaleProspective StudiesUridineUridine MonophosphateAdenosineAntiviral AgentsCytidineGS-441524HydroxylaminesmolnupiravirUridineUridine Monophosphateantiviralfeline coronavirusFIPinfection

Identifiers

PMID39327677
PMCPMC11586577

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.