Evidence map›Paper›PMID 39379634›Full record

ArticleNature microbiology2024

Cryptosporidium PI(4)K inhibitor EDI048 is a gut-restricted parasiticidal agent to treat paediatric enteric cryptosporidiosis.

Ujjini H Manjunatha, Suresh B Lakshminarayana, Rajiv S Jumani, Alexander T Chao, Joseph M Young, Jonathan E Gable, Mark Knapp, Imad Hanna, Jean-Rene Galarneau, John Cantwell and 20 more

Abstract read
In one paragraph

Article in Nature microbiology, 2024. 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. Soft drugs: design principles and topical applications.Nature reviews. Drug discovery · 2026
    Review
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  4. Article
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  10. Molecular biology of the cell · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. A year of microbiology.Nature microbiology · 2024
    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

30 authors.

Ujjini H Manjunatha *Global Health, Biomedical Research, Novartis, Emeryville, CA, USA. manjunatha.ujjini@novartis.com.ORCID http://orcid.org/0000-0002-7461-9303
Suresh B Lakshminarayana *Global Health, Biomedical Research, Novartis, Emeryville, CA, USA.ORCID http://orcid.org/0000-0002-9133-3147
Rajiv S Jumani *Global Health, Biomedical Research, Novartis, Emeryville, CA, USA.
Alexander T ChaoGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.
Joseph M YoungBiomedical Research, Novartis, Emeryville, CA, USA.
Jonathan E GableGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.
Mark KnappBiomedical Research, Novartis, Emeryville, CA, USA.
Imad HannaBiomedical Research, Novartis, East Hanover, NJ, USA.
Jean-Rene GalarneauBiomedical Research, Novartis, Cambridge, MA, USA.
John CantwellBiomedical Research, Novartis, Emeryville, CA, USA.
Upendra KulkarniNovartis Pharmaceutical Corporation, Cambridge, MA, USA.
Michael TurnerBiomedical Research, Novartis, Emeryville, CA, USA.
Peichao LuBiomedical Research, Novartis, Emeryville, CA, USA.
Kristen H DarrellGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.
Lucy C WatsonGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.ORCID http://orcid.org/0009-0000-1907-768X
Katherine ChanGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.
Debjani PatraGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.ORCID http://orcid.org/0000-0003-4343-4645
Mulugeta MamoBiomedical Research, Novartis, Emeryville, CA, USA.
Catherine LuuBiomedical Research, Novartis, Emeryville, CA, USA.
Carlos CuellarBiomedical Research, Novartis, Emeryville, CA, USA.
Jacob ShaulBiomedical Research, Novartis, Emeryville, CA, USA.
Linda XiaoGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.
Ying-Bo ChenGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.
Shannon K CarneyDepartment of Population Health Sciences, College of Veterinary Medicine, Center for One Health Research, Blacksburg, VA, USA.
Jay LakshmanNovartis Pharmaceutical Corporation, East Hanover, NJ, USA.
Colin S OsborneGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.
Jennifer A ZambriskiDepartment of Population Health Sciences, College of Veterinary Medicine, Center for One Health Research, Blacksburg, VA, USA.
Natasha AzizGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA.ORCID http://orcid.org/0000-0001-8195-1446
Christopher SarkoBiomedical Research, Novartis, Emeryville, CA, USA.
Thierry T DiaganaGlobal Health, Biomedical Research, Novartis, Emeryville, CA, USA. thierry.diagana@novartis.com.ORCID http://orcid.org/0000-0002-8520-5683

Funding

Bill and Melinda Gates Foundation (Bill & Melinda Gates Foundation) OPP1117400Wellcome TrustWellcome Trust (Wellcome) 219639/Z/19/Z
6 · The paper itself

Abstract

Diarrhoeal disease caused by Cryptosporidium is a major cause of morbidity and mortality in young and malnourished children from low- and middle-income countries, with no vaccine or effective treatment. Here we describe the discovery of EDI048, a Cryptosporidium PI(4)K inhibitor, designed to be active at the infection site in the gastrointestinal tract and undergo rapid metabolism in the liver. By using mutational analysis and crystal structure, we show that EDI048 binds to highly conserved amino acid residues in the ATP-binding site. EDI048 is orally efficacious in an immunocompromised mouse model despite negligible circulating concentrations, thus demonstrating that gastrointestinal exposure is necessary and sufficient for efficacy. In neonatal calves, a clinical model of cryptosporidiosis, EDI048 treatment resulted in rapid resolution of diarrhoea and significant reduction in faecal oocyst shedding. Safety and pharmacological studies demonstrated predictable metabolism and low systemic exposure of EDI048, providing a substantial safety margin required for a paediatric indication. EDI048 is a promising clinical candidate for the treatment of life-threatening paediatric cryptosporidiosis.

Indexed as

CryptosporidiosisCryptosporidium1-Phosphatidylinositol 4-KinaseAnimalsAntiprotozoal AgentsCattleDiarrheaDisease Models, AnimalHumansMice1-Phosphatidylinositol 4-KinaseAntiprotozoal Agents

Identifiers

PMID39379634
PMCPMC11522000

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.