Evidence map›Paper›PMID 39549708›Full record

SynthesisThe Lancet. Microbe2025

Therapeutics for Nipah virus disease: a systematic review to support prioritisation of drug candidates for clinical trials.

Xin Hui S Chan, Ilsa L Haeusler, Bennett J K Choy, Md Zakiul Hassan, Junko Takata, Tara P Hurst, Luke M Jones, Shanghavie Loganathan, Elinor Harriss, Jake Dunning and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in The Lancet. Microbe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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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

14 authors.

Xin Hui S ChanPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK; Centre for Tropical Medicine and Global Health Nuffield Department of Medicine, University of Oxford, Oxford, UK; Department of Clinical Infection, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. Electronic address: xin-hui.chan@ndm.ox.ac.uk.
Ilsa L HaeuslerPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Bennett J K ChoyPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Md Zakiul HassanPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK; International Severe Acute Respiratory and Emerging Infection Consortium University of Oxford, Oxford, UK; Programme for Emerging Infections, Infectious Diseases Division, International Centre for Diarrheal Disease Research, Dhaka, Bangladesh.
Junko TakataDepartment of Clinical Infection, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Tara P HurstPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Luke M JonesPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK; Centre for Human Genetics Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Shanghavie LoganathanAcademic Foundation Programme, Kent Surrey and Sussex Deanery, London, UK.
Elinor HarrissBodleian Health Care Libraries University of Oxford, Oxford, UK.
Jake DunningPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK; International Severe Acute Respiratory and Emerging Infection Consortium University of Oxford, Oxford, UK; Department of Infectious Diseases, Royal Free London NHS Foundation Trust, London, UK.
Joel TarningMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Miles W CarrollPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK; Centre for Human Genetics Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Peter W HorbyPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK; International Severe Acute Respiratory and Emerging Infection Consortium University of Oxford, Oxford, UK.
Piero L OlliaroPandemic Sciences Institute Nuffield Department of Medicine, University of Oxford, Oxford, UK; International Severe Acute Respiratory and Emerging Infection Consortium University of Oxford, Oxford, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Nipah virus disease is a bat-borne zoonosis with person-to-person transmission, a case-fatality rate of 38-75%, and well recognised potential to cause a pandemic. The first reported outbreak of Nipah virus disease occurred in Malaysia and Singapore in 1998, which has since been followed by multiple outbreaks in Bangladesh and India. To date, no therapeutics or vaccines have been approved to treat Nipah virus disease, and only few such candidates are in development. In this Review, we aim to assess the safety and efficacy of the therapeutic options (monoclonal antibodies and small molecules) for Nipah virus disease and other henipaviral diseases to support prioritisation of drug candidates for further evaluation in clinical trials. At present, sufficient evidence exists to suggest trialling 1F5, m102.4, and remdesivir (alone or in combination) for prophylaxis and early treatment of Nipah virus disease. In addition to well designed clinical efficacy trials, in-vivo pharmacokinetic-pharmacodynamic studies are needed to optimise the selection and dosing of therapeutic candidates in animal challenge and natural human infection.

Indexed as

Antiviral AgentsHenipavirus InfectionsNipah VirusAdenosine MonophosphateAlanineAnimalsAntibodies, MonoclonalClinical Trials as TopicHumansAdenosine MonophosphateAlanineAntibodies, MonoclonalAntiviral Agentsremdesivir

Identifiers

PMID39549708
PMCPMC12062192

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.