Evidence map›Paper›PMID 39772165›Full record

ArticleViruses2024

Newly Proposed Dose of Daclatasvir to Prevent Lethal SARS-CoV-2 Infection in Human Transgenic ACE-2 Mice.

Mayara Mattos, Carolina Q Sacramento, André C Ferreira, Natalia Fintelman-Rodrigues, Filipe S Pereira-Dutra, Caroline Souza de Freitas, João S M Gesto, Jairo R Temerozo, Aline de Paula Dias Da Silva, Mariana T G Moreira and 11 more

Abstract read
In one paragraph

Article in Viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

21 authors.

Mayara MattosLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.ORCID 0000-0002-6841-6999
Carolina Q SacramentoLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.ORCID 0000-0003-3952-7099
André C FerreiraLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.ORCID 0000-0002-9064-2351
Natalia Fintelman-RodriguesLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.ORCID 0000-0002-2332-8338
Filipe S Pereira-DutraLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.ORCID 0000-0003-1917-2876
Caroline Souza de FreitasLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.ORCID 0000-0001-8100-0472
João S M GestoSESI Innovation Center for Occupational Health, Rio de Janeiro 22735-280, RJ, Brazil.ORCID 0000-0002-4390-2034
Jairo R TemerozoLaboratório de Pesquisas Sobre o Timo, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-360, RJ, Brazil.ORCID 0000-0002-8092-2149
Aline de Paula Dias Da SilvaLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.
Mariana T G MoreiraEquivalence and Pharmacokinetics Service (SEFAR), Vice-Presidency of Production and Innovation in Health (VPPIS), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-360, RJ, Brazil.
Rafael S C SilvaEquivalence and Pharmacokinetics Service (SEFAR), Vice-Presidency of Production and Innovation in Health (VPPIS), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-360, RJ, Brazil.
Gabriel P E SilveiraEquivalence and Pharmacokinetics Service (SEFAR), Vice-Presidency of Production and Innovation in Health (VPPIS), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-360, RJ, Brazil.
Douglas P PintoEquivalence and Pharmacokinetics Service (SEFAR), Vice-Presidency of Production and Innovation in Health (VPPIS), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-360, RJ, Brazil.ORCID 0000-0001-9278-4890
Heliana M PereiraEquivalence and Pharmacokinetics Service (SEFAR), Vice-Presidency of Production and Innovation in Health (VPPIS), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-360, RJ, Brazil.
Laís B FonsecaEquivalence and Pharmacokinetics Service (SEFAR), Vice-Presidency of Production and Innovation in Health (VPPIS), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-360, RJ, Brazil.
Marcelo Alves FerreiraNational Institute for Science and Technology on Innovation in Diseases of Neglected Populations (INCT/IDPN), Center for Technological Development in Health (CDTS), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.
Camilla BlancoLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.
João P B ViolaProgram of Immunology and Tumor Biology, Brazilian National Cancer Institute (INCA), Rio de Janeiro 20230-130, RJ, Brazil.
Dumith Chequer Bou-HabibSESI Innovation Center for Occupational Health, Rio de Janeiro 22735-280, RJ, Brazil.ORCID 0000-0003-0552-9045
Patrícia T BozzaLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.ORCID 0000-0001-8349-9529
Thiago Moreno L SouzaLaboratório de Imunofarmacologia, Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro 21040-361, RJ, Brazil.

Funding

Virology CoreU19AI171401 · NIAID · HACKENSACK UNIVERSITY MEDICAL CENTER · PI David S Perlin, Charles M Rice · 2022 to 2026
$92.9M
Coordenação de Aperfeicoamento de Pessoal de Nível Superior 88887.506989/2020-00Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/201.067/2021Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/210.112/2020Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/210.182/2020National Council for Scientific and Technological Development 307162/2017-6National Council for Scientific and Technological Development 441019/2020-0National Council for Scientific and Technological Development 465313/2014-0NIAID NIH HHS U19 AI171401NIH HHS 2U19AI171401-01A1
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) still causes death in elderly and immunocompromised individuals, for whom the sustainability of the vaccine response may be limited. Antiviral treatments, such as remdesivir or molnupiravir, have demonstrated limited clinical efficacy. Nirmatrelvir, an acute respiratory syndrome coronavirus 2 (SARS-CoV-2) major protease inhibitor, is clinically effective but has been associated with viral rebound and antiviral resistance. It is thus necessary to study novel and repurposed antivirals for the treatment of COVID-19. We previously demonstrated that daclatasvir (DCV), an inhibitor of the hepatitis C virus (HCV) NS5A protein, impairs SARS-CoV-2 replication by targeting viral RNA polymerase and exonuclease, but the doses of DCV used to inhibit the new coronavirus are greater than the standard human plasma exposure for hepatitis C. Because any potential use of DCV against SARS-CoV-2 would be shorter than that reported here and short-term toxicological studies on DCV show that higher doses are tolerable, we searched for doses of DCV that could protect transgenic mice expressing the human ACE2 receptor (K18-hACE-2) from lethal challenge with SARS-CoV-2. We found that a dose of 60 mg/kg/day provides this protection by reducing virus replication and virus-induced lung insult. This dose is tolerable in different animal models. Taken together, our data provide preclinical evidence that can support phase I clinical trials to confirm the safety, tolerability, and pharmacokinetics of new doses of daclatasvir for a short duration in humans to further advance this compound's utility against COVID-19.

Indexed as

Angiotensin-Converting Enzyme 2Antiviral AgentsCarbamatesCOVID-19COVID-19 Drug TreatmentImidazolesMice, TransgenicPyrrolidinesSARS-CoV-2ValineVirus ReplicationAnimalsDisease Models, AnimalFemaleHumansMiceACE2 protein, humanAngiotensin-Converting Enzyme 2Antiviral AgentsCarbamatesdaclatasvirImidazolesPyrrolidinesValineanti-HCV drugserror proneexonucleaseK18-hACE2 miceSARS-CoV-2

Identifiers

PMID39772165
PMCPMC11680164

What OpenQuestion holds

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Registered trials

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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.