Evidence map›Paper›PMID 41058679›Full record

Trial reportFrontiers in immunology2025

Antiviral and immunomodulatory effect of zapnometinib in animal models and hospitalized COVID-19 patients.

Yvonne Füll, Lara M Schüssele, Hazem Hamza, Helen Hoffmann, Martin Bauer, Stephan Stenglein, Oliver Pötz, Andreas Steinhilber, Viktoria Anselm, Mark W Delany and 6 more

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in immunology, 2025. 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
–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

7 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. 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

16 authors.

Yvonne FüllInstitute of Immunology, Eberhard Karls University, Tuebingen, Germany.
Lara M SchüsseleInstitute of Immunology, Eberhard Karls University, Tuebingen, Germany.
Hazem HamzaInstitute of Immunology, Eberhard Karls University, Tuebingen, Germany.
Helen HoffmannInstitute of Immunology, Eberhard Karls University, Tuebingen, Germany.
Martin BauerAtriva Therapeutics GmbH, Tuebingen, Germany.
Stephan StengleinAtriva Therapeutics GmbH, Tuebingen, Germany.
Oliver PötzSIGNATOPE GmbH, Reutlingen, Germany.
Andreas SteinhilberSIGNATOPE GmbH, Reutlingen, Germany.
Viktoria AnselmSIGNATOPE GmbH, Reutlingen, Germany.
Mark W DelanyDivision of Pathology, Faculty of Veterinary Medicine Utrecht, University Utrecht, Utrecht, Netherlands.
Judith M A Van den BrandDivision of Pathology, Faculty of Veterinary Medicine Utrecht, University Utrecht, Utrecht, Netherlands.
Geert Van AmerongenViroclinics-DDL, Cerba Research Company, Schaijk, Netherlands.
Leon De WaalViroclinics-DDL, Cerba Research Company, Schaijk, Netherlands.
Stephan PleschkaInstitute of Medical Virology, Justus Liebig University, Giessen, Germany.
Stephan LudwigInstitute of Virology (IVM), Centre for Molecular Biology of Inflammation, University of Muenster, Muenster, Nordrhein-Westfalen, Germany.
Oliver PlanzInstitute of Immunology, Eberhard Karls University, Tuebingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In severe COVID-19, direct-acting antiviral drugs were not effective in hyperinflammatory stages and steroid treatment may weaken host immunity. The MEK inhibitor zapnometinib, as a host-targeting drug, has demonstrated promising efficacy against severe acute viral infections. Proof-of-concept for the innovative approach was presented in a clinical Phase 2 trial with hospitalized COVID-19 patients. Methods: The antiviral and immunomodulatory potential of zapnometinib was investigated in samples obtained from COVID-19 patients enrolled in a Phase 2 clinical trial (RESPIRE), as well as in a SARS-CoV-2 Syrian hamster model, an acute lung injury mouse model, and in cell culture. The antiviral activity of zapnometinib was assessed using viral load reduction assays and RT-qPCR. Cytokines and chemokines were analyzed via ELISA and RT-qPCR. Alterations in T and B cells from COVID-19 patients were analyzed using flow cytometry. Biomarker analysis in hamster serum was conducted to monitor potential toxic effects. Results: Zapnometinib reduced SARS-CoV-2 viral load in hospitalized COVID-19 patients, in the hamster model and in various highly pathogenic coronaviruses Conclusion: Unlike direct-acting antivirals, zapnometinib's dual effect highlights its therapeutic potential in the treatment of severe acute viral infections, with favorable antiviral and immunomodulatory properties.

Indexed as

Antiviral AgentsCOVID-19 Drug TreatmentFenamatesImmunomodulating AgentsSARS-CoV-2AgedAnimalsCOVID-19CricetinaeCytokinesDisease Models, AnimalDouble-Blind MethodFemaleHumansMaleMesocricetus2-(2-chloro-4-iodophenylamino)-N-3,4-difluorobenzoic acidAntiviral AgentsCytokinesFenamatesImmunomodulating Agentsbroad-spectrum antiviralCOVID-19drug developmenthost targeting agentimmunomodulationMEK inhibitorzapnometinib

Identifiers

PMID41058679
PMCPMC12498288

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.