Evidence map›Paper›PMID 41165353›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

In Critical Condition: The Urgent Need to Support Mpox Therapeutic and Diagnostic Pipelines.

Carmen Perez Casas, Jessica Burry, Nathalie Strub-Wourgaft, Emmanuel Agogo, Hanesh Chi, Sophie Crettaz, Devy Emperador, Kavi Ramjeet, Bastien Schyrr, Romain Wyss and 2 more

Erratum issuedAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

12 authors.

Carmen Perez CasasPrEP4ALL, New York City, New York, USA.
Jessica BurryPrEP4ALL, New York City, New York, USA.ORCID 0000-0001-5220-6287
Nathalie Strub-WourgaftUNITAID, Geneva, Switzerland.
Emmanuel AgogoPANTHER, Paris, France.ORCID 0000-0002-3570-3254
Hanesh ChiPANTHER, Paris, France.
Sophie CrettazPANTHER, Paris, France.
Devy EmperadorPANTHER, Paris, France.
Kavi RamjeetPANTHER, Paris, France.ORCID 0009-0000-2861-8468
Bastien SchyrrPANTHER, Paris, France.
Romain WyssPANTHER, Paris, France.
Emily BassFIND, Geneva, Switzerland.ORCID 0009-0009-7860-1221
Mosoka Papa FallahAfrica Centres for Disease Control and Prevention, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite 2 public health emergency declarations, limited progress has been made in the development of essential medical countermeasures for mpox, including therapeutics and point-of-care (POC) diagnostics. We analyzed mpox diagnostics registered in a public database in December 2022 and January 2025. The number of tests increased; however, independent validation lagged behind. While the World Health Organization has granted emergency use listing to 2 POC molecular tests, there are no independently validated antigen rapid diagnostic tests (AgRDTs) essential for decentralized detection. The therapeutics pipeline has shown minimal progress since 2022. Of 17 clinical trials, 14 evaluated direct-acting antivirals; 86% focused solely on tecovirimat, a drug that shows safety but not efficacy with documented resistance concerns. Key vulnerable populations, including children, pregnant women, and people with human immunodeficiency virus, remain absent from studies despite higher mortality rates. Our pipeline analysis revealed a fundamental mismatch between available countermeasures and actual needs, particularly in low-resource settings.

Indexed as

mpoxoutbreak preparednesspublic health emergenciesrapid point-of-care diagnosticstherapeutics

Identifiers

PMID41165353
PMCPMC13017293

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.