Evidence map›Paper›PMID 41244291›Full record

ArticleASM case reports2025

Pocapavir for neonatal enteroviral sepsis: limitations of rapid viral sequencing on treatment decisions.

Nathan L'Etoile, Sesh A Sundararaman, Erin Theiller, Justin J Miller, Ahmed M Moustafa, Andrew P Steenhoff, Audrey R Odom John

Abstract readCase Reports
In one paragraph

Article in ASM case reports, 2025. 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

7 authors.

Nathan L'Etoile *Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0009-0006-1489-1686
Sesh A Sundararaman *Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Erin TheillerChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Justin J MillerDepartment of Biochemistry and Biophysics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ahmed M MoustafaChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Andrew P SteenhoffChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Audrey R Odom JohnChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-8395-8537

Funding

Infectious Diseases Epidemiology Training GrantT32AI055435 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAUTENBACH, EBBING · 2003 to 2023
$6.9M
Combined Adult and Pediatric Infectious Disease Postdoctoral Training GrantT32AI118684 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Rahul Manu Kohli, Audrey Ragan Odom John · 2016 to 2026
$2.3M
From inhibitors to enzymatic deficiencies: exploring alterations in erythrocyte glycolysis as an antimalarial strategy.K08AI193172 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI Sesh Alexander Sundararaman · 2025 to 2026
$374k
NIAID NIH HHS K08 AI193172NIAID NIH HHS T32 AI055435NIAID NIH HHS T32 AI118684
6 · The paper itself

Abstract

Background: Neonatal enterovirus infection can be severe and life-threatening, and there is ongoing interest in the development of antiviral compounds; however, their clinical efficacy has not been definitively proven. Case Summary: We describe a case of neonatal enterovirus infection treated with the investigational therapeutic pocapavir, a viral capsid inhibitor. We describe the medical decision-making regarding the choice to offer pocapavir therapy. Because of clinical uncertainty about whether pocapavir contributed to clinical improvement, we performed sequencing of the viral genome and modeled the pocapavir pocket-binding site for evidence of genetic and protein changes before or after the initiation of pocapavir that might confer antiviral resistance. Conclusion: This case and our findings reveal the challenges in interpreting sequence analysis of clinical enterovirus isolates to inform clinical decision-making regarding the use of pocapavir for the treatment of neonatal enterovirus.

Indexed as

antiviral resistanceenterovirusinvestigational drugpocapavirwhole genome sequencing

Identifiers

PMID41244291
PMCPMC12584189

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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.