Evidence map›Paper›PMID 42141199›Full record

Trial reportNature medicine2026

Favipiravir for Lassa fever: an open-label, randomized controlled phase 2 trial.

Cyril Erameh, Kevin Okwaraeke, Christine Kleist, Osahogie Edeawe, Nelson Adedosu, Enomen Ekata, Chukwuyem Abejegah, Sampson Owhin, Femi Babatunde, Till Omansen and 18 more

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

Trial report in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Sirtuin 1 Is Required for Optimal Mammarenavirus Multiplication.bioRxiv : the preprint server for biology · 2026
    Article
  3. 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

28 authors.

Cyril Erameh *Irrua Specialist Teaching Hospital, Irrua, Nigeria.ORCID http://orcid.org/0000-0001-7783-2495
Kevin Okwaraeke *Federal Medical Centre, Owo, Nigeria.
Christine KleistDepartment of Clinical Pharmacy, Institute of Pharmacy, University of Hamburg, Hamburg, Germany.ORCID http://orcid.org/0000-0002-5045-4938
Osahogie EdeaweIrrua Specialist Teaching Hospital, Irrua, Nigeria.
Nelson AdedosuFederal Medical Centre, Owo, Nigeria.
Enomen EkataIrrua Specialist Teaching Hospital, Irrua, Nigeria.ORCID http://orcid.org/0009-0005-1718-1885
Chukwuyem AbejegahFederal Medical Centre, Owo, Nigeria.ORCID http://orcid.org/0000-0001-9088-9197
Sampson OwhinFederal Medical Centre, Owo, Nigeria.
Femi BabatundeIrrua Specialist Teaching Hospital, Irrua, Nigeria.ORCID http://orcid.org/0000-0001-6536-0259
Till OmansenCenter for Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine and Department of Medicine University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Augusto MeneguimCenter for Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine and Department of Medicine University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0009-0002-6123-7960
Alexandre DuvignaudUniversity of Bordeaux, National Institute for Health and Medical Research UMR 1219, Research Institute for Sustainable Development EMR 271, Bordeaux Population Health Research Centre, Bordeaux, France.ORCID http://orcid.org/0000-0001-7139-2687
Johannes MischlingerCenter for Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine and Department of Medicine University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ndapewa ItheteDepartment of Virology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Lisa OestereichDepartment of Virology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Julia HinzmannDepartment of Virology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Liasu AhmedFederal Medical Centre, Owo, Nigeria.
Sophie DuraffourDepartment of Virology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID http://orcid.org/0000-0002-1239-4372
Reuben EifedyiIrrua Specialist Teaching Hospital, Irrua, Nigeria.
Sylvanus OkogbeninIrrua Specialist Teaching Hospital, Irrua, Nigeria.ORCID http://orcid.org/0000-0001-7882-8316
Peter AkhidenoIrrua Specialist Teaching Hospital, Irrua, Nigeria.
Oladele Oluwafemi AyodejiFederal Medical Centre, Owo, Nigeria.
Stephan GüntherDepartment of Virology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID http://orcid.org/0000-0002-6562-0230
Sebastian G WichaDepartment of Clinical Pharmacy, Institute of Pharmacy, University of Hamburg, Hamburg, Germany.
Marie JaspardThe Alliance for International Medical Action, Paris, France.
Meike PahlmannDepartment of Virology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Michael RamharterCenter for Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine and Department of Medicine University Medical Center Hamburg-Eppendorf, Hamburg, Germany. michael.ramharter@ctm.bnitm.de.ORCID http://orcid.org/0000-0002-9259-1885
Mirjam GrogerCenter for Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine and Department of Medicine University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0001-7375-3685

Funding

NMR INVESTIGATIONS OF CELL MEMBRANE STRUCTUREZ01AA000003 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI GAWRISCH, KLAUS · 1993 to 2008
$5.4M
Intramural NIH HHS Z01 AA000003
6 · The paper itself

Abstract

Lassa fever (LF) is a viral hemorrhagic fever endemic to West Africa, with high case fatality in hospitalized patients and limited treatment options, including ribavirin. Preclinical evidence suggests high-dose favipiravir is a promising antiviral treatment alternative. We conducted a randomized controlled open-label phase 2 clinical trial at two reference hospitals in Nigeria to evaluate favipiravir in the treatment of LF. Primary endpoints were the description of classic pharmacokinetic parameters (maximum plasma concentration, time to reach maximum plasma concentration, area under the curve (AUC), half-life and volume of distribution) as well as the safety and tolerability of favipiravir compared with ribavirin in the treatment of acute LF. Hospitalized adult patients with mild-to-moderate RT-PCR-confirmed LF were eligible to participate. In total, 41 patients were randomized (ribavirin n = 21; favipiravir n = 20), and 36 completed the 10-day follow-up period. A total of 19 (46.3%) participants were female, and the median age was 37 years. The primary endpoints were met. Pharmacokinetic analysis of favipiravir in a one-compartment model indicated reliable exposure with maximum plasma concentration of 50.9 (IQR 42.1 to 75.1) mg l

Indexed as

AmidesAntiviral AgentsLassa FeverPyrazinesAdultFemaleHumansMaleMiddle AgedRibavirinTreatment OutcomeYoung AdultAmidesAntiviral AgentsfavipiravirPyrazinesRibavirin

Identifiers

PMID42141199
PMCPMC13375587

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.