Evidence map›Paper›PMID 42462281›Full record

ReviewEBioMedicine2026

Ribavirin post-exposure prophylaxis for Andes virus exposure: a viewpoint.

Roger J Brüggemann, Albert Vollaard, Sacha de Stoppelaar, Johan G C van Hasselt, David M Burger, Job J Engel, Jeroen J A van Kampen, Matthew McCall, Loek Smits, Hetty Jolink and 5 more

Abstract readReview
In one paragraph

Review in EBioMedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Roger J BrüggemannDepartment of Pharmacy, Pharmacology and Toxicology, and Radboudumc Community for Infectious Diseases, and Radboudumc Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, the Netherlands.
Albert VollaardCentre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Sacha de StoppelaarCentre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands; Department of Internal Medicine, Infectious Diseases Department, Amsterdam University Medical Center, Amsterdam, the Netherlands.
Johan G C van HasseltLeiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.
David M BurgerDepartment of Pharmacy, Pharmacology and Toxicology, and Radboudumc Community for Infectious Diseases, and Radboudumc Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, the Netherlands.
Job J EngelDepartment of Internal Medicine, and Radboud Institute of Medical Innovation (RIMI), Radboud University Medical Center, Nijmegen, the Netherlands.
Jeroen J A van KampenDepartment of Viroscience, Erasmus MC, Rotterdam, the Netherlands.
Matthew McCallDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Loek SmitsDepartment of Internal Medicine, and Radboud Institute of Medical Innovation (RIMI), Radboud University Medical Center, Nijmegen, the Netherlands.
Hetty JolinkLeiden University Center of Infectious Diseases, Subdepartment Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.
Leo G VisserLeiden University Center of Infectious Diseases, Subdepartment Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.
Frank van de VeerdonkDepartment of Internal Medicine, and Radboud Institute of Medical Innovation (RIMI), Radboud University Medical Center, Nijmegen, the Netherlands.
Karin Ellen VeldkampLeiden University Center of Infectious Diseases, Subdepartment Medical Microbiology and Infection Control, Leiden University Medical Center, Leiden.
Chantal P RoversDepartment of Internal Medicine, and Radboud Institute of Medical Innovation (RIMI), Radboud University Medical Center, Nijmegen, the Netherlands.
Rob J W ArtsDepartment of Internal Medicine, and Radboud Institute of Medical Innovation (RIMI), Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address: rob.jw.arts@radboudumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Andes virus (ANDV) is unique among hantaviruses because person-to-person transmission is possible. This raises questions on the relevance of post-exposure prophylaxis (PEP), particularly following high-risk household, healthcare-associated, or laboratory exposures, considering its high case fatality rate. Ribavirin has demonstrated antiviral activity against hantaviruses in vitro and in animal models, although clinical evidence supporting its use for ANDV remains extremely limited. This viewpoint summarises the currently available evidence regarding ribavirin as PEP after potential ANDV exposure. We discuss the knowledge gaps that may limit the applicability of ribavirin PEP, to make informed decisions on the use of ribavirin in the setting of PEP. Potential dosing strategies are visualised by modelling and simulation, and potential dose and duration are discussed. Although the biological rationale for ribavirin PEP appears compelling, absence of controlled human studies and potential toxicity currently limit its role to highly selected exposure scenarios and use shortly after exposure.

Indexed as

Antiviral AgentsHantavirus InfectionsOrthohantavirusPost-Exposure ProphylaxisRibavirinAnimalsHumansAntiviral AgentsRibavirinHantavirus cardiopulmonary syndrome

Identifiers

PMID42462281
PMCPMC13400777

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.