The DOI matches its Crossref record.
Treatment of Potentially Life-Threatening Enterovirus Infections with Pleconaril
Abstract
Enteroviruses usually cause self-limited disease that, although associated with high morbidity, is rarely fatal. In certain patient populations, however, the enteroviruses may cause potentially life-threatening infections. Pleconaril is a novel compound that integrates into the capsid of picornaviruses, including enteroviruses and rhinoviruses, preventing the virus from attaching to cellular receptors and uncoating to release RNA into the cell. Pleconaril was used on a compassionate-release basis to treat patients with potentially life-threatening enterovirus infections, and for 38 of these patients sufficient follow-up data were available for determining responses to therapy. Response was evaluated in 4 categories: clinical, virological, laboratory, and radiological. Most patients (28 [78%] of 36), including 12 of 16 with chronic enterovirus meningoencephalitis, were judged to have a clinical response temporally associated with pleconaril therapy. Similarly, nearly all patients whose virological responses (12 [92%] of 13), laboratory responses (14 [88%] of 16), and radiological responses (3 [60%] of 5) could be evaluated were judged to have responded favorably to a course of pleconaril treatment. Adverse effects were minimal and the drug was generally well-tolerated.
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Citations
Cited by
Fung, G., Luo, H., Qiu, Y., Yang, D., & McManus, B. (2016) · Circulation Research · doi:10.1161/circresaha.115.306573 · Cited by 444
Activity of Pleconaril against Enteroviruses
Pevear, D. C., Tull, T. M., Seipel, M. E., & Groarke, J. M. (1999) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.43.9.2109 · Cited by 368
Molecular Methods for Diagnosis of Viral Encephalitis
DeBiasi, R. L., & Tyler, K. L. (2004) · Clinical Microbiology Reviews · doi:10.1128/cmr.17.4.903-925.2004 · Cited by 274
Enterovirus and parechovirus infection in children: a brief overview
de Crom, S. C. M., Rossen, J. W. A., van Furth, A. M., & Obihara, C. C. (2016) · European Journal of Pediatrics · doi:10.1007/s00431-016-2725-7 · Cited by 192
Enteroviral Meningitis: Natural History and Outcome of Pleconaril Therapy
Desmond, R. A., Accortt, N. A., Talley, L., Villano, S. A., Soong, S.-J., & Whitley, R. J. (2006) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.00227-06 · Cited by 154
Aseptic Meningitis and Viral Myelitis
Irani, D. N. (2008) · Neurologic Clinics · doi:10.1016/j.ncl.2008.03.003 · Cited by 139
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Harvala, H., Wolthers, K. C., & Simmonds, P. (2010) · Current Opinion in Infectious Diseases · doi:10.1097/qco.0b013e32833890ca · Cited by 138
Double blind placebo-controlled trial of pleconaril in infants with enterovirus meningitis
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Management of Viral Central Nervous System Infections: A Primer for Clinicians
Bookstaver, P. B., Mohorn, P. L., Shah, A., Tesh, L. D., Quidley, A. M., Kothari, R., Bland, C. M., & Weissman, S. (2017) · Journal of Central Nervous System Disease · doi:10.1177/1179573517703342 · Cited by 91
Nucleotide variation in Sabin type 2 poliovirus from an immunodeficient patient with poliomyelitis
Buttinelli, G., Donati, V., Fiore, S., Marturano, J., Plebani, A., Balestri, P., Soresina, A. R., Vivarelli, R., Delpeyroux, F., Martin, J., et al. (2003) · Journal of General Virology · doi:10.1099/vir.0.18974-0 · Cited by 73
Molecular detection of viral causes of encephalitis and meningitis in New York State
Dupuis, M., Hull, R., Wang, H., Nattanmai, S., Glasheen, B., Fusco, H., Dzigua, L., Markey, K., & Tavakoli, N. P. (2011) · Journal of Medical Virology · doi:10.1002/jmv.22169 · Cited by 72
Archimbaud, C., Mirand, A., Chambon, M., Regagnon, C., Bailly, J., Peigue‐Lafeuille, H., & Henquell, C. (2004) · Journal of Medical Virology · doi:10.1002/jmv.20217 · Cited by 28
Metadata
- Authors
- Rotbart, H. A., Webster, A. D., & for the Pleconaril Treatment Registry Group
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-01-15
- Volume
- 32
- Issue
- 2
- Pages
- 228-235
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2082290107
- Cited by
- 373
- References
- 0
- FWCI
- 19.05
- Type
- journal article
- Language
- en
- Open access
- closed
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