Detection of influenza A(H3N2) viruses exhibiting reduced susceptibility to the novel cap-dependent endonuclease inhibitor baloxavir in Japan, December 2018

The novel cap-dependent endonuclease inhibitor baloxavir marboxil was approved for the treatment of influenza virus infection in Japan in February 2018. Two influenza A(H3N2) viruses carrying an I38T substitution in the polymerase acidic subunit (PA) were detected in baloxavir-treated children in De...

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Published inEuro surveillance : bulletin européen sur les maladies transmissibles Vol. 24; no. 3; p. 1
Main Authors Takashita, Emi, Kawakami, Chiharu, Morita, Hiroko, Ogawa, Rie, Fujisaki, Seiichiro, Shirakura, Masayuki, Miura, Hideka, Nakamura, Kazuya, Kishida, Noriko, Kuwahara, Tomoko, Mitamura, Keiko, Abe, Takashi, Ichikawa, Masataka, Yamazaki, Masahiko, Watanabe, Shinji, Odagiri, Takato
Format Journal Article
LanguageEnglish
Published Sweden Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS) 17.01.2019
European Centre for Disease Prevention and Control (ECDC)
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Abstract The novel cap-dependent endonuclease inhibitor baloxavir marboxil was approved for the treatment of influenza virus infection in Japan in February 2018. Two influenza A(H3N2) viruses carrying an I38T substitution in the polymerase acidic subunit (PA) were detected in baloxavir-treated children in December 2018. This mutation is known to confer reduced susceptibility to baloxavir, and the two mutant viruses exhibited 76- and 120-fold reduced susceptibility to baloxavir.
AbstractList The novel cap-dependent endonuclease inhibitor baloxavir marboxil was approved for the treatment of influenza virus infection in Japan in February 2018. Two influenza A(H3N2) viruses carrying an I38T substitution in the polymerase acidic subunit (PA) were detected in baloxavir-treated children in December 2018. This mutation is known to confer reduced susceptibility to baloxavir, and the two mutant viruses exhibited 76- and 120-fold reduced susceptibility to baloxavir.
The novel cap-dependent endonuclease inhibitor baloxavir marboxil was approved for the treatment of influenza virus infection in Japan in February 2018. Two influenza A(H3N2) viruses carrying an I38T substitution in the polymerase acidic subunit (PA) were detected in baloxavir-treated children in December 2018. This mutation is known to confer reduced susceptibility to baloxavir, and the two mutant viruses exhibited 76- and 120-fold reduced susceptibility to baloxavir.The novel cap-dependent endonuclease inhibitor baloxavir marboxil was approved for the treatment of influenza virus infection in Japan in February 2018. Two influenza A(H3N2) viruses carrying an I38T substitution in the polymerase acidic subunit (PA) were detected in baloxavir-treated children in December 2018. This mutation is known to confer reduced susceptibility to baloxavir, and the two mutant viruses exhibited 76- and 120-fold reduced susceptibility to baloxavir.
Author Mitamura, Keiko
Takashita, Emi
Shirakura, Masayuki
Kawakami, Chiharu
Morita, Hiroko
Watanabe, Shinji
Miura, Hideka
Kuwahara, Tomoko
Ogawa, Rie
Fujisaki, Seiichiro
Nakamura, Kazuya
Odagiri, Takato
Abe, Takashi
Kishida, Noriko
Ichikawa, Masataka
Yamazaki, Masahiko
Author_xml – sequence: 1
  givenname: Emi
  surname: Takashita
  fullname: Takashita, Emi
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
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  givenname: Chiharu
  surname: Kawakami
  fullname: Kawakami, Chiharu
  organization: Yokohama City Institute of Public Health, Kanagawa, Japan
– sequence: 3
  givenname: Hiroko
  surname: Morita
  fullname: Morita, Hiroko
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
– sequence: 4
  givenname: Rie
  surname: Ogawa
  fullname: Ogawa, Rie
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
– sequence: 5
  givenname: Seiichiro
  surname: Fujisaki
  fullname: Fujisaki, Seiichiro
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
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  givenname: Masayuki
  surname: Shirakura
  fullname: Shirakura, Masayuki
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
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  givenname: Hideka
  surname: Miura
  fullname: Miura, Hideka
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
– sequence: 8
  givenname: Kazuya
  surname: Nakamura
  fullname: Nakamura, Kazuya
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
– sequence: 9
  givenname: Noriko
  surname: Kishida
  fullname: Kishida, Noriko
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
– sequence: 10
  givenname: Tomoko
  surname: Kuwahara
  fullname: Kuwahara, Tomoko
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
– sequence: 11
  givenname: Keiko
  surname: Mitamura
  fullname: Mitamura, Keiko
  organization: Eiju General Hospital, Tokyo, Japan
– sequence: 12
  givenname: Takashi
  surname: Abe
  fullname: Abe, Takashi
  organization: Abe Children’s Clinic, Kanagawa, Japan
– sequence: 13
  givenname: Masataka
  surname: Ichikawa
  fullname: Ichikawa, Masataka
  organization: Ichikawa Children’s Clinic, Kanagawa, Japan
– sequence: 14
  givenname: Masahiko
  surname: Yamazaki
  fullname: Yamazaki, Masahiko
  organization: Zama Children’s Clinic, Kanagawa, Japan
– sequence: 15
  givenname: Shinji
  surname: Watanabe
  fullname: Watanabe, Shinji
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
– sequence: 16
  givenname: Takato
  surname: Odagiri
  fullname: Odagiri, Takato
  organization: Influenza Virus Research Center, National Institute of Infectious Diseases, Tokyo, Japan
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Cites_doi 10.1111/irv.12446
10.1056/NEJMoa1716197
10.1038/s41598-018-27890-4
10.3389/fmicb.2018.03026
10.1177/135965350701200S04.1
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Keywords cap-dependent endonuclease inhibitor
resistant
baloxavir marboxil
Influenza virus
baloxavir acid
Language English
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Correspondence: Takato Odagiri (todagiri@nih.go.jp)
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SubjectTerms Disease control
Drug therapy
Influenza
Medical treatment
Rapid Communication
Title Detection of influenza A(H3N2) viruses exhibiting reduced susceptibility to the novel cap-dependent endonuclease inhibitor baloxavir in Japan, December 2018
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