Laninamivir octanoate for post-exposure prophylaxis of influenza in household contacts: a randomized double blind placebo controlled trial

AbstractLaninamivir octanoate, a long-acting neuraminidase inhibitor, is an effective treatment for influenza. However, its effectiveness for the prevention of influenza has not yet been demonstrated. We conducted a double-blind, multicenter, randomized, placebo-controlled trial to determine whether laninamivir octanoate was superior to a placebo for post-exposure prophylaxis of influenza in household contacts. Eligible participants, who were household members who did not have influenza and were in contact with an influenza-infected index patient, were randomly assigned (1:1:1) to one of three groups: 20mg of laninamivir octanoate once daily for 2 days (LO-2), 20mg of laninamivir octanoate once daily for 3 days (LO-3), or a placebo. The primary endpoint was the proportion of participants who developed clinical influenza during a 10-day period. A total of 1711 participants were enrolled, and 1451 participants were included in the primary analysis. The proportion of participants with clinical influenza was 3.9 % (19/487) in the LO-2 group, 3.7 % (18/486) in the LO-3 group, and 16.9 % (81/478) in the placebo group (P<0.001 for each of the laninamivir octanoate group). The relative risk reductions, compared with the placebo group, were 77.0 % [95 % confidence interval (CI) 62.7–85.8] and 78.1 % (95 % CI 64.1–86.7 %) for the LO-2 and LO-3 groups, respectively. The incidences of adverse events in the laninamivir octanoate groups were similar to that in the placebo group. The inhalation of 20mg of laninamivir octanoate once daily for 2 or 3 days was well tolerated and effectively prevented the development of influenza in household contacts

Feeding in golden hamsters, Mesocricetus auratus

Simultaneous cine and electromyographic records of freely feeding, unanesthetized golden hamsters show that their motion and muscular activity during mastication differ from those of albino rats (Weijs, '75). Rats show only propalinal motion while hamsters show lateral translation as well. The masticatory muscles of hamsters and rats are generally similar, but their molar dentitions differ. The interlocking molar cusps of hamsters restrict propalinal protrusion and retrusion when the molars are in occlusion; however, hamsters readily unlock occlusion by a twisting movement in the horizontal plane. Rats may perform propalinal movements even with the teeth in occlusion. In mastication the hamstery's jaw moves laterally as well as vertically and anteroposteriorly. Chewing orbits typically reverse after one to three orbits. Reversal begins at the start of the upstroke and involves a lateral shift in the opposite direction with the mouth closed. Electromyograms show that symmetric and asymmetric activities of closing protrusive and closing retrusive muscles produce a unilateral force couple on both sides. (This couple accompanies a midline closing stroke.) When the mouth is closed, unilateral activity of closing retrusors and closing protrusors also induces lateral translation. A bilateral force couple pits the retrusors of one side against the protrusors on the opposite side. Simultaneous with lateral excursion to the opposite side of midline and the action of these closing muscles, the anterior digastric and lateral pterygoid muscles of one side fire asymmetrically. The mandible moves downward coincidently with bilateral activity of the digastrics and lateral pterygoids. As the jaw opens further, activity differences of the lateral pterygoids accompany a shift of the mandible toward midline. At the end of the downstroke, all masticatory muscles studied are silent. The jaw returns to midline when the adductors fire asymmetrically at the start of closing. Trituration appears to coincide with an initial simple protrusion, which is subsequently accompanied by lateral translation. Different food types are reduced by distint chewing patterns with the differences clearest when the teeth are near occlusion. During gnawing the lateral pterygoids and digastrics fire longer, and the closing muscles fire less strongly. Chewing patterns in golden hamsters appear more generalized than those of rats; the differences may be directly associated with the ability of hamsters to store food in their cheek pouches.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/50269/1/1051540305_ftp.pd