Evidence map›Paper›PMID 19729664›Full record

ArticleAmerican journal of respiratory and critical care medicine2009

Short-course therapy with daily rifapentine in a murine model of latent tuberculosis infection.

Tianyu Zhang, Ming Zhang, Ian M Rosenthal, Jacques H Grosset, Eric L Nuermberger

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
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.

NCT01404312 phase3completednot on this mapstarted 2012, after this paper: background citation

Phase III Clinical Trial of Ultra-Short-Course Rifapentine/Isoniazid for the Prevention of Active Tuberculosis in HIV-Infected Individuals With Latent Tuberculosis Infection

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2012 to 2017Enrolled3,000ConditionsTuberculosis, HIV InfectionsArmsRifapentine (RPT), Isoniazid (INH), Pyridoxine (Vitamin B6)
NCT05411744 phase4active not recruitingnot on this mapstarted 2022, after this paper: background citation

One-month Latent Tuberculosis Treatment for Renal Transplant Candidates

TypeinterventionalSponsorRutgers, The State University of New JerseyRan2022 to 2029Enrolled25ConditionsLatent Tuberculosis, End Stage Renal Disease, Renal Transplant Candidate for Right Kidney, Renal Transplant Candidate for Left KidneyArms1 month Rifapentine, Isoniazid and Vitamin B6
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Article
  5. Article
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  7. Article
  8. Mouse Models forPathogens (Basel, Switzerland) · 2022
    Review
  9. Microorganisms · 2022
    Review
  10. Article
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  12. Article
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  14. Article
  15. One Size Fits All? Not inFrontiers in cellular and infection microbiology · 2021
    Review
  16. Review
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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

5 authors at 1 institution in 1 country.

Tianyu ZhangCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ming Zhang
Ian M Rosenthal
Jacques H Grosset
Eric L Nuermberger
Johns Hopkins University · US

Funding

Defining Moxifloxacin as a First-line TB DrugK08AI058993 · NIAID · JOHNS HOPKINS UNIVERSITY · PI NUERMBERGER, ERIC L · 2004 to 2008
$623k
NIAID NIH HHS AI40007NIAID NIH HHS AI58993
6 · The paper itself

Abstract

rationaleRegimens recommended to treat latent tuberculosis infection (LTBI) are 3 to 9 months long. A 2-month rifampin+pyrazinamide regimen is no longer recommended. Shorter regimens are highly desirable. Because substituting rifapentine for rifampin in the standard regimen for active tuberculosis halves the treatment duration needed to prevent relapse in mice, we hypothesized daily rifapentine-based regimens could shorten LTBI treatment to 2 months or less.

objectivesTo improve an existing model of LTBI chemotherapy and evaluate the efficacy of daily rifapentine-based regimens.

methodsMice were immunized with a more immunogenic recombinant Bacille Calmette-Guérin strain (rBCG30) and received very low-dose aerosol infection with Mycobacterium tuberculosis to establish a stable lung bacterial burden below 10(4) CFU without drug treatment. Mice received a control (isoniazid alone, rifampin alone, rifampin+isoniazid, rifampin+pyrazinamide) or test (rifapentine alone, rifapentine+isoniazid, rifapentine+pyrazinamide, rifapentine+isoniazid+pyrazinamide) regimen for 8 weeks. Rifamycin doses were 10 mg/kg/d, analogous to the same human doses. Outcomes were biweekly lung CFU counts and relapse after 4 to 8 weeks of treatment. MEASUREMENTS AND MAIN

resultsM. tuberculosis CFU counts remained stable around 3.65 log(10) in immunized, untreated mice. Isoniazid or rifampin left all or most mice culture-positive at week 8. Rifampin+isoniazid cured 0 and 53% of mice and rifampin+pyrazinamide cured 47 and 100% of mice in 4 and 8 weeks, respectively. Rifapentine-based regimens were more active than rifampin+isoniazid and indistinguishable from rifampin+pyrazinamide.

conclusionsIn this improved murine model of LTBI chemotherapy with very low lung burden, existing regimens were well represented. Daily rifapentine-based regimens were at least as active as rifampin+pyrazinamide, suggesting they could effectively treat LTBI in 6 to 8 weeks.

Indexed as

AnimalsAntibiotics, AntitubercularDisease Models, AnimalDrug Administration ScheduleFemaleLungMiceMice, Inbred BALB CMycobacterium tuberculosisRifampinTreatment OutcomeTuberculosisAntibiotics, AntitubercularRifampinrifapentine

Identifiers

PMID19729664
PMCPMC2784419
OpenAlexW2067774518

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.