Evidence map›Paper›PMID 19753300›Full record

Trial reportPloS one2009

Immunomodulation with recombinant interferon-gamma1b in pulmonary tuberculosis.

Rod Dawson, Rany Condos, Doris Tse, Maryann L Huie, Stanley Ress, Chi-Hong Tseng, Clint Brauns, Michael Weiden, Yoshihiko Hoshino, Eric Bateman and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00201123 (Host Response to Tuberculosis and Acquired Immune Deficiency Syndrome), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

NCT00201123 phase2completednot on this map

Host Response to Tuberculosis and Acquired Immune Deficiency Syndrome

TypeinterventionalSponsorNYU Langone HealthRan2005 to 2007Enrolled89ConditionsTuberculosis, AIDS-related ComplexArmsAerosol Interferon-Gamma, Subcutaneous interferon-gamma, Placebo
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Lung CD4Cell reports · 2025
    Article
  7. Progress of single-cell sequencing technology in immunotherapy for tuberculosis.Frontiers in cellular and infection microbiology · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Recent Advances in Host-Directed Therapies for Tuberculosis and Malaria.Frontiers in cellular and infection microbiology · 2022
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

11 authors at 2 institutions in 2 countries.

Rod DawsonDivision of Pulmonology, Department of Medicine, Health Sciences Faculty, University of Cape Town, Cape Town, South Africa.
Rany Condos
Doris Tse
Maryann L Huie
Stanley Ress
Chi-Hong Tseng
Clint Brauns
Michael Weiden
Yoshihiko Hoshino
Eric Bateman
William N Rom
Bellevue Hospital Center · USUniversity of Cape Town · ZA

Funding

ZOPOLRESTAT IN SUBJECTS W/ PERIPHERAL SYMMETRICAL DIABETIC POLYNEUROPATHYM01RR000096 · NCRR · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI NOVIK, YELENA · 1985 to 2008
$34.8M
Translational Research Training in Environmental MedicineT32ES007267 · NIEHS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ROM, WILLIAM N · 1992 to 2013
$4.0M
HIV/TB INTERACTION IN THE LUNGR01HL057879 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WEIDEN, MICHAEL D. · 1999 to 2008
$3.8M
HOST RESPONSE TO TB AND AIDSR01HL059832 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ROM, WILLIAM N · 1997 to 2006
$3.6M
NCRR NIH HHS M01 RR000096NCRR NIH HHS MO1 RR00096NHLBI NIH HHS HL57879NHLBI NIH HHS HL59832NHLBI NIH HHS R01 HL057879NHLBI NIH HHS R01 HL059832NIEHS NIH HHS T32 ES007267
6 · The paper itself

Abstract

backgroundCurrent treatment regimens for pulmonary tuberculosis require at least 6 months of therapy. Immune adjuvant therapy with recombinant interferon-gamma1b (rIFN-gammab) may reduce pulmonary inflammation and reduce the period of infectivity by promoting earlier sputum clearance. METHODOLOGY/PRINCIPAL

findingsWe performed a randomized, controlled clinical trial of directly observed therapy (DOTS) versus DOTS supplemented with nebulized or subcutaneously administered rIFN-gamma1b over 4 months to 89 patients with cavitary pulmonary tuberculosis. Bronchoalveolar lavage (BAL) and blood were sampled at 0 and 4 months. There was a significant decline in levels of inflammatory cytokines IL-1beta, IL-6, IL-8, and IL-10 in 24-hour BAL supernatants only in the nebulized rIFN-gamma1b group from baseline to week 16. Both rIFN-gamma1b groups showed significant 3-fold increases in CD4+ lymphocyte response to PPD at 4 weeks. There was a significant (p = 0.03) difference in the rate of clearance of Mtb from the sputum smear at 4 weeks for the nebulized rIFN-gamma1b adjuvant group compared to DOTS or DOTS with subcutaneous rIFN-gamma1b. In addition, there was significant reduction in the prevalence of fever, wheeze, and night sweats at 4 weeks among patients receiving rFN-gamma1b versus DOTS alone.

conclusionRecombinant interferon-gamma1b adjuvant therapy plus DOTS in cavitary pulmonary tuberculosis can reduce inflammatory cytokines at the site of disease, improve clearance of Mtb from the sputum, and improve constitutional symptoms.

trial registrationClinicalTrials.gov NCT00201123.

Indexed as

ImmunomodulationAdultBronchoalveolar Lavage FluidCytokinesFemaleHumansImmunotherapyInflammationInterferon-gammaLymphocytesMaleRecombinant ProteinsSputumTreatment OutcomeTuberculosis, PulmonaryCytokinesInterferon-gammaRecombinant Proteins

Identifiers

PMID19753300
PMCPMC2737621
OpenAlexW2035602962

What OpenQuestion holds

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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.