Evidence map›Paper›PMID 21659613›Full record

ArticleAmerican journal of respiratory and critical care medicine2011

Short-course chemotherapy with TMC207 and rifapentine in a murine model of latent tuberculosis infection.

Tianyu Zhang, Si-Yang Li, Kathy N Williams, Koen Andries, Eric L Nuermberger

Registry-linked trialAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06253715 (Shortened Regimen for Drug-susceptible TB in Children), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
4.1field-weighted citation impact, top 5% 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.

NCT06253715 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Shortened Regimen for Drug-susceptible TB in Children

TypeinterventionalSponsorJohns Hopkins UniversityRan2025 to 2027Enrolled860ConditionsTuberculosis, Tuberculosis, Pulmonary, Tuberculosis, Lymph Node, Mycobacterium TuberculosisArmsIsoniazid, Rifampin, Pyrazinamide, Ethambutol, Rifapentine
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 70 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Preventing Multidrug-Resistant Tuberculosis: The Dawn of a New Era.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. New and Repurposed Drugs for the Treatment of Active Tuberculosis: An Update for Clinicians.Respiration; international review of thoracic diseases · 2023
    Review
  11. Article
  12. Review
  13. Targeting Non-ReplicatingInternational journal of molecular sciences · 2021
    Review
  14. Article
  15. Article
  16. Deletion ofAntimicrobial agents and chemotherapy · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. New Drugs for the Treatment of Tuberculosis.Clinics in chest medicine · 2019
    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

5 authors at 1 institution in 2 countries.

Tianyu ZhangDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Si-Yang Li
Kathy N Williams
Koen Andries
Eric L Nuermberger
Johns Hopkins University · US

Funding

NIAID NIH HHS N01 AI040007NIAID NIH HHS N01-AI-40007
6 · The paper itself

Abstract

rationaleMultidrug-resistant and extensively drug-resistant tuberculosis (MDR/XDR-TB) is an emerging global health threat. Proper management of close contacts of infectious patients is increasingly important. However, no evidence-based recommendations for treating latent TB infection (LTBI) after MDR/XDR-TB exposure (DR-LTBI) exist. An ultrashort regimen for LTBI caused by drug-susceptible strains (DS-LTBI) is also desirable. TMC207 has bactericidal and sterilizing activity in animal models of TB and improves the activity of current MDR-TB therapy in patients.

objectivesThe objective of this study was to determine whether TMC207 might enable short-course treatment of DR-LTBI and ultrashort treatment of DS-LTBI.

methodsUsing an established experimental model of LTBI chemotherapy in which mice are aerosol-immunized with a recombinant bacillus Calmette-Guérin vaccine before low-dose aerosol infection with Mycobacterium tuberculosis, the efficacy of TMC207 alone and in combination with rifapentine was compared with currently recommended control regimens as well as once-weekly rifapentine + isoniazid and daily rifapentine ± isoniazid. MEASUREMENTS: Outcomes included monthly lung colony-forming unit counts and relapse rates. MAIN

resultsLung colony-forming unit counts were stable at about 3.75 log(10) for up to 7.5 months postinfection in untreated mice. Rifamycin-containing regimens were superior to isoniazid monotherapy. TMC207 exhibited sterilizing activity at least as strong as that of rifampin alone and similar to that of rifampin + isoniazid, but daily rifapentine +/- isoniazid was superior to TMC207. Addition of TMC207 to rifapentine did not improve the sterilizing activity of rifapentine in this model.

conclusionsTMC207 has substantial sterilizing activity and may enable treatment of DR-LTBI in 3-4 months.

Indexed as

AnimalsAntibiotics, AntitubercularAntitubercular AgentsDiarylquinolinesDisease Models, AnimalDrug Administration ScheduleDrug Therapy, CombinationExtensively Drug-Resistant TuberculosisFemaleLatent TuberculosisLungMiceMice, Inbred BALB CMycobacterium tuberculosisQuinolinesRifampinAntibiotics, AntitubercularAntitubercular AgentsbedaquilineDiarylquinolinesQuinolinesRifampinrifapentine

Identifiers

PMID21659613
PMCPMC3208599
OpenAlexW2026701298

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.