Evidence map›Paper›PMID 21789248›Full record

ArticlePloS one2011

Potential economic viability of two proposed rifapentine-based regimens for treatment of latent tuberculosis infection.

David P Holland, Gillian D Sanders, Carol D Hamilton, Jason E Stout

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05411744 (One-month Latent Tuberculosis Treatment for Renal Transplant Candidates), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 19% 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.

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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. US Guidelines Fall Short on Short-Course Tuberculosis-Preventive Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  5. Review
  6. Cost effectiveness of three months of rifapentine and isoniazid for latent tuberculosis in Syrian refugees.Journal of clinical tuberculosis and other mycobacterial diseases · 2021
    Article
  7. Optimizing the Design of Latent Tuberculosis Treatment Trials: Insights from Mathematical Modeling.American journal of respiratory and critical care medicine · 2020
    Article
  8. Article
  9. Article
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

4 authors at 2 institutions in 1 country.

David P HollandDepartment of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America. david.p.holland@duke.edu
Gillian D Sanders
Carol D Hamilton
Jason E Stout
Duke Medical Center · USDuke University · US

Funding

Mathematical Modeling in Clinical Trials of Tuberculosis TherapeuticsK01AI083782 · NIAID · DUKE UNIVERSITY · PI HOLLAND, DAVID PRESTON · 2009 to 2013
$627k
NIAID NIH HHS 5K01AI083782-02NIAID NIH HHS K01 AI083782
6 · The paper itself

Abstract

rationaleRifapentine-based regimens for treating latent tuberculosis infection (LTBI) are being considered for future clinical trials, but even if they prove effective, high drug costs may limit their economic viability.

objectivesTo inform clinical trial design by estimating the potential costs and effectiveness of rifapentine-based regimens for treatment of latent tuberculosis infection (LTBI).

methodsWe used a Markov model to estimate cost and societal benefits for three regimens for treating LTBI: Isoniazid/rifapentine daily for one month, isoniazid/rifapentine weekly for three months (self-administered and directly-observed), and isoniazid daily for nine months; a strategy of "no treatment" used for comparison. Costs, quality-adjusted life-years gained, and instances of active tuberculosis averted were calculated for all arms.

resultsBoth daily isoniazid/rifapentine for one month and weekly isoniazid/rifapentine for three months were less expensive and more effective than other strategies under a wide variety of clinically plausibly parameter estimates. Daily isoniazid/rifapentine for one month was the least expensive and most effective regimen.

conclusionsDaily isoniazid/rifapentine for one month and weekly isoniazid/rifapentine for three months should be studied in a large-scale clinical trial for efficacy. Because both regimens performed well even if their efficacy is somewhat reduced, study designers should consider relaxing non-inferiority boundaries.

Indexed as

Antitubercular AgentsCost-Benefit AnalysisDrug Administration ScheduleHumansIsoniazidLatent TuberculosisModels, BiologicalPatient ComplianceRifampinSelf AdministrationUnited StatesAntitubercular AgentsIsoniazidRifampinrifapentine

Identifiers

PMID21789248
PMCPMC3138781
OpenAlexW2055435680

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.