Evidence map›Paper›PMID 22472995›Full record

ArticleClinical pharmacology and therapeutics2012

Safety and pharmacokinetics of escalating daily doses of the antituberculosis drug rifapentine in healthy volunteers.

K E Dooley, E E Bliven-Sizemore, M Weiner, Y Lu, E L Nuermberger, W C Hubbard, E J Fuchs, M T Melia, W J Burman, S E Dorman

2 registry-linked trialsAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical pharmacology and therapeutics, 2012. 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 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
10.3field-weighted citation impact, top 2% 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.

NCT02563327 phase3completednot on this mapstarted 2016, after this paper: background citation

TBTC Study 31 PK/PD: Population Pharmacokinetic and Pharmacodynamic Study of Efficacy and Safety of High-Dose Rifapentine and Moxifloxacin for Treatment of Tuberculosis in the Study 31 Treatment Trial: Intensive PK Sampling

TypeinterventionalSponsorCenters for Disease Control and PreventionRan2016 to 2021Enrolled2,516ConditionsTuberculosisArmsRifapentine, Moxifloxacin, Rifampin, Isoniazid, Pyrazinamide
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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Cytokine-Mediated Systemic Adverse Drug Reactions in a Drug-Drug Interaction Study of Dolutegravir With Once-Weekly Isoniazid and Rifapentine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Trial
  8. Daily rifapentine for treatment of pulmonary tuberculosis. A randomized, dose-ranging trial.American journal of respiratory and critical care medicine · 2015
    Trial
  9. Article
  10. Article
  11. Observational
  12. Article
  13. New drugs for the management of tuberculosis.Current opinion in infectious diseases · 2025
    Review
  14. Development and hepatotoxicity of rifamycin derivatives.Expert opinion on drug metabolism & toxicology · 2025
    Review
  15. Therapeutic drug monitoring in tuberculosis.European journal of clinical pharmacology · 2024
    Review
  16. An Overview of Various Rifampicin Analogs againstMedicinal chemistry (Shariqah (United Arab Emirates)) · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. New and Repurposed Drugs for the Treatment of Active Tuberculosis: An Update for Clinicians.Respiration; international review of thoracic diseases · 2023
    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

10 authors at 5 institutions in 1 country.

K E DooleyDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. kdooley1@jhmi.edu
E E Bliven-Sizemore
M Weiner
Y Lu
E L Nuermberger
W C Hubbard
E J Fuchs
M T Melia
W J Burman
S E Dorman
Johns Hopkins Medicine · USCenters for Disease Control and Prevention · USDenver Public Health · USJohns Hopkins University · USUnited States Department of Veterans Affairs · US

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
PK/PD Issues in the Use of New Therapies for the Treatment of TuberculosisK23AI080842 · NIAID · JOHNS HOPKINS UNIVERSITY · PI DOOLEY, KELLY E. · 2009 to 2013
$670k
Applied Biosystems API5500 Triple Quadrupole Mass SpectrometerS10RR027733 · NCRR · JOHNS HOPKINS UNIVERSITY · PI HUBBARD, WALTER C · 2010 to 2010
$350k
NCRR NIH HHS 1S10 RR 27733NCRR NIH HHS S10 RR027733NCRR NIH HHS UL1 RR025005NIAID NIH HHS K23 AI080842NIAID NIH HHS K23AI080842PHS HHS P30 50410
6 · The paper itself

Abstract

Rifapentine (RP T) is an antituberculosis drug that may shorten treatment duration when substituted for rifampin (RI F).The maximal tolerated daily dose of RP T and its potential for cytochrome 3A4 induction and autoinduction at clinically relevant doses are unknown. In this phase I, dose-escalation study among healthy volunteers, daily doses as high asa prespecified maximum of 20 mg/kg/day were well tolerated. Steady-state RP T concentrations increased with dose from 5 to 15 mg/kg, but area under the plasma concentration–time curve (AU C0–24) and maximum concentration (Cmax)were similar in the 15- and 20-mg/kg cohorts. Although RP T pharmacokinetics (PK) appeared to be time-dependent,accumulation occurred with daily dosing. The mean AU C0–12 of oral midazolam (MDZ), a cytochrome 3A (CYP 3A) probe drug, was reduced by 93% with the coadministration of RPT and by 74% with the coadministration of RIF (P < 0.01).Changes in the oral clearance of MDZ did not vary by RP T dose. In conclusion, RP T was tolerated at doses as high as20 mg/kg/day, its PK were less than dose-proportional, and its CYP 3A induction was robust.

Indexed as

Drug-Related Side Effects and Adverse ReactionsAdultAntitubercular AgentsArea Under CurveCytochrome P-450 CYP3AFemaleHumansMaleMidazolamMiddle AgedRifampinAntitubercular AgentsCYP3A4 protein, humanCytochrome P-450 CYP3AMidazolamRifampinrifapentine

Identifiers

PMID22472995
PMCPMC3837382
OpenAlexW2161786249

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.