Evidence map›Paper›PMID 22547623›Full record

ArticleAntimicrobial agents and chemotherapy2012

Rifapentine is not more active than rifampin against chronic tuberculosis in guinea pigs.

Noton K Dutta, Peter B Illei, Charles A Peloquin, Michael L Pinn, Khisimuzi E Mdluli, Eric L Nuermberger, Jacques H Grosset, Petros C Karakousis

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. One Size Fits All? Not inFrontiers in cellular and infection microbiology · 2021
    Review
  3. Article
  4. Article
  5. Animal models of tuberculosis: Lesson learnt.The Indian journal of medical research · 2018
    Review
  6. Delamanid Kills Dormant MycobacteriaAntimicrobial agents and chemotherapy · 2017
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. 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

8 authors at 4 institutions in 1 country.

Noton K DuttaDepartments of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Peter B Illei
Charles A Peloquin
Michael L Pinn
Khisimuzi E Mdluli
Eric L Nuermberger
Jacques H Grosset
Petros C Karakousis
Johns Hopkins Medicine · USJohns Hopkins University · USTB Alliance · USUniversity of Florida · US

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Regulatory networks involved in Mycobacterium tuberculosis persistenceR01AI083125 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KARAKOUSIS, PETROS C · 2009 to 2013
$2.7M
Qualifying New Pre-Clinical Models for the Develop. of Tuberculosis DrugU18FD004004 · FDA · GLOBAL ALLIANCE FOR TB DRUG DEVELOPMENT · PI MDLULI, KHISIMUSI · 2010 to 2012
$1.2M
FDA HHS U18 FD004004FDA HHS U18FD004004NCATS NIH HHS UL1 TR000064NIAID NIH HHS AI083125NIAID NIH HHS R01 AI083125
6 · The paper itself

Abstract

Rifamycins are key sterilizing drugs in the current treatment of active tuberculosis (TB). Daily dosing of rifapentine (P), a potent rifamycin with high intracellular accumulation, in place of rifampin (R) in the standard antitubercular regimen significantly shortens the duration of treatment needed to prevent relapse in a murine model of active TB. We undertook the current study to compare directly the activities of human-equivalent doses of P and R in a guinea pig model of chronic TB, in which bacilli are predominantly extracellular within human-like necrotic granulomas. Hartley strain guinea pigs were aerosol infected with ~200 bacilli of Mycobacterium tuberculosis H37Rv, and treatment given 5 days/week was initiated 6 weeks later. R at 100 mg/kg of body weight and P at 100 mg/kg were given orally alone or in combination with isoniazid (H) at 60 mg/kg and pyrazinamide (Z) at 300 mg/kg. Culture-positive relapse was assessed in subgroups of guinea pigs after completion of 1 and 2 months of treatment. Human-equivalent doses of R and P showed equivalent bactericidal activity when used alone and in combination therapy. In guinea pigs treated with rifampin, isoniazid, and pyrazinamide (RHZ) or PHZ, microbiological relapse occurred in the lungs of 8/10 animals treated for 1 month and in 0/10 animals treated for 2 months. Substitution of P for R in the standard antitubercular regimen did not shorten the time to cure in this guinea pig model of chronic TB. Data from ongoing clinical trials comparing the activity of these two drugs are awaited to determine the relevance of the guinea pig TB model in preclinical drug screening.

Indexed as

AnimalsAntitubercular AgentsFemaleGuinea PigsIsoniazidMycobacterium tuberculosisPyrazinamideRifampinTuberculosisAntitubercular AgentsIsoniazidPyrazinamideRifampinrifapentine

Identifiers

PMID22547623
PMCPMC3393407
OpenAlexW2101330424

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.