Evidence map›Paper›PMID 22615332›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2012

Old drugs, new purpose: retooling existing drugs for optimized treatment of resistant tuberculosis.

Kelly E Dooley, Carole D Mitnick, Mary Ann DeGroote, Ekwaro Obuku, Vera Belitsky, Carol D Hamilton, Mamodikoe Makhene, Sarita Shah, James C M Brust, Nadza Durakovic and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Tuberculosis: An Ongoing Global Threat.Advances in experimental medicine and biology · 2026
    Review
  5. Review
  6. An Overview of Various Rifampicin Analogs againstMedicinal chemistry (Shariqah (United Arab Emirates)) · 2024
    Review
  7. International journal of molecular sciences · 2023
    Article
  8. OvercomingActa pharmaceutica Sinica. B · 2022
    Review
  9. Article
  10. Article
  11. Improved Outcomes With High-dose Isoniazid in Multidrug-resistant Tuberculosis Treatment in Haiti.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  12. Review
  13. Time to Sputum Culture Conversion and Treatment Outcomes Among Patients with Isoniazid-Resistant Tuberculosis in Atlanta, Georgia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  14. Treating tuberculosis with high doses of anti-TB drugs: mechanisms and outcomes.Annals of clinical microbiology and antimicrobials · 2017
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Partnerships to Design Novel Regimens to Treat Childhood Tuberculosis, Sui Generis: The Road Ahead.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 2 countries.

Kelly E DooleyJohns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. kdooley1@jhmi.edu
Carole D Mitnick
Mary Ann DeGroote
Ekwaro Obuku
Vera Belitsky
Carol D Hamilton
Mamodikoe Makhene
Sarita Shah
James C M Brust
Nadza Durakovic
Eric Nuermberger
Efficacy Subgroup, RESIST-TB
Albert Einstein College of Medicine · USJohns Hopkins University · USPartners In Health · USColorado State University · USFamily Health International 360 · USHarvard University · USJoint Clinical Research Centre · UGNational Institutes of Health · US

Funding

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
Integrated, Home-based Treatment for MDR TB and HIV in Rural South AfricaK23AI083088 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BRUST, JAMES C M · 2010 to 2014
$665k
NIAID NIH HHS K23 AI080842NIAID NIH HHS K23AI080842NIAID NIH HHS K23 AI083088NIAID NIH HHS K23AI083088
6 · The paper itself

Abstract

Treatment of drug-resistant tuberculosis is hindered by the high toxicity and poor efficacy of second-line drugs. New compounds must be used together with existing drugs, yet clinical trials to optimize combinations of drugs for drug-resistant tuberculosis are lacking. We conducted an extensive review of existing in vitro, animal, and clinical studies involving World Health Organization-defined group 1, 2, and 4 drugs used in drug-resistant tuberculosis regimens to inform clinical trials and identify critical research questions. Results suggest that optimizing the dosing of pyrazinamide, the injectables, and isoniazid for drug-resistant tuberculosis is a high priority. Additional pharmacokinetic, pharmacodynamic, and toxicodynamic studies are needed for pyrazinamide and ethionamide. Clinical trials of the comparative efficacy and appropriate treatment duration of injectables are recommended. For isoniazid, rapid genotypic tests for Mycobacterium tuberculosis mutations should be nested in clinical trials. Further research focusing on optimization of dose and duration of drugs with activity against drug-resistant tuberculosis is paramount.

Indexed as

AnimalsAntitubercular AgentsClinical Trials as TopicDrug Evaluation, PreclinicalHumansTuberculosis, Multidrug-ResistantAntitubercular Agents

Identifiers

PMID22615332
PMCPMC3520382
OpenAlexW2153755133

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.