Evidence map›Paper›PMID 22670901›Full record

Trial reportThe New England journal of medicine2012

Delamanid for multidrug-resistant pulmonary tuberculosis.

Maria Tarcela Gler, Vija Skripconoka, Epifanio Sanchez-Garavito, Heping Xiao, Jose L Cabrera-Rivero, Dante E Vargas-Vasquez, Mengqiu Gao, Mohamed Awad, Seung-Kyu Park, Tae Sun Shim and 11 more

2 registry-linked trialsOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The New England journal of medicine, 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 300 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
300citing papers in PubMed, 9 pooled it
35.8field-weighted citation impact, top 1% 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.

NCT00685360 phase2completednot on this map

A Multi Center, Randomized, Double-blind, Placebo-controlled Phase 2 Trial to Evaluate the Safety, Efficacy and Pharmacokinetics of Multiple Doses of OPC 67683 in Patients With Pulmonary Sputum Culture-Positive, Multidrug-resistant Tuberculosis

TypeinterventionalSponsorOtsuka Pharmaceutical Development & Commercialization, Inc.Ran2008 to 2010Enrolled481ConditionsTuberculosis, Pulmonary, Tuberculosis, Multidrug Resistant, Extensively Drug-Resistant TuberculosisArmsDelamanid, Optimized Background Regimen (OBR), Placebo
NCT03827811 unknown statusnot on this mapstarted 2020, after this paper: background citation

Pharmacometrics to Advance Novel Regimens for Drug-resistant Tuberculosis

TypeobservationalSponsorUniversity of Cape TownRan2020 to 2023Enrolled625ConditionsMulti-drug Resistant Tuberculosis
3 · Its place in the literature

Who cites it

300 citing papers in PubMed, 9 syntheses or guidelines pooled it, 732 citations in OpenAlex.

  1. Pooled it
  2. Delamanid-containing regimens and multidrug-resistant tuberculosis: A systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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  7. Preventing the spread of multidrug-resistant tuberculosis and protecting contacts of infectious cases.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2017
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  16. Bedaquiline for multidrug-resistant TB in paediatric patients.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021
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  18. Triplicate Sputum Cultures for Efficacy Evaluation of Novel Antituberculosis Regimens.American journal of respiratory and critical care medicine · 2017
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240 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 18 institutions in 9 countries.

Maria Tarcela GlerMakati Medical Center, Manila, Philippines.
Vija Skripconoka
Epifanio Sanchez-Garavito
Heping Xiao
Jose L Cabrera-Rivero
Dante E Vargas-Vasquez
Mengqiu Gao
Mohamed Awad
Seung-Kyu Park
Tae Sun Shim
Gee Young Suh
Manfred Danilovits
Hideo Ogata
Anu Kurve
Joon Chang
Katsuhiro Suzuki
Thelma Tupasi
Won-Jung Koh
Barbara Seaworth
Lawrence J Geiter
Charles D Wells
Samsung Medical Center · KRTropical Disease Foundation · PHAsan Medical Center · KRBeijing Chest Hospital · CNFoundation Center · USFukujuji Hospital · JPHospital Nacional Cayetano Heredia · PEHospital San Hipólito · MXMasan National Tuberculosis Hospital · KRNHO Kinki Chuo Chest Medical Center · JPOtsuka (United States) · USPharmaceutical Product Development (United States) · USSeverance Hospital · KRShanghai Pulmonary Hospital · CNState Education Development Agency · LVTartu University Hospital · EEThe University of Texas Health Science Center at Tyler · USUniversidad Privada Sergio Bernales · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelamanid (OPC-67683), a nitro-dihydro-imidazooxazole derivative, is a new antituberculosis medication that inhibits mycolic acid synthesis and has shown potent in vitro and in vivo activity against drug-resistant strains of Mycobacterium tuberculosis.

methodsIn this randomized, placebo-controlled, multinational clinical trial, we assigned 481 patients (nearly all of whom were negative for the human immunodeficiency virus) with pulmonary multidrug-resistant tuberculosis to receive delamanid, at a dose of 100 mg twice daily (161 patients) or 200 mg twice daily (160 patients), or placebo (160 patients) for 2 months in combination with a background drug regimen developed according to World Health Organization guidelines. Sputum cultures were assessed weekly with the use of both liquid broth and solid medium; sputum-culture conversion was defined as a series of five or more consecutive cultures that were negative for growth of M. tuberculosis. The primary efficacy end point was the proportion of patients with sputum-culture conversion in liquid broth medium at 2 months.

resultsAmong patients who received a background drug regimen plus 100 mg of delamanid twice daily, 45.4% had sputum-culture conversion in liquid broth at 2 months, as compared with 29.6% of patients who received a background drug regimen plus placebo (P=0.008). Likewise, as compared with the placebo group, the group that received the background drug regimen plus 200 mg of delamanid twice daily had a higher proportion of patients with sputum-culture conversion (41.9%, P=0.04). The findings were similar with assessment of sputum-culture conversion in solid medium. Most adverse events were mild to moderate in severity and were evenly distributed across groups. Although no clinical events due to QT prolongation on electrocardiography were observed, QT prolongation was reported significantly more frequently in the groups that received delamanid.

conclusionsDelamanid was associated with an increase in sputum-culture conversion at 2 months among patients with multidrug-resistant tuberculosis. This finding suggests that delamanid could enhance treatment options for multidrug-resistant tuberculosis. (Funded by Otsuka Pharmaceutical Development and Commercialization; ClinicalTrials.gov number, NCT00685360.).

Indexed as

AdolescentAdultAntitubercular AgentsDouble-Blind MethodFemaleHumansMaleMiddle AgedMycobacterium tuberculosisNitroimidazolesOxazolesSputumSurvival AnalysisTuberculosis, Multidrug-ResistantYoung AdultAntitubercular AgentsNitroimidazolesOPC-67683Oxazoles

Identifiers

PMID22670901
OpenAlexW1996794817

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.