Evidence map›Paper›PMID 23945371›Full record

ArticleThe Journal of infectious diseases2014

New, combined, and reduced dosing treatment protocols cure Trypanosoma cruzi infection in mice.

Juan M Bustamante, Julie M Craft, Byron D Crowe, Sarah A Ketchie, Rick L Tarleton

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
7.1field-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.

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

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 144 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Trial
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19 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

Juan M BustamanteCenter for Tropical and Emerging Global Diseases.
Julie M Craft
Byron D Crowe
Sarah A Ketchie
Rick L Tarleton
University of Georgia · US

Funding

VACCINE DISCOVERY FOR TRYPANOSOMA CRUZIP01AI044979 · NIAID · UNIVERSITY OF GEORGIA (UGA) · PI TARLETON, RICK L · 1999 to 2008
$7.5M
Transmission-blocking live vaccine for Chagas diseaseR01AI089952 · NIAID · UNIVERSITY OF GEORGIA · PI TARLETON, RICK L · 2012 to 2016
$1.8M
NIAID NIH HHS P01 AI044979NIAID NIH HHS P01 AI-44979NIAID NIH HHS R01 AI-089952NIAID NIH HHS R01 AI089952
6 · The paper itself

Abstract

The development of treatment protocols with reduced toxicity and equivalent or improved efficacy for Trypanosoma cruzi infection is a priority. We tested the effectiveness of benznidazole (BZ), nifurtimox (NFX), other prospective drugs in intermittent and combined treatment protocols to cure T. cruzi infection initiated with susceptible and drug-resistant parasite strains. A 40-day course of BZ, NFX, or the oxaborale AN4169 cured 100% of mice, whereas posaconazole (POS), and NTLA-1 (a nitro-triazole) cured approximately 90% and 20% of mice, respectively. Reducing the overall dosage of BZ or NFX by using an intermittent (once every 5 days) schedule or combining 5 daily doses of POS with 7 intermittent doses of BZ also provided approximately 100% cure. T. cruzi strains resistant to BZ were also found to be resistant to other drugs (POS), and extending the time of treatment or combining drugs did not increase cure rates with these isolates. Thus, dosing schedules for anti-T. cruzi compounds should be determined empirically, and compounds targeting different pathways may be combined to yield effective therapies with reduced toxicity. This work also suggests that standard treatment protocols using BZ and NFX may be significantly overdosing patients, perhaps contributing to the adverse events.

Indexed as

AnimalsBiomarkersCD8-Positive T-LymphocytesChagas DiseaseDNADrug ResistanceDrug Therapy, CombinationImmunophenotypingMiceMice, Inbred C57BLNitroimidazolesParasitemiaTrypanocidal AgentsTrypanosoma cruzibenzonidazoleBiomarkersDNANitroimidazolesTrypanocidal AgentsbenznidazoleChagas diseasedrug discoveryintermittent treatmentTrypanosoma cruzi

Identifiers

PMID23945371
PMCPMC3864384
OpenAlexW2147087372

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.