Evidence map›Paper›PMID 24633206›Full record

Trial reportThe Journal of antimicrobial chemotherapy2014

Clinical experience in 52 patients with tigecycline-containing regimens for salvage treatment of Mycobacterium abscessus and Mycobacterium chelonae infections.

Richard J Wallace, Gary Dukart, Barbara A Brown-Elliott, David E Griffith, Ernesto G Scerpella, Bonnie Marshall

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of antimicrobial chemotherapy, 2014. 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 83 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 4 pooled it
11.6field-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.

NCT00205816 phase3completednot on this map

An Open-label, Noncomparative, Multi-center, Emergency Use Protocol Administering Tigecycline for the Treatment of Subjects With Infections Due to Resistant Pathogens.

TypeinterventionalSponsorWyeth is now a wholly owned subsidiary of PfizerRan2004 to 2005Enrolled26ConditionsBacterial InfectionsArmsTigecycline
NCT00600600 phase2completednot on this map

Use of Tigecycline for Treatment of Serious Infection Due to Rapidly Growing Mycobacteria (Especially M.Abscessus)

TypeinterventionalSponsorThe University of Texas Health Science Center at TylerRan2002 to 2010Enrolled8ConditionsMycobacterium Abscessus Lung Disease, Rapidly Growing Mycobacterial Lung DiseaseArmsTigecycline
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 4 syntheses or guidelines pooled it, 181 citations in OpenAlex.

  1. A systematic review of tetracyclines for nontuberculous mycobacteria: focus on rapidly growing mycobacteria.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Article
  6. Eravacycline forMicrobiology spectrum · 2026
    Article
  7. Antimicrobial agents and chemotherapy · 2026
    Article
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  17. Review
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  20. CutaneousClinical, cosmetic and investigational dermatology · 2024
    Article

23 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

6 authors at 2 institutions in 1 country.

Richard J WallaceThe Mycobacteria/Nocardia Research Laboratory, Department of Microbiology, The University of Texas Health Science Center at Tyler, 11937 U.S. Hwy 271, Tyler, TX 75708, USA Department of Medicine, The University of Texas Health Science Center at Tyler, 11937 U.S. Hwy 271, Tyler, TX 75708, USA richard.wallace@uthct.edu.
Gary DukartSpecialty Care, Pfizer Inc., 500 Arcola Road, Collegeville, PA 19426, USA.
Barbara A Brown-ElliottThe Mycobacteria/Nocardia Research Laboratory, Department of Microbiology, The University of Texas Health Science Center at Tyler, 11937 U.S. Hwy 271, Tyler, TX 75708, USA.
David E GriffithDepartment of Medicine, The University of Texas Health Science Center at Tyler, 11937 U.S. Hwy 271, Tyler, TX 75708, USA.
Ernesto G ScerpellaSpecialty Care, Pfizer Inc., 500 Arcola Road, Collegeville, PA 19426, USA.
Bonnie MarshallSpecialty Care, Pfizer Inc., 500 Arcola Road, Collegeville, PA 19426, USA.
Pfizer (United States) · USThe University of Texas Health Science Center at Tyler · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe report the largest clinical experience using tigecycline-containing regimens for salvage treatment of patients with Mycobacterium abscessus and Mycobacterium chelonae. PATIENTS AND

methodsData were collected from 52 patients on emergency/compassionate use (n = 38) or two open-label studies (n = 7 patients each). Based on information that was available, 46 (88.5%) of the subjects received antibiotic therapy prior to treatment with tigecycline. Treatment groups were evaluated based on length of tigecycline therapy (<1 and ≥1 month). ClinicalTrials.gov identifiers: Study 205, NCT00600600 and Study 310, NCT00205816.

resultsThe most commonly used concomitant antimicrobials were macrolides, amikacin and linezolid. Pulmonary disease was the most common presentation (36/52; 69.2%), and 58.3% of these patients had underlying cystic fibrosis. The majority were M. abscessus complex (n = 30) or M. chelonae/abscessus (n = 4). With therapy ≥1 month (mean, 255.0 ± 265.7 days), 10/15 patients (66.7%) with cystic fibrosis and 16/26 (61.5%) overall were considered improved. Skin/soft-tissue/bone infections were the most common extrapulmonary infections. With therapy ≥1 month (mean, 143 ± 123 days), 9/12 patients (75.0%) were considered improved. Nine of the 16 cases reported as failures regardless of site of infection occurred in patients who stopped treatment due to adverse events. There were eight deaths; none was related to tigecycline.

conclusionsTigecycline given for ≥1 month as part of a multidrug regimen resulted in improvement in >60% of patients with M. abscessus and M. chelonae infections, including those with underlying cystic fibrosis, despite failure of prior antibiotic therapy. Adverse events were reported in >90% of cases, the most common being nausea and vomiting.

Indexed as

AdolescentAdultAgedAged, 80 and overAntitubercular AgentsChildDrug-Related Side Effects and Adverse ReactionsDrug Therapy, CombinationFemaleHumansMaleMiddle AgedMinocyclineMycobacterium Infections, NontuberculousNauseaNontuberculous MycobacteriaAntitubercular AgentsMinocyclineTigecyclineatypical mycobacterial infectionscystic fibrosisnon-tuberculous mycobacteriapulmonary

Identifiers

PMID24633206
PMCPMC4054987
OpenAlexW2120782842

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.