Evidence map›Paper›PMID 25141257›Full record

ArticlePloS one2014

Pharmacokinetics-pharmacodynamics analysis of bicyclic 4-nitroimidazole analogs in a murine model of tuberculosis.

Suresh B Lakshminarayana, Helena I M Boshoff, Joseph Cherian, Sindhu Ravindran, Anne Goh, Jan Jiricek, Mahesh Nanjundappa, Amit Nayyar, Meera Gurumurthy, Ramandeep Singh and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Delamanid or pretomanid? A Solomonic judgement!The Journal of antimicrobial chemotherapy · 2022
    Article
  7. Review
  8. New Drugs for the Treatment of Tuberculosis.Clinics in chest medicine · 2019
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Synthesis and evaluation of pretomanid (PA-824) oxazolidinone hybrids.Bioorganic & medicinal chemistry letters · 2016
    Article
  15. Article
  16. 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

15 authors at 4 institutions in 2 countries.

Suresh B LakshminarayanaNovartis Institute for Tropical Diseases, Singapore, Singapore.
Helena I M BoshoffTuberculosis Research Section, Laboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Joseph CherianNovartis Institute for Tropical Diseases, Singapore, Singapore.
Sindhu RavindranNovartis Institute for Tropical Diseases, Singapore, Singapore.
Anne GohNovartis Institute for Tropical Diseases, Singapore, Singapore.
Jan JiricekNovartis Institute for Tropical Diseases, Singapore, Singapore.
Mahesh NanjundappaNovartis Institute for Tropical Diseases, Singapore, Singapore.
Amit NayyarTuberculosis Research Section, Laboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Meera GurumurthyNovartis Institute for Tropical Diseases, Singapore, Singapore.
Ramandeep SinghTuberculosis Research Section, Laboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Thomas DickNovartis Institute for Tropical Diseases, Singapore, Singapore.
Francesca BlascoNovartis Institute for Tropical Diseases, Singapore, Singapore.
Clifton E BarryTuberculosis Research Section, Laboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Paul C HoDepartment of Pharmacy, National University of Singapore, Singapore, Singapore.
Ujjini H ManjunathaNovartis Institute for Tropical Diseases, Singapore, Singapore.
Novartis (Singapore) · SGNational Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USNational University of Singapore · SG

Funding

Intramural NIH HHSWellcome Trust
6 · The paper itself

Abstract

PA-824 is a bicyclic 4-nitroimidazole, currently in phase II clinical trials for the treatment of tuberculosis. Dose fractionation pharmacokinetic-pharmacodynamic studies in mice indicated that the driver of PA-824 in vivo efficacy is the time during which the free drug concentrations in plasma are above the MIC (fT>MIC). In this study, a panel of closely related potent bicyclic 4-nitroimidazoles was profiled in both in vivo PK and efficacy studies. In an established murine TB model, the efficacy of diverse nitroimidazole analogs ranged between 0.5 and 2.3 log CFU reduction compared to untreated controls. Further, a retrospective analysis was performed for a set of seven nitroimidazole analogs to identify the PK parameters that correlate with in vivo efficacy. Our findings show that the in vivo efficacy of bicyclic 4-nitroimidazoles correlated better with lung PK than with plasma PK. Further, nitroimidazole analogs with moderate-to-high volume of distribution and Lung to plasma ratios of >2 showed good efficacy. Among all the PK-PD indices, total lung T>MIC correlated the best with in vivo efficacy (rs = 0.88) followed by lung Cmax/MIC and AUC/MIC. Thus, lung drug distribution studies could potentially be exploited to guide the selection of compounds for efficacy studies, thereby accelerating the drug discovery efforts in finding new nitroimidazole analogs.

Indexed as

AnimalsCaco-2 CellsCell Line, TumorDisease Models, AnimalFemaleHumansMiceMicrobial Sensitivity TestsMycobacterium tuberculosisNitroimidazolesRetrospective StudiesTuberculosis4-nitroimidazoleNitroimidazolespretomanid

Identifiers

PMID25141257
PMCPMC4139342
OpenAlexW2024070926

What OpenQuestion holds

Textmetadata
LicenceCC0
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.