Evidence map›Paper›PMID 25331703›Full record

ArticleAntimicrobial agents and chemotherapy2015

Nonclinical and pharmacokinetic assessments to evaluate the potential of tedizolid and linezolid to affect mitochondrial function.

Shawn Flanagan, Edward E McKee, Debaditya Das, Paul M Tulkens, Hiromi Hosako, Jill Fiedler-Kelly, Julie Passarell, Ann Radovsky, Philippe Prokocimer

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03378427 (Prospective Cohort Study on Patients With Tedizolid Prolonged Therapy for Orthopedic Device Infections), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT03378427 nacompletednot on this mapstarted 2018, after this paper: background citation

Prospective Cohort Study on Patients With Tedizolid Prolonged Therapy for Orthopedic Device Infections

TypeinterventionalSponsorTourcoing HospitalRan2018 to 2021Enrolled35ConditionsProsthetic Joint InfectionArmsTedizolid Phosphate 200 MG [Sivextro]
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Efficacy, safety, tolerability and population pharmacokinetics of tedizolid, a novel antibiotic, in Latino patients with acute bacterial skin and skin structure infections.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Oxazolidinone antibiotics impairAntimicrobial agents and chemotherapy · 2024
    Article
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  11. Review
  12. Article
  13. Article
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  15. Article
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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

9 authors at 5 institutions in 2 countries.

Shawn FlanaganCubist Pharmaceuticals, San Diego, California, USA shawn.flanagan@cubist.com.
Edward E McKeeCollege of Medicine, Central Michigan University, Mount Pleasant, Michigan, USA.
Debaditya DasLouvain Drug Research Institute, Université Catholique de Louvain, Brussels, Belgium.
Paul M TulkensLouvain Drug Research Institute, Université Catholique de Louvain, Brussels, Belgium.ORCID http://orcid.org/0000-0002-7121-3623
Hiromi HosakoWIL Research, Ashland, Ohio, USA.
Jill Fiedler-KellyCognigen Corporation, Buffalo, New York, USA.
Julie PassarellCognigen Corporation, Buffalo, New York, USA.
Ann RadovskyWIL Research, Ashland, Ohio, USA.
Philippe ProkocimerCubist Pharmaceuticals, San Diego, California, USA.
Ashland (United States) · USCognizant (United States) · USCubist Pharmaceuticals (United States) · USUCLouvain · BECentral Michigan University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prolonged treatment with the oxazolidinone linezolid is associated with myelosuppression, lactic acidosis, and neuropathies, toxicities likely caused by impairment of mitochondrial protein synthesis (MPS). To evaluate the potential of the novel oxazolidinone tedizolid to cause similar side effects, nonclinical and pharmacokinetic assessments were conducted. In isolated rat heart mitochondria, tedizolid inhibited MPS more potently than did linezolid (average [± standard error of the mean] 50% inhibitory concentration [IC50] for MPS of 0.31 ± 0.02 μM versus 6.4 ± 1.2 μM). However, a rigorous 9-month rat study comparing placebo and high-dose tedizolid (resulting in steady-state area under the plasma concentration-time curve values about 8-fold greater than those with the standard therapeutic dose in humans) showed no evidence of neuropathy. Additional studies explored why prolonged, high-dose tedizolid did not cause these mitochondriopathic side effects despite potent MPS inhibition by tedizolid. Murine macrophage (J774) cell fractionation studies found no evidence of a stable association of tedizolid with eukaryotic mitochondria. Monte Carlo simulations based on population pharmacokinetic models showed that over the course of a dosing interval using standard therapeutic doses, free plasma concentrations fell below the respective MPS IC50 in 84% of tedizolid-treated patients (for a median duration of 7.94 h) and 38% of linezolid-treated patients (for a median duration of 0 h). Therapeutic doses of tedizolid, but not linezolid, may therefore allow for mitochondrial recovery during antibacterial therapy. The overall results suggest that tedizolid has less potential to cause myelosuppression and neuropathy than that of linezolid during prolonged treatment courses. This, however, remains a hypothesis that must be confirmed in clinical studies.

Indexed as

AnimalsAnti-Bacterial AgentsDrug Evaluation, PreclinicalFemaleHumansIn Vitro TechniquesLinezolidMaleMiceMitochondriaMitochondrial ProteinsMonte Carlo MethodNeurotoxicity SyndromesOxazolidinonesRats, Inbred LECTetrazolesAnti-Bacterial AgentsLinezolidMitochondrial ProteinsOxazolidinonestedizolidTetrazoles

Identifiers

PMID25331703
PMCPMC4291347
OpenAlexW2150319599

What OpenQuestion holds

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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.