Evidence map›Paper›PMID 26056101›Full record

Trial reportThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2015

Two-stage activity-safety study of daily rifapentine during intensive phase treatment of pulmonary tuberculosis.

R Dawson, K Narunsky, D Carman, N Gupte, A Whitelaw, A Efron, G L Barnes, J Hoffman, R E Chaisson, H McIlleron and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Standards for clinical trials for treating TB.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. 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

11 authors at 4 institutions in 3 countries.

R DawsonDivision of Pulmonology, Department of Medicine, University of Cape Town Lung Institute, Cape Town, South Africa.
K NarunskyDivision of Pulmonology, Department of Medicine, University of Cape Town Lung Institute, Cape Town, South Africa.
D CarmanDivision of Pulmonology, Department of Medicine, University of Cape Town Lung Institute, Cape Town, South Africa.
N GupteClinical Trials Unit, Byramjee Jeejeebhoy Medical College, Pune, India.
A WhitelawDivision of Medical Microbiology, Stellenbosch University, and National Health Laboratory Service, Cape Town, South Africa.
A EfronJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
G L BarnesJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
J HoffmanJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
R E ChaissonJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
H McIlleronDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
S E DormanJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
University of Cape Town · ZAJohns Hopkins Medicine · USJohns Hopkins University · USB. J. Medical College & Sassoon Hospital · IN

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Phase II Study of Daily Rifapentine for Pulmonary Tuberculosis (IND 62,611; 1/2/0R01FD003524 · FDA · JOHNS HOPKINS UNIVERSITY · PI DORMAN, SUSAN E · 2009 to 2012
$1.6M
CLINICAL RESEARCH IN TUBERCULOSISK24AI001637 · NIAID · JOHNS HOPKINS UNIVERSITY · PI CHAISSON, RICHARD E. · 1999 to 2009
$1.3M
FDA HHS R01 FD003524FDA HHS R01FD003524NIAID NIH HHS K24 AI001637NIAID NIH HHS K24-AI01637NIAID NIH HHS P30 AI094189
6 · The paper itself

Abstract

backgroundRifapentine (RPT) has potent activity against Mycobacterium tuberculosis; however, the optimal dose for anti-tuberculosis treatment is unknown.

objectiveTo determine the antimicrobial activity, safety and tolerability of RPT 450 mg or 600 mg administered daily during the first 8 weeks of treatment for pulmonary tuberculosis (TB).

designIn a two-stage, randomised open-label study, adults with sputum smear-positive TB were randomised to receive RPT 450 mg, RPT 600 mg or rifampicin (RMP) 600 mg daily for 8 weeks with isoniazid, pyrazinamide and ethambutol. The primary endpoint was sputum culture status on Löwenstein-Jensen (LJ) medium at completion of 8 weeks of treatment.

resultsA total of 153 participants were enrolled. Both RPT regimens met pre-specified criteria to advance to stage 2. At completion of 8 weeks of treatment, LJ culture conversion occurred in 85% (35/41), 96% (43/45) and 94% (34/36) of participants in the RPT 450 mg, RPT 600 mg and RMP groups, respectively. The proportions of participants discontinuing treatment were similar (respectively 1/54 [2.0%], 1/51 [2.0%] and 4/48 [8.3%] in the RPT 450 mg, RPT 600 mg and RMP groups), as were ⩾grade 3 adverse events (0/54 [0%], 1/51 [2.0%] and 4/48 [8.3%]).

conclusionsThere was a trend towards greater efficacy with RPT 600 mg than with RPT 450 mg. Daily RPT was safe and well-tolerated.

Indexed as

AdultAntitubercular AgentsDrug Administration ScheduleDrug Therapy, CombinationEthambutolFemaleHumansIsoniazidMaleMycobacterium tuberculosisPyrazinamideRifampinSouth AfricaSputumTreatment OutcomeTuberculosis, PulmonaryAntitubercular AgentsEthambutolIsoniazidPyrazinamideRifampinrifapentine

Identifiers

PMID26056101
PMCPMC6783281
OpenAlexW2422352973

What OpenQuestion holds

Textmetadata
LicenceTDM
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.