Evidence map›Paper›PMID 28561946›Full record

ArticleClinical and translational science2017

New Paradigm for Translational Modeling to Predict Long-term Tuberculosis Treatment Response.

I H Bartelink, N Zhang, R J Keizer, N Strydom, P J Converse, K E Dooley, E L Nuermberger, R M Savic

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 42 citations in OpenAlex.

  1. REVOLUTIONIZING TUBERCULOSIS REGIMEN DEVELOPMENT.Transactions of the American Clinical and Climatological Association · 2025
    Review
  2. Article
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  4. Characterizing the immune response toFrontiers in immunology · 2024
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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

8 authors at 3 institutions in 1 country.

I H BartelinkDepartment of Bioengineering and Therapeutic Sciences, University of California San Francisco, California, USA.
N ZhangDepartment of Bioengineering and Therapeutic Sciences, University of California San Francisco, California, USA.
R J KeizerDepartment of Bioengineering and Therapeutic Sciences, University of California San Francisco, California, USA.
N StrydomDepartment of Bioengineering and Therapeutic Sciences, University of California San Francisco, California, USA.
P J ConverseCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
K E DooleyCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
E L NuermbergerCenter for Tuberculosis Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
R M SavicDepartment of Bioengineering and Therapeutic Sciences, University of California San Francisco, California, USA.
University of California, San Francisco · USJohns Hopkins University · USJohns Hopkins Medicine · US

Funding

CLINICAL, PHARMACOLOGY, DRUG ACTION &PHARMACOKINETICST32GM007546 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Radojka Savic · 1985 to 2026
$8.9M
Integrative Pharmacology Approach to Understand Mechanisms of TB Drug ResistanceR01AI111992 · NIAID · JOHNS HOPKINS UNIVERSITY · PI DOOLEY, KELLY E., NUERMBERGER, ERIC L · 2014 to 2018
$3.5M
Optimizing and operationalizing pediatric drug-resistant tuberculosis treatmentR01HD083047 · NICHD · STELLENBOSCH UNIVERSITY · PI GARCIA-PRATS, ANTHONY JOSEPH, SAVIC, RADOJKA · 2015 to 2019
$1.6M
NIAID NIH HHS R01 AI111992NIGMS NIH HHS T32 GM007546
6 · The paper itself

Abstract

Disappointing results of recent tuberculosis chemotherapy trials suggest that knowledge gained from preclinical investigations was not utilized to maximal effect. A mouse-to-human translational pharmacokinetics (PKs) - pharmacodynamics (PDs) model built on a rich mouse database may improve clinical trial outcome predictions. The model included Mycobacterium tuberculosis growth function in mice, adaptive immune response effect on bacterial growth, relationships among moxifloxacin, rifapentine, and rifampin concentrations accelerating bacterial death, clinical PK data, species-specific protein binding, drug-drug interactions, and patient-specific pathology. Simulations of recent trials testing 4-month regimens predicted 65% (95% confidence interval [CI], 55-74) relapse-free patients vs. 80% observed in the REMox-TB trial, and 79% (95% CI, 72-87) vs. 82% observed in the Rifaquin trial. Simulation of 6-month regimens predicted 97% (95% CI, 93-99) vs. 92% and 95% observed in 2RHZE/4RH control arms, and 100% predicted and observed in the 35 mg/kg rifampin arm of PanACEA MAMS. These results suggest that the model can inform regimen optimization and predict outcomes of ongoing trials.

Indexed as

Models, TheoreticalTranslational Research, BiomedicalAnimalsAntitubercular AgentsClinical Trials as TopicDrug Therapy, CombinationHumansMice, Inbred BALB CMice, NudeMice, SCIDMycobacterium tuberculosisTime FactorsTreatment OutcomeTuberculosisAntitubercular Agents

Identifiers

PMID28561946
PMCPMC5593171
OpenAlexW2619698015

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.