Evidence map›Paper›PMID 29506608›Full record

ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2018

Long-acting formulations for the treatment of latent tuberculous infection: opportunities and challenges.

S Swindells, M Siccardi, S E Barrett, D B Olsen, J A Grobler, A T Podany, E Nuermberger, P Kim, C E Barry, A Owen and 2 more

Open access · greenAbstract read
In one paragraph

Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  13. Potential Impact of Long-Acting Products on the Control of Tuberculosis: Preclinical Advancements and Translational Tools in Preventive Treatment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  14. Article
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  16. WHO target product profiles for TB preventive treatment.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    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

12 authors at 8 institutions in 2 countries.

S SwindellsUniversity of Nebraska Medical Center, Omaha, Nebraska, USA.
M SiccardiUniversity of Liverpool, Liverpool, UK.
S E BarrettSterile Formulation Sciences, West Point, Pennsylvania, USA.
D B OlsenInfectious Disease, Merck Sharp & Dohme, West Point, Pennsylvania, USA.
J A GroblerInfectious Disease, Merck Sharp & Dohme, West Point, Pennsylvania, USA.
A T PodanyUniversity of Nebraska Medical Center, Omaha, Nebraska, USA.
E NuermbergerJohns Hopkins University, Baltimore, Maryland, USA.
P KimOffice of AIDS Research, National Institutes of Health, Bethesda, Maryland, USA.
C E BarryNational Institute of Allergy & Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
A OwenUniversity of Liverpool, Liverpool, UK.
D HazudaInfectious Disease, Merck Sharp & Dohme, West Point, Pennsylvania, USA.
C FlexnerJohns Hopkins University, Baltimore, Maryland, USA.
Johns Hopkins University · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USUniversity of Liverpool · GBUniversity of Nebraska Medical Center · USNational Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USPharmaceutical Formulations (United States) · USUnited States Military Academy · US

Funding

Development Of New Chemotherapeutics For TuberculosisZIAAI000693 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI BARRY, CLIFTON · 2009 to 2025
$20.1M
The Long-Acting/Extended Release Antiretroviral Resource Program (LEAP)R24AI118397 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Charles W. Flexner · 2015 to 2026
$9.4M
Clinical Pharmacology of Efavirenz Combined with High Dose RifapentineK23AI134307 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI PODANY, ANTHONY T · 2018 to 2022
$819k
NIAID NIH HHS K23 AI134307NIAID NIH HHS R24 AI118397
6 · The paper itself

Abstract

Long-acting/extended-release drug formulations have proved very successful in diverse areas of medicine, including contraception, psychiatry and, most recently, human immunodeficiency virus (HIV) disease. Though challenging, application of this technology to anti-tuberculosis treatment could have substantial impact. The duration of treatment required for all forms of tuberculosis (TB) put existing regimens at risk of failure because of early discontinuations and treatment loss to follow-up. Long-acting injections, for example, administered every month, could improve patient adherence and treatment outcomes. We review the state of the science for potential long-acting formulations of existing tuberculosis drugs, and propose a target product profile for new formulations to treat latent tuberculous infection (LTBI). The physicochemical properties of some anti-tuberculosis drugs make them unsuitable for long-acting formulation, but there are promising candidates that have been identified through modeling and simulation, as well as other novel agents and formulations in preclinical testing. An efficacious long-acting treatment for LTBI, particularly for those co-infected with HIV, and if coupled with a biomarker to target those at highest risk for disease progression, would be an important tool to accelerate progress towards TB elimination.

Indexed as

Delayed-Action PreparationsAntitubercular AgentsHumansLatent TuberculosisAntitubercular AgentsDelayed-Action Preparations

Identifiers

PMID29506608
PMCPMC6103451
OpenAlexW2790642604

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.