Evidence map›Paper›PMID 29520534›Full record

ArticleJournal of pharmacokinetics and pharmacodynamics2018

Quantitative approach for cardiac risk assessment and interpretation in tuberculosis drug development.

Sebastian Polak, Klaus Romero, Alexander Berg, Nikunjkumar Patel, Masoud Jamei, David Hermann, Debra Hanna

Open access · hybridAbstract read
In one paragraph

Article in Journal of pharmacokinetics and pharmacodynamics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Cardiovascular Complications from Tuberculosis.Reviews in cardiovascular medicine · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Proarrhythmic risk assessment of drugs by dVCPT: pharmacometrics & systems pharmacology · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. APL bioengineering · 2020
    Review
  12. Article
  13. Review
  14. Article
  15. 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

7 authors at 4 institutions in 3 countries.

Sebastian PolakCertara-Simcyp, Level 2-Acero, 1 Concourse Way, Sheffield, S1 2BJ, UK.
Klaus RomeroCritical Path Institute, 1730 E. River Road, Tucson, AZ, 85705, USA. KRomero@c-path.org.ORCID 0000-0002-8576-8638
Alexander BergCritical Path Institute, 1730 E. River Road, Tucson, AZ, 85705, USA.
Nikunjkumar PatelCertara-Simcyp, Level 2-Acero, 1 Concourse Way, Sheffield, S1 2BJ, UK.
Masoud JameiCertara-Simcyp, Level 2-Acero, 1 Concourse Way, Sheffield, S1 2BJ, UK.
David HermannCertara USA, Inc, Princeton, NJ, USA.
Debra HannaCritical Path Institute, 1730 E. River Road, Tucson, AZ, 85705, USA.
Critical Path Institute · USSimcyp (United Kingdom) · GBCertara (United States) · USJagiellonian University · PL

Funding

Bill and Melinda Gates Foundation (US) OPP1031105
6 · The paper itself

Abstract

Cardiotoxicity is among the top drug safety concerns, and is of specific interest in tuberculosis, where this is a known or potential adverse event of current and emerging treatment regimens. As there is a need for a tool, beyond the QT interval, to quantify cardiotoxicity early in drug development, an empirical decision tree based classifier was developed to predict the risk of Torsades de pointes (TdP). The cardiac risk algorithm was developed using pseudo-electrocardiogram (ECG) outputs derived from cardiac myocyte electromechanical model simulations of increasing concentrations of 96 reference compounds which represented a range of clinical TdP risk. The algorithm correctly classified 89% of reference compounds with moderate sensitivity and high specificity (71 and 96%, respectively) as well as 10 out of 12 external validation compounds and the anti-TB drugs moxifloxacin and bedaquiline. The cardiac risk algorithm is suitable to help inform early drug development decisions in TB and will evolve with the addition of emerging data.

Indexed as

AdultAlgorithmsAntitubercular AgentsCardiotoxicityDiarylquinolinesDrug DevelopmentElectrocardiographyFemaleHeartHumansMaleMoxifloxacinRisk AssessmentSensitivity and SpecificityTorsades de PointesTuberculosisAntitubercular AgentsbedaquilineDiarylquinolinesMoxifloxacinCardiac riskCardiac safety simulatorDrugsModelSimcypSimulationTorsade de pointesTuberculosis

Identifiers

PMID29520534
PMCPMC5953981
OpenAlexW2789522216

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.