Evidence map›Paper›PMID 29559122›Full record

ArticleTuberculosis (Edinburgh, Scotland)2018

Considerations for biomarker-targeted intervention strategies for tuberculosis disease prevention.

Andrew Fiore-Gartland, Lindsay N Carpp, Kogieleum Naidoo, Ethan Thompson, Daniel E Zak, Steve Self, Gavin Churchyard, Gerhard Walzl, Adam Penn-Nicholson, Thomas J Scriba and 1 more

Open access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Tuberculosis (Edinburgh, Scotland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

21 citing papers in PubMed, 29 citations in OpenAlex.

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  11. Perspectives for systems biology in the management of tuberculosis.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  12. Self-clearance ofProceedings. Biological sciences · 2021
    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

11 authors at 5 institutions in 2 countries.

Andrew Fiore-GartlandVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Seattle, WA, 98109, USA. Electronic address: agartlan@fredhutch.org.
Lindsay N CarppVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Seattle, WA, 98109, USA. Electronic address: lcarpp@fredhutch.org.
Kogieleum NaidooCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, Medical Research Council-CAPRISA HIV-TB Pathogenesis and Treatment Research Unit, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban, South Africa. Electronic address: Kogie.Naidoo@caprisa.org.
Ethan ThompsonCenter for Infectious Disease Research, 307 Westlake Ave N #500, Seattle, WA, 98109, USA.
Daniel E ZakCenter for Infectious Disease Research, 307 Westlake Ave N #500, Seattle, WA, 98109, USA. Electronic address: daniel.zak@cidresearch.org.
Steve SelfVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Seattle, WA, 98109, USA. Electronic address: sself@fredhutch.org.
Gavin ChurchyardThe Aurum Institute, Johannesburg, 29 Queens Road, Parktown, Johannesburg, Gauteng, 2193, South Africa; School of Public Health, University of Witwatersrand, Johannesburg, South Africa; Advancing Treatment and Care for Tuberculosis and HIV, South African Medical Research Council, Johannesburg, South Africa. Electronic address: gchurchyard@auruminstitute.org.
Gerhard WalzlDST/NRF Centre of Excellence for Biomedical TB Research and SAMRC Centre for TB Research, Division of Molecular Biology and Human Genetics, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Electronic address: gwalzl@sun.ac.za.
Adam Penn-NicholsonSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine, Division of Immunology, Department of Pathology, University of Cape Town, South Africa. Electronic address: adam.penn-nicholson@uct.ac.za.
Thomas J ScribaSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine, Division of Immunology, Department of Pathology, University of Cape Town, South Africa. Electronic address: thomas.scriba@uct.ac.za.
Mark HatherillSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine, Division of Immunology, Department of Pathology, University of Cape Town, South Africa. Electronic address: mark.hatherill@uct.ac.za.
Fred Hutch Cancer Center · USUniversity of Cape Town · ZACenter for Infectious Disease Research · USSouth African Medical Research Council · ZACentre for the AIDS Programme of Research in South Africa · ZA

Funding

Host determinants of protection against tuberculosis in adolescentsR01AI087915 · NIAID · UNIVERSITY OF CAPE TOWN · PI SCRIBA, THOMAS JENS · 2011 to 2015
$3.3M
NIAID NIH HHS R01 AI087915
6 · The paper itself

Abstract

Current diagnostic tests for Mycobacterium tuberculosis (MTB) infection have low prognostic specificity for identifying individuals who will develop tuberculosis (TB) disease, making mass preventive therapy strategies targeting all MTB-infected individuals impractical in high-burden TB countries. Here we discuss general considerations for a risk-targeted test-and-treat strategy based on a highly specific transcriptomic biomarker that can identify individuals who are most likely to progress to active TB disease as well as individuals with TB disease who have not yet presented for medical care. Such risk-targeted strategies may offer a rapid, ethical and cost-effective path towards decreasing the burden of TB disease and interrupting transmission and would also be critical to achieving TB elimination in countries nearing elimination. We also discuss design considerations for a Correlate of Risk Targeted Intervention Study (CORTIS), which could provide proof-of-concept for the strategy. One such study in South Africa is currently enrolling 1500 high-risk and 1700 low-risk individuals, as defined by biomarker status, and is randomizing high-risk participants to TB preventive therapy or standard of care treatment. All participants are monitored for progression to active TB with primary objectives to assess efficacy of the treatment and performance of the biomarker.

Indexed as

Bacteriological TechniquesGene Expression ProfilingTranscriptomeAntitubercular AgentsClinical Decision-MakingDisease ProgressionGenetic MarkersGenetic Predisposition to DiseaseHumansMycobacterium tuberculosisPhenotypePrecision MedicinePredictive Value of TestsProof of Concept StudyRandomized Controlled Trials as TopicRNA, MessengerAntitubercular AgentsGenetic MarkersRNA, MessengerBiomarkerCorrelate of riskmRNAStudy designTuberculosis

Identifiers

PMID29559122
PMCPMC5884308
OpenAlexW2769110263

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.