Evidence map›Paper›PMID 29991405›Full record

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

Modelling the long-acting administration of anti-tuberculosis agents using PBPK: a proof of concept study.

R K R Rajoli, A T Podany, D M Moss, S Swindells, C Flexner, A Owen, M Siccardi

Abstract 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 14% 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, 24 citations in OpenAlex.

  1. Article
  2. Review
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  7. Review
  8. 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
  9. The LEAP Process: Streamlining the Development of Long-Acting Products and Formulations for Infectious Diseases.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  10. Review
  11. Article
  12. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

R K R RajoliDepartment of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK.
A T PodanyCollege of Pharmacy, University of Nebraska Medical Center, Omaha, Nebraska, USA.
D M MossDepartment of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK, School of Pharmacy, Keele University, Newcastle, UK.
S SwindellsCollege of Medicine, University of Nebraska Medical Center, Omaha, Nebraska.
C FlexnerJohns Hopkins University School of Medicine and Bloomberg School of Public Health, Baltimore, Maryland, USA.
A OwenDepartment of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK.
M SiccardiDepartment of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK.
University of Liverpool · GBUniversity of Nebraska Medical Center · USJohns Hopkins University · US

Funding

The Johns Hopkins Baltimore-Washington-India Clinical Trials Unit (BWI CTU)UM1AI069465 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Charles W. Flexner, Amita Gupta · 2012 to 2026
$34.1M
The Long-Acting/Extended Release Antiretroviral Resource Program (LEAP)R24AI118397 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Charles W. Flexner · 2015 to 2026
$9.4M
NIAID NIH HHS R24 AI118397NIAID NIH HHS UM1 AI069465
6 · The paper itself

Abstract

settingAnti-tuberculosis formulations necessitate uninterrupted treatment to cure tuberculosis (TB), but are characterised by suboptimal adherence, which jeopardises therapeutic efficacy. Long-acting injectable (LAI) formulations or implants could address these associated issues.

objectiveniazid, rifapentine, bedaquiline and delamanid-in adults for treatment for latent tuberculous infection (LTBI).

designPBPK models were developed and qualified against available clinical data by integrating drug physicochemical properties and in vitro and population pharmacokinetic data into a mechanistic description of drug distribution. Combinations of optimal dose and release rates were simulated such that plasma concentrations were maintained over the epidemiological cut-off or minimum inhibitory concentration for the dosing interval.

resultsThe PBPK model identified 1500 mg of delamanid and 250 mg of rifapentine as sufficient doses for monthly intramuscular administration, if a formulation or device can deliver the required release kinetics of 0.001-0.0025 h-1 and 0.0015-0.0025 h-1, respectively. Bedaquiline and isoniazid would require weekly to biweekly intramuscular dosing.

conclusionWe identified the theoretical doses and release rates of LAI anti-tuberculosis formulations. Such a strategy could ease the problem of suboptimal adherence provided the associated technological complexities for LTBI treatment are addressed.

Indexed as

AdolescentAdultAntitubercular AgentsDiarylquinolinesDrug Administration ScheduleDrug LiberationDrug Therapy, CombinationFemaleHumansInjections, IntramuscularIsoniazidLatent TuberculosisMaleMiddle AgedNitroimidazolesOxazolesAntitubercular AgentsbedaquilineDiarylquinolinesIsoniazidNitroimidazolesOPC-67683OxazolesRifampinrifapentine

Identifiers

PMID29991405
PMCPMC6166436
OpenAlexW2881931961

What OpenQuestion holds

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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.