Evidence map›Paper›PMID 30017315›Full record

ArticleDiagnostic microbiology and infectious disease2018

Critical analysis of a doxycycline treatment trial of rhesus macaques infected with Borrelia burgdorferi.

Gary P Wormser, Susan O'Connell, Andrew R Pachner, Ira Schwartz, Eugene D Shapiro, Gerold Stanek, Franc Strle

Abstract read
In one paragraph

Article in Diagnostic microbiology and infectious disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Persistent Borrelia burgdorferiClinical microbiology reviews · 2022
    Review
  4. Lack of Convincing Evidence That Borrelia burgdorferi Infection Causes Either Alzheimer Disease or Lewy Body Dementia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  5. Review
  6. 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 5 institutions in 3 countries.

Gary P WormserDivision of Infectious Diseases, New York Medical College, Valhalla, NY 10595, USA. Electronic address: gwormser@nymc.edu.
Susan O'Connellformerly Health Protection Agency Microbiology Laboratory, Southampton, United Kingdom.
Andrew R PachnerDepartment of Neurology, Dartmouth-Hitchcock Medical Center and Geisel School of Medicine at Dartmouth, Lebanon, NH 03756-0001, USA.
Ira SchwartzDepartment of Microbiology and Immunology, New York Medical College, Valhalla, NY, USA.
Eugene D ShapiroDepartments of Pediatrics, of Epidemiology of Microbial Diseases, and of Investigative Medicine, Yale University, New Haven, CT 06520, USA.
Gerold StanekMedical University of Vienna, Institute for Hygiene and Applied Immunology, Vienna, Austria.
Franc StrleDepartment of Infectious Diseases, University Medical Center Ljubljana, Ljubljana, Slovenia.
New York Medical College · USDartmouth–Hitchcock Medical Center · USLjubljana University Medical Centre · SIMedical University of Vienna · ATYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

A critical analysis was conducted of a doxycycline treatment trial of Indian rhesus macaques. In this treatment trial, the investigators attempted to infect the primates with Borrelia burgdorferi sensu stricto by at least 10 tick bites from artificially infected ticks. None of the primates became ill; nevertheless, 5 primates were treated with a 28-day course of oral doxycycline. In contrast to the conclusions of the authors, the data did not convincingly document the existence of viable B. burgdorferi in antibiotic-treated primates. The investigators were unable to cultivate the spirochete from any animal after treatment using highly sensitive in vitro methods. Like many prior animal studies, the current study also did not document that the doxycycline exposure in these animals was similar to that expected in humans. Numerous additional methodologic problems are discussed.

Indexed as

AnimalsAnti-Bacterial AgentsBiopsyBorrelia burgdorferiDoxycyclineLyme DiseaseMonkey DiseasesPolymerase Chain ReactionTreatment OutcomeAnti-Bacterial AgentsDoxycyclineBorrelia burgdorferiDoxycyclineLyme diseasePersistenceTreatment

Identifiers

PMID30017315
PMCPMC6173987
OpenAlexW2809204945

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.