Evidence map›Paper›PMID 30548290›Full record

ReviewDrug development research2019

Bedaquiline and delamanid in the treatment of multidrug-resistant tuberculosis: Promising but challenging.

Yang Li, Feng Sun, Wenhong Zhang

Abstract readReview
In one paragraph

Review in Drug development research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

54 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Population pharmacokinetics of bedaquiline: a systematic review.European journal of clinical pharmacology · 2025
    Pooled it
  2. Trial
  3. Review
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  8. Review
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  16. International journal of microbiology · 2024
    Article
  17. Comparison of theHeliyon · 2023
    Article
  18. Review
  19. Tuberculosis of the spine.World journal of orthopedics · 2023
    Review
  20. 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

3 authors.

Yang LiDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Feng SunDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Wenhong ZhangDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-8691-1766

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improving treatment outcomes in multidrug-resistant tuberculosis (MDR-TB) is partly hampered by inadequate effective antitubercular agents. Development of bedaquiline and delamanid has potentially changed the treatment landscape for MDR-TB. This review provides an update on the progress of these novel antitubercular agents. We review published studies aimed at evaluating clinical efficacy and effectiveness of bedaquiline and delamanid. Five prospective clinical studies and seven retrospective studies on bedaquiline showed that patients treated with a bedaquiline-containing regimen had a high culture conversion rate ranging from 65 to 100% and a satisfactory treatment outcome. The combined use with linezolid might add to the effectiveness of bedaquiline. Controversies about bedaquiline resistance are discussed. Three clinical trials have reported outcomes on delamanid and showed that introducing delamanid to a background regimen improved culture conversion rate at 2 months from 29.6% to more than 40%. A higher favorable treatment rate was also observed among patients who received delamanid for more than 6 months, but about a quarter of patients defaulted in the control group. Seven retrospective studies were summarized and found a treatment benefit as well. More reliable evidence from randomized clinical trials reporting on the treatment outcomes is needed urgently to support a strong recommendation for the use of delamanid. Advances in the combined use of bedaquiline and delamanid are also reviewed, and the combination may be well tolerated but requires electrocardiograph monitoring.

Indexed as

AnimalsAntitubercular AgentsClinical Trials as TopicDiarylquinolinesElectrocardiographyHumansNitroimidazolesOxazolesRetrospective StudiesTreatment OutcomeTuberculosis, Multidrug-ResistantAntitubercular AgentsbedaquilineDiarylquinolinesNitroimidazolesOPC-67683Oxazolesbedaquilinedelamanidmultidrug-resistant tuberculosis

Identifiers

PMID30548290
PMCPMC6590425

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.