Evidence map›Paper›PMID 30670438›Full record

Trial reportAntimicrobial agents and chemotherapy2019

A Population Pharmacokinetic Analysis Shows that Arylacetamide Deacetylase (AADAC) Gene Polymorphism and HIV Infection Affect the Exposure of Rifapentine.

Jose Francis, Simbarashe P Zvada, Paolo Denti, Mark Hatherill, Salome Charalambous, Stanley Mungofa, Rodney Dawson, Susan Dorman, Nikhil Gupte, Lubbe Wiesner and 6 more

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Fixed-Dose Rifapentine-Isoniazid (1HP) for Tuberculosis Preventive Treatment in Chinese Adults: A Prospective Real-World Safety and Pharmacokinetic Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  6. Review
  7. Conjugated hyperbilirubinemia associated with accidental rifapentine overdose.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2024
    Article
  8. A Nanopore Sequencing-based Pharmacogenomic Panel to Personalize Tuberculosis Drug Dosing.American journal of respiratory and critical care medicine · 2024
    Article
  9. Variability in plasma rifampicin concentrations and role ofInfectious diseases (London, England) · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Simplifying Rifapentine Dosing for Tuberculosis Treatment and Prevention.American journal of respiratory and critical care medicine · 2020
    Article
  16. Article
  17. 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

16 authors at 7 institutions in 5 countries.

Jose Francis *Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Simbarashe P Zvada *Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Paolo DentiDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa paolo.denti@uct.ac.za.ORCID 0000-0001-7494-079X
Mark HatherillSouth African Tuberculosis Vaccine Initiative (SATVI), Institute of Infectious Disease and Molecular Medicine and Division of Immunology, Department of Pathology, University of Cape Town, Cape Town, South Africa.
Salome CharalambousAurum Institute for Health Research, Johannesburg, South Africa.
Stanley MungofaHarare City Health Department, Ministry of Health, Harare, Zimbabwe.
Rodney DawsonDivision of Pulmonology, Department of Medicine, University of Cape Town Lung Institute, Cape Town, South Africa.
Susan DormanJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Nikhil GupteJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Lubbe WiesnerDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-9070-8699
Amina JindaniInstitute for Infection and Immunity, St. George's, University of London, London, United Kingdom.
Thomas S HarrisonInstitute for Infection and Immunity, St. George's, University of London, London, United Kingdom.
Adeniyi OlagunjuFaculty of Pharmacy, Obafemi Awolowo University, Ile-Ife, Nigeria.ORCID 0000-0002-6588-5749
Deirdre EganDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Andrew OwenDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom.
Helen M McIlleronDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
University of Cape Town · ZAJohns Hopkins University · USSt George's, University of London · GBUniversity of Liverpool · GBAurum Institute · ZAMinistry of Health and Child Welfare · ZWObafemi Awolowo University · NG

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
LOC-IMPAACT Leadership GroupPharmacokinetics and Safety of Remdesivir for Treatment of COVID-19 in Pregnant Women in the USUM1AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI Jennifer Jao, Sharon A Nachman · 2011 to 2026
$278.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
International Maternal Pediatric Adolescent AIDS Clinical Trials (IMPAACT) GroupU01AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI JACKSON, J BROOKS · 2006 to 2010
$109.7M
Phase II Study of Daily Rifapentine for Pulmonary Tuberculosis (IND 62,611; 1/2/0R01FD003524 · FDA · JOHNS HOPKINS UNIVERSITY · PI DORMAN, SUSAN E · 2009 to 2012
$1.6M
FDA HHS R01 FD003524NIAID NIH HHS U01 AI068632NIAID NIH HHS UM1 AI068632NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI106701Wellcome Trust 204776/Z/16/ZWellcome Trust 206379/Z/17/Z
6 · The paper itself

Abstract

Rifapentine is a rifamycin used to treat tuberculosis. As is the case for rifampin, plasma exposures of rifapentine are associated with the treatment response. While concomitant food intake and HIV infection explain part of the pharmacokinetic variability associated with rifapentine, few studies have evaluated the contribution of genetic polymorphisms. We evaluated the effects of functionally significant polymorphisms of the genes encoding OATP1B1, the pregnane X receptor (PXR), constitutive androstane (CAR), and arylacetamide deacetylase (AADAC) on rifapentine exposure. Two studies evaluating novel regimens among southern African patients with drug-susceptible pulmonary tuberculosis were included in this analysis. In the RIFAQUIN study, rifapentine was administered in the continuation phase of antituberculosis treatment in 1,200-mg-once-weekly or 900-mg-twice-weekly doses. In the Daily RPE study, 450 or 600 mg was given daily during the intensive phase of treatment. Nonlinear mixed-effects modeling was used to describe the pharmacokinetics of rifapentine and to identify significant covariates. A total of 1,144 drug concentration measurements from 326 patients were included in the analysis. Pharmacogenetic information was available for 162 patients. A one-compartment model with first-order elimination and transit compartment absorption described the data well. In a typical patient (body weight, 56 kg; fat-free mass, 45 kg), the values of clearance and volume of distribution were 1.33 liters/h and 25 liters, respectively. Patients carrying the AA variant (65.4%) of

Indexed as

Polymorphism, Single NucleotideAdolescentAdultAgedAged, 80 and overAntibiotics, AntitubercularAntitubercular AgentsCarboxylic Ester HydrolasesConstitutive Androstane ReceptorFemaleHIV InfectionsHumansLiver-Specific Organic Anion Transporter 1MaleMiddle AgedPharmacogenomic TestingAADAC protein, humanAntibiotics, AntitubercularAntitubercular AgentsCarboxylic Ester HydrolasesConstitutive Androstane ReceptorLiver-Specific Organic Anion Transporter 1NR1I2 protein, humanPregnane X ReceptorReceptors, Cytoplasmic and NuclearRifampinrifapentineSLCO1B1 protein, humanAADACpharmacogeneticspopulation pharmacokineticsrifapentineSLCO1B1tuberculosis

Identifiers

PMID30670438
PMCPMC6437540
OpenAlexW2924733306

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.