Evidence map›Paper›PMID 30846058›Full record

ArticleThe lancet. HIV2019

Antiretroviral switching and bedaquiline treatment of drug-resistant tuberculosis HIV co-infection.

Max R O'Donnell, Nesri Padayatchi, Amrita Daftary, Catherine Orrell, Kelly E Dooley, K Rivet Amico, Gerald Friedland

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The lancet. HIV, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05633056 (Adaptive Evaluation of mHealth and Conventional Adherence Support Interventions to Optimize Outcome With New Treatment Regimens for Drug-resistant Tuberculosis and HIV in South Africa), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT05633056 narecruitingnot on this mapstarted 2023, after this paper: background citation

Adaptive Evaluation of mHealth and Conventional Adherence Support Interventions to Optimize Outcome With New Treatment Regimens for Drug-resistant Tuberculosis and HIV in South Africa

TypeinterventionalSponsorColumbia UniversityRan2023 to 2029Enrolled360ConditionsMulti Drug Resistant Tuberculosis, HIV InfectionsArmsAdherence support intevention
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Exploring HIV disease indicators at MDR-TB treatment initiation in South Africa.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2024
    Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Review
  12. MDR Tuberculosis Treatment.Medicina (Kaunas, Lithuania) · 2022
    Review
  13. Electronic Dose Monitoring Identifies a High-Risk Subpopulation in the Treatment of Drug-resistant Tuberculosis and Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  14. Observational
  15. Article
  16. Observational
  17. Article
  18. Review
  19. Review
  20. Review
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 7 institutions in 3 countries.

Max R O'DonnellDivision of Pulmonary, Allergy, and Critical Care Medicine, and Department of Epidemiology, Mailman School of Public Health, Columbia University Medical Center, New York, NY, USA; CAPRISA MRC-HIV-TB Pathogenesis and Treatment Research Unit, Durban, South Africa. Electronic address: mo2130@columbia.edu.
Nesri PadayatchiCAPRISA MRC-HIV-TB Pathogenesis and Treatment Research Unit, Durban, South Africa.
Amrita DaftaryCAPRISA MRC-HIV-TB Pathogenesis and Treatment Research Unit, Durban, South Africa; McGill International TB Centre and Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
Catherine OrrellDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Kelly E DooleyDivision of Clinical Pharmacology and Infectious Diseases, Center for Tuberculosis Research, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
K Rivet AmicoSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Gerald FriedlandYale School of Medicine, New Haven, CT, USA.
Columbia University Irving Medical Center · USDesmond Tutu HIV Foundation · ZAJohns Hopkins University · USMcGill University Health Centre · CASouth African Medical Research Council · ZAUniversity of Michigan–Ann Arbor · USYale University · US

Funding

Promoting Engagement in the Drug Resistant TB/HIV Care Continuum in South AfricaR01AI124413 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI O'DONNELL, MAX, PADAYATCHI, NESRI · 2016 to 2020
$2.7M
Impact of a multimodal intervention to reduce dual stigma and improve treatment outcomes in HIV/Drug-resistant TB co-infected patients in KwaZulu-Natal, South AfricaR21TW011077 · FIC · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI AMICO, KATHY RIVET, O'DONNELL, MAX · 2018 to 2019
$414k
FIC NIH HHS R21 TW011077NIAID NIH HHS R01 AI124413
6 · The paper itself

Abstract

Bedaquiline, a potent new therapy for drug-resistant tuberculosis, results in improved survival including in HIV patients with multidrug and extensively drug-resistant tuberculosis. In line with WHO recommendations, in South Africa and other low-income and middle-income settings, antiretroviral therapy is switched from generic fixed-dose combination efavirenz-containing regimens to twice-daily nevirapine with separate companion pills because of interactions between efavirenz and bedaquiline. Early data suggest a signal for low antiretroviral therapy adherence after this antiretroviral therapy switch. Mortality and other tuberculosis-specific benefits noted with bedaquiline treatment in multidrug and extensively drug-resistant tuberculosis HIV might be compromised by HIV viral failure, and emergent antiretroviral resistance. Programmatic responses, such as adherence support and dual pharmacovigilance, should be instituted; antiretroviral therapy initiation with fixed-dose combinations without bedaquiline drug interactions should be strongly considered.

Indexed as

Anti-Retroviral AgentsAntitubercular AgentsCoinfectionDiarylquinolinesDrug SubstitutionFemaleHIV InfectionsHumansMaleMedication AdherenceNevirapineSouth AfricaTuberculosis, Multidrug-ResistantAnti-Retroviral AgentsAntitubercular AgentsbedaquilineDiarylquinolinesNevirapine

Identifiers

PMID30846058
PMCPMC7155388
OpenAlexW2919382782

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.