Evidence map›Paper›PMID 31036687›Full record

ArticleAntimicrobial agents and chemotherapy2019

Shortening Buruli Ulcer Treatment with Combination Therapy Targeting the Respiratory Chain and Exploiting Mycobacterium ulcerans Gene Decay.

Paul J Converse, Deepak V Almeida, Sandeep Tyagi, Jian Xu, Eric L Nuermberger

Open access · bronzeAbstract read
In one paragraph

Article 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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.0field-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.

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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Buruli ulcer.Nature reviews. Disease primers · 2025
    Review
  5. Life (Basel, Switzerland) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. The Many Hosts of Mycobacteria 9 (MHM9): A conference report.Tuberculosis (Edinburgh, Scotland) · 2023
    Article
  10. Article
  11. Drug Efficacy Testing in the Mouse Footpad Model of Buruli Ulcer.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Toward a Single-Dose Cure for Buruli Ulcer.Antimicrobial agents and chemotherapy · 2020
    Article
  16. Article
  17. Article
  18. Pharmacologic management ofExpert review of clinical pharmacology · 2020
    Review
  19. The Many Hosts of Mycobacteria 8 (MHM8): A conference report.Tuberculosis (Edinburgh, Scotland) · 2020
    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

5 authors at 1 institution in 1 country.

Paul J ConverseDepartment of Medicine, Johns Hopkins University Center for Tuberculosis Research, Baltimore, Maryland, USA pconver1@jhmi.edu enuermb@jhmi.edu.
Deepak V AlmeidaDepartment of Medicine, Johns Hopkins University Center for Tuberculosis Research, Baltimore, Maryland, USA.
Sandeep TyagiDepartment of Medicine, Johns Hopkins University Center for Tuberculosis Research, Baltimore, Maryland, USA.
Jian XuDepartment of Medicine, Johns Hopkins University Center for Tuberculosis Research, Baltimore, Maryland, USA.
Eric L NuermbergerDepartment of Medicine, Johns Hopkins University Center for Tuberculosis Research, Baltimore, Maryland, USA pconver1@jhmi.edu enuermb@jhmi.edu.
Johns Hopkins University · US

Funding

Closing the Gaps on Buruli Ulcer Diagnosis, Treatment, and PreventionR01AI113266 · NIAID · JOHNS HOPKINS UNIVERSITY · PI NUERMBERGER, ERIC L · 2016 to 2020
$4.4M
NIAID NIH HHS R01 AI113266
6 · The paper itself

Abstract

Buruli ulcer is treatable with antibiotics. An 8-week course of rifampin (RIF) and either streptomycin (STR) or clarithromycin (CLR) cures over 90% of patients. However, STR requires injections and may be toxic, and CLR shares an adverse drug-drug interaction with RIF and may be poorly tolerated. Studies in a mouse footpad infection model showed that increasing the dose of RIF or using the long-acting rifamycin rifapentine (RPT), in combination with clofazimine (CFZ), a relatively well-tolerated antibiotic, can shorten treatment to 4 weeks. CFZ is reduced by a component of the electron transport chain (ETC) to produce reactive oxygen species toxic to bacteria. Synergistic activity of CFZ with other ETC-targeting drugs, the ATP synthase inhibitor bedaquiline (BDQ) and the

Indexed as

AnimalsAnti-Bacterial AgentsBacterial LoadBuruli UlcerClarithromycinClofazimineDisease Models, AnimalDrug Resistance, BacterialDrug Therapy, CombinationElectron TransportHumansImidazolesMice, Inbred BALB CMicrobial Sensitivity TestsMycobacterium ulceransPiperidinesAnti-Bacterial AgentsClarithromycinClofazimineImidazolesPiperidinesPyridinesRifampinrifapentineStreptomycintelacebecbedaquilineBuruli ulcerclofaziminemouse footpadMycobacterium ulceransQ203rifampinrifapentinestreptomycintelacebec

Identifiers

PMID31036687
PMCPMC6591589
OpenAlexW2941983134

What OpenQuestion holds

Textmetadata
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.