Evidence map›Paper›PMID 31061152›Full record

ArticleAntimicrobial agents and chemotherapy2019

Fluoroquinolones in Drug-Resistant Tuberculosis: Culture Conversion and Pharmacokinetic/Pharmacodynamic Target Attainment To Guide Dose Selection.

Mohammad H Al-Shaer, Wael A Alghamdi, Abdullah Alsultan, Guohua An, Shahriar Ahmed, Yosra Alkabab, Sayera Banu, Ketevan Barbakadze, Eric Houpt, Maia Kipiani and 5 more

Open access · hybridAbstract readMulticenter Study
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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. MDR Tuberculosis Treatment.Medicina (Kaunas, Lithuania) · 2022
    Review
  8. Correlation ofPathogens (Basel, Switzerland) · 2021
    Article
  9. Review
  10. Article
  11. Clinical Impact of Rapid Drug Susceptibility Testing to Accompany Fluoroquinolone-Containing Universal Tuberculosis Regimens: A Markov Model.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. 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

15 authors at 8 institutions in 4 countries.

Mohammad H Al-ShaerInfectious Disease Pharmacokinetics Laboratory, College of Pharmacy and Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA.ORCID 0000-0003-1432-5175
Wael A AlghamdiInfectious Disease Pharmacokinetics Laboratory, College of Pharmacy and Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-4484-6994
Abdullah AlsultanDepartment of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
Guohua AnDivision of Pharmaceutics and Translational Therapeutics, College of Pharmacy, University of Iowa, Iowa City, Iowa, USA.
Shahriar AhmedInfectious Diseases Division, International Centre for Diarrhoeal Diseases Research (ICDDR,B), Dhaka, Bangladesh.
Yosra AlkababDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Sayera BanuInfectious Diseases Division, International Centre for Diarrhoeal Diseases Research (ICDDR,B), Dhaka, Bangladesh.
Ketevan BarbakadzeNational Center for TB and Lung Diseases, Tbilisi, Georgia.
Eric HouptDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Maia KipianiNational Center for TB and Lung Diseases, Tbilisi, Georgia.
Lali MikiashviliNational Center for TB and Lung Diseases, Tbilisi, Georgia.
J Peter CegielskiUniversity of Texas Health Science Center at Tyler, Tyler, Texas, USA.
Russell R KempkerDivision of Infectious Diseases, Department of Medicine, Emory University, Atlanta, Georgia, USA.
Scott K HeysellDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Charles A PeloquinInfectious Disease Pharmacokinetics Laboratory, College of Pharmacy and Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA peloquin@cop.ufl.edu.ORCID 0000-0001-9002-7052
National Center for Tuberculosis and Lung Disease · GEUniversity of Florida · USUniversity of Virginia · USInternational Centre for Diarrhoeal Disease Research · BDEmory University · USKing Saud University · SAThe University of Texas Health Science Center at Tyler · USUniversity of Iowa · US

Funding

INFECTIOUS DISEASES TRAINING PROGRAMT32AI007046 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Alison K Criss, William A Petri · 1985 to 2026
$15.3M
Tuberculosis Prevention Research Unit /TBRU/-266095383N01AI095383 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2000 to 2005
$5.6M
Emory-Georgia TB Research Training ProgramD43TW007124 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Nestani Tukvadze · 2004 to 2026
$4.6M
Diagnostics and Pharmacotherapy for Severe Forms of TBU01AI115594 · NIAID · UNIVERSITY OF VIRGINIA · PI HEYSELL, SCOTT K, HOUPT, ERIC R · 2015 to 2019
$3.0M
Intra Cavitary Pharmacokinetics and Drug Resistance in Pulmonary TuberculosisK23AI103044 · NIAID · EMORY UNIVERSITY · PI KEMPKER, RUSSELL RYAN · 2013 to 2017
$910k
A Clinical Pharmacology Study of a Novel Drug Regimen for Pre XDR and XDR TuberculosisR21AI122001 · NIAID · EMORY UNIVERSITY · PI KEMPKER, RUSSELL RYAN · 2016 to 2017
$369k
FIC NIH HHS D43 TW007124NIAID NIH HHS K23 AI103044NIAID NIH HHS N01 AI070022NIAID NIH HHS N01 AI095383NIAID NIH HHS R21 AI122001NIAID NIH HHS T32 AI007046NIAID NIH HHS U01 AI115594
6 · The paper itself

Abstract

Fluoroquinolones are group A drugs in tuberculosis guidelines. We aim to compare the culture conversion between new-generation (levofloxacin and moxifloxacin) and old-generation (ciprofloxacin and ofloxacin) fluoroquinolones, develop pharmacokinetic models, and calculate target attainment for levofloxacin and moxifloxacin. We included three U.S. tuberculosis centers. Patients admitted between 1984 and 2015, infected with drug-resistant tuberculosis, and who had received fluoroquinolones for ≥28 days were included. Demographics, sputum cultures and susceptibility, treatment regimens, and serum concentrations were collected. A time-to-event analysis was conducted, and Cox proportional hazards model was used to compare the time to culture conversion. Using additional data from ongoing studies, pharmacokinetic modelling and Monte Carlo simulations were performed to assess target attainment for different doses. Overall, 124 patients received fluoroquinolones. The median age was 40 years, and the median weight was 60 kg. Fifty-six patients (45%) received old-generation fluoroquinolones. New-generation fluoroquinolones showed a faster time to culture conversion (median 16 versus 40 weeks,

Indexed as

AdolescentAdultAgedAged, 80 and overAntitubercular AgentsCiprofloxacinDose-Response Relationship, DrugFemaleFluoroquinolonesHumansLevofloxacinMaleMicrobial Sensitivity TestsMiddle AgedModels, BiologicalMoxifloxacinAntitubercular AgentsCiprofloxacinFluoroquinolonesLevofloxacinMoxifloxacinOfloxacinfluoroquinolonesMonte Carlo simulationmultidrug resistancepharmacodynamicspopulation pharmacokineticstuberculosis

Identifiers

PMID31061152
PMCPMC6591615
OpenAlexW2942869667

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.