Evidence map›Paper›PMID 31111076›Full record

ArticleOpen forum infectious diseases2019

Sitafloxacin-Containing Regimen for the Treatment of Refractory

Takanori Asakura, Shoji Suzuki, Hanako Fukano, Satoshi Okamori, Tatsuya Kusumoto, Yoshifumi Uwamino, Takunori Ogawa, Matsuo So, Shunsuke Uno, Ho Namkoong and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05454345 (A Randomized Controlled Non-Inferiority Study for Shortening Tuberculosis Treatment With Sitafloxacin-Containing Regimens), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT05454345 phase3unknown statusnot on this mapstarted 2022, after this paper: background citation

A Randomized Controlled Non-Inferiority Study for Shortening Tuberculosis Treatment With Sitafloxacin-Containing Regimens

TypeinterventionalSponsorFirst Affiliated Hospital of Zhejiang UniversityRan2022 to 2026Enrolled620ConditionsTuberculosis, PulmonaryArmsSitafloxacin, SMZ/TMP, Rifampin, Pyrazinamide, Rifapentine
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Role of Clofazimine in Treatment ofFrontiers in medicine · 2021
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Clinical Implications of Time to Culture Conversion inOpen forum infectious diseases · 2025
    Article
  8. TheMicroorganisms · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Comparative activities of sitafloxacin against recent clinical isolates in hospitals across China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  16. Article
  17. Sitafloxacin Expresses Potent Anti-Frontiers in microbiology · 2021
    Article
  18. Article
  19. Article
  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

16 authors at 3 institutions in 1 country.

Takanori AsakuraDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases.
Shoji SuzukiDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
Hanako FukanoDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases.
Satoshi OkamoriDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
Tatsuya KusumotoDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
Yoshifumi UwaminoDepartment of Laboratory Medicine, Keio University School of Medicine.
Takunori OgawaDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
Matsuo SoDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
Shunsuke UnoCenter for Infectious Diseases and Infection Control, Keio University School of Medicine.
Ho NamkoongDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
Mitsunori YoshidaDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases.
Hirofumi KamataDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
Makoto IshiiDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
Tomoyasu NishimuraKeio University Health Center, Tokyo.
Yoshihiko HoshinoDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases.
Naoki HasegawaCenter for Infectious Diseases and Infection Control, Keio University School of Medicine.
Keio University · JPNational Institute of Infectious Diseases · JPJapan Society for the Promotion of Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSitafloxacin (STFX) exhibits potent activity against

methodsWe retrospectively evaluated treatment outcomes of 31 patients with refractory MAC-LD, who received an STFX-containing regimen for ≥4 weeks between January 2010 and July 2017. Refractory MAC-LD was defined as persistent positive sputum cultures for >6 months of macrolide-based standard therapy.

resultsClarithromycin resistance (minimum inhibitory concentration [MIC] ≥32 μg/mL) was identified in 15 patients (48%). Twelve months after receiving the STFX-containing regimen, 26% and 19% of patients showed symptomatic and radiological responses, respectively. Although STFX-associated adverse effects were noted in 9 patients, their severity was grade 1 (National Cancer Institute Common Terminology Criteria); only 1 patient discontinued STFX because of suspected gastrointestinal disturbance. Negative sputum culture conversion was achieved in 7 patients (23%). Both univariate and multivariate logistic regression analyses revealed that surgery, low STFX MIC (≤1 μg/mL), and macrolide resistance were significant predictors of negative sputum culture conversion.

conclusionsOur results demonstrate that STFX may be effective in one-fourth of patients with refractory MAC-LD. Prospective larger studies that include the analyses of MAC are needed to determine the clinical efficacy of STFX against refractory MAC-LD.

Indexed as

clarithromycin (CLR) resistancedifficult to treatfluoroquinoloneMycobacterium avium complex (MAC)nontuberculous mycobacteria (NTM)

Identifiers

PMID31111076
PMCPMC6519390
OpenAlexW2920824163

What OpenQuestion holds

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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.