Evidence map›Paper›PMID 32218585›Full record

ArticlePloS one2020

The potential deployment of a pan-tuberculosis drug regimen in India: A modelling analysis.

Nimalan Arinaminpathy, Gabriela B Gomez, Kuldeep S Sachdeva, Raghuram Rao, Malik Parmar, Sreenivas A Nair, Kiran Rade, Sameer Kumta, David Hermann, Christy Hanson and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.1field-weighted citation impact, top 43% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. MDR Tuberculosis Treatment.Medicina (Kaunas, Lithuania) · 2022
    Review
  6. Attitudes of Healthcare Workers about Prevention and Control of Nosocomial Multidrug-Resistant Tuberculosis Infection in Two Top-Ranked Tuberculosis Specialized Public Hospitals of Ethiopia.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
    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

12 authors at 6 institutions in 3 countries.

Nimalan ArinaminpathyMRC Centre for Global Infectious Disease Analysis, Faculty of Medicine, Imperial College London, United Kingdom.ORCID 0000-0002-0412-150X
Gabriela B GomezDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Kuldeep S SachdevaCentral TB Division, Government of India, New Delhi, India.
Raghuram RaoCentral TB Division, Government of India, New Delhi, India.
Malik ParmarIndia Country Office, World Health Organization, New Delhi, India.
Sreenivas A NairStop TB Partnership, Geneva, Switzerland.
Kiran RadeIndia Country Office, World Health Organization, New Delhi, India.
Sameer KumtaBill and Melinda Gates Foundation, India Country Office, New Delhi, India.
David HermannBill and Melinda Gates Foundation, Seattle, WA, United States of America.
Christy HansonBill and Melinda Gates Foundation, Seattle, WA, United States of America.
Daniel P ChinBill and Melinda Gates Foundation, Seattle, WA, United States of America.
Puneet DewanGlobal Good, Intellectual Ventures, Seattle, WA, United States of America.
Gates Foundation · USGovernment of India · INWorld Health Organization - India · INImperial College London · GBIntellectual Ventures (United States) · USLondon School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council MR/R015600/1World Health Organization 001
6 · The paper itself

Abstract

There is increasing interest in future, highly-potent 'pan-TB' regimens against tuberculosis (TB), that may be equally effective in both drug-susceptible and rifampicin-resistant (RR) forms of TB. Taking the example of India, the country with the world's largest burden of TB, we show that adoption of these regimens could be: (i) epidemiologically impactful, and (ii) cost-saving to the national TB programme, even if the regimen itself is more costly than current TB treatment. Mathematical modelling suggests that deployment of a pan-TB regimen in 2022 would reduce the annual incidence of TB in 2030 by 23.9% [95% Bayesian credible intervals [CrI] 17.6-30.8%] if used to treat all TB cases, and by 2.30% [95% CrI 1.57-3.48%] if used to treat only RR-TB. Notably, with a regimen costing less than USD 359 (95% CrI 287-441), treating all diagnosed TB cases with the pan-TB regimen yielded greater cost-savings than treating just those diagnosed with RR-TB. One limitation of our approach is that it does not capture the risk of resistance to the new regimen. We discuss ways in which this risk could be mitigated using modern adherence support mechanisms, as well as drug sensitivity testing at the point of TB diagnosis, to prevent new resistant forms from becoming established. A combination of such approaches would be important for maximising the useful lifetime of any future regimen.

Indexed as

Drug DiscoveryModels, StatisticalAntitubercular AgentsHumansIndiaRifampinTuberculosisAntitubercular AgentsRifampin

Identifiers

PMID32218585
PMCPMC7100958
OpenAlexW3013832633

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.