Evidence map›Paper›PMID 32810158›Full record

ArticlePLoS computational biology2020

Mathematical model and tool to explore shorter multi-drug therapy options for active pulmonary tuberculosis.

John Fors, Natasha Strydom, William S Fox, Ron J Keizer, Radojka M Savic

Open access · goldAbstract read
In one paragraph

Article in PLoS computational biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Toward better cures forClinical microbiology reviews · 2024
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Tools to develop antibiotic combinations that target drug tolerance inFrontiers in cellular and infection microbiology · 2022
    Review
  15. Review
  16. 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

5 authors at 1 institution in 1 country.

John ForsDepartment of Bioengineering and Therapeutic Sciences, School of Pharmacy, University of California San Francisco, CA, United States of America.ORCID 0000-0002-9002-7113
Natasha StrydomDepartment of Bioengineering and Therapeutic Sciences, School of Pharmacy, University of California San Francisco, CA, United States of America.ORCID 0000-0002-0929-0783
William S FoxDepartment of Bioengineering and Therapeutic Sciences, School of Pharmacy, University of California San Francisco, CA, United States of America.ORCID 0000-0002-4058-4333
Ron J KeizerInsightRX, San Francisco, CA, United States of America.ORCID 0000-0002-2460-7056
Radojka M SavicDepartment of Bioengineering and Therapeutic Sciences, School of Pharmacy, University of California San Francisco, CA, United States of America.ORCID 0000-0003-3143-5579
University of California, San Francisco · US

Funding

Target based discovery of next generation pyrazinamideR01AI106398 · NIAID · RBHS-NEW JERSEY MEDICAL SCHOOL · PI DICK, THOMAS · 2013 to 2022
$7.1M
NIAID NIH HHS R01 AI106398
6 · The paper itself

Abstract

Standard treatment for active tuberculosis (TB) requires drug treatment with at least four drugs over six months. Shorter-duration therapy would mean less need for strict adherence, and reduced risk of bacterial resistance. A system pharmacology model of TB infection, and drug therapy was developed and used to simulate the outcome of different drug therapy scenarios. The model incorporated human immune response, granuloma lesions, multi-drug antimicrobial chemotherapy, and bacterial resistance. A dynamic population pharmacokinetic/pharmacodynamic (PK/PD) simulation model including rifampin, isoniazid, pyrazinamide, and ethambutol was developed and parameters aligned with previous experimental data. Population therapy outcomes for simulations were found to be generally consistent with summary results from previous clinical trials, for a range of drug dose and duration scenarios. An online tool developed from this model is released as open source software. The TB simulation tool could support analysis of new therapy options, novel drug types, and combinations, incorporating factors such as patient adherence behavior.

Indexed as

Models, TheoreticalAntitubercular AgentsDrug Therapy, CombinationHumansMedication AdherenceTuberculosis, PulmonaryAntitubercular Agents

Identifiers

PMID32810158
PMCPMC7480878
OpenAlexW3064754884

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.