Evidence map›Paper›PMID 33542056›Full record

ArticleThe European respiratory journal2021

Increased bactericidal activity but dose-limiting intolerability at 50 mg·kg

Lindsey H M Te Brake, Veronique de Jager, Kim Narunsky, Naadira Vanker, Elin M Svensson, Patrick P J Phillips, Stephen H Gillespie, Norbert Heinrich, Michael Hoelscher, Rodney Dawson and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in The European respiratory journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05575518 (A Pragmatic Trial With Optimized Dose of Rifampicin and Moxifloxacin for the Treatment of Drug Susceptible Pulmonary Tuberculosis), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT05575518 phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

A Pragmatic Trial With Optimized Dose of Rifampicin and Moxifloxacin for the Treatment of Drug Susceptible Pulmonary Tuberculosis

TypeinterventionalSponsorStellah MpagamaRan2023 to 2026Enrolled414ConditionsTuberculosis, Human Immunodeficiency VirusArmsOptimised rifamycin
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. A clinical practice guideline for tuberculous meningitis.The Lancet. Infectious diseases · 2026
    Guideline
  2. Safety of Triple-Dose Rifampin in Tuberculosis Treatment: A Systematic Review and Meta-Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Pooled it
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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

14 authors.

Lindsey H M Te BrakeDept of Pharmacy, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Veronique de JagerTASK Applied Science, Cape Town, South Africa.
Kim NarunskyUCT Lung Institute, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Naadira VankerTASK Applied Science, Cape Town, South Africa.
Elin M SvenssonDept of Pharmacy, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Patrick P J PhillipsUCSF Center for Tuberculosis, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-6336-7024
Stephen H GillespieSchool of Medicine, Medical and Biological Sciences, University of St Andrews, St Andrews, UK.ORCID 0000-0001-6537-7712
Norbert HeinrichDivision of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich, Munich, Germany.
Michael HoelscherDivision of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich, Munich, Germany.ORCID 0000-0002-7642-1835
Rodney DawsonUCT Lung Institute, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Andreas H DiaconTASK Applied Science, Cape Town, South Africa.
Rob E AarnoutseDept of Pharmacy, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Martin J Boeree
PanACEA Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccumulating data indicate that higher rifampicin doses are more effective and shorten tuberculosis (TB) treatment duration. This study evaluated the safety, tolerability, pharmacokinetics, and 7- and 14-day early bactericidal activity (EBA) of increasing doses of rifampicin. Here we report the results of the final cohorts of PanACEA HIGHRIF1, a dose escalation study in treatment-naive adult smear-positive patients with TB.

methodsPatients received, in consecutive cohorts, 40 or 50 mg·kg

resultsIn the 40 mg·kg

conclusionAlthough associated with an increased bactericidal effect, the 50 mg·kg

Indexed as

RifampinTuberculosis, PulmonaryAdultAntitubercular AgentsHumansIsoniazidPyrazinamideAntitubercular AgentsIsoniazidPyrazinamideRifampin

Identifiers

PMID33542056
PMCPMC8411896

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.