Evidence map›Paper›PMID 35279081›Full record

Trial reportBMC infectious diseases2022

Time-to-positivity of Mycobacterium avium complex in broth culture associates with culture conversion.

Christina M Mingora, Bryan A Garcia, Kevin C Mange, Dayton W Yuen, Monika Ciesielska, Jakko van Ingen, Patrick A Flume, Susan E Dorman

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02344004 (A Randomized, Open-label, Multicenter Study of Liposomal Amikacin for Inhalation), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

NCT02344004 phase3completednot on this map

A Randomized, Open-label, Multicenter Study of Liposomal Amikacin for Inhalation (LAI) in Adult Patients With Nontuberculous Mycobacterial (NTM) Lung Infection Caused by Mycobacterium Avium Complex (MAC) That Are Refractory to Treatment

TypeinterventionalSponsorInsmed IncorporatedRan2015 to 2019Enrolled336ConditionsMycobacterium Infections, NontuberculousArmsLAI (Liposomal Amikacin for Inhalation) 590 mg
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Optimal incubation duration of liquid cultures for assessing culture negative conversion in patients with Mycobacterium avium complex and Mycobacterium abscessus pulmonary diseases.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  3. Review
  4. Article
  5. 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

8 authors at 4 institutions in 2 countries.

Christina M MingoraMedical University of South Carolina, Charleston, SC, USA.
Bryan A GarciaUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Kevin C MangeInsmed Incorporated, Bridgewater, NJ, USA.
Dayton W YuenInsmed Incorporated, Bridgewater, NJ, USA.
Monika CiesielskaInsmed Incorporated, Bridgewater, NJ, USA.
Jakko van IngenRadboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Patrick A FlumeMedical University of South Carolina, Charleston, SC, USA.
Susan E DormanMedical University of South Carolina, Charleston, SC, USA. Dorman@MUSC.edu.
Insmed (United States) · USMedical University of South Carolina · USRadboud University Nijmegen · NLUniversity of Alabama at Birmingham · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
Pulmonary Focused Foundations in Innovation and Scholarship (PuFFInS)T32HL144470 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Carol A. Feghali-Bostwick · 2019 to 2026
$2.6M
Multidisciplinary Clinical Research and Mentoring in Tuberculosis DiagnosticsK24AI104830 · NIAID · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DORMAN, SUSAN E · 2015 to 2019
$790k
NCATS NIH HHS UL1 TR001450NHLBI NIH HHS T32 HL144470NIAID NIH HHS K24 AI104830NIH HHS K24AI104830NIH HHS NIH-T32-HL144470NIH HHS UL1 TR001450
6 · The paper itself

Abstract

backgroundMycobacterial time to positivity (TTP) in liquid culture media has predictive value for longer term outcomes in pulmonary tuberculosis, but has not been thoroughly studied in nontuberculous mycobacterial pulmonary disease. This study sought to evaluate for association between TTP and sputum culture conversion to negative in pulmonary disease caused by Mycobacterium avium complex (MAC).

methodsData from the CONVERT trial (NCT02344004) that evaluated efficacy of guideline-based-therapy with or without amikacin liposome inhalation suspension in adults with refractory MAC-PD (Mycobacterium avium complex pulmonary disease) were analyzed. We evaluated TTP measures for sputum obtained prior to study treatment initiation and at monthly visits, assessing reproducibility of measures as well as association of TTP with culture conversion on treatment.

resultsData from 71 participants with at least one screening visit TTP value were analyzed. For participants who provided more than one sputum sample at a given visit, there was moderate between-sample reliability, with median intraclass correlation coefficient 0.62 (IQR 0.50, 0.70). Median TTP at screening was longer in those participants who subsequently achieved vs. did not achieve culture conversion (10.5 [IQR 9.4] days vs. 4.2 [IQR 2.8] days, p = 0.0002). Individuals with culture conversion by study treatment month 6 were more likely to have a screening TTP > 5 days compared to those who did not achieve culture conversion (OR 15.4, 95% CI 1.9, 716.7, p = 0.0037) and had increasing TTPs over time.

conclusionsTTP prior to and on treatment is associated with microbiological treatment response in patients with MAC-PD.

Indexed as

Mycobacterium avium ComplexMycobacterium avium-intracellulare InfectionAdultAnti-Bacterial AgentsHumansReproducibility of ResultsTreatment OutcomeAnti-Bacterial AgentsBiomarkerMycobacterium avium complexNon-tuberculous mycobacteria

Identifiers

PMID35279081
PMCPMC8918293
OpenAlexW4220817898

What OpenQuestion holds

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LicenceCC BY
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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.