Evidence map›Paper›PMID 35767251›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Bedaquiline, Delamanid, Linezolid and Clofazimine for Treatment of Pre-extensively Drug-Resistant Tuberculosis.

Chandrasekaran Padmapriyadarsini, Vikram Vohra, Anuj Bhatnagar, Rajesh Solanki, Rathinam Sridhar, Lalitkumar Anande, M Muthuvijaylakshmi, Miraa Bhatia, Bharathi Jeyadeepa, Gaurav Taneja and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 4 pooled it
10.3field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 4 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
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  4. Bedaquiline and linezolid regimens for multidrug-resistant tuberculosis: a systematic review and meta-analysis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Pooled it
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  6. Effect of HIV on bedaquiline and delamanid pharmacokinetics in patients with multidrug-resistant TB.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2025
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  19. Recent advances in tuberculosis treatment: Towards shorter, safer, and more effective therapies.Journal of clinical tuberculosis and other mycobacterial diseases · 2026
    Review
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13 more citing papers are in PubMed but not listed here.

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

22 authors at 9 institutions in 3 countries.

Chandrasekaran PadmapriyadarsiniICMR-National Institute for Research in Tuberculosis, Chennai, India.
Vikram VohraNational Institute for Tuberculosis and Respiratory Diseases, New Delhi, India.
Anuj BhatnagarRajan Babu Institute of Pulmonary Medicine and Tuberculosis, Delhi, India.
Rajesh SolankiB.J.Medical College and Hospital, Ahmedabad, India.
Rathinam SridharGovernment Hospital of Thoracic Medicine, Chennai, India.
Lalitkumar AnandeGrand TB Hospital, Mumbai, India.
M MuthuvijaylakshmiICMR-National Institute for Research in Tuberculosis, Chennai, India.
Miraa BhatiaNational Institute for Tuberculosis and Respiratory Diseases, New Delhi, India.
Bharathi JeyadeepaICMR-National Institute for Research in Tuberculosis, Chennai, India.
Gaurav TanejaRajan Babu Institute of Pulmonary Medicine and Tuberculosis, Delhi, India.
S BalajiICMR-National Institute for Research in Tuberculosis, Chennai, India.
Prashant ShahB.J.Medical College and Hospital, Ahmedabad, India.
N SaravananICMR-National Institute for Research in Tuberculosis, Chennai, India.
Vijay ChauhanGrand TB Hospital, Mumbai, India.
Hemanth KumarICMR-National Institute for Research in Tuberculosis, Chennai, India.
Chinnayin PonnurajaICMR-National Institute for Research in Tuberculosis, Chennai, India.
Viktoriya LivchitsUnited States Agency for International Development, Washington, U.S.A.
Monica BahlClinical Development Service Agency, New Delhi, India.
Umesh AlavadiUnited States Agency for International Development, Washington, U.S.A.
K S SachdevaCentral TB Division, Ministry of Health & Family Welfare, New Delhi, India.
Soumya SwaminathanIndian Council of Medical Research, New Delhi.
for BEAT India Team
National Institute of Research in Tuberculosis · INB.J. Medical College · INBombay Hospital · INLRS Institute of Tuberculosis and Respiratory Diseases · INUnited States Agency for International Development · USIndian Council of Medical Research · INGovernment Hospital of Thoracic Medicine · INDelhi Development Authority · INMinistry of Health and Family Welfare · IN

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundTreatment success rates for multidrug-resistant tuberculosis (MDR-TB) remain low globally. Availability of newer drugs has given scope to develop regimens that can be patient-friendly, less toxic, with improved outcomes. We proposed to determine the effectiveness of an entirely oral, short-course regimen with Bedaquiline and Delamanid in treating MDR-TB with additional resistance to fluoroquinolones (MDR-TBFQ+) or second-line injectable (MDR-TBSLI+).

methodsWe prospectively determined the effectiveness and safety of combining two new drugs with two repurposed drugs - Bedaquiline, Delamanid, Linezolid, and Clofazimine for 24-36 weeks in adults with pulmonary MDR-TBFQ+ or/and MDR-TBSLI+. The primary outcome was a favorable response at end of treatment, defined as two consecutive negative cultures taken four weeks apart. The unfavorable outcomes included bacteriologic or clinical failure during treatment period.

resultsOf the 165 participants enrolled, 158 had MDR-TBFQ+. At the end of treatment, after excluding 12 patients due to baseline drug susceptibility and culture negatives, 139 of 153 patients (91%) had a favorable outcome. Fourteen patients (9%) had unfavorable outcomes: four deaths, seven treatment changes, two bacteriological failures, and one withdrawal. During treatment, 85 patients (52%) developed myelosuppression, 69 (42%) reported peripheral neuropathy, and none had QTc(F) prolongation >500msec. At 48 weeks of follow-up, 131 patients showed sustained treatment success with the resolution of adverse events in the majority.

conclusionAfter 24-36 weeks of treatment, this regimen resulted in a satisfactory favorable outcome in pulmonary MDR-TB patients with additional drug resistance. Cardiotoxicity was minimal, and myelosuppression, while common, was detected early and treated successfully.

Indexed as

DelamanidDrug-resistant TuberculosisEffectivenessLinezolidShort-course

Identifiers

PMID35767251
PMCPMC9907500
OpenAlexW4283720474

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.