Evidence map›Paper›PMID 36165631›Full record

ArticleAntimicrobial agents and chemotherapy2022

Combination Therapy to Kill Mycobacterium tuberculosis in Its Nonreplicating Persister Phenotype.

Walter Yamada, Sarah Kim, Mohammed Almoslem, Soyoung Kim, Jenny Myrick, Jocelyn Nole, Brandon Duncanson, Arnold Louie, Charles A Peloquin, Stephan Schmidt and 2 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Analyzing Pharmacodynamic Count Data That Rapidly Decrease to Zero.CPT: pharmacometrics & systems pharmacology · 2026
    Article
  2. Article
  3. Review
  4. Bacterial persisters: molecular mechanisms and therapeutic development.Signal transduction and targeted therapy · 2024
    Review
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 2 institutions in 2 countries.

Walter YamadaLaboratory of Applied Pharmacokinetics, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.ORCID 0000-0003-3512-9202
Sarah KimCenter for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Floridagrid.15276.37, Orlando, Florida, USA.ORCID 0000-0002-9179-0735
Mohammed AlmoslemCenter for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Floridagrid.15276.37, Orlando, Florida, USA.
Soyoung KimCenter for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Floridagrid.15276.37, Orlando, Florida, USA.
Jenny MyrickInstitute for Therapeutic Innovation, College of Medicine, University of Floridagrid.15276.37, Orlando, Florida, USA.
Jocelyn NoleInstitute for Therapeutic Innovation, College of Medicine, University of Floridagrid.15276.37, Orlando, Florida, USA.
Brandon DuncansonInstitute for Therapeutic Innovation, College of Medicine, University of Floridagrid.15276.37, Orlando, Florida, USA.
Arnold LouieInstitute for Therapeutic Innovation, College of Medicine, University of Floridagrid.15276.37, Orlando, Florida, USA.ORCID 0000-0001-6227-7580
Charles A PeloquinInfectious Disease Pharmacokinetics Lab, College of Pharmacy and Emerging Pathogens Institute, University of Floridagrid.15276.37, Gainesville, Florida, USA.ORCID 0000-0001-9002-7052
Stephan SchmidtCenter for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Floridagrid.15276.37, Orlando, Florida, USA.
George L DrusanoInstitute for Therapeutic Innovation, College of Medicine, University of Floridagrid.15276.37, Orlando, Florida, USA.ORCID 0000-0001-9162-7332
Michael NeelyLaboratory of Applied Pharmacokinetics, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-1675-8276
University of Florida · USUniversity of Southern California · US

Funding

Optimizing Combination Therapy to Accelerate Clinical Cure of TuberculosisP01AI123036 · NIAID · UNIVERSITY OF FLORIDA · PI FLYNN, JOANNE L. · 2016 to 2020
$12.0M
NIAID NIH HHS P01 AI123036
6 · The paper itself

Abstract

Mycobacterium tuberculosis (Mtb) exists in various metabolic states, including a nonreplicating persister (NRP) phenotype which may affect response to therapy. We have adopted a model-informed strategy to accelerate discovery of effective Mtb treatment regimens and previously found pretomanid (PMD), moxifloxacin (MXF), and bedaquiline (BDQ) to readily kill logarithmic- and acid-phase Mtb. Here, we studied multiple concentrations of each drug in flask-based, time-kill studies against NRP Mtb in single-, two- and three-drug combinations, including the active M2 metabolite of BDQ. We used nonparametric population algorithms in the Pmetrics package for R to model the data and to simulate the 95% confidence interval of bacterial population decline due to the two-drug combination regimen of PMD + MXF and compared this to observed declines with three-drug regimens. PMD + MXF at concentrations equivalent to average or peak human concentrations effectively eradicated Mtb. Unlike other states for Mtb, we observed no sustained emergence of less susceptible isolates for any regimen. The addition of BDQ as a third drug significantly (

Indexed as

Mycobacterium tuberculosisAnimalsAntitubercular AgentsDrug CombinationsHumansMoxifloxacinNitroimidazolesPhenotypeAntitubercular AgentsDrug CombinationsMoxifloxacinNitroimidazolespretomanidbedaquilinecombination chemotherapycombination therapymoxifloxacinMycobacterium tuberculosisnonparametricnonreplicating persisterpretomanid

Identifiers

PMID36165631
PMCPMC9578415
OpenAlexW4297255488

What OpenQuestion holds

Textmetadata
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.