Evidence map›Paper›PMID 37187338›Full record

ArticleInternational journal of antimicrobial agents2023

Omadacycline pharmacokinetics/pharmacodynamics in the hollow fiber model and clinical validation of efficacy to treat pulmonary Mycobacterium abscessus disease.

Sanjay Singh, Jann-Yuan Wang, Scott K Heysell, Pamela J McShane, Carly Wadle, Prem Shankar, Hung-Ling Huang, Jotam Pasipanodya, Gunavanthi D Boorgula, Julie V Philley and 2 more

Open access · greenAbstract read
In one paragraph

Article in International journal of antimicrobial agents, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of tetracyclines for nontuberculous mycobacteria: focus on rapidly growing mycobacteria.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  3. Trial
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  7. Frontiers in microbiology · 2026
    Article
  8. Buruli ulcer.Nature reviews. Disease primers · 2025
    Review
  9. Mycobacteria susceptibility to epetraborole: how far can it go?The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2025
    Article
  10. Article
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  12. Article
  13. Repurposing drugs to advance the treatment of Buruli ulcer.Antimicrobial agents and chemotherapy · 2025
    Article
  14. DynamicAntibiotics (Basel, Switzerland) · 2024
    Review
  15. Article
  16. Article
  17. Antimicrobial agents and chemotherapy · 2024
    Article
  18. Article
  19. Article
  20. Exploring antibiotic resistance mechanisms inFrontiers in microbiology · 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 5 institutions in 2 countries.

Sanjay SinghDepartment of Medicine, University of Texas School of Medicine, Tyler, Texas, USA.
Jann-Yuan WangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Scott K HeysellDivision of Infectious Diseases and International Health, University of Virginia, USA.
Pamela J McShaneSection of Pulmonary and Critical Care, University of Texas at Tyler, Tyler, Texas, USA.
Carly WadleSection of Pulmonary and Critical Care, University of Texas at Tyler, Tyler, Texas, USA.
Prem ShankarDepartment of Medicine, University of Texas School of Medicine, Tyler, Texas, USA.
Hung-Ling HuangDepartment of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Jotam PasipanodyaQuantitative Preclinical & Clinical Sciences Department, Praedicare Inc., Dallas, Texas.
Gunavanthi D BoorgulaDepartment of Medicine, University of Texas School of Medicine, Tyler, Texas, USA.
Julie V PhilleySection of Pulmonary and Critical Care, University of Texas at Tyler, Tyler, Texas, USA.
Tawanda GumboQuantitative Preclinical & Clinical Sciences Department, Praedicare Inc., Dallas, Texas; Hollow Fiber System & Experimental Therapeutics Laboratories, Praedicare Inc, Dallas, TX.
Shashikant SrivastavaDepartment of Medicine, University of Texas School of Medicine, Tyler, Texas, USA; Department of Cellular and Molecular Biology, University of Texas Health Science Center at Tyler, Tyler, Texas, USA; Center for Biomedical Research, University of Texas Health Science Centre at Tyler, Tyler, Texas, USA. Electronic address: Shashi.kant@uthct.edu.
The University of Texas at Tyler · USBenedictine University · USKaohsiung Medical University · TWNational Taiwan University Hospital · TWUniversity of Virginia · US

Funding

Urine Colorimetry for Tuberculosis Pharmacokinetics Evaluation in Children and AdultsR01AI137080 · NIAID · UNIVERSITY OF VIRGINIA · PI Scott K Heysell, Leonid Kagan · 2018 to 2026
$6.3M
A randomized clinical trial of early empiric anti-Mycobacterium tuberculosis therapy for sepsis in sub-Saharan AfricaU01AI150508 · NIAID · UNIVERSITY OF VIRGINIA · PI HEYSELL, SCOTT K, MOORE, CHRISTOPHER CHARLES · 2020 to 2024
$3.3M
Reinforcing old warriors to treat Mycobacterium kansasii in shorter durationR21AI148096 · NIAID · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · PI KANT, SHASHI · 2020 to 2021
$413k
NIAID NIH HHS R01 AI137080NIAID NIH HHS R21 AI148096NIAID NIH HHS U01 AI150508
6 · The paper itself

Abstract

backgroundGuideline-based therapy (GBT) for pulmonary Mycobacterium abscessus (Mab) disease achieves sustained sputum culture conversion (SSCC) rates of 30%; this is reflected by poor efficacy of GBT in the hollow fiber system model of Mab (HFS-Mab), which killed ∼1.22 log

methodsFirst, omadacycline intrapulmonary concentration-time profiles of seven daily doses were mimicked in the HFS-Mab model and exposures associated with optimal efficacy were identified. Second, 10,000 subject Monte-Carlo simulations were performed to determine whether oral omadacycline 300 mg/day achieved these optimal exposures. Third, a retrospective clinical study on omadacycline vs. primarily tigecycline-based salvage therapy was conducted to assess rates of SSCC and toxicity. Fourth, a single patient was recruited to validate the findings.

resultsOmadacycline efficacy in the HFS-Mab was 2.09 log

conclusionBased on the preclinical and clinical data, omadacycline 300 mg/day in combination regimens could be appropriate for testing in Phase III trials in patients with Mab pulmonary disease.

Indexed as

Lung DiseasesMycobacterium abscessusMycobacterium Infections, NontuberculousAnti-Bacterial AgentsHumansMicrobial Sensitivity TestsRetrospective StudiesTetracyclinesAnti-Bacterial AgentsomadacyclineTetracyclinesEfficacyHollow fiber system modelM. abscessusPharmacokinetics/pharmacodynamicsSafety

Identifiers

PMID37187338
PMCPMC10330927
OpenAlexW4376505678

What OpenQuestion holds

Textmetadata
LicenceTDM
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.