Evidence map›Paper›PMID 38060827›Full record

ArticleThe Journal of infectious diseases2024

A Bedaquiline, Pyrazinamide, Levofloxacin, Linezolid, and Clofazimine Second-line Regimen for Tuberculosis Displays Similar Early Bactericidal Activity as the Standard Rifampin-Based First-line Regimen.

Kayvan Zainabadi, Stalz Charles Vilbrun, Laurent Daniel Mathurin, Kathleen Frances Walsh, Jean William Pape, Daniel W Fitzgerald, Myung Hee Lee

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

7 authors at 2 institutions in 2 countries.

Kayvan ZainabadiCenter for Global Health, Weill Cornell Medicine, NewYork, New York.ORCID 0000-0003-3134-1783
Stalz Charles VilbrunLes Centres GHESKIO, Port-au-Prince, Haiti.
Laurent Daniel MathurinLes Centres GHESKIO, Port-au-Prince, Haiti.
Kathleen Frances WalshCenter for Global Health, Weill Cornell Medicine, NewYork, New York.
Jean William PapeCenter for Global Health, Weill Cornell Medicine, NewYork, New York.
Daniel W FitzgeraldCenter for Global Health, Weill Cornell Medicine, NewYork, New York.
Myung Hee LeeCenter for Global Health, Weill Cornell Medicine, NewYork, New York.
Cornell University · USGheskio Centers · HT

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Viable but Nonculturable MtbU19AI111143 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI GLICKMAN, MICHAEL S, NATHAN, CARL FRANCIS · 2014 to 2020
$48.6M
Vanderbilt-Emory-Cornell-Duke Global Health Fellowship Consortium-Expanding Diversity for Global Equity (EDGE)D43TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALIYU, MUKTAR HASSAN, HEIMBURGER, DOUGLAS CORBETT · 2017 to 2021
$6.3M
Sentinel populations and transmission hotspots of isoniazid-resistant tuberculosisK23AI175686 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI Kathleen F Walsh · 2023 to 2026
$782k
FIC NIH HHS D43 TW009337Global Health FellowshipNCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NIAID NIH HHS K23 AI175686NIH HHS U19AI111143
6 · The paper itself

Abstract

backgroundIn 2018 the World Health Organization recommended a switch to an all oral bedaquiline-based second-line regimen for treatment of drug-resistant tuberculosis (DR-TB). How these new second-line regimens fare in comparison to first-line regimens for treatment of drug-sensitive tuberculosis (DS-TB) is not well known.

methodsIn this study, we contemporaneously enrolled subjects with DS-TB (n = 31) or DR-TB (n = 23) and assessed their response to therapy with first-line (rifampin, isoniazid, ethambutol, pyrazinamide) or second-line (bedaquiline, pyrazinamide, levofloxacin, linezolid, clofazimine) regimens, respectively.

resultsWe found that the early bactericidal activity of first- and second-line regimens was similar during the first 2 weeks of therapy as determined by BACTEC MGIT, colony-forming units, and a liquid limiting dilution assay capable of detecting differentially detectable/culturable Mycobacterium tuberculosis. Furthermore, an identical percentage (77.8%) of subjects from the DS-TB and DR-TB cohorts converted to culture negative after 2 months of therapy.

conclusionsDespite presenting with more advanced disease at time of treatment, subjects with DR-TB receiving an all oral bedaquiline-based second-line treatment regimen displayed a similar microbiological response to therapy as subjects with DS-TB receiving a first-line treatment regimen.

Indexed as

Antitubercular AgentsClofazimineDiarylquinolinesLevofloxacinLinezolidMycobacterium tuberculosisPyrazinamideAdultAgedDrug Therapy, CombinationFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedRifampinAntitubercular AgentsbedaquilineClofazimineDiarylquinolinesLevofloxacinLinezolidPyrazinamideRifampindiarylquinolineEBAfluoroquinoloneMDRtreatment shortening

Identifiers

PMID38060827
PMCPMC11326837
OpenAlexW4389426635

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.