Evidence map›Paper›PMID 40437360›Full record

Trial reportBMC infectious diseases2025

DRTB-HDT: a randomized controlled trial of two adjunctive host-directed therapies in rifampin-resistant tuberculosis.

Nestani Tukvadze, Sehlomola Mashatole, Anne Jacobs, Tlhago Ngwanto, Norbert Heinrich, Annelies Van Rie, Valeriu Crudu, Elena Tudor, Leila Goginashvili, Elmira Ibraim and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Anti-TB Drugs for Drug-Sensitive and Drug-ResistantCurrent issues in molecular biology · 2025
    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

17 authors.

Nestani TukvadzeSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123, Allschwil, Switzerland. nestani.tukvadze@swisstph.ch.
Sehlomola MashatoleThe Aurum Institute NPC, 29 Queens Road, Parktown, 2193, Johannesburg, South Africa.
Anne JacobsSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123, Allschwil, Switzerland.
Tlhago NgwantoThe Aurum Institute NPC, 29 Queens Road, Parktown, 2193, Johannesburg, South Africa.
Norbert HeinrichLudwig-Maximilians-Universitaet, Geschwister-Scholl-Platz 1, 80539, Munich, Germany.
Annelies Van RieUniversity of Antwerp, Prinsstraat 13, 2000, Antwerp, Belgium.
Valeriu CruduInstitutia Medico Sanitara Publica - Institutul de Pneumologie, "Chiril Draganuic" 13 Virnav Street, Chisinau, MD-2025, Moldova.
Elena TudorInstitutia Medico Sanitara Publica - Institutul de Pneumologie, "Chiril Draganuic" 13 Virnav Street, Chisinau, MD-2025, Moldova.
Leila GoginashviliNational Center for Tuberculosis and Lung Diseases, 8 Adjara Street, 0101, Tbilisi, Georgia.
Elmira IbraimInstitutul de Pneumoftiziologie Marius Nasta, Sos. Viilor Nr. 90 Sector 5 CP, Bucharest, Romania.
Celso KhosaInstituto Nacional de Saúde, EN1, Barrio da Vila - Parcela N. 3943, Distrito de Marracuene Provinicia de Maputo, Maputo, Mozambique.
Pauline HowellWITS Health Consortium, 31 Princess of Wales Terrace, Parktown, 2193, Johannesburg, South Africa.
Shakira RajaramWITS Health Consortium, 31 Princess of Wales Terrace, Parktown, 2193, Johannesburg, South Africa.
Kinita NaidooWITS Health Consortium, 31 Princess of Wales Terrace, Parktown, 2193, Johannesburg, South Africa.
Stefan NiemannForschungszentrum Borstel Leibniz Lungenzentrum, Parkallee 1-40, 23845, Borstel, Germany.
Klaus ReitherSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123, Allschwil, Switzerland.
Robert S WallisThe Aurum Institute NPC, 29 Queens Road, Parktown, 2193, Johannesburg, South Africa.

Funding

European Union's Horizon 2020 research and innovation programme No 847465
6 · The paper itself

Abstract

backgroundTuberculosis (TB) is a leading cause of morbidity and mortality worldwide. Current TB treatments are inadequate, requiring participants closely adhere to multi-drug regimens that are long, complex, and often poorly tolerated. In addition to these well-recognized shortcomings, current TB treatments, particularly those for rifampicin-resistant tuberculosis, leave a majority of cured participants with permanent, clinically significant lung impairment and radiographic evidence of bronchiectasis and fibrosis. This project will determine if two adjunctive host-directed therapies (HDTs) can prevent these poor outcomes.

methodsThree hundred thirty participants with RIF-R TB and baseline risk factors for poor outcome will be enrolled in a randomized, controlled, 3-armed multi-centre trial, with clinical sites in Romania, Moldova, Georgia, Mozambique, and South Africa. All participants will receive standard multidrug therapy according to national guidelines. Those participants randomized to the experimental arms will in addition receive either CC-11050 (dovramilast) or metformin. Co-primary efficacy endpoints will examine effects on lung function (measured by spirometry) and infection (measured as time to stable sputum culture conversion). A sub-study will examine quantitative change in lung radiodensity by CT scan. DISCUSSION: These selected host-directed therapies candidates represent two complementary strategies: reducing inflammation vs inducing host cell anti-microbial activity, respectively. Both candidates are supported by data from preclinical and clinical studies. If successful, this ground-breaking project will increase Europe's capacity to control drug resistant tuberculosis by developing new treatments that increase the likelihood of cure and reduce the risk of life-long disability.

trial registrationEudraCT Number: 2020-004295-18. South African National Clinical Trial Registration (SANCTR) Number: DOH-27-042021-8345.

Indexed as

Antitubercular AgentsMetforminRifampinTuberculosis, Multidrug-ResistantAdultDrug Therapy, CombinationFemaleHumansMaleMiddle AgedMulticenter Studies as TopicMycobacterium tuberculosisRandomized Controlled Trials as TopicTreatment OutcomeYoung AdultAntitubercular AgentsMetforminRifampinClinical trialDovramilast (CC-11050)Drug Resistant Tuberculosis (DR-TB)Host-directed therapiesMetforminRifampicin-resistant tuberculosis (RR-TB)Tuberculosis

Identifiers

PMID40437360
PMCPMC12117953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.