Evidence map›Paper›PMID 41080099›Full record

ArticleThe Pan African medical journal2025

Treatment outcomes among patients with drug-resistant tuberculosis managed with BPaL/BPaLM regimen in the Southeast Zone of Nigeria.

George Ikpe, Shadrach Dimang, Ufuoma Aduh, Peter Idowu Omoniyi, Ugochukwu Chukwulobelu, Charles Okafor, Emperor Ubochioma, Nneka Nwali, Godswill Nwokocha

Abstract read
In one paragraph

Article in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

9 authors.

George IkpeNational Tuberculosis, Leprosy and Buruli Ulcer Control Program, Abuja, Nigeria.
Shadrach DimangNational Tuberculosis, Leprosy and Buruli Ulcer Control Program, Abuja, Nigeria.
Ufuoma AduhWorld Health Organization, Abuja, Nigeria.
Peter Idowu OmoniyiAfrican Centers for Disease Control and Prevention, Abuja, Nigeria.
Ugochukwu ChukwulobeluAnambra State Tuberculosis, Leprosy and Buruli Ulcer, Control Program, Anambra, Nigeria.
Charles OkaforImo State Tuberculosis, Leprosy and Buruli Ulcer Control Program, Imo, Nigeria.
Emperor UbochiomaNational Tuberculosis, Leprosy and Buruli Ulcer Control Program, Abuja, Nigeria.
Nneka NwaliEbonyi State Tuberculosis, Leprosy and Buruli Ulcer Control Program, Ebonyi, Nigeria.
Godswill NwokochaAbia State Tuberculosis, Leprosy and Buruli Ulcer Control Program, Abia, Nigeria.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Introduction: the treatment of multidrug-resistant tuberculosis (MDR-TB) has been challenging, often associated with life-threatening adverse events and poor treatment outcomes. The recent World Health Organization (WHO) recommendation of the BPaLM regimen, consisting of bedaquiline, pretomanid, linezolid, and moxifloxacin for treatment of pre-extensively drug-resistant tuberculosis (Pre-XDR) and rifampicin-resistant tuberculosis (MDR-TB/RR), has been shown to have favorable treatment outcomes. This study focused on the outcomes of patients managed with this regimen in the southeastern zone of Nigeria between November 2023 and October 2024, following approval by the National Tuberculosis and Leprosy Control Program (NTBLCP) in November 2023. Methods: patient demographic and clinical data were collected from DR-TB treatment registers, active drug safety monitoring forms (aDSM), and laboratory registers using an abstraction tool. Data were analyzed using descriptive statistics such as frequency and percentages for variables such as age, gender, adverse events, new and retreatment cases, treatment outcomes such as completed treatment, cured, loss to follow-up (LTFU), and death. Results: out of the 212 patients enrolled for treatment during the period, 202 patients were treated for MDR-TB/RR with BPaLM, while 10 were treated for Pre-XDR with BPaL. The TSR for the MDR-TB/RR category is 89%, while the TSR for the Pre-XDR category is 100%. More than 6.7% of the patients in the MDR-TB/RR category were LFTU, and another 6.7% died. Over 86% of the patients treated had no documentation for adverse events, while 54% of the MDR-TB/RR cases were new cases. Conclusion: using the BPaLM regimen for DR-TB treatment results in favorable patient outcomes.

Indexed as

Antitubercular AgentsTuberculosis, Multidrug-ResistantAdolescentAdultAgedDrug Therapy, CombinationFemaleHumansLinezolidLost to Follow-UpMaleMiddle AgedMoxifloxacinNigeriaTreatment OutcomeYoung AdultAntitubercular AgentsLinezolidMoxifloxacinBPaLM regimenmultidrug-resistant tuberculosisTreatment outcomes

Identifiers

PMID41080099
PMCPMC12512209

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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.