Evidence map›Paper›PMID 41193247›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2025

A systematic review of tetracyclines for nontuberculous mycobacteria: focus on rapidly growing mycobacteria.

Charles L Daley, Patrick A Flume, Jakko van Ingen, Reeti Khare, Christina M Mingora, Minh-Vu H Nguyen, Kevin L Winthrop, B Shoshana Zha

Abstract readSystematic Review
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2025. 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
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. CutaneousMicroorganisms · 2026
    Article
  4. Article
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

8 authors.

Charles L DaleyDepartment of Medicine, Division of Mycobacterial and Respiratory Infections, National Jewish Health, Denver, CO, USA daleyc@njhealth.org.ORCID https://orcid.org/0000-0003-3324-926X
Patrick A FlumeMedical University of South Carolina, Charleston, SC, USA.
Jakko van IngenRadboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-0581-2003
Reeti KhareDepartment of Medicine, Division of Mycobacterial and Respiratory Infections, National Jewish Health, Denver, CO, USA.
Christina M MingoraMedical University of South Carolina, Charleston, SC, USA.
Minh-Vu H NguyenDivision of Infectious Diseases, Department of Internal Medicine, University of California, Davis Health, Sacramento, CA, USA.ORCID https://orcid.org/0000-0001-7598-7362
Kevin L WinthropSchool of Public Health, Oregon Health and Science University-Portland State University, Portland, OR, USA.
B Shoshana ZhaDivision of Experimental Medicine, Department of Medicine, University of California, San Francisco, CA, USA.

Funding

The South Carolina Clinical & Translational Research Institute (SCTR)UM1TR005294 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, PATRICK A FLUME · 2025 to 2026
$7.6M
NCATS NIH HHS UM1 TR005294
6 · The paper itself

Abstract

backgroundThe incidence and prevalence of disease caused by nontuberculous mycobacteria (NTM) are increasing globally, yet treatment regimens remain complex and often ineffective. Newer tetracyclines have shown promise as a potent therapeutic. In this systematic review, we assessed the evidence for the use of tetracyclines for the treatment of NTM disease, complemented by a narrative review of nonclinical data.

methodsMedline (PubMed) and Web of Science were searched from inception to February 2024 for clinical studies that assessed the safety, tolerability or efficacy of tetracyclines for NTM disease. Search results were screened against pre-defined inclusion and exclusion criteria. Nonclinical data were identified using a targeted literature search and are presented in a narrative synthesis.

resultsA total of 89 citations were included, comprising 43 clinical studies (six prospective observational studies, 18 retrospective studies and 19 case series) and 46 nonclinical studies. Nonclinical studies demonstrated potent

conclusionsThere remains a significant unmet need for effective, well-tolerated therapies for the treatment of NTM, especially those that improve quality of life. Although tetracyclines have not been evaluated in RCTs, clinical evidence suggests that tetracyclines may contribute to the efficacy of combination regimens used to treat NTM disease and further RCTs are warranted.

Indexed as

Anti-Bacterial AgentsMycobacterium Infections, NontuberculousNontuberculous MycobacteriaTetracyclinesHumansTreatment OutcomeAnti-Bacterial AgentsTetracyclines

Identifiers

PMID41193247
PMCPMC12588081

What OpenQuestion holds

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Registered trials

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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.