Evidence map›Paper›PMID 41920250›Full record

Observational studyInfection2026

Treatment outcomes of clofazimine-containing regimens in Mycobacterium avium complex pulmonary disease: a retrospective study from two European reference centers.

Serena Piccirillo, Niccolò Riccardi, Giovanni Fumagalli, Jakko van Ingen, Cynthia van Arkel, Maurizio Ferrarese, Alice Repossi, Marco Mantero, Francesco Blasi, Luigi Ruffo Codecasa

Abstract readObservational Study
In one paragraph

Observational study in Infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Serena PiccirilloDepartment of Pathophysiology and Transplantation, Università Degli Studi Di Milano, Milan, Italy. piccirillo.serena@libero.it.
Niccolò RiccardiASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Giovanni FumagalliASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Jakko van IngenRadboud Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Cynthia van ArkelDepartment of Pulmonary Diseases, Radboudumc Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Maurizio FerrareseASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Alice RepossiASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Marco ManteroDepartment of Pathophysiology and Transplantation, Università Degli Studi Di Milano, Milan, Italy.
Francesco BlasiDepartment of Pathophysiology and Transplantation, Università Degli Studi Di Milano, Milan, Italy.
Luigi Ruffo CodecasaASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMycobacterium avium complex (MAC) is the major cause of nontuberculous mycobacterial pulmonary disease (NTM-PD) and clofazimine is increasingly used as an adjunctive therapy. We evaluated outcomes and tolerability of clofazimine-containing regimens in MAC-PD across two European centers.

methodsRetrospective observational study of MAC-PD treated from 2020 to 2024 in Milan (Italy) and Nijmegen (Netherlands). Diagnosis followed ATS/ERS/ESCMID/IDSA and BTS criteria. Clinical, radiological and microbiological data were collected. Outcomes included treatment completion, mortality and adverse drug events (ADEs).

resultsA total of 90 cases were included (74% female, median age 68 years). Disease patterns differed by center, with nodular-bronchiectatic forms prevailing in Milan and fibrocavitary disease in Nijmegen. Clofazimine discontinuation due to ADEs occurred in 14%. Overall, 74% completed therapy and mortality was 8%.

conclusionClofazimine-containing regimens showed acceptable safety and favorable outcomes in diverse European MAC-PD populations, supporting its role as a valuable adjunct in MAC-PD management.

Indexed as

Anti-Bacterial AgentsClofazimineLung DiseasesMycobacterium avium ComplexMycobacterium avium-intracellulare InfectionAgedFemaleHumansItalyMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnti-Bacterial AgentsClofazimineClofazimineDrug tolerabilityMycobacterium avium complexNontuberculous mycobacteriaPulmonary diseaseReal-life evidenceTreatment outcomes

Identifiers

PMID41920250
PMCPMC13323095

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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.