Evidence map›Paper›PMID 42059380›Full record

ArticleAntimicrobial agents and chemotherapy2026

Bedaquiline reloading strategies following interruptions during daily dosing.

Nienke Kikstra, Stijn W van Beek, Gary Maartens, James C M Brust, Elin M Svensson, Simon E Koele

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Nienke KikstraDepartment of Pharmacy, Pharmacology and Toxicology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0009-0006-1785-2797
Stijn W van BeekPharmetheus AB, Uppsala, Sweden.
Gary MaartensWellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0003-3080-6606
James C M BrustDivisions of General Internal Medicine and Infectious Diseases, Albert Einstein College of Medicine, Bronx, New York, USA.
Elin M SvenssonDepartment of Pharmacy, Pharmacology and Toxicology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-0093-6445
Simon E KoeleDepartment of Pharmacy, Pharmacology and Toxicology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-7011-667X

Funding

Safety, pharmacokinetics, and resistance to bedaquiline in XDR TB and HIVR01AI114304 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BRUST, JAMES C M · 2015 to 2019
$3.7M
Emergence of bedaquiline and clofazimine resistance after interruption of drug-resistant TB therapy in a high HIV prevalence settingR01AI145679 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI BRUST, JAMES C M · 2020 to 2025
$3.6M
Mentoring of multidisciplinary global health research in tuberculosis and HIVK24AI155045 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI BRUST, JAMES C M · 2020 to 2025
$889k
Einstein-Rockefeller-CUNY Center for AIDS Research, Albert Einstein College of Medicine P30AI124414NIH HHS K24AI155045NIH HHS R01AI114304NIH HHS R01AI145679Wellcome Centre for Infectious Diseases Research in Africa 203135/Z/16/Z
6 · The paper itself

Abstract

Once-daily bedaquiline therapy is a WHO-listed alternative to thrice-weekly dosing for rifampicin-resistant tuberculosis, but, contrary to the thrice-weekly schedule, no guidance exists for treatment re-initiation after interruption. Using a population pharmacokinetic model, we simulated bedaquiline and M2 exposure under various interruption and reloading scenarios. Reloading strategies tailored to interruption duration restored bedaquiline exposure without clinically relevant increases in M2 peak concentrations, providing practical guidance for safe and effective treatment resumption of once-daily bedaquiline therapy.

Indexed as

Antitubercular AgentsDiarylquinolinesTuberculosis, Multidrug-ResistantDrug Administration ScheduleHumansMycobacterium tuberculosisRifampinTreatment InterruptionAntitubercular AgentsbedaquilineDiarylquinolinesRifampinbedaquilineinterruptionspharmacokineticsreloadingtuberculosis

Identifiers

PMID42059380
PMCPMC13231907

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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.