Evidence map›Paper›PMID 42740774›Full record

SynthesisRespiratory research & clinical practice2026

Safety and tolerability of linezolid to treat tuberculosis: a systematic review and meta-analysis.

Mehrnaz Amiri, Mahdis Cheraghi, Nasim Ghafari, Mohammad Javad Nasiri, Denise Rossato Silva, Lia D'Ambrosio, Rosella Centis, Simone Villa, Ananthu James, Emanuele Pontali and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Respiratory research & clinical practice, 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

11 authors.

Mehrnaz Amiri. Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0009-0000-2938-6347
Mahdis Cheraghi. Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-0768-3089
Nasim Ghafari. Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0009-0009-6231-5036
Mohammad Javad Nasiri. Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-3279-0671
Denise Rossato Silva. Faculdade de Medicina, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS) Brasil.ORCID 0000-0003-0230-2734
Lia D'Ambrosio. Public Health Consulting Group, Lugano, Switzerland.ORCID 0000-0002-7000-5777
Rosella Centis. Servizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri - IRCCS - Tradate, Italia.ORCID 0000-0002-8551-3598
Simone Villa. Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italia.ORCID 0000-0002-0753-8853
Ananthu James. mDrift Technologies, Rotterdam, The Netherlands.ORCID 0000-0002-2562-347X
Emanuele Pontali. S. C. Malattie Infettive, Ospedali Galliera, Genova, Italia.ORCID 0000-0002-1085-0442
Giovanni Battista Migliori. Servizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri - IRCCS - Tradate, Italia.ORCID 0000-0002-2597-574X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In a previous review, we summarized the safety of linezolid-containing regimens to treat rifampin-resistant/multidrug-resistant tuberculosis (RR/MDR-TB), underscoring the persistent need for shorter and safer regimens. The objective of the present study was to explore the safety and tolerability directly attributable to linezolid in regimens designed to treat RR/MDR-TB in studies published between 2009 and 2025. Methods: We searched PubMed/MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, Scopus, and Web of Science for studies reporting on the safety and tolerability of linezolid since it was introduced as a repurposed drug in the treatment of tuberculosis. Results: A total of 22 studies (including 26 arms) were identified, with a total of 3,014 patients. There was significant variation in geographic distribution, sample size (range, 8-655), linezolid dose (range, 300-1,200 mg), duration, and other core variables. The pooled rate of favorable outcomes among cohort studies (cure or treatment completion) was = 80.1%. Hematologic disorders (including anemia, thrombocytopenia, and leukopenia, in 33.1%) and peripheral neuropathy (in 33.9%) were the most common adverse events (AEs), followed by psychiatric and neurological disorders (in 12.3%), myalgia (in 7.0%), optic neuropathy (in 7.8%), gastrointestinal events (in 1.9%), ototoxicity (in 2.9%), and rash (in 1.0%). Serious AEs were rarely reported. Conclusions: Although the recommended linezolid-containing regimens are considered safe, linezolid still causes frequent and severe AEs. A new drug with similar characteristics but lower toxicity will significantly improve the safety of antituberculosis regimens, with improved adherence and treatment outcomes.

Indexed as

Antitubercular AgentsLinezolidTuberculosis, Multidrug-ResistantHumansAntitubercular AgentsLinezolidadverse drug reactionsdrug toleranceLinezolidTuberculosis, multidrug-resistantTuberculosis, pulmonary

Identifiers

PMID42740774
PMCPMC13568797

What OpenQuestion holds

Textmetadata
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.