Comparative Efficacy of Rifapentine Alone and in Combination with Isoniazid for Latent Tuberculosis Infection: a Translational Pharmacokinetic-Pharmacodynamic Modeling Study.

latent TB latent infection pharmacokinetics-pharmacodynamics population pharmacokinetics rifapentine translational pharmacology tuberculosis

Journal

Antimicrobial agents and chemotherapy
ISSN: 1098-6596
Titre abrégé: Antimicrob Agents Chemother
Pays: United States
ID NLM: 0315061

Informations de publication

Date de publication:
17 11 2021
Historique:
pubmed: 5 10 2021
medline: 15 12 2021
entrez: 4 10 2021
Statut: ppublish

Résumé

Rifapentine has facilitated treatment shortening for latent tuberculosis infection (LTBI) in combination with isoniazid once weekly for 3 months (3HP) or daily for 1 month (1HP). Our objective was to determine the optimal rifapentine dose for a 6-week monotherapy regimen (6wP) and predict clinical efficacy. Rifapentine and isoniazid pharmacokinetics were simulated in mice and humans. Mouse lung CFU data were used to characterize exposure-response relationships of 1HP, 3HP, and 6wP and translated to predict clinical efficacy. A 600-mg daily dose for 6wP delivered greater cumulative rifapentine exposure than 1HP or 3HP. The maximum regimen effect (

Identifiants

pubmed: 34606336
doi: 10.1128/AAC.01705-21
pmc: PMC8597776
doi:

Substances chimiques

Antitubercular Agents 0
Isoniazid V83O1VOZ8L
Rifampin VJT6J7R4TR
rifapentine XJM390A33U

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0170521

Subventions

Organisme : NIAID NIH HHS
ID : P30 AI094189
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI111992
Pays : United States
Organisme : HHS | National Institutes of Health (NIH)
ID : 1P30AI094189
Organisme : HHS | National Institutes of Health (NIH)
ID : R01-AI111992
Organisme : NIGMS NIH HHS
ID : T32 GM007546
Pays : United States
Organisme : FDA HHS
ID : U18 FD004004
Pays : United States
Organisme : HHS | U.S. Food and Drug Administration (FDA)
ID : U18-FD004004
Organisme : NIGMS NIH HHS
ID : T32 GM007175
Pays : United States
Organisme : HHS | Centers for Disease Control and Prevention (CDC)
ID : CDC 09FED07950

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Auteurs

Kendra K Radtke (KK)

University of California, San Franciscogrid.266102.1, Department of Bioengineering and Therapeutic Sciences, San Francisco, California, USA.

Jacqueline P Ernest (JP)

University of California, San Franciscogrid.266102.1, Department of Bioengineering and Therapeutic Sciences, San Francisco, California, USA.

Nan Zhang (N)

University of California, San Franciscogrid.266102.1, Department of Bioengineering and Therapeutic Sciences, San Francisco, California, USA.

Nicole C Ammerman (NC)

Johns Hopkins Universitygrid.21107.35, Center for Tuberculosis Research, Baltimore, Maryland, USA.
Erasmus MCgrid.5645.2, University Medical Center Rotterdam, Department of Medical Microbiology and Infectious Diseases, Rotterdam, The Netherlands.

Eric Nuermberger (E)

Johns Hopkins Universitygrid.21107.35, Center for Tuberculosis Research, Baltimore, Maryland, USA.

Robert Belknap (R)

Denver Health and Hospital Authority, Denver, Colorado, USA.

Rosanna Boyd (R)

Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Timothy R Sterling (TR)

Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

Rada M Savic (RM)

University of California, San Franciscogrid.266102.1, Department of Bioengineering and Therapeutic Sciences, San Francisco, California, USA.

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Classifications MeSH