Sterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.

<h4>Rationale</h4>The sterilizing activity of the regimen used to treat multidrug resistant tuberculosis (MDR TB) has not been studied in a mouse model.<h4>Objective and methods</h4>Swiss mice were intravenously inoculated with 6 log10 of Mycobacterium tuberculosis (TB) strai...

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Autores principales: Nicolas Veziris, Murad Ibrahim, Nacer Lounis, Koen Andries, Vincent Jarlier
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Publicado: Public Library of Science (PLoS) 2011
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spelling oai:doaj.org-article:5b41338aa1a849aea4a30571471ea5352021-11-18T06:57:48ZSterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.1932-620310.1371/journal.pone.0017556https://doaj.org/article/5b41338aa1a849aea4a30571471ea5352011-03-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21408613/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Rationale</h4>The sterilizing activity of the regimen used to treat multidrug resistant tuberculosis (MDR TB) has not been studied in a mouse model.<h4>Objective and methods</h4>Swiss mice were intravenously inoculated with 6 log10 of Mycobacterium tuberculosis (TB) strain H37Rv, treated with second-line drug combinations with or without the diarylquinoline TMC207, and then followed without treatment for 3 more months to determine relapse rates (modified Cornell model).<h4>Measurements</h4>Bactericidal efficacy was assessed by quantitative lung colony-forming unit (CFU) counts. Sterilizing efficacy was assessed by measuring bacteriological relapse rates 3 months after the end of treatment.<h4>Main results</h4>The relapse rate observed after 12 months treatment with the WHO recommended MDR TB regimen (amikacin, ethionamide, pyrazinamide and moxifloxacin) was equivalent to the relapse rate observed after 6 months treatment with the recommended drug susceptible TB regimen (rifampin, isoniazid and pyrazinamide). When TMC207 was added to this MDR TB regimen, the treatment duration needed to reach the same relapse rate dropped to 6 months. A similar relapse rate was also obtained with a 6-month completely oral regimen including TMC207, moxifloxacin and pyrazinamide but excluding both amikacin and ethionamide.<h4>Conclusions</h4>In this murine model the duration of the WHO MDR TB treatment could be reduced to 12 months instead of the recommended 18-24 months. The inclusion of TMC207 in the WHO MDR TB treatment regimen has the potential to further shorten the treatment duration and at the same time to simplify treatment by eliminating the need to include an injectable aminoglycoside.Nicolas VezirisMurad IbrahimNacer LounisKoen AndriesVincent JarlierPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 3, p e17556 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Nicolas Veziris
Murad Ibrahim
Nacer Lounis
Koen Andries
Vincent Jarlier
Sterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.
description <h4>Rationale</h4>The sterilizing activity of the regimen used to treat multidrug resistant tuberculosis (MDR TB) has not been studied in a mouse model.<h4>Objective and methods</h4>Swiss mice were intravenously inoculated with 6 log10 of Mycobacterium tuberculosis (TB) strain H37Rv, treated with second-line drug combinations with or without the diarylquinoline TMC207, and then followed without treatment for 3 more months to determine relapse rates (modified Cornell model).<h4>Measurements</h4>Bactericidal efficacy was assessed by quantitative lung colony-forming unit (CFU) counts. Sterilizing efficacy was assessed by measuring bacteriological relapse rates 3 months after the end of treatment.<h4>Main results</h4>The relapse rate observed after 12 months treatment with the WHO recommended MDR TB regimen (amikacin, ethionamide, pyrazinamide and moxifloxacin) was equivalent to the relapse rate observed after 6 months treatment with the recommended drug susceptible TB regimen (rifampin, isoniazid and pyrazinamide). When TMC207 was added to this MDR TB regimen, the treatment duration needed to reach the same relapse rate dropped to 6 months. A similar relapse rate was also obtained with a 6-month completely oral regimen including TMC207, moxifloxacin and pyrazinamide but excluding both amikacin and ethionamide.<h4>Conclusions</h4>In this murine model the duration of the WHO MDR TB treatment could be reduced to 12 months instead of the recommended 18-24 months. The inclusion of TMC207 in the WHO MDR TB treatment regimen has the potential to further shorten the treatment duration and at the same time to simplify treatment by eliminating the need to include an injectable aminoglycoside.
format article
author Nicolas Veziris
Murad Ibrahim
Nacer Lounis
Koen Andries
Vincent Jarlier
author_facet Nicolas Veziris
Murad Ibrahim
Nacer Lounis
Koen Andries
Vincent Jarlier
author_sort Nicolas Veziris
title Sterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.
title_short Sterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.
title_full Sterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.
title_fullStr Sterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.
title_full_unstemmed Sterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.
title_sort sterilizing activity of second-line regimens containing tmc207 in a murine model of tuberculosis.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/5b41338aa1a849aea4a30571471ea535
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AT nacerlounis sterilizingactivityofsecondlineregimenscontainingtmc207inamurinemodeloftuberculosis
AT koenandries sterilizingactivityofsecondlineregimenscontainingtmc207inamurinemodeloftuberculosis
AT vincentjarlier sterilizingactivityofsecondlineregimenscontainingtmc207inamurinemodeloftuberculosis
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