Evidence mapPaperPMID 39287783Full record

ArticleEuropean journal of clinical pharmacology2024

Pharmacokinetics-pharmacodynamics of first-line antitubercular drugs: a comparative study in tuberculosis patients with and without concomitant diabetes mellitus.

Sourav Mondal, Vandana Roy, Girish Gulab Meshram, Ashwani Khanna, Thirumurthy Velpandian, Sandeep Garg

Abstract readComparative Study
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Article in European journal of clinical pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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4 · The record

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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.

Sourav MondalDepartment of Pharmacology, Maulana Azad Medical College, New Delhi, 110002, India.
Vandana RoyDepartment of Pharmacology, Maulana Azad Medical College, New Delhi, 110002, India. roy.vandana@gmail.com.
Girish Gulab MeshramDepartment of Pharmacology, Maulana Azad Medical College, New Delhi, 110002, India.
Ashwani KhannaTB and Chest Clinic, Lok Nayak Hospital, New Delhi, 110002, India.
Thirumurthy VelpandianDepartment of Ocular Pharmacology and Pharmacy Division of Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029, India.
Sandeep GargDepartment of General Medicine, Maulana Azad Medical College, New Delhi, 110002, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo observe the variability in the plasma concentrations and pharmacokinetic-pharmacodynamic (PK-PD) profiles of first-line antitubercular drugs in pulmonary tuberculosis (TB) patients with and without diabetes mellitus (DM).

methodsNewly diagnosed pulmonary TB patients aged 18-60 years with or without DM were included in the study. Group I (n = 20) included patients with TB, whereas group II (n = 20) included patients with both TB and DM. After 2 weeks of therapy, plasma concentrations and other PK-PD parameters were determined. Improvements in clinical features, X-ray findings, sputum conversion, and adverse drug reactions (ADRs) were assessed after 2 months of therapy.

resultsIsoniazid displayed non-significantly higher plasma concentrations in diabetic patients, along with a significantly (P < 0.05) longer elimination half-life (t

conclusionsThe presence of DM in TB patients affects the PK-PD parameters of isoniazid, rifampicin, pyrazinamide, and ethambutol variably in the Indian population. Studies with a larger number of patients are required to further elucidate the role of DM on the PK-PD profile of first-line antitubercular drugs and treatment outcomes in TB patients with concomitant DM.

trial registrationCTRI/2021/08/035578 dated 11/08/2021.

Indexed as

Antitubercular AgentsDiabetes MellitusTuberculosis, PulmonaryAdolescentAdultArea Under CurveEthambutolFemaleHalf-LifeHumansIsoniazidMaleMicrobial Sensitivity TestsMiddle AgedPyrazinamideRifampinAntitubercular AgentsEthambutolIsoniazidPyrazinamideRifampinAntitubercular drugsDiabetes mellitusPharmacodynamicsPharmacokinetics

Identifiers

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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 Socratic graph.