Lesion Penetration and Activity Limit the Utility of Second-Line Injectable Agents in Pulmonary Tuberculosis

Author:

Ernest Jacqueline P.1,Sarathy Jansy2,Wang Ning2,Kaya Firat2,Zimmerman Matthew D.2,Strydom Natasha1,Wang Han2,Xie Min2,Gengenbacher Martin23ORCID,Via Laura E.45,Barry Clifton E.45,Carter Claire L.2,Savic Radojka M.1ORCID,Dartois Véronique23ORCID

Affiliation:

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

2. Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA

3. Hackensack School of Medicine, Hackensack Meridian Health, Nutley, New Jersey, USA

4. Tuberculosis Research Section, Laboratory of Clinical Immunology and Microbiology, NIAID, NIH, Bethesda, Maryland, USA

5. Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Observatory, South Africa

Abstract

Amikacin and kanamycin are second-line injectables used in the treatment of multidrug-resistant tuberculosis (MDR-TB) based on the clinical utility of streptomycin, another aminoglycoside and first-line anti-TB drug. While streptomycin was tested as a single agent in the first controlled TB clinical trial, introduction of amikacin and kanamycin into MDR-TB regimens was not preceded by randomized controlled trials.

Funder

Bill and Melinda Gates Foundation

HHS | NIH | National Institute of Allergy and Infectious Diseases

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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