Quantitative assessment of the activity of antituberculosis drugs and regimens.

Expert Rev Anti Infect Ther

a Division of Clinical Pharmacology, Department of Medicine , University of Cape Town, Rondebosch , South Africa.

Published: June 2019

: Identification of optimal drug doses and drug combinations is crucial for optimized treatment of tuberculosis. : An unprecedented level of research activity involving multiple approaches is seeking to improve tuberculosis treatment. This report is a review of the quantitative methods currently used on clinical data sets to identify drug exposure targets and optimal drug combinations for tuberculosis treatment. A high-level summary of the methods, including the strengths and weaknesses of each method and potential methodological improvements is presented. Methods incorporating data generated from multiple sources such as and clinical studies, and their potential to provide better estimates of pharmacokinetic/pharmacodynamic (PK/PD) targets, are discussed. PK/PD relationships identified are compared between different studies and data analysis methods. : The relationships between drug exposures and tuberculosis treatment outcomes are complex and require analytical methods capable of handling the multidimensional nature of the relationships. The choice of a method is guided by its complexity, interpretability of results, and type of data available.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581212PMC
http://dx.doi.org/10.1080/14787210.2019.1621747DOI Listing

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