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Efficacy and Safety Rifapentine-Containing Regimen for Drug Sensitive Tuberculosis: Systematic Review and Meta-Analysis

R. S. Deanasa, A. Simanjuntak, Fara Syafira, P. M. Afladhanti, Anisa Hawari, N. Riviati

Pneumon, 2024

3 citations

Abstract

resistant TB with approximately 410000 cases of multidrug resistant/rifampicin-resistant TB globally 3 .Therefore, tuberculosis treatment needs to be carried out in a shorter and easier manner than the current six-month daily regimen, thereby increasing adherence and potentially reducing adverse drug effects 1,4,5 .Rifapentine, a cyclopentyl ring-substituted rifamycin with a longer half-life than rifampicin, is active against M. tuberculosis.Therefore, the potential of rifapentine for enhanced treatment has been explored.The US Food and Drug Administration approved rifapentine for the treatment of active tuberculosis, at a dose of 1200 mg weekly in combination with other antituberculosis drugs 6,7 .Preclinical research on mouse models has demonstrated that three months of daily rifapentine therapy is sufficient to cure patients.In tuberculosis treatment, the rifapentinebased regimen for 4 months containing moxifloxacin was not inferior to the standard regimen for 6 months 8,9 .The combination of rifapentine and moxifloxacin was active in ABSTRACT INTRODUCTION Newer regimens are needed and expected to have a shorter therapeutic time to increase drug adherence to completion in drug sensitive tuberculosis (DS-TB) patients. METHODSWe conducted first a systematic review and meta-analysis of prior studies to evaluate the effectiveness of rifapentine-containing regimens in treating DS-TB patients.Various search engines and keywords based on the PICOS framework for article selection…

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