Evidence Hub

Safety of high dose bedaquiline treatment in patients with extensively drug-resistant tuberculosis

M. Peterka, David Krieger, Elham Khatamzas, C. Denkinger, Niklas Köhler, C. Lange, Martin Macholz, C. Lübbert et al.

European Respiratory Journal, 2025

Abstract

Extract Bedaquiline (Bdq) was authorised for the treatment of multidrug-resistant (MDR) tuberculosis (TB) in 2014 in Europe. It is part of the preferred BPaLM regimen (Bdq, pretomanid, linezolid (Lzd), moxifloxacin (Mfx)), of individualised MDR-TB treatment and new MDR-TB regimens recommended by the recently updated World Health Organization guidelines [1]. Most trials aiming to develop new regimens for drug-resistant TB include Bdq, making it the most important drug at present. Shareable abstract In XDR-TB cases with low-level bedaquiline resistance, higher bedaquiline dosing is discussed when other options are limited. This series of 5 cases provides the first safety data, supporting further research on individualised Bdq dosing for XDR-TB cases. https://bit.ly/4922qbI

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free