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Volume 25, Number 5—May 2019
Research

Outcomes of Bedaquiline Treatment in Patients with Multidrug-Resistant Tuberculosis

Lawrence MbuagbawComments to Author , Lorenzo Guglielmetti, Catherine Hewison, Nyasha Bakare, Mathieu Bastard, Eric Caumes, Mathilde Fréchet-Jachym, Jérôme Robert, Nicolas Veziris, Naira Khachatryan, Tinatin Kotrikadze, Armen Hayrapetyan, Zaza Avaliani, Holger J. Schünemann, and Christian Lienhardt
Author affiliations: St. Joseph’s Healthcare Hamilton, Hamilton, Ontario, Canada (L. Mbuagbaw); Centre for the Development of Best Practices in Health, Yaoundé, Cameroon (L. Mbuagbaw); McMaster University, Hamilton (L. Mbuagbaw, H.J. Schünemann); Centre d'Immunologie et des Maladies Infectieuses, INSERM, Paris (L. Guglielmetti, E. Caumes, J. Robert, N. Veziris); Centre Hospitalier de Bligny, Bris-sous-Forges, France (L. Guglielmetti, M. Fréchet-Jachym); Sorbonne Université, Paris, France (L. Guglielmetti, J. Robert, N. Veziris); Médecins Sans Frontières, Paris (C. Hewison); Janssen Research & Development, LLC, Titusville, New Jersey, USA (N. Bakare); Epicentre, Paris (M. Bastard); Hôpitaux Universitaires de l'Est Parisien, Paris (N. Veziris); Médecins Sans Frontières, Yerevan, Armenia (N. Khachatryan); Médecins Sans Frontières, Tbilisi, Georgia (T. Kotrikadze); National Tuberculosis Control Centre, Yerevan (A. Hayrapetyan); National Centre for Tuberculosis and Lung Disease, Tbilisi (Z. Avaliani); World Health Organization, Geneva, Switzerland (C. Lienhardt); Université de Montpellier, Montpellier, France (C. Lienhardt)

Main Article

Table 2

Baseline characteristics of participants in study of bedaquiline treatment for multidrug-resistant tuberculosis*

Variable Cohort
Total, n = 537
South Africa, n = 195 France, n = 45 Janssen, n = 205 Armenia, n = 62 Georgia, n = 30
Mean age, y (SD)
35.8 (11.2)
37.4 (12.1)
34.9 (12.2)
41.6 (12.6)
38.7 (11.9)
36.4 (11.8)
Sex, no. (%)
M 98 (50.3) 36 (80.0) 132 (64.4) 55 (88.7) 21 (70.0) 342 (63.7)
F
97 (49.7)
9 (20.0)
73 (35.6)
7 (11.3)
9 (30.0)
195 (36.3)
Mean no. months on BDQ (SD) 5.8 (1.2) 12.3 (7.0) 5.9 (1.1) 5.6 (1.6) 6.0 (1.3) 6.37 (2.3)
No. on BDQ >6 mo (%)
4 (2.1)
32 (71.1)
0.0
0.0
0.0
36 (6.7)†
Mean total treatment duration, mo (SD)
14.9 (6.7)
19.4 (4.7)
21.8 (7.6)
20.2(7.4)
14.0 (6.1)
18.47 (6.9)†
No. (%) with treatment outcome available 101 (51.8)† 45 (100.0) 205 (100.0) 62 (100.0) 30 (100.0) 443 (82.5)
No. (%) HIV positive‡ 120 (63.1) 2 (4.4) 8 (4.0) 4 (6.5) 1 (3.3) 135 (25.1)
No. (%) on antiretroviral therapy
110 (56.4)
2 (4.4)
0.0
0
0
112 (20.9)
Type of TB, no. (%)
Pulmonary NR 44 (97.8) 205 (100.0) 62 (100.0) 30 (100.0) 341 (99.7)
Extrapulmonary
NR
8 (17.8)
0
0
0
8 (2.3)
No. (%) with previous TB treatment NR 34 (75.6) 193 (94.1) 62 (100.0) 29 (96.7) 271 (79.2)
No. (%) with previous second-line TB treatment NR 27 (60.0) 177 (86.3) 62 (100.0) 29 (96.7) 295 (86.3)
No. (%) with lung cavities on chest radiograph
NR
39 (86.7)
135 (65.8)
55 (88.7)
24 (80.0)
253 (73.9)
Resistance profile, no. (%)§
MDR TB 0 7 (15.6) 93 (45.4) 6 (9.7) 0 100 (18.6)
MDR TB + FQ 73 (37.4) 8 (17.8) 31 (15.1) 26 (41.9) 5 (16.7) 147(27.3)
MDR TB + INJ 29 (14.9) 6 (13.3) 13 (6.3) 7 (11.3) 0 55 (10.2)
XDR TB 77 (39.5) 24 (53.3) 37 (18.0) 23 (37.1) 25 (83.3) 188 (35.0)

*BDQ, bedaquiline; FQ, fluoroquinolone; INJ, injectable; MDR, multidrug resistant; NR, not reported; TB, tuberculosis; XDR, extensively drug resistant.
†Missing data: South Africa = 15.
‡Missing data: South Africa = 17; Janssen (drug manufacturer) = 7.
§Missing data: South Africa = 16; Janssen (drug manufacturer) = 31.

Main Article

Page created: April 18, 2019
Page updated: April 18, 2019
Page reviewed: April 18, 2019
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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