1. The present state of the tuberculosis drug development pipeline.
- Author
-
J Libardo MD, Boshoff HI, and Barry CE 3rd
- Subjects
- Animals, Drug Development methods, Drug Resistance drug effects, Drug Therapy, Combination methods, Humans, Antitubercular Agents pharmacology, Antitubercular Agents therapeutic use, Tuberculosis drug therapy
- Abstract
Tuberculosis now ranks as the leading cause of death in the world due to a single infectious agent. Current standard of care treatment can achieve very high cure rates for drug-sensitive disease but requires a 6-month duration of chemotherapy. Drug-resistant disease requires significantly longer treatment durations with drugs associated with a higher risk of adverse events. Thus, there is a pressing need for a drug regimen that is safer, shorter in duration and superior to current front-line chemotherapy in terms of efficacy. The TB drug pipeline contains several candidates that address one or more of the required attributes of chemotherapeutic regimens that may redefine the standard of care of this disease. Several new drugs have been reported and novel targets have been identified allowing regimens containing new compounds to trickle into clinical studies. Furthermore, a recent paradigm-shift in understanding the pharmacokinetics of anti-tubercular drugs is revolutionizing the way we select compounds for clinical progression., (Published by Elsevier Ltd.)
- Published
- 2018
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