Page last updated: 2024-10-25

clofazimine and Extensively Drug-Resistant Tuberculosis

clofazimine has been researched along with Extensively Drug-Resistant Tuberculosis in 25 studies

Clofazimine: A fat-soluble riminophenazine dye used for the treatment of leprosy. It has been used investigationally in combination with other antimycobacterial drugs to treat Mycobacterium avium infections in AIDS patients. Clofazimine also has a marked anti-inflammatory effect and is given to control the leprosy reaction, erythema nodosum leprosum. (From AMA Drug Evaluations Annual, 1993, p1619)
clofazimine : 3-Isopropylimino-3,5-dihydro-phenazine in which the hydrogen at position 5 is substituted substituted by a 4-chlorophenyl group, and that at position 2 is substituted by a (4-chlorophenyl)amino group. A dark red crystalline solid, clofazimine is an antimycobacterial and is one of the main drugs used for the treatment of multi-bacillary leprosy. However, it can cause red/brown discolouration of the skin, so other treatments are often preferred in light-skinned patients.

Extensively Drug-Resistant Tuberculosis: Tuberculosis resistant to ISONIAZID and RIFAMPIN and at least three of the six main classes of second-line drugs (AMINOGLYCOSIDES; polypeptide agents; FLUOROQUINOLONES; THIOAMIDES; CYCLOSERINE; and PARA-AMINOSALICYLIC ACID) as defined by the CDC.

Research Excerpts

ExcerptRelevanceReference
"We explored the potential synergistic effect of bedaquiline (BDQ) combined with moxifloxacin (MFX), gatifloxacin (GAT), clofazimine (CLO), and linezolid (LZD) for treatment of extensively drug-resistant tuberculosis (XDR-TB)."7.91No in vitro synergistic effect of bedaquiline combined with fluoroquinolones, linezolid, and clofazimine against extensively drug-resistant tuberculosis. ( Chu, N; Dai, G; Dong, L; Huang, H; Huo, F; Jing, W; Li, Y; Lu, J; Pang, Y; Zong, Z, 2019)
" The pooled proportion of adverse drug reactions requiring discontinuation of Cfz treatment was 0."6.50Safety and availability of clofazimine in the treatment of multidrug and extensively drug-resistant tuberculosis: analysis of published guidance and meta-analysis of cohort studies. ( Dotsenko, S; Falzon, D; Hwang, TJ; Jafarov, A; Jaramillo, E; Keshavjee, S; Lunte, K; Nunn, P; Wares, DF; Weyer, K, 2014)
"Clofazimine was associated with improved culture conversion in the treatment of XDR-TB/HIV."5.40Clofazimine in the treatment of extensively drug-resistant tuberculosis with HIV coinfection in South Africa: a retrospective cohort study. ( Gopal, M; Master, I; Naidoo, K; Naidoo, R; O'Donnell, MR; Padayatchi, N; Werner, L, 2014)
"Large studies on bedaquiline used to treat multidrug-resistant (MDR-) and extensively drug-resistant tuberculosis (XDR-TB) are lacking."3.85Effectiveness and safety of bedaquiline-containing regimens in the treatment of MDR- and XDR-TB: a multicentre study. ( Akkerman, O; Aleksa, A; Alffenaar, JW; Amale, R; Artsukevich, J; Belilovski, E; Borisov, SE; Bruchfeld, J; Caminero, JA; Carpena Martinez, I; Centis, R; Codecasa, L; D'Ambrosio, L; Dalcolmo, M; Davies Forsman, L; Denholm, J; Dheda, K; Douglas, P; Duarte, R; Enwerem, M; Esmail, A; Fadul, M; Filippov, A; Gaga, M; Ganatra, S; Garcia-Fuertes, JA; García-García, JM; González Montaner, P; Gualano, G; Jonsson, J; Kunst, H; Lau, JS; Lazaro Mastrapa, B; Manga, S; Manika, K; Maryandyshev, A; Migliori, GB; Mullerpattan, J; Oelofse, S; Ortelli, M; Palmero, DJ; Palmieri, F; Papalia, A; Papavasileiou, A; Payen, MC; Pontali, E; Robalo Cordeiro, C; Romero Leyet, R; Saderi, L; Sadutshang, TD; Sanukevich, T; Skrahina, A; Solodovnikova, V; Sotgiu, G; Spanevello, A; Teran Troya, JL; Tiberi, S; Topgyal, S; Toscanini, F; Tramontana, AR; Udwadia, ZF; Viggiani, P; White, V; Zumla, A, 2017)
" The pooled proportion of adverse drug reactions requiring discontinuation of Cfz treatment was 0."2.50Safety and availability of clofazimine in the treatment of multidrug and extensively drug-resistant tuberculosis: analysis of published guidance and meta-analysis of cohort studies. ( Dotsenko, S; Falzon, D; Hwang, TJ; Jafarov, A; Jaramillo, E; Keshavjee, S; Lunte, K; Nunn, P; Wares, DF; Weyer, K, 2014)
"Clofazimine (CFZ) is a fat-soluble riminophenazine dye used in the treatment of leprosy worldwide."2.49Systematic review of clofazimine for the treatment of drug-resistant tuberculosis. ( Gopal, M; Metcalfe, JZ; O'Donnell, MR; Padayatchi, N, 2013)
" Weight-based dosing in patients <50 kg and ≥50 kg must be considered to achieve optimal treatment outcomes and reduce adverse events."1.56Dose-related treatment outcomes in South African patients prescribed clofazimine for drug-resistant tuberculosis. ( Misra, N; Naidoo, P; Padayatchi, N, 2020)
" Group 5 anti-tuberculosis drugs have an unclear role in the treatment of drug-resistant TB, and in children the efficacy, safety and effects of long-term use are not well described."1.43Treating children for drug-resistant tuberculosis in Tajikistan with Group 5 medications. ( Achar, J; Bobokhojaev, OI; du Cros, P; Dusmatova, Z; Quinnell, S; Seddon, JA; Swaminathan, A, 2016)
"Clofazimine was associated with improved culture conversion in the treatment of XDR-TB/HIV."1.40Clofazimine in the treatment of extensively drug-resistant tuberculosis with HIV coinfection in South Africa: a retrospective cohort study. ( Gopal, M; Master, I; Naidoo, K; Naidoo, R; O'Donnell, MR; Padayatchi, N; Werner, L, 2014)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (4.00)29.6817
2010's18 (72.00)24.3611
2020's6 (24.00)2.80

Authors

AuthorsStudies
Kabahita, JM1
Kabugo, J1
Kakooza, F1
Adam, I1
Guido, O1
Byabajungu, H1
Namutebi, J1
Namaganda, MM1
Lutaaya, P1
Otim, J1
Kakembo, FE1
Kanyerezi, S1
Nabisubi, P1
Sserwadda, I1
Kasule, GW1
Nakato, H1
Musisi, K1
Oola, D1
Joloba, ML1
Mboowa, G1
Singh, K1
Sharma, S1
Banerjee, T1
Gupta, A1
Anupurba, S1
Diriba, G1
Alemu, A1
Yenew, B1
Tola, HH1
Gamtesa, DF1
Mollalign, H1
Eshetu, K1
Moga, S1
Abdella, S1
Tollera, G1
Kebede, A1
Dangisso, MH1
Patil, SB1
Tamirat, M1
Khazhidinov, K1
Ardizzoni, E1
Atger, M1
Austin, A1
Baudin, E1
Bekhit, M1
Bektasov, S1
Berikova, E1
Bonnet, M1
Caboclo, R1
Chaudhry, M1
Chavan, V1
Cloez, S1
Coit, J1
Coutisson, S1
Dakenova, Z1
De Jong, BC1
Delifer, C1
Demaisons, S1
Do, JM1
Dos Santos Tozzi, D1
Ducher, V1
Ferlazzo, G1
Gouillou, M1
Khan, U1
Kunda, M1
Lachenal, N1
LaHood, AN1
Lecca, L1
Mazmanian, M1
McIlleron, H1
Moreau, M1
Moschioni, M1
Nahid, P1
Osso, E1
Oyewusi, L1
Panda, S1
Pâquet, A1
Thuong Huu, P1
Pichon, L1
Rich, ML1
Rupasinghe, P1
Salahuddin, N1
Sanchez Garavito, E1
Seung, KJ1
Velásquez, GE1
Vallet, M1
Varaine, F1
Yuya-Septoh, FJ1
Mitnick, CD1
Guglielmetti, L1
Saroha, D1
Garg, D1
Singh, AK1
Dhamija, RK1
Misra, N1
Padayatchi, N3
Naidoo, P1
Brouqui, P1
Quenard, F1
Drancourt, M1
Borisov, SE1
Dheda, K1
Enwerem, M3
Romero Leyet, R1
D'Ambrosio, L2
Centis, R2
Sotgiu, G1
Tiberi, S2
Alffenaar, JW1
Maryandyshev, A1
Belilovski, E1
Ganatra, S1
Skrahina, A1
Akkerman, O1
Aleksa, A1
Amale, R1
Artsukevich, J1
Bruchfeld, J1
Caminero, JA3
Carpena Martinez, I1
Codecasa, L1
Dalcolmo, M1
Denholm, J1
Douglas, P1
Duarte, R1
Esmail, A1
Fadul, M1
Filippov, A1
Davies Forsman, L1
Gaga, M1
Garcia-Fuertes, JA1
García-García, JM1
Gualano, G1
Jonsson, J1
Kunst, H1
Lau, JS1
Lazaro Mastrapa, B1
Teran Troya, JL1
Manga, S1
Manika, K1
González Montaner, P1
Mullerpattan, J1
Oelofse, S1
Ortelli, M1
Palmero, DJ1
Palmieri, F1
Papalia, A1
Papavasileiou, A1
Payen, MC1
Pontali, E1
Robalo Cordeiro, C1
Saderi, L1
Sadutshang, TD2
Sanukevich, T1
Solodovnikova, V1
Spanevello, A1
Topgyal, S1
Toscanini, F1
Tramontana, AR1
Udwadia, ZF1
Viggiani, P1
White, V1
Zumla, A1
Migliori, GB3
Piubello, A1
Scardigli, A2
Pang, Y3
Zong, Z2
Huo, F2
Jing, W3
Ma, Y1
Dong, L2
Li, Y2
Zhao, L1
Fu, Y1
Huang, H3
Wang, Q1
Liu, Y1
Wang, N1
Yin, H1
Zhang, Q1
Ye, Z1
Zhu, M1
Li, F1
Liu, P1
Wu, T1
Chen, W1
Wu, W1
Qin, Z1
Qiu, C1
Deng, Q1
Xu, T1
Wang, J2
Guo, R1
Du, Y1
Chen, X1
Chu, N2
Ndjeka, N1
Schnippel, K1
Master, I2
Meintjes, G1
Maartens, G1
Romero, R1
Padanilam, X2
Chotoo, S1
Singh, N1
Hughes, J1
Variava, E1
Ferreira, H1
Te Riele, J1
Ismail, N1
Mohr, E1
Bantubani, N1
Conradie, F1
Nkurunziza, J1
Karstaedt, AS1
Louw, R1
Lee, SFK1
Laughon, BE1
McHugh, TD1
Lipman, M1
Lu, J1
Dai, G1
Gopal, M2
Metcalfe, JZ1
O'Donnell, MR2
Hwang, TJ1
Dotsenko, S1
Jafarov, A1
Weyer, K1
Falzon, D1
Lunte, K1
Nunn, P1
Jaramillo, E1
Keshavjee, S1
Wares, DF1
Naidoo, R1
Werner, L1
Naidoo, K1
Aggarwal, R1
Purohit, S1
Nemade, P1
Panjwani, T1
Swaminathan, A1
du Cros, P1
Seddon, JA1
Quinnell, S1
Bobokhojaev, OI1
Dusmatova, Z1
Achar, J1
McNaughton, A1
Blackmore, T1
McNaughton, H1
Wallis, RS1
Tadolini, M1
Lingtsang, RD1
Jain, NK1
Agnihotri, SP1
Sharma, KK1
Gupta, S1
Gupta, P1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Controlled, Multi-center Clinical Trial of Short Course Treatment for Newly Diagnosed Rifampicin Resistant Tuberculosis[NCT04545788]200 participants (Anticipated)Interventional2020-08-01Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

5 reviews available for clofazimine and Extensively Drug-Resistant Tuberculosis

ArticleYear
Epidemiology of extensively drug-resistant tuberculosis among patients with multidrug-resistant tuberculosis: A systematic review and meta-analysis.
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2023, Volume: 132

    Topics: Antitubercular Agents; Clofazimine; Extensively Drug-Resistant Tuberculosis; Fluoroquinolones; Human

2023
Old antibiotics for emerging multidrug-resistant/extensively drug-resistant tuberculosis (MDR/XDR-TB).
    International journal of antimicrobial agents, 2017, Volume: 49, Issue:5

    Topics: Antitubercular Agents; Clarithromycin; Clofazimine; Drug Resistance, Multiple, Bacterial; Drug Syner

2017
New drugs to treat difficult tuberculous and nontuberculous mycobacterial pulmonary disease.
    Current opinion in pulmonary medicine, 2019, Volume: 25, Issue:3

    Topics: Amikacin; Anti-Bacterial Agents; Clofazimine; Diarylquinolines; Extensively Drug-Resistant Tuberculo

2019
Systematic review of clofazimine for the treatment of drug-resistant tuberculosis.
    The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2013, Volume: 17, Issue:8

    Topics: Animals; Antitubercular Agents; Clofazimine; Extensively Drug-Resistant Tuberculosis; Humans; Microb

2013
Safety and availability of clofazimine in the treatment of multidrug and extensively drug-resistant tuberculosis: analysis of published guidance and meta-analysis of cohort studies.
    BMJ open, 2014, Jan-02, Volume: 4, Issue:1

    Topics: Clofazimine; Cohort Studies; Extensively Drug-Resistant Tuberculosis; Humans; Leprostatic Agents; Pr

2014

Trials

2 trials available for clofazimine and Extensively Drug-Resistant Tuberculosis

ArticleYear
Evaluating newly approved drugs in combination regimens for multidrug-resistant tuberculosis with fluoroquinolone resistance (endTB-Q): study protocol for a multi-country randomized controlled trial.
    Trials, 2023, Nov-30, Volume: 24, Issue:1

    Topics: Antitubercular Agents; Clinical Trials, Phase III as Topic; Clofazimine; Extensively Drug-Resistant

2023
Clofazimine for Treatment of Extensively Drug-Resistant Pulmonary Tuberculosis in China.
    Antimicrobial agents and chemotherapy, 2018, Volume: 62, Issue:4

    Topics: Adult; Aged; Antitubercular Agents; China; Clofazimine; Extensively Drug-Resistant Tuberculosis; Fem

2018

Other Studies

18 other studies available for clofazimine and Extensively Drug-Resistant Tuberculosis

ArticleYear
First report of whole-genome analysis of an extensively drug-resistant Mycobacterium tuberculosis clinical isolate with bedaquiline, linezolid and clofazimine resistance from Uganda.
    Antimicrobial resistance and infection control, 2022, 05-12, Volume: 11, Issue:1

    Topics: Adult; Antitubercular Agents; Clofazimine; Diarylquinolines; Extensively Drug-Resistant Tuberculosis

2022
Mutation detection and minimum inhibitory concentration determination against linezolid and clofazimine in confirmed XDR-TB clinical isolates.
    BMC microbiology, 2022, 10-03, Volume: 22, Issue:1

    Topics: Agar; Antitubercular Agents; Clofazimine; Cytosine; Drug Resistance, Multiple, Bacterial; Extensivel

2022
Irreversible neuropathy in extremely-drug resistant tuberculosis: An unfortunate clinical conundrum.
    The Indian journal of tuberculosis, 2020, Volume: 67, Issue:3

    Topics: Adult; Aminosalicylic Acid; Antitubercular Agents; Clofazimine; Cycloserine; Deprescriptions; Diaryl

2020
Dose-related treatment outcomes in South African patients prescribed clofazimine for drug-resistant tuberculosis.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 2020, Dec-14, Volume: 111, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antitubercular Agents; Body Weight; Clofazimine; Cohort

2020
Effectiveness and safety of bedaquiline-containing regimens in the treatment of MDR- and XDR-TB: a multicentre study.
    The European respiratory journal, 2017, Volume: 49, Issue:5

    Topics: Adult; Antitubercular Agents; Carbapenems; Clofazimine; Cohort Studies; Diarylquinolines; Drug Thera

2017
Proposal for a standardised treatment regimen to manage pre- and extensively drug-resistant tuberculosis cases.
    The European respiratory journal, 2017, Volume: 50, Issue:1

    Topics: Aminosalicylic Acid; Antitubercular Agents; Carbapenems; Clofazimine; Communicable Disease Control;

2017
    Antimicrobial agents and chemotherapy, 2017, Volume: 61, Issue:10

    Topics: Antitubercular Agents; Beijing; China; Clofazimine; Diarylquinolines; DNA Gyrase; Drug Resistance, M

2017
High treatment success rate for multidrug-resistant and extensively drug-resistant tuberculosis using a bedaquiline-containing treatment regimen.
    The European respiratory journal, 2018, Volume: 52, Issue:6

    Topics: Adult; Anti-HIV Agents; Antitubercular Agents; Clofazimine; Diarylquinolines; Drug Resistance, Bacte

2018
Treatment outcomes of pre- and extensively drug-resistant tuberculosis in Johannesburg, South Africa.
    The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2018, 12-01, Volume: 22, Issue:12

    Topics: Adolescent; Adult; Antitubercular Agents; Clofazimine; Extensively Drug-Resistant Tuberculosis; Fema

2018
No in vitro synergistic effect of bedaquiline combined with fluoroquinolones, linezolid, and clofazimine against extensively drug-resistant tuberculosis.
    Diagnostic microbiology and infectious disease, 2019, Volume: 94, Issue:4

    Topics: Antitubercular Agents; Clofazimine; Diarylquinolines; Drug Synergism; Extensively Drug-Resistant Tub

2019
Clofazimine in the treatment of extensively drug-resistant tuberculosis with HIV coinfection in South Africa: a retrospective cohort study.
    The Journal of antimicrobial chemotherapy, 2014, Volume: 69, Issue:11

    Topics: Adult; Antitubercular Agents; Clofazimine; Cohort Studies; Coinfection; Extensively Drug-Resistant T

2014
XDR TB presenting as a transphyseal lytic lesion in the proximal tibia.
    BMJ case reports, 2015, Aug-11, Volume: 2015

    Topics: Antitubercular Agents; Child, Preschool; Clofazimine; Cycloserine; Extensively Drug-Resistant Tuberc

2015
Classification of antituberculosis drugs: a new proposal based on the most recent evidence.
    The European respiratory journal, 2015, Volume: 46, Issue:4

    Topics: Antitubercular Agents; Carbapenems; Clavulanic Acid; Clofazimine; Diarylquinolines; Drug Therapy, Co

2015
Treating children for drug-resistant tuberculosis in Tajikistan with Group 5 medications.
    The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2016, Volume: 20, Issue:4

    Topics: Adolescent; Amoxicillin-Potassium Clavulanate Combination; Antitubercular Agents; Child; Child, Pres

2016
Comprehensive cost of treating one patient with MDR/pre-XDR-TB in Wellington, New Zealand.
    The European respiratory journal, 2016, Volume: 48, Issue:4

    Topics: Adult; Amikacin; Aminosalicylic Acid; Anti-Bacterial Agents; Antitubercular Agents; Bronchoscopy; Cl

2016
Cardiac safety of extensively drug-resistant tuberculosis regimens including bedaquiline, delamanid and clofazimine.
    The European respiratory journal, 2016, Volume: 48, Issue:5

    Topics: Antitubercular Agents; Clofazimine; Diarylquinolines; Extensively Drug-Resistant Tuberculosis; Human

2016
Cardiac safety of extensively drug-resistant tuberculosis regimens including bedaquiline, delamanid and clofazimine.
    The European respiratory journal, 2016, Volume: 48, Issue:5

    Topics: Antitubercular Agents; Clofazimine; Diarylquinolines; Extensively Drug-Resistant Tuberculosis; Human

2016
Extensively drug resistance (XDR) tb is not always fatal.
    The Indian journal of tuberculosis, 2009, Volume: 56, Issue:1

    Topics: Adult; Aminosalicylic Acid; Antitubercular Agents; Aza Compounds; Capreomycin; Clarithromycin; Clofa

2009