Page last updated: 2024-10-31

metronidazole and Koch's Disease

metronidazole has been researched along with Koch's Disease in 12 studies

Metronidazole: A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS.
metronidazole : A member of the class of imidazoles substituted at C-1, -2 and -5 with 2-hydroxyethyl, nitro and methyl groups respectively. It has activity against anaerobic bacteria and protozoa, and has a radiosensitising effect on hypoxic tumour cells. It may be given by mouth in tablets, or as the benzoate in an oral suspension. The hydrochloride salt can be used in intravenous infusions. Metronidazole is a prodrug and is selective for anaerobic bacteria due to their ability to intracellularly reduce the nitro group of metronidazole to give nitroso-containing intermediates. These can covalently bind to DNA, disrupting its helical structure, inducing DNA strand breaks and inhibiting bacterial nucleic acid synthesis, ultimately resulting in bacterial cell death.

Research Excerpts

ExcerptRelevanceReference
"To study the activity of metronidazole on persisting tubercle bacilli, BALB/c mice were infected with Mycobacterium tuberculosis and, after 14 days, treated with isoniazid (H) or rifampicin (R) or isoniazid + rifampicin (HR) for 2 months."7.70Action of metronidazole in combination with isoniazid & rifampicin on persisting organisms in experimental murine tuberculosis. ( Herbert, D; Kubendiran, G; Paramasivan, CN, 1998)
"The capacity of metronidazole to inhibit the growth of Mycobacterium tuberculosis was tested in in vitro and in vivo mouse models."7.70Metronidazole therapy in mice infected with tuberculosis. ( Brooks, JV; Furney, SK; Orme, IM, 1999)
"To study the activity of metronidazole on persisting tubercle bacilli, BALB/c mice were infected with Mycobacterium tuberculosis and, after 14 days, treated with isoniazid (H) or rifampicin (R) or isoniazid + rifampicin (HR) for 2 months."3.70Action of metronidazole in combination with isoniazid & rifampicin on persisting organisms in experimental murine tuberculosis. ( Herbert, D; Kubendiran, G; Paramasivan, CN, 1998)
"The capacity of metronidazole to inhibit the growth of Mycobacterium tuberculosis was tested in in vitro and in vivo mouse models."3.70Metronidazole therapy in mice infected with tuberculosis. ( Brooks, JV; Furney, SK; Orme, IM, 1999)
" difficile infection after TB medication was not low considering the relatively low TB medication dosage compared to other antibiotics."1.43Incidence and Clinical Outcomes of Clostridium difficile Infection after Treatment with Tuberculosis Medication. ( Huh, KC; Jang, BI; Jung, Y; Kim, SH; Koo, HS; Lee, SW; Lee, YM; Moon, HS; Shin, JE; Yoon, SM, 2016)
"2h) and low absolute bioavailability (1."1.42Novel, potent, orally bioavailable and selective mycobacterial ATP synthase inhibitors that demonstrated activity against both replicating and non-replicating M. tuberculosis. ( Chaturvedi, V; Dasgupta, A; Gupta, AD; Jaiswal, S; Kashyap, VK; Khan, SR; Krishnan, MY; Lal, J; Roy, KK; Saxena, AK; Sharma, A; Sharma, SK; Singh, S; Sinha, S; Srivastava, R, 2015)
"Non-pulmonary tuberculosis is found with different frequencies in different countries of the world."1.33Acute isolated tuberculous appendicitis. ( Głowacka, M; Kurek, J; Sandelewski, A; Wyrobiec, G, 2006)
"tuberculosis have reaffirmed tuberculosis as a primary public health threat."1.31A small-molecule nitroimidazopyran drug candidate for the treatment of tuberculosis. ( Anderson, SW; Arain, TM; Baker, WR; Barry, CE; Kreiswirth, BN; Langhorne, MH; McMurray, DN; Sherman, DR; Stover, CK; Towell, JA; VanDevanter, DR; Warrener, P; Yuan, Y, 2000)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19903 (25.00)18.7374
1990's2 (16.67)18.2507
2000's4 (33.33)29.6817
2010's3 (25.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Stover, CK1
Warrener, P1
VanDevanter, DR1
Sherman, DR1
Arain, TM1
Langhorne, MH1
Anderson, SW1
Towell, JA1
Yuan, Y1
McMurray, DN1
Kreiswirth, BN1
Barry, CE1
Baker, WR1
Chopra, S1
Koolpe, GA1
Tambo-Ong, AA1
Matsuyama, KN1
Ryan, KJ1
Tran, TB1
Doppalapudi, RS1
Riccio, ES1
Iyer, LV1
Green, CE1
Wan, B1
Franzblau, SG1
Madrid, PB1
Singh, S1
Roy, KK1
Khan, SR1
Kashyap, VK1
Sharma, A1
Jaiswal, S1
Sharma, SK1
Krishnan, MY1
Chaturvedi, V1
Lal, J1
Sinha, S1
Dasgupta, A1
Gupta, AD1
Srivastava, R1
Saxena, AK1
Lee, YM1
Huh, KC1
Yoon, SM1
Jang, BI1
Shin, JE1
Koo, HS1
Jung, Y1
Kim, SH1
Moon, HS1
Lee, SW1
Wyrobiec, G1
Sandelewski, A1
Głowacka, M1
Kurek, J1
Paramasivan, CN1
Kubendiran, G1
Herbert, D1
Brooks, JV1
Furney, SK1
Orme, IM1
Dick, T2
Sander, P1
Papavinasasundaram, KG1
Stavropoulos, E1
Ellrott, K1
Springer, B1
Colston, MJ1
Böttger, EC1
Gray, JA1
Geddes, AM1
Woodruff, AW1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Double-Blind, Placebo-Controlled Phase II Study of Metronidazole Combined With Antituberculous Chemotherapy vs. Antituberculous Chemotherapy With Placebo in Subjects With Multi-Drug Resistant Pulmonary Tuberculosis[NCT00425113]Phase 235 participants (Actual)Interventional2006-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Time to Sputum Culture Conversion to Negative on Solid Medium

(NCT00425113)
Timeframe: 2 months

Interventiondays (Median)
Metronidazole21
Placebo42.5

Changes in TB Lesion Sizes Using High Resolution Computed Tomography (HRCT).

Lesions were defined as nodules (<2 mm, 2-<4 mm, and 4-10 mm), consolidations, collapse, cavities, fibrosis, bronchial thickening, tree-in-bud opacities, and ground glass opacities. Each CT was divided into six zones (upper, middle, and lower zones of the right and left lungs) and independently scored for the above lesions by three separate radiologists blinded to treatment arm. A fourth radiologist adjudicated any scores that were widely discrepant among the initial three radiologists. The HRCT score was determined by visually estimating the extent of the above lesions in each lung zone as follows: 0=0% involvement; 1= 1-25% involvement; 2=26-50% involvement; 3=51-75% involvement; and 4=76-100% involvement. A composite score for each lesion was calculated by adding the score for each specific abnormality in the 6 lung zones and dividing by 6, with the change in composite score measured at 2 and 6 months compared to baseline. Composite sums of all 10 composite scores are reported. (NCT00425113)
Timeframe: 6 months.

,
Interventionreader score (Mean)
Baseline composite sum of all 10 featuresMonth 6 composite sum of all 10 features
Metronidazole8.116.64
Placebo10.087.24

Reviews

1 review available for metronidazole and Koch's Disease

ArticleYear
Antibacterial prophylaxis--a clinician's view.
    Scottish medical journal, 1979, Volume: 24, Issue:2

    Topics: Adult; Anti-Bacterial Agents; Bacterial Infections; Bronchitis; Child; Child, Preschool; Female; Hum

1979

Other Studies

11 other studies available for metronidazole and Koch's Disease

ArticleYear
A small-molecule nitroimidazopyran drug candidate for the treatment of tuberculosis.
    Nature, 2000, Jun-22, Volume: 405, Issue:6789

    Topics: Animals; Antitubercular Agents; Bacterial Proteins; Drug Resistance, Microbial; Drug Resistance, Mul

2000
Discovery and optimization of benzotriazine di-N-oxides targeting replicating and nonreplicating Mycobacterium tuberculosis.
    Journal of medicinal chemistry, 2012, Jul-12, Volume: 55, Issue:13

    Topics: Animals; Antitubercular Agents; Chlorocebus aethiops; Drug Discovery; Female; Isomerism; Mice; Mice,

2012
Novel, potent, orally bioavailable and selective mycobacterial ATP synthase inhibitors that demonstrated activity against both replicating and non-replicating M. tuberculosis.
    Bioorganic & medicinal chemistry, 2015, Feb-15, Volume: 23, Issue:4

    Topics: Adenosine Triphosphate; Animals; Antitubercular Agents; Male; Mice; Mice, Inbred BALB C; Molecular D

2015
Incidence and Clinical Outcomes of Clostridium difficile Infection after Treatment with Tuberculosis Medication.
    Gut and liver, 2016, Volume: 10, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Anti-Infective Agents; Antibiotics, Antitubercular; Clostridioides d

2016
Acute isolated tuberculous appendicitis.
    Journal of clinical pharmacy and therapeutics, 2006, Volume: 31, Issue:3

    Topics: Adult; Amikacin; Antibiotics, Antitubercular; Antitubercular Agents; Appendicitis; Appendix; Female;

2006
Action of metronidazole in combination with isoniazid & rifampicin on persisting organisms in experimental murine tuberculosis.
    The Indian journal of medical research, 1998, Volume: 108

    Topics: Animals; Antitubercular Agents; Drug Therapy, Combination; Female; Isoniazid; Metronidazole; Mice; M

1998
Metronidazole therapy in mice infected with tuberculosis.
    Antimicrobial agents and chemotherapy, 1999, Volume: 43, Issue:5

    Topics: Administration, Inhalation; Animals; Anti-Bacterial Agents; Macrophages; Metronidazole; Mice; Mycoba

1999
Dormant tubercle bacilli: the key to more effective TB chemotherapy?
    The Journal of antimicrobial chemotherapy, 2001, Volume: 47, Issue:1

    Topics: Animals; Antitubercular Agents; Disease Models, Animal; Humans; Interphase; Metronidazole; Mice; Myc

2001
Mycobacterium bovis BCG recA deletion mutant shows increased susceptibility to DNA-damaging agents but wild-type survival in a mouse infection model.
    Infection and immunity, 2001, Volume: 69, Issue:6

    Topics: Alkylating Agents; Animals; Anti-Bacterial Agents; Blotting, Western; DNA Damage; DNA Repair; Drug R

2001
Imported infections. Unexplained fever.
    British medical journal, 1974, Nov-16, Volume: 4, Issue:5941

    Topics: Africa; Asia; Brucellosis; Chloramphenicol; Chloroquine; Fever; Humans; Leishmaniasis, Visceral; Liv

1974
Current practice in tropical medicine.
    Transactions of the Medical Society of London, 1969, Volume: 85

    Topics: Acute Kidney Injury; Amebiasis; Amebicides; Chloroquine; Cholera; Drug Resistance, Microbial; Hepati

1969