TB Research

Plasma Pharmacokinetics of High-Dose Oral versus Intravenous Rifampicin in Patients with Tuberculous Meningitis: a Randomized Controlled Trial

Sean Wasserman, Angharad Davis, Cari Stek, Maxwell Chirehwa, Stephani Botha, Remy Daroowala, Marise Bremer, Mpumi Maxebengula, et al. (21 authors)

Antimicrobial Agents and Chemotherapy · 2021-05

Abstract

Higher doses of intravenous rifampicin may improve outcomes in tuberculous meningitis but are impractical in high-burden settings. We hypothesized that plasma rifampicin exposures would be similar between oral dosing of 35 mg/kg of body weight and intravenous dosing of 20 mg/kg, which has been proposed for efficacy trials in tuberculous meningitis.

MeSH terms

  • Medicine
  • Rifampicin
  • Pharmacokinetics
  • Dosing
  • Tuberculous meningitis
  • Interquartile range
  • Confidence interval
  • Meningitis
  • Randomized controlled trial
  • Internal medicine
  • Gastroenterology
  • Pharmacology