Population pharmacokinetics of isoniazid in adult Indian tuberculosis patients: Evaluation of NAT2 polymorphisms

Our NAT2 genotype-integrated PopPK model, developed for adult Indian tuberculosis patients, revealed distinct differences in isoniazid clearance across NAT2 phenotypes; however, these differences were not statistically significant. NAT2 slow acetylators exhibited more than two-fold lower clearance compared to NAT2 rapid acetylators. These findings highlight the potential importance of NAT2 genotype-guided individualized isoniazid dosing strategies in clinical settings.

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Publication Details

Journal
Infection Genetics and Evolution
Published
2026-01-20
DOI
https://doi.org/10.1016/j.meegid.2026.105883
Primary Topic
Carcinogens and Genotoxicity Assessment
Type
article
Field-Weighted Citation Impact
0.00
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article

Population pharmacokinetics of isoniazid in adult Indian tuberculosis patients: Evaluation of NAT2 polymorphisms

Levin Thomas, T. Keshava Prasad, Sakshi Sanjay Parate, JAYA SHREE DILLI BATCHA et al.
Infection Genetics and Evolution
Carcinogens and Genotoxicity Assessment
article

Population pharmacokinetics of isoniazid in adult Indian tuberculosis patients: Evaluation of NAT2 polymorphisms

Levin Thomas, T. Keshava Prasad, Sakshi Sanjay Parate, JAYA SHREE DILLI BATCHA, M Naveen Varma, Kavitha Saravu, Mahadev Rao, Surulivelrajan Mallayasamy, Shubham Upadhyay, S.V. Chidananda Sanju, Chaithra
article en

Abstract

Our NAT2 genotype-integrated PopPK model, developed for adult Indian tuberculosis patients, revealed distinct differences in isoniazid clearance across NAT2 phenotypes; however, these differences were not statistically significant. NAT2 slow acetylators exhibited more than two-fold lower clearance compared to NAT2 rapid acetylators. These findings highlight the potential importance of NAT2 genotype-guided individualized isoniazid dosing strategies in clinical settings.

Infection Genetics and EvolutionVol. 138
Yenepoya University (IN), Manipal Academy of Higher Education (IN), New Delhi Tuberculosis Center (IN)
Good health and well-being
Openalex Percentile: Top 84%
Carcinogens and Genotoxicity Assessment
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Population pharmacokinetics of isoniazid in adult Indian tuberculosis patients: Evaluation of NAT2 polymorphisms — Levin Thomas, T. Keshava Prasad, et al. · Infection Genetics and Evolution (2026) | TGRS Research Map | TGRS