Pharmacokinetic and pharmacogenomic predictors of hepatotoxicity in the HIRIF trial for drug-susceptible tuberculosis

While higher pyrazinamide and isoniazid exposures and slow NAT2 acetylator status were each associated with increased hepatotoxicity, only pyrazinamide exposure was associated when considering pharmacokinetic variables together. Rifampin exposure was not associated with hepatotoxicity, supporting further evaluation of doses up to 20 mg/kg/day in a larger trial.

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Publication Details

Journal
Clinical Infectious Diseases
Published
2026-03-04
DOI
https://doi.org/10.1093/cid/ciag141
Primary Topic
Drug-Induced Hepatotoxicity and Protection
Type
article
Field-Weighted Citation Impact
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article

Pharmacokinetic and pharmacogenomic predictors of hepatotoxicity in the HIRIF trial for drug-susceptible tuberculosis

Dante Vargas Vásquez, Pieter Van Brantegem, Elizabeth A. Mackay, Elna Osso et al.
Clinical Infectious Diseases
Drug-Induced Hepatotoxicity and Protection
article

Pharmacokinetic and pharmacogenomic predictors of hepatotoxicity in the HIRIF trial for drug-susceptible tuberculosis

Dante Vargas Vásquez, Pieter Van Brantegem, Elizabeth A. Mackay, Elna Osso, Karen Tintaya, Carole Diane Mitnick, Charles A. Peloquin, Gustavo E. Velásquez, Julia Coit, Epifanio Sánchez Garavito, Gareth Platt, Geraint Davies, Leonid Lecca, Dalicxa Garcia, Roger I Calderón, Judith Jiménez, Radojka M Savic, Meredith B Brooks
article en

Abstract

While higher pyrazinamide and isoniazid exposures and slow NAT2 acetylator status were each associated with increased hepatotoxicity, only pyrazinamide exposure was associated when considering pharmacokinetic variables together. Rifampin exposure was not associated with hepatotoxicity, supporting further evaluation of doses up to 20 mg/kg/day in a larger trial.

Clinical Infectious Diseases
Boston University (US), Brigham and Women's Hospital (US), Partners In Health (US), University of Liverpool (GB), University of California, San Francisco (US), American Association of Colleges of Pharmacy (US), Universidad de San Martín de Porres (PE), University of California System (US), Hospital Nacional Cayetano Heredia (PE), EsSALUD (PE), Global Brain Health Institute (US), Harvard Global Health Institute (US), Global Solutions for Infectious Diseases (US), Universidad Privada Sergio Bernales (PE), Florida College (US)
Good health and well-being
Openalex Percentile: Top 30%
Drug-Induced Hepatotoxicity and Protection
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