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Editorial
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Volume 360:2466-2467 June 4, 2009 Number 23
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Unorthodox Approach to the Development of a New Antituberculosis Therapy
Clifton E. Barry, III, Ph.D.

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 by Diacon, A. H.
-PubMed Citation
The development of TMC207 represents an important advance in the chemotherapy of tuberculosis. It is perhaps most amazing because of the defiantly unconventional nature of the effort. At virtually every step, from the original discovery of the diarylquinolines by screening for compounds that would kill Mycobacterium smegmatis, a saprophytic distant relative of M. tuberculosis, through the phase 2 study by Diacon et al. reported in this issue of the Journal (ClinicalTrials.gov number, NCT00449644 [ClinicalTrials.gov] ),1 this effort flouted conventional wisdom about how to develop new drugs for tuberculosis.

It is also a humbling case study that is worth some reflection. Those . . . [Full Text of this Article]


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From the Tuberculosis Research Section, National Institute of Allergy and Infectious Diseases, Bethesda, MD.


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