The development of TMC207 represents an important advance inthe chemotherapy of tuberculosis. It is perhaps most amazingbecause of the defiantly unconventional nature of the effort.At virtually every step, from the original discovery of thediarylquinolines by screening for compounds that would killMycobacterium smegmatis, a saprophytic distant relative of M.tuberculosis, through the phase 2 study by Diacon et al. reportedin this issue of the Journal (ClinicalTrials.gov number, NCT00449644
[ClinicalTrials.gov]
),1this effort flouted conventional wisdom about how to developnew 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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