AUTHOR=Nasiri Mohammad Javad , Calcagno Tess , Hosseini Sareh Sadat , Hematian Ali , Nojookambari Neda Yousefi , Karimi-Yazdi Mohammadmahdi , Mirsaeidi Mehdi 

TITLE=Role of Clofazimine in Treatment of Mycobacterium avium Complex

JOURNAL=Frontiers in Medicine

VOLUME=8

YEAR=2021

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2021.638306

DOI=10.3389/fmed.2021.638306

ISSN=2296-858X

ABSTRACT=<p><bold>Background:</bold> Non-tuberculous mycobacteria (NTM), specifically <italic>Mycobacterium avium</italic> complex (MAC), is an increasingly prevalent cause of pulmonary dysfunction. Clofazimine has been shown to be effective for the treatment of <italic>M. avium</italic> complex, but there were no published large-scale analyses comparing clofazimine to non-clofazimine regimens in MAC treatment. The objective of this large-scale meta-analysis was to evaluate patient characteristics and treatment outcomes of individuals diagnosed with MAC and treated with a clofazimine-based regimen.</p><p><bold>Methods:</bold> We used Pubmed/Medline, Embase, Web of Science, and the Cochrane Library to search for studies published from January 1, 1990 to February 9, 2020. Two reviewers (SSH and NY) extracted the data from all eligible studies and differences were resolved by consensus. Statistical analyses were performed with STATA (version 14, IC; Stata Corporation, College Station, TX, USA).</p><p><bold>Results:</bold> The pooled success treatment rate with 95% confidence intervals (CI) was assessed using random effect model. The estimated pooled treatment success rates were 56.8% in clofazimine and 67.9% in non-clofazimine groups. Notably, success rates were higher (58.7%) in treatment of HIV patients with disseminated infection.</p><p><bold>Conclusions:</bold> Treatment was more successful in the non-clofazimine group overall. However, HIV patients with disseminated infection had higher treatment response rates than non-HIV patients within the clofazimine group.</p>