Table 1

Effect of malnutrition on total clearance (CL) and half-life (t1⁄2) of first-line anti-TB drugs primarily metabolised by the liver or primarily eliminated in the kidneys

Anti-TB drugSeverity of malnutritionMean CL (mL/min/kg)Comment on drug CL (based on p values)Mean t1⁄2 (hour)Comment on drug t1⁄2 (based on p values)Reference
Normal healthy controlsMalnourished childrenNormal healthy controlsMalnourished children
IsoniazidSevere.125.7±0.0* 329.4±0.0* Significantly increased in malnutrition.1.03±0.00.73±0.0Significantly decreased in malnutrition. 19
Non-severe.4.1±0.52.9±0.3Not significantly decreased in malnutrition.3.6±0.33.90±0.3Not significantly increased in malnutrition. 9
Non-severe.Insufficient evidence.1.78±0.01.82±0.0Not significantly increased in malnutrition. 20
Severe and non-severe.Parameter not assessed.Parameter not assessed. 11
Severe and non-severe.Parameter not assessed.Parameter not assessed. 21
RifampicinSevere and non-severe combined.8.2±0.08.2±0.2No significant change.2.7±0.12.9±0.0Not significantly increased in malnutrition. 22
Severe and non-severe.Parameter not assessed.Parameter not assessed. 11
PyrazinamideSevere and non-severe.Parameter not assessed.Parameter not assessed. 10
Severe and non-severe.Parameter not assessed.Parameter not assessed. 11
Severe and non-severe.Parameter not assessed.Parameter not assessed. 21
EthambutolNon-severe.33.6±14.267.0±91.2Not significantly increased in malnutrition.9.7±4.07.4±5.6Not significantly decreased in malnutrition. 10
Severe and non-severe.Parameter not assessed.Parameter not assessed. 11
  • *Value in mL/min.

  • TB, tuberculosis.