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. 2017 Nov 9;73(2):437–447. doi: 10.1093/jac/dkx380

Table 3.

Final parameter estimates of the GPDI model applied to cfu of M. tuberculosis with rifampicin, isoniazid and ethambutol in different combinations

PD interaction Parameter Estimate [RSEa (%)]
Rifampicin/isoniazid INTRIF,INHFD −0.679 (11)
INTINH,RIFFD 0 fixedb
INTRIF,INHSD 1.42 (22)
INTINH,RIFSD 15.2 (49)
Isoniazid/ethambutol INTINH,EMBFD 0 fixedb
INTEMB,INHFD 1.72 (15)
INTINH,EMBSD 164 (259)
INTEMB,INHSD 0.0963 (81)
Rifampicin/ethambutol INTRIF,EMBFD −0.99 fixedc
INTEMB,RIFFD −0.668 (22)
INTRIF,EMBSD 486 (12)
INTEMB,RIFSD 2.09 (32)
Rifampicin/isoniazid/ethambutol INTRIF,INH|EMBSD −0.749 (18)

The PD interactions were estimated as a maximal fractional change in the exposure–response parameters EC50 (Table 1) obtained for rifampicin, isoniazid or ethambutol in mono exposure. Maximal fractional change of EC50 of different drugs in mono exposure as defined in Table 1. The interaction parameters INT were estimated as 1+INTA,B·CAEC50A,B+CA. The INT value reflects the deviation from expected additivity of drug effects identified, on either/both of the F or S sub-states, in mono exposure as fractional decrease (negative value, synergism), increase (positive value, antagonism) or no increase (0 fixed, no PD interaction) in EC50.

a

RSE, relative standard error reported on the approximate standard deviation scale obtained using sampling importance resampling (SIR).15

b

Fixed to 0, reflecting additivity of drug effects identified in mono exposure, i.e. no PD interaction.

c

Fixed to − 0.9999, reflecting a maximal decrease in EC50 identified in mono exposure.