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1 Eccles M, Grimshaw J, Steen N, Parkin D, Purves I, McColl E, et al. The design and analysis of a randomised controlled trial to evaluate computerised decision support in primary care: the COGENT Study. Fam Pract 2000; 17: 180-6. Eccles M, McColl E, Steen N, Rousseau N, Grimshaw J, Parkin D, et al. Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial. BMJ 2002; 325: 941-4. October. ; 3 Heathfield H, Pitty D, Hanka R. Evaluating information technology in health care: barriers and challenges. BMJ 1998; 316: 1959-61 and prilosec.
Both of these definitions are somewhat broader than the definitions of ``crime of violence'' and drug trafficking offense'' used in a number of other guidelines.
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TABLE OF CONTENTS . 2 ACKNOWLEDGEMENTS. 4 SUMMARY . 5 1. INTRODUCTION . 8 2. TARGETS AND MODE OF ACTION OF CURRENT TB DRUGS. 8 3. WHY NEW DRUGS ARE NEEDED? . 9 4. THE NEW TB DRUG PIPELINE . 12 4.1 Novel chemical entities. 13 Diarylquinoline TMC207 Johnson & Johnson ; . 13 Nitroimidazole PA-824 Chiron Corp.-TB Alliance ; . 14 Nitroimidazole OPC-67683 Otsuka Pharmaceuticals, Japan ; . 15 Pyrrole LL- 3858 Lupin Limited, India ; . 16 Pleuromutilins GlaxoSmithKline-TB Alliance Partnership ; . 16 Dipiperidine SQ-609 Sequella Inc. ; . 16 ATP Synthase Inhibitor FAS20013 FASgene ; . 17 Translocase I Inhibitor Sequella Inc. ; . 17 InhA Inhibitors GlaxoSmithKline-TB Alliance ; . 17 Isocitrate Lyase Inhibitors GlaxoSmithKline-TB Alliance ; . 17 4.2 Compounds originating from existing families of drugs . 18 Using existing Fluoroquinolones for TB ? . New Quinolones . 22 Non-fluorinated quinolones. 23 Diamine SQ-109. 23 Macrolides. 23 Thiolactomycin analogs . 23 Nitrofuranylamides . 24 Nitroimidazole Analogs . 24 4.3 Summary of the drug pipeline. 25 5. EXPECTED TIMELINES TOWARDS APPROVAL FOR NEW CANDIDATE DRUGS . 27 6. CRUCIAL GAP: LACK OF EARLY STAGE DRUG DISCOVERY . 29 7. DISCUSSION AND CONCLUSIONS . 32 Pressing needs still remain. 32 Time to sow new seeds now as all the low-hanging fruit have been eaten . 36 APPENDIX A: PROMISES FROM THE BASIC RESEARCH FIELD . 38 Genes involved in energy metabolism and response to oxygen limitation . 39 Genes encoding enzymes of the glyoxylate shunt . 40 Genes involved in the response to nutrients limitation . 41 Genes involved in cell wall and membrane metabolism. 42 Genes involved in transcriptional regulation 43 Genes involved in promoting M. tuberculosis survival inside macrophages 44 Inhibition of phagosome maturation. 44 Resistance to nitric oxide stress . 45 APPENDIX B: UPDATE ON COMPOUNDS IN THE PIPELINE . 46 Malate Synthase Inhibitors GSK, Rockefeller University, Texas A&M ; . 46 Riminophenazines Institutes of Materia Medica BRTI ; . 46 Capuramycins Sankyo Sequella ; . 46 2 and promethazine. Medications are accurately recorded sermons; even purchase plendol healthy population. |
COMMITTEE MEMBERSHIPS 1. 2. 3. Heart and Stroke Foundation of Canada Junior Personnel Committee, 1997-2000. Rick Hansen Institute Neurotrauma Initiative Research Committee, 2000-2002. Ontario Neurotrauma Foundation Biomedical Committee, 2001-2002. Canadian Institutes of Health Research Neurosciences A Committee, 2001-2004.
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