TABLE 1

Baseline characteristics, outcomes, radiological changes, side-effects and changes in therapy due to side-effects, stratified by treatment group

DemographicsREMREMACp-value
Patients2519
Males10 (40%)9 (47.4%)
Radiological subtype0.062
 Fibrocavitary13 (52%)15 (79%)
 Nodular–bronchiectatic12 (48%)4 (21%)
COPD19 (76%)14 (73.7%)
Lung cancer3 (12%)1 (5.3%)
Asthma6 (24%)3 (15.8%)
TB in history2 (8%)0
Immunodeficiency1(4%)4 (20%)
Alcohol abuse4 (16%)5 (26.3%)
Current smokers10 (40%)10 (52.6%)
History of smoking7 (28%)4 (21.1%)
Nonsmokers8 (32%)5 (26.3%)
Inhaled corticosteroids15 (60%)8 (42%)
Sputum Aspergillus yes/no/unknown8 (32%)/13/42 (10.5%)/9/8
Prednisone2(8%)3 (16%)
Surgery2 (8%)0
Hypertonic saline inhalation6 (24%)5 (26.3%)
Treatment duration, weeks, median (range)63 (35–90)69 (36–103)
Mycobacterium avium11 (44%)9 (45%)
Mycobacterium avium complex6 (24%)2 (10%)
Mycobacterium intracellulare6 (24%)7 (35%)
Mycobacterium chimaera2 (8%)2 (10%)
Outcomes
 Microbiological cure13 (52%)14 (74%)0.337
 Clinical cure7 (28%)3 (16%)0.474
 Recurrence220.641
 Therapy failure5 (20%)2 (11%)0.680
 Mortality9 (28%)4 (20%)0.335
 Clinical improvement17 (71%)15 (79%)0.403
Radiological change#0.942
 Better13 (54%)9 (43%)
 Stable9 (38%)7 (41%)
 Worse2 (8%)1 (6%)
Adverse events
 Adverse events occurred14 (56%)16 (84%)0.046
 Perceptive hearing loss07 (37%)0.001
 Tinnitus08 (42%)0.000
 Gastrointestinal complaints12 (48%)4 (21%)0.062
 Hepatotoxicity1 (4%)1 (5%)0.683
 Blurry vision2 (8%)00.317
 Skin discolouration01 (5%)0.432
 Eye discolouration01 (5%)0.432
 Leukopenia3 (12%)1 (5%)0.415
 Rash2 (8%)2 (11%)0.585
 Dizziness2 (8%)2 (10%)0.585
 Arthralgia010.432
 Alopecia1 (4%)1 (5%)0.683
 Nephrotoxicity00
Therapy changed5 (20%)10 (52%)0.026
Therapy ceased3 (12%)3 (16%)0.525

R: rifamycin; E: ethambutol; M: macrolide; A: amikacin; C: clofazimine; TB: tuberculosis. #: no radiological (follow-up) data were available for analysis in three cases.