latent tuberculosis infection MedDRA version: 20.0 Level: PT Classification code 10065048 Term: Latent tuberculosis System Organ Class: 10021881 - Infections and infestations MedDRA version: 20.0 Level: PT Classification code 10065048 Term: Latent tuberculosis System Organ Class: 10021881 - Infections and infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Man and woman 18 years old.HIV negative Asylum seekers (AS) and refugees hosted in the SPRARS or CAS in the province of Brescia, Lombardia Migrants residing in the province of Brescia, identified by the Transcultural and Migration Medicine Centre of ASST of Brescia Diagnosis of Latent Tuberculosis Infection (LTBI) Provision of signed informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 230 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 8
Exclusion criteria
Exclusion criteria: Current confirmed culture-positive or clinical TB Suspected TB History of sensitivity/intolerance to any of the study drugs Pregnant or breast-feeding females Person with diagnosis of Porphyria Patients requiring medications that cannot be safely taken with any of the study drugs Any medical condition deserving priority of treatment Serum aminotransferase aspartate (AST, SGOT) > 5x upper limit of normal at the baseline evaluation Clinical diagnosis of cirrhosis (jaundice, hematemesis, ascites or previous episodes of liver encephalopathy) Previous treatment for TB or LTBI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: The secondary objectives of this study include: A. To evaluate adherence to treatment in the two groups measured by counting number of pills taken in each group. B. To compare the rates of any grade and grade 3, 4, or 5 liver toxicity associated with 1RPT/H, and 3RH C. To compare the rates of drug discontinuation due to adverse drug reactions associated with 1RPT/H and 3RH. D. To compare the rates of drug discontinuation for any reason associated with 1RPT/H and 3RH.;Primary end point(s): Completion of the prescribed regimen, defined as taking at least 90% of the doses: • 28 doses [at least 25 doses] of each drug within 4 weeks of treatment initiation with daily 1RPT/H (Arm 1); • 84 doses [at least 76 doses] within 12 weeks of treatment initiation with daily 3HR (Arm 2);;Timepoint(s) of evaluation of this end point: 4 weeks 12 weeks;Main Objective: The primary objective of this open-label randomized clinical trial is to compare completion rate, adherence and safety between the study regimen, 4 weeks rifapentine and isoniazid (1RPT/H) and the standard of care, 12 weeks isoniazid plus rifampicin (3HR). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Mean proportion of cumulative number of pills taken for each group; tollerability;Timepoint(s) of evaluation of this end point: 4 weeks 12 weeks; 8 weeks 16 weeks | — |
Countries
Italy
Contacts
ASST SPEDALI CIVILI DI BRESCIA