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High dose rifampicin for tuberculosis, PORT

Pragmatic trial on the safety and tolerability of an optimized dose of rifampicin in tuberculosis patients - PORT: Pragmatic Optimized Rifampicin trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2022-000632-27-NL
Enrollment
164
Registered
2022-04-11
Start date
2022-08-03
Completion date
Unknown
Last updated
2024-04-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tuberculosis

Interventions

Trade Name: Rifampicin Product Name: Rifampicin Pharmaceutical Form: Tablet INN or Proposed INN: RIFAMPICIN CAS Number: 13292-46-1 Trade Name: Rifampicin Product Name: Rifampicin Pharmaceutical Form:

Sponsors

Radboud University Medical Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: The patient has a diagnosis of pulmonary tuberculosis according to the local diagnostic criteria. The patient is aged 18 years or older at the day of informed consent. No known allergic reactions or toxicity to rifampicin in the past. 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 156 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 8

Exclusion criteria

Exclusion criteria: Patient infected with a rifampicin-resistant strain of M. tuberculosis. The patient has TB meningitis. The patient is in a coma.

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary objective is to describe and compare the incidence of hepatotoxicity in standard care and in a regimen with an optimized dose of 1800 mg rifampicin in patients with rifampicin-susceptible tuberculosis. ;Secondary Objective: The secondary objectives are: •To compare any adverse events in the optimized dose regimen versus the standard dose regimen. •To compare final treatment outcome at the end of treatment according to WHO definitions of cure in the optimized dose regimen versus the standard dose regimen. •To compare two and three months culture conversion rates in the optimized dose regimen versus the standard dose regimen. •To describe and compare the steady-state plasma pharmacokinetics of the optimized dose regimen versus the standard dose regimen. This will be performed depending on the availability of pharmacological analyses. ;Primary end point(s): The primary endpoint is the incidence of hepatotoxicity, which will be compared between treatment arms at the end of the 6 months treatment. ;Timepoint(s) of evaluation of this end point: At the end of the 6 months treatment.

Secondary

MeasureTime frame
Secondary end point(s): Secondary endpoints are: • The proportion of adverse events overall and graded by severity assessed to be related or probably related to rifampicin during the 6 months treatment will be compared between treatment arms. • Final treatment outcome at the end of treatment according to WHO definitions of cure will be compared between treatment arms. • Two and three months culture conversion rates will be compared between treatment arms. • Steady-state plasma pharmacokinetic parameters will be compared between treatment arms. ;Timepoint(s) of evaluation of this end point: - The proportion of adverse events overall and graded by severity assessed to be related or probably related to rifampicin during the 6 months treatment will be compared between treatment arms. - Final treatment outcome at the end of treatment (6 months) according to WHO definitions of cure will be compared between treatment arms. -Two and three months culture conversion rates will be compared between treatment arms. This outcome is evaluated at two and three months. - Steady-state plasma pharmacokinetic parameters will be compared between treatment arms, at day 14.

Countries

Austria, Denmark, Italy, Netherlands

Contacts

Public ContactJodie Schildkraut

Radboud University Medical Center

jodie.schildkraut@radboudumc.nl

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026