Human Immunodeficiency Virus, Tuberculosis
Conditions
Keywords
Active Hexose Correlated Compound, Tuberculosis-HIV, Cytokine, Sputum Conversion
Brief summary
Background Active Hexose Correlated Compound is assumed to have a positive effect on immunity, including induce a phagocytic response, reduce tumor resistance, and cytokine response including interferon-gamma and interleukins. Tuberculosis patients with concurrent Human immunodeficiency Virus (HIV) might have benefit when receiving active hexose compound during tuberculosis treatment Purposes 1. To assess the clinical changes of patients who receive active hexose compound as an adjuvant to tuberculosis therapy in patients with HIV 2. To assess the difference of pro-inflammatory cytokines between standard therapy and active hexose compound adjuvant Methods A clinical trial involving patients with Tuberculosis-HIV infection Hypothesis 1. Clinical improvement is significantly different where the group who receive active compound will have the better clinical outcome 2. Lower proinflammatory cytokines are observed in people who receive active compound
Detailed description
Population : Lung Tuberculosis patient with HIV Infection Design : Double-Blind Randomized Control Trial at the outpatient setting Randomization Simple Randomization Proposed Number of participants : Using the difference between two independent means of duration to sputum conversion 1. Type 1 error 5% 2. Power of study 80% 3. Effect Size 0.5 4. Dropout rate 20% Total Participant 122 Proposed analysis 1. Time-to-event analysis using cox regression for the duration of sputum conversion and radiology resolution 2. Linear mixed model for continuous dependent variable
Interventions
Active Hexose Correlated Compound was isolated from basidiomycetes which comprise polysaccharides and amino acids.
Sponsors
Study design
Masking description
Investigator will be blinded from the allocation (not allowed to observe the allocation and intervention) and the outcome assessor will not be informed the code of allocation
Intervention model description
One group will be given Active Hexose Correlated Compound as adjuvant and the comparison group will only receive the tuberculosis treatment
Eligibility
Inclusion criteria
1. Newly-diagnosed Lung Tuberculosis case who will receive a 6-month regiment 2. Not Pregnant 3. Diagnosed with HIV
Exclusion criteria
1. Patient with liver dysfunction 2. Patient with drug-resistant 3. Severe Malnutrition 4. Refuse to be involved
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sputum Conversion Duration | six month after the intervention started | Sputum conversion duration defined as the duration to change positive result in sputum smear into negative results. The sputum smear level using Ziehl Neelsen ranging from Negative to 3+. |
| Chest X-Ray Extension | Changes of number of active tuberculosis feature from baseline to 6 months | Distribution of active tuberculosis feature in Chest X-Ray including number of consolidation and cavitation |
| Interleukin 6 Level | Changes of Interleukin 6 Level from baseline to 6 months | Value of Interleukin 6 in blood Sample |
| Interleukin 10 Level | Changes of Interleukin 10 value from baseline to 6 months | Value of Interleukin 10 in blood Sample |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cluster Differentiation 4 (CD4) cells value | Changes of Cluster Differentiation 4 (CD4) cells value from baseline to 6 months | Cluster Differentiation 4 (CD4) cells value in blood sample |
| Cluster Differentiation 8 (CD8) cells value | Changes of Cluster Differentiation 8 (CD8) cells value from baseline to 6 months | Cluster Differentiation 8 (CD8) cells value in blood sample |
Countries
Indonesia