Therapeutic Drug Monitoring (TDM), Tuberculosis
Conditions
Brief summary
The purpose of this clinical trial is to investigate the correlation between anti-tuberculosis drug concentration monitoring and treatment efficacy and safety through analytical studies.The main questions it aims to answer include: Guidance for individualized dosage adjustment of anti-tuberculosis drugs; Guidance on medication challenges for special populations and patients with comorbidities;Address the dose optimization issue for refractory tuberculosis.
Interventions
Collect blood drug concentrations of various medications, such as rifampicin, isoniazid, ethambutol, and pyrazinamide.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with tuberculosis confirmed by bacteriological or pathological diagnosis; * Those who have received standardized anti-tuberculosis treatment regimens; * Patients with complete clinical records and completed follow-up for at least one treatment course.
Exclusion criteria
* Baseline alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels\>2 times the upper limit of normal; * Concurrent chronic liver diseases such as chronic hepatitis B, hepatitis C, or alcoholic liver disease; * Concurrent severe underlying cardiac conditions (e.g.,congenital heart disease, cardiomyopathy, severe arrhythmias); * Concurrent use of multiple medications that may affect cardiac function; * Human immunodeficiency virus (HIV) co-infection; * Women who are pregnant or breastfeeding.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation between plasma concentrations of antituberculosis drugs and the incidence and severity of adverse events during antituberculosis treatment, particularly hepatotoxicity and cardiotoxicity. | From January 2021 to December 2028 . | The primary outcome |
Countries
China