Clinical trial

TB YOUTH - TB sYstemic Management Using One-month, Ultra-short TPT Regimen for scHool Contacts

Name
KY-2023-020
Description
This is a prospective, multi-center, open-label, cluster randomized controlled clinical trial conducted in school settings to estimate the non-inferiority effect of 1H3P3 compared with 3HR.
Trial arms
Trial start
2023-09-01
Estimated PCD
2026-09-01
Trial end
2026-09-01
Status
Recruiting
Phase
Early phase I
Treatment
Rifampin and Isoniazid
3HR regimen of isoniazid and rifampicin once daily for three months
Arms:
1H3P3 regimen of isoniazid and rifapentine 3 times a week for one month
isoniazid and rifapentine
12-dose ultra-short TPT 1H3P3 regimen of isoniazid and rifapentine 3 times a week for one month
Arms:
3HR regimen of isoniazid and rifampicin once daily for three months
Size
3520
Primary endpoint
Number of participants with culture or GeneXpert MTB/RIF confirmed TB or clinically highly suggested TB
up to 24 months after treatment
Eligibility criteria
Inclusion Criteria: 1. Students of junior middle school, high school and university, age13 years old 2. Close contact of school active tuberculosis case (e.g. in the same classroom, in the same dormitory, in the same floor) 3. IGRA (Interferon-Gamma Release Assay) is positive and diagnosed as LTBI 4. Himself/herself (together with his/her guardian for age under 18 years old) willing to participate in trial and sign informed consent. Exclusion Criteria: 1. Current clinical or sputum culture confirmed active tuberculosis 2. Had continuously taken rifamycin (rifampicin, rifapentine etc.) or isoniazid for more than 14 days in the past 2 years 3. Have completed a full course of treatment for ATB or LTBI 4. Allergic or intolerant to rifamycin (rifapentine or rifampicin) or isoniazid 5. HIV (human immunodeficiency virus) antibody positive or AIDS (Acquired immunodeficiency syndrome) patients 6. History of viral hepatitis (e.g. chronic hepatitis B, chronic hepatitis C) or liver cirrhosis 7. Liver dysfunction (Total bilirubin \> 5mg/dL (43 umol/L) or Alanine aminotransferase \> 2ULN or Aspartate aminotransferase \> 2ULN) or renal dysfunction 8. Current receiving immunosuppressive therapy or biological agents 9. Blood system diseases or Platelet count\<50×10\^9/L or White Blood Cell count\<3.0×10\^9/L 10. Other conditions deemed unsuitable for TPT by physician.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 3520, 'type': 'ESTIMATED'}}
Updated at
2023-11-13

1 organization

2 products

1 indication

Organization
Huashan Hospital
Indication
Tuberculosis