Trial Outcomes & Findings for TBTC Study 26 PK: Rifapentine Pharmacokinetics in Children During Treatment of Latent TB Infection (NCT NCT00164450)

NCT ID: NCT00164450

Last Updated: 2026-07-07

Results Overview

Rifapentine exposure was estimated in children and adults receiving once-weekly rifapentine plus isoniazid. A sparse sampling design used a plasma sample collected 24 hours after administration of study drugs.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

158 participants

Primary outcome timeframe

24 hours after study-drug administration; AUC0-inf estimated using a nonlinear mixed-effects pharmacokinetic model incorporating the 24-hour rifapentine concentration, C24.

Results posted on

2026-07-07

Participant Flow

Participants were enrolled in a pharmacokinetic substudy of the PREVENT-TB trial evaluating once-weekly rifapentine plus isoniazid for treatment of latent tuberculosis infection.

A total of 158 participants were enrolled. One enrolled participant was not included in the pharmacokinetic analysis population. Participant Flow and Results are based on the 157 participants included in the pharmacokinetic substudy analysis.

Participant milestones

Participant milestones
Measure
Adults, >18 Years
Adult participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; adults received rifapentine 900 mg.
Children, 2 to <12 Years
Pediatric participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; rifapentine dose ranged from 300 mg to 900 mg based on weight. Children unable to swallow tablets received crushed rifapentine tablets in liquid or soft food.
Overall Study
STARTED
77
80
Overall Study
COMPLETED
75
79
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Adults, >18 Years
Adult participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; adults received rifapentine 900 mg.
Children, 2 to <12 Years
Pediatric participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; rifapentine dose ranged from 300 mg to 900 mg based on weight. Children unable to swallow tablets received crushed rifapentine tablets in liquid or soft food.
Overall Study
Adverse Event
2
1

Baseline Characteristics

TBTC Study 26 PK: Rifapentine Pharmacokinetics in Children During Treatment of Latent TB Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=157 Participants
Age was analyzed separately for pediatric and adult pharmacokinetic groups. Sex, race, and ethnicity data were available only for the combined pharmacokinetic study population and were not collected separately for pediatric and adult analysis groups. Therefore, these baseline measures are reported for all participants combined.
Age, Categorical
<=18 years
80 Participants
n=20 Participants
Age, Categorical
Between 18 and 65 years
77 Participants
n=20 Participants
Age, Categorical
>=65 years
0 Participants
n=20 Participants
Sex: Female, Male
Female
76 Participants
n=20 Participants
Sex: Female, Male
Male
81 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
118 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
39 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
9 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
29 Participants
n=20 Participants
Race (NIH/OMB)
White
118 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=20 Participants

PRIMARY outcome

Timeframe: 24 hours after study-drug administration; AUC0-inf estimated using a nonlinear mixed-effects pharmacokinetic model incorporating the 24-hour rifapentine concentration, C24.

Rifapentine exposure was estimated in children and adults receiving once-weekly rifapentine plus isoniazid. A sparse sampling design used a plasma sample collected 24 hours after administration of study drugs.

Outcome measures

Outcome measures
Measure
Children, 2 to <12 Years
n=80 Participants
Pediatric participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; rifapentine dose ranged from 300 mg to 900 mg based on weight. Children unable to swallow tablets received crushed rifapentine tablets in liquid or soft food.
Adults, >18 Years
n=77 Participants
Adult participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; adults received rifapentine 900 mg.
Rifapentine Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity, AUC0-inf
650 mcg*h/mL
Interval 604.0 to 699.0
489 mcg*h/mL
Interval 451.0 to 529.0

PRIMARY outcome

Timeframe: 24 hours after study-drug administration

Value represents the coefficient of determination (R-squared) for the relationship between rifapentine C24 and AUC0-inf.

Outcome measures

Outcome measures
Measure
Children, 2 to <12 Years
n=157 Participants
Pediatric participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; rifapentine dose ranged from 300 mg to 900 mg based on weight. Children unable to swallow tablets received crushed rifapentine tablets in liquid or soft food.
Adults, >18 Years
Adult participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; adults received rifapentine 900 mg.
Correlation Between Rifapentine C24 and AUC0-inf
0.92 R-squared

SECONDARY outcome

Timeframe: 24 hours after study-drug administration

Population: Subgroup sample sizes for tablet administration method were not reported; total pediatric sample size (N=80) used for analysis population.

Comparison of rifapentine AUC0-inf between participants receiving crushed and whole rifapentine tablets.

Outcome measures

Outcome measures
Measure
Children, 2 to <12 Years
n=80 Participants
Pediatric participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; rifapentine dose ranged from 300 mg to 900 mg based on weight. Children unable to swallow tablets received crushed rifapentine tablets in liquid or soft food.
Adults, >18 Years
n=80 Participants
Adult participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; adults received rifapentine 900 mg.
Rifapentine AUC0-inf by Tablet Administration Method in Children
588 mcg*h/mL
Interval 538.0 to 643.0
809 mcg*h/mL
Interval 733.0 to 894.0

Adverse Events

Children, 2 to <12 Years

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Adults, >18 Years

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Children, 2 to <12 Years
n=80 participants at risk
Pediatric participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; rifapentine dose ranged from 300 mg to 900 mg based on weight. Children unable to swallow tablets received crushed rifapentine tablets in liquid or soft food.
Adults, >18 Years
n=77 participants at risk
Adult participants with latent tuberculosis infection enrolled in the pharmacokinetic substudy of PREVENT-TB. Participants received once-weekly rifapentine and isoniazid; adults received rifapentine 900 mg.
General disorders
Signs and symptoms
6.2%
5/80 • Number of events 5 • During the pharmacokinetic substudy / during 3HP treatment; signs or symptoms were also assessed in the 24 hours after study-drug administration. Confirm final AE collection period from the protocol or AE dataset.
Adverse events occurring within 24 hours after study-drug administration were assessed systematically. The available study data summarized these events as grade-1 signs or symptoms and did not include individual adverse event terms; therefore, adverse events are reported as a grouped category.
16.9%
13/77 • Number of events 13 • During the pharmacokinetic substudy / during 3HP treatment; signs or symptoms were also assessed in the 24 hours after study-drug administration. Confirm final AE collection period from the protocol or AE dataset.
Adverse events occurring within 24 hours after study-drug administration were assessed systematically. The available study data summarized these events as grade-1 signs or symptoms and did not include individual adverse event terms; therefore, adverse events are reported as a grouped category.

Additional Information

William R. Mac Kenzie, MD

Centers for Disease Control and Prevention (CDC), NCHHSTP/DTBE

Phone: 404 639-8123

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place