Optimizing Treatment to Improve TBM Outcomes in Children
NCT02958709 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 38
Last updated 2021-10-28
Summary
In this open-labeled, randomized clinical trial, the Investigator will assess the safety and pharmacokinetics (PK) of model-optimized doses of rifampicin (RIF) with or without levofloxacin (LEVO) given to children as part of multidrug treatment for tuberculous meningitis (TBM) versus standard treatment. The Investigators will also assess functional and neurocognitive outcomes by treatment group, as measured by the Pediatric Modified Rankin Score (MRS) and the Mullen Scales of Early Learning (MSEL), respectively.
Conditions
- Tuberculosis, Meningeal
Interventions
- DRUG
-
High-dose: RIF, INH, PZA, EMB
high-dose rifampicin plus standard dose H,Z,E, given for 8 weeks in treatment Arms 1 and 2
- DRUG
-
High dose: RIF, INH, PZA, LEVO
high-dose rifampicin plus standard dose H,Z, with levofloxacin substituted for ethambutol for 8 weeks in treatment Arm 2
- DRUG
-
Standard of care: RIF, INH, PZA, EMB
standard doses of R,H,Z,E given for 8 weeks in treatment Arm 3, control arm.
Sponsors & Collaborators
-
National Institute for Research in Tuberculosis, Chennai, India
collaborator UNKNOWN -
University of North Carolina
collaborator OTHER -
B. J. Medical College, Pune
collaborator OTHER -
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH - lead OTHER
Principal Investigators
-
Kelly Dooley, MD,PhD · Johns Hopkins University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Months
- Max Age
- 12 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-02-22
- Primary Completion
- 2020-11-15
- Completion
- 2020-11-15
Countries
- India
- Malawi
Study Locations
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