Trial Outcomes & Findings for Prevention of Tuberculosis in Prisons (NCT NCT03028129)

NCT ID: NCT03028129

Last Updated: 2019-10-25

Results Overview

Number of participants who had a Quantiferon TB Gold Plus (QIAGEN®) score greater than or equal to 0.35 international units per milliliter, at the time of the premature exclusion visit, on all participants in the group.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

467 participants

Primary outcome timeframe

up to 6 months

Results posted on

2019-10-25

Participant Flow

Eligible participants were interviewed for eligibility criteria (age, race, alcohol use, comorbidities) and laboratory tests (HIV, hepatitis B and C, liver enzymes, interferon gamma dosing for tuberculosis antigens and active tuberculosis).

Study was discontinued at ninth month after interim analysis and showed efficacy in intervention group less than 2.5%

Participant milestones

Participant milestones
Measure
Treatment
Each subject received two oral supervised weekly doses of isoniazid 900 milligrams.
Control
Each subject received two weekly supervised oral doses of placebo, without the active ingredient, similar in size, weight, color, taste and odor.
Overall Study
STARTED
258
209
Overall Study
COMPLETED
132
122
Overall Study
NOT COMPLETED
126
87

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment
Each subject received two oral supervised weekly doses of isoniazid 900 milligrams.
Control
Each subject received two weekly supervised oral doses of placebo, without the active ingredient, similar in size, weight, color, taste and odor.
Overall Study
Adverse Event
13
2
Overall Study
Lost to Follow-up
50
38
Overall Study
Physician Decision
0
1
Overall Study
Protocol Violation
1
1
Overall Study
Withdrawal by Subject
62
45

Baseline Characteristics

Prevention of Tuberculosis in Prisons

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment
n=258 Participants
Each subject received two oral supervised weekly doses of isoniazid 900 milligrams.
Control
n=209 Participants
Each subject received two oral supervised weekly doses of placebo (oral tablet, without the active ingredient, similar in size, weight, color, taste and odor).
Total
n=467 Participants
Total of all reporting groups
Age, Continuous
29.2 years
STANDARD_DEVIATION 6.7 • n=99 Participants
29.0 years
STANDARD_DEVIATION 7.1 • n=107 Participants
29.1 years
STANDARD_DEVIATION 6.9 • n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Male
258 Participants
n=99 Participants
209 Participants
n=107 Participants
467 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
105 Participants
n=99 Participants
90 Participants
n=107 Participants
195 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
22 Participants
n=99 Participants
9 Participants
n=107 Participants
31 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
130 Participants
n=99 Participants
109 Participants
n=107 Participants
239 Participants
n=206 Participants
Region of Enrollment
Brazil
258 participants
n=99 Participants
209 participants
n=107 Participants
467 participants
n=206 Participants

PRIMARY outcome

Timeframe: up to 6 months

Population: All participants who received at least one dose of isoniazid or placebo and who had blood sample collected to QFT examination at premature exclusion visit.

Number of participants who had a Quantiferon TB Gold Plus (QIAGEN®) score greater than or equal to 0.35 international units per milliliter, at the time of the premature exclusion visit, on all participants in the group.

Outcome measures

Outcome measures
Measure
Treatment
n=132 Participants
Each subject received two oral supervised weekly doses of isoniazid 900 milligrams.
Control
n=122 Participants
Each subject received two oral supervised weekly doses of placebo (oral tablet, without the active ingredient, similar in size, weight, color, taste and odor).
Quantiferon TB Gold Plus (QIAGEN®) Conversion at the Premature Exclusion Visit.
49 participants
77 participants

Adverse Events

Treatment

Serious events: 1 serious events
Other events: 190 other events
Deaths: 0 deaths

Control

Serious events: 1 serious events
Other events: 109 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment
n=258 participants at risk
Each subject received two oral supervised weekly doses of isoniazid 900 milligrams.
Control
n=209 participants at risk
Each subject received two oral supervised weekly doses of placebo (oral tablet, without the active ingredient, similar in size, weight, color, taste and odor).
Hepatobiliary disorders
Elevated SGOT
0.39%
1/258 • Number of events 1 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
0.48%
1/209 • Number of events 1 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.

Other adverse events

Other adverse events
Measure
Treatment
n=258 participants at risk
Each subject received two oral supervised weekly doses of isoniazid 900 milligrams.
Control
n=209 participants at risk
Each subject received two oral supervised weekly doses of placebo (oral tablet, without the active ingredient, similar in size, weight, color, taste and odor).
Respiratory, thoracic and mediastinal disorders
Cough
8.1%
21/258 • Number of events 21 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
11.5%
24/209 • Number of events 24 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
Nervous system disorders
Dizziness
10.5%
27/258 • Number of events 27 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
3.8%
8/209 • Number of events 8 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
Gastrointestinal disorders
Gastric pain
10.5%
27/258 • Number of events 27 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
7.2%
15/209 • Number of events 15 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
Nervous system disorders
Headache
11.6%
30/258 • Number of events 30 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
7.2%
15/209 • Number of events 15 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
General disorders
Malaise
11.2%
29/258 • Number of events 29 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
3.3%
7/209 • Number of events 7 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
Gastrointestinal disorders
Nausea
7.8%
20/258 • Number of events 20 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
1.9%
4/209 • Number of events 4 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
Psychiatric disorders
Somnolence
7.8%
20/258 • Number of events 20 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
4.3%
9/209 • Number of events 9 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
Respiratory, thoracic and mediastinal disorders
Chest pain
3.5%
9/258 • Number of events 9 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
5.7%
12/209 • Number of events 12 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
Infections and infestations
Flu syndrome
2.7%
7/258 • Number of events 7 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.
7.2%
15/209 • Number of events 15 • 9 months
On the intervention days, all participants were asked about the presence of any unusual signs and / or symptoms. Data were recorded in a log containing start and end date, event description, degree and intervention performed.

Additional Information

Julio Croda

Federal University of Mato Grosso do Sul

Phone: +5567981229959

Results disclosure agreements

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