Short-course Rifamycin-based Regimens for Latent Tuberculosis in Patients With End-stage Kidney Disease
NCT05021731 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 225
Last updated 2024-03-15
Summary
Objective To determine if treatment completion with a 4-month rifampin (4R) or 3-month rifapentine (P) + isoniazid (H) weekly for 12 weeks (3HP) regimens is better than with a 3-month (3HR) regimen for treatment of latent tuberculosis (TB) infection (LTBI) in patients with end stage kidney disease.
Methods Design: Multicenter, prospective, parallel-group, open-label, controlled clinical trial.
Study population: All adult patients with ESKD in who treatment for LTBI is prescribed at 7 hospitals.
Interventions: Patients who accept participation, will be randomly assigned to one of the 3 arms: 3HR (control) (90 doses), 4R (120 doses) or 3HP (12 doses).
Outcome: Proportion of participants who discontinue permanently the assigned treatment. Follow-up: Periodic assessment for permanent or temporary discontinuation, and adverse events of the assigned treatment.
Sample size: 225 subjects (75 per arm) will be needed to demonstrate, if exists, a 0.16 decrease in permanent discontinuation rates in the experimental arms (4R and 3HP) with respect to the control arm (3HR), with α= 0.025, β= 0.20, and 5% expected losses, and assuming a 0.25 proportion of permanent discontinuation in the control.
Conditions
- Latent Tuberculosis
- Kidney Failure
Interventions
- DRUG
-
Rifampicin plus Isoniazid
Administration of rifampicin plus isoniazid for latent tuberculosis
- DRUG
-
Rifapentine plus Isoniazid
Administration of rifapentine plus isoniazid for latent tuberculosis
- DRUG
-
Rifampicin alone
Administration of rifampicin alone for latent tuberculosis
Sponsors & Collaborators
-
Institut d'Investigació Biomèdica de Bellvitge
collaborator OTHER -
Instituto de Salud Carlos III
collaborator OTHER_GOV -
Miguel Santín
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-04-20
- Primary Completion
- 2025-04-30
- Completion
- 2025-04-30
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