A Confirmatory Trial of Adjunctive NAC to Prevent Post Tuberculosis Lung Disease
NCT06909799 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 242
Last updated 2025-04-30
Summary
The goal of this clinical trial is to evaluate if N-acetylcysteine (NAC) works to prevent post-tuberculosis lung disease (PTLD) in patients with severe pulmonary impairment. It also aims to assess the safety of NAC. The main questions the study aims to answer are: Does NAC improve lung function (FEV1%) over 12 months in participants with pulmonary tuberculosis and baseline risk factors for PTLD? What medical issues or adverse events do participants experience while taking NAC? Researchers will compare NAC treatment to a control group to see if it can prevent PTLD when given in addition to standard TB treatment.
Participants will: Take NAC (1800mg twice daily) for 6 months with standard TB treatment or receive standard TB treatment alone; Attend scheduled clinic visits for 12 months, during which they will have respiratory assessments, blood tests, and symptom monitoring; Complete quality-of-life questionnaires and provide sputum and blood samples for analysis at multiple time points.
Conditions
- Tuberculosis (TB)
Interventions
- DRUG
-
N-Acetyl Cysteine (NAC)
NAC will be provided as 600 mg capsules from NOW Healthgroup. Standard TB treatment will be provided as fixed dose combination tablets.
- DRUG
-
Standard TB treatment
Standard TB treatment will be provided as fixed dose combination tablets.
Sponsors & Collaborators
-
Ludwig-Maximilians - University of Munich
collaborator OTHER -
Research Center Borstel
collaborator OTHER -
The Aurum Institute NPC
lead OTHER
Principal Investigators
-
Robert Wallis - Professor · Aurum Institute
-
Andrea Rachow, MD · LMU
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-28
- Primary Completion
- 2027-12-31
- Completion
- 2027-12-31
Countries
- The Gambia
Study Locations
More Related Trials
-
Pre- and Post-treatment Lung Microbiota, Metabolome and Immune Signatures at the Site of Disease in Patients With Active Pulmonary Tuberculosis
NCT04700579 ·Status: RECRUITING
-
The Protective Effect for Liver Organ in Patients With Anti-TB Drugs Using of Acetylcysteine (NAC)
NCT02889757 ·Status: UNKNOWN ·Phase: PHASE4
-
PA-824-CL-007: Phase IIa Evaluation of Early Bactericidal Activity in Pulmonary Tuberculosis
NCT00567840 ·Status: COMPLETED ·Phase: PHASE2
-
Alternative Diagnoses in Patients About to Start Empiric Tuberculosis Treatment
NCT06737029 ·Status: ACTIVE_NOT_RECRUITING
-
Evaluation of PTB Screening in ANC in Lusaka, Zambia
NCT02053129 ·Status: COMPLETED ·Phase: NA
-
Immune Response to Mycobacterium Tuberculosis Infection
NCT00257907 ·Status: COMPLETED
-
Choice Architecture Based TB Preventive Therapy Prescribing
NCT04466293 ·Status: COMPLETED ·Phase: NA
-
A Controlled Smoking Cessation Trial and Prospective Cohort Study of Tuberculosis (TB) Treatment Outcomes
NCT02238405 ·Status: COMPLETED ·Phase: NA
-
Characterization of Tuberculosis Associated Lung Fibrosis and Respiratory Impairment, and Prevention Using Doxycycline
NCT06477185 ·Status: RECRUITING ·Phase: PHASE2
-
Evaluation of PATHFAST-LAM as a Tuberculosis Treatment Monitoring Tool in Kenya
NCT07157904 ·Status: NOT_YET_RECRUITING
-
Safety, Tolerability, Extended Early Bactericidal Activity and PK of Higher Doses Rifampicin in Adults With Pulmonary TB
NCT01392911 ·Status: COMPLETED ·Phase: PHASE2
-
Tuberculosis (TB) Immunotherapy Phase 2 Study
NCT01380119 ·Status: COMPLETED ·Phase: PHASE2
-
A Multiple Ascending Dose Study With a Dose Formulation Comparison Cohort to Evaluate the Safety, Tolerability, and Pharmacokinetics of TBA-354 in Healthy Adult Subjects
NCT02606214 ·Status: TERMINATED ·Phase: PHASE1
-
Personalization of AntiTB Treatment: Evaluation of Pharmacological Determinants of Treatment Response
NCT03416309 ·Status: UNKNOWN
-
Determining Risk in Latent Tuberculosis
NCT01571739 ·Status: TERMINATED
-
Evaluation of Early Bactericidal Activity in Pulmonary Tuberculosis (TMC207-CL001)
NCT01215110 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of Early Bactericidal Activity in Pulmonary Tuberculosis (CL-010)
NCT00944021 ·Status: COMPLETED ·Phase: PHASE2
-
The Utility of Intensified Case Finding Combined With a Package of Novel TB Diagnostics Using a Mobile Clinic in Africa
NCT01990274 ·Status: COMPLETED ·Phase: NA
-
The Evaluation of a Standard Treatment Regimen of Anti-tuberculosis Drugs for Patients With MDR-TB
NCT02409290 ·Status: COMPLETED ·Phase: PHASE3
-
A Pragmatic Randomised Study to Optimise Screening, Prevention and Care for Tuberculosis in Malawi
NCT03519425 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of a Rapid Point-of-Care Serological Triage Test for Active TB
NCT04752592 ·Status: COMPLETED ·Phase: NA
-
Tuberculosis Prevention for HIV Infected Adults
NCT00057122 ·Status: COMPLETED ·Phase: PHASE3
-
Bioaerosol Sampling in Suspected Pulmonary Tuberculosis
NCT04241809 ·Status: COMPLETED
-
Childhood TB Sequel
NCT05325125 ·Status: UNKNOWN
-
Efficacy of Nyaditum Resae(R) Against Active TB in Georgia
NCT02897180 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3