- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00216385
A Controlled Trial of a 4-Month Quinolone-Containing Regimen for the Treatment of Pulmonary Tuberculosis
September 20, 2005 updated by: Institut de Recherche pour le Developpement
A Randomised Open-Label Controlled Trial of a 4-Month Gatifloxacin-Containing Regimen Versus Standard Regimen for the Treatment of Adult Patients With Pulmonary Tuberculosis
Tuberculosis is currently treated with a 6-month course regimen.
During this time many patients might fail to adhere to treatment and default, increasing the risk of recurrent disease which might be multidrug resistant.
A shorter duration of treatment is expected to provide improved patient compliance and at least equal or better clinical outcome.
The aim of the trial is to evaluate the efficacy and safety of a gatifloxacin-containing regimen of four months duration for the treatment of pulmonary tuberculosis,
Study Overview
Detailed Description
In order to evaluate the efficacy and safety of the 4-month test gatifloxacin-containing regimen, comparison will be made with a standard 6-month regimen, recommended by WHO.
Patients will be treated with one of the two regimens that will be randomly allocated.
A total of 2070 patients will ne recruited in the trial and followed-up for a duration of 2 years.
The trial is multicentre, and conducted in 5 countries in Africa.
Study Type
Interventional
Enrollment
2070
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Cotonou, Benin
- Recruiting
- Programme National de Lutte contre la Tuberculose
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Contact:
- Martin Gninafon, MD
- Phone Number: + 229 33 15 33
- Email: pnt@intnet.bj
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Principal Investigator:
- Martin Gninafon, MD
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Conakry, Guinea
- Recruiting
- Service Pneumo-Phtisiologie, CHU Ignace Deen
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Contact:
- Oumou Y Sow, MD
- Phone Number: +224 41 20 58
- Email: prsow@kassa.sotelgui.net.gn
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Principal Investigator:
- Oumou Sow, MD
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Nairobi, Kenya
- Recruiting
- Kenya Medical Research Institute
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Contact:
- Joseph Odhiambo, MD
- Phone Number: + 254 02 71 30 08
- Email: jodhiambo@nairobi.mimcom.net
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Principal Investigator:
- Joseph Odhiambo, MD
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Dakar, Senegal
- Recruiting
- Programme National de Lutte contre la Tuberculose
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Contact:
- Cheikh Seck, MD
- Phone Number: + 221 824.90.09
- Email: cheikbaf@yahoo.fr
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Principal Investigator:
- Cheikh Seck, MD
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KwaZulu
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Durban, KwaZulu, South Africa
- Recruiting
- Medical Research Council
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Contact:
- Roxana Rustomjee, MD
- Phone Number: +27 31 207 16 75
- Email: Roxana.rustomjee@mrc.ac.za
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Principal Investigator:
- Roxana Rustomjee, MD
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Male or female patients
- Aged 18 to 65 years
- Currently suffering from recently diagnosed microscopically proven pulmonary tuberculosis and providing informed consent for inclusion in the study.
Exclusion Criteria:
- Patients with history of tuberculosis treatment within the last 3 years
- History of diabetes mellitus or non insulin dependent diabetes mellitus requiring treatment
- Concomitant infection requiring additional anti-infective treatment (especially anti-retroviral therapy)
- HIV infected patients with WHO stage 3 infection - except those presenting with only the "loss of weight>10% body weight" criterion - and all HIV infected patients at WHO stage 4.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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Efficacy: Percentage of relapses by 24 months following treatment cure
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Safety: Percentage of adverse events
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Secondary Outcome Measures
Outcome Measure |
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Efficacy: Time to relapse
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Efficacy: Percentage of smear and culture conversion at 8 weeks
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Efficacy: Percentage of patient cured at the end of treatment
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Efficacy: Time to a composite "unsatisfactory" endpoint
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Safety outcome: Distribution of type and grading of adverse events
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: Christian Lienhardt, MD, Institut de Recherche pour le Developpement
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Pasipanodya JG, Smythe W, Merle CS, Olliaro PL, Deshpande D, Magombedze G, McIlleron H, Gumbo T. Artificial intelligence-derived 3-Way Concentration-dependent Antagonism of Gatifloxacin, Pyrazinamide, and Rifampicin During Treatment of Pulmonary Tuberculosis. Clin Infect Dis. 2018 Nov 28;67(suppl_3):S284-S292. doi: 10.1093/cid/ciy610.
- Olliaro PL, Merle C, Mthiyane T, Bah B, Kassa F, Amukoye E, N Diaye A, Perronne C, Lienhardt C, McIlleron H, Fielding K. Effects on the QT Interval of a Gatifloxacin-Containing Regimen versus Standard Treatment of Pulmonary Tuberculosis. Antimicrob Agents Chemother. 2017 Jun 27;61(7):e01834-16. doi: 10.1128/AAC.01834-16. Print 2017 Jul.
- Merle CS, Fielding K, Sow OB, Gninafon M, Lo MB, Mthiyane T, Odhiambo J, Amukoye E, Bah B, Kassa F, N'Diaye A, Rustomjee R, de Jong BC, Horton J, Perronne C, Sismanidis C, Lapujade O, Olliaro PL, Lienhardt C; OFLOTUB/Gatifloxacin for Tuberculosis Project. A four-month gatifloxacin-containing regimen for treating tuberculosis. N Engl J Med. 2014 Oct 23;371(17):1588-98. doi: 10.1056/NEJMoa1315817. Erratum In: N Engl J Med. 2015 Apr 23;372(17):1677.
- Smythe W, Merle CS, Rustomjee R, Gninafon M, Lo MB, Bah-Sow O, Olliaro PL, Lienhardt C, Horton J, Smith P, McIlleron H, Simonsson US. Evaluation of initial and steady-state gatifloxacin pharmacokinetics and dose in pulmonary tuberculosis patients by using monte carlo simulations. Antimicrob Agents Chemother. 2013 Sep;57(9):4164-71. doi: 10.1128/AAC.00479-13. Epub 2013 Jun 17.
- Merle CS, Sismanidis C, Sow OB, Gninafon M, Horton J, Lapujade O, Lo MB, Mitchinson DA, Perronne C, Portaels F, Odhiambo J, Olliaro P, Rustomjee R, Lienhardt C, Fielding K. A pivotal registration phase III, multicenter, randomized tuberculosis controlled trial: design issues and lessons learnt from the Gatifloxacin for TB (OFLOTUB) project. Trials. 2012 May 18;13:61. doi: 10.1186/1745-6215-13-61.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2005
Study Completion
December 1, 2008
Study Registration Dates
First Submitted
September 16, 2005
First Submitted That Met QC Criteria
September 20, 2005
First Posted (Estimate)
September 22, 2005
Study Record Updates
Last Update Posted (Estimate)
September 22, 2005
Last Update Submitted That Met QC Criteria
September 20, 2005
Last Verified
September 1, 2005
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Lung Diseases
- Bacterial Infections
- Bacterial Infections and Mycoses
- Gram-Positive Bacterial Infections
- Actinomycetales Infections
- Mycobacterium Infections
- Tuberculosis
- Tuberculosis, Pulmonary
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antineoplastic Agents
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Anti-Bacterial Agents
- Pharmaceutical Solutions
- Ophthalmic Solutions
- Gatifloxacin
Other Study ID Numbers
- ICA4-CT 2002-10057
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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