- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02331823
Research on New Regimens for Retreatment Pulmonary Tuberculosis
New Super-short Course Regimen for Retreatment Pulmonary Tuberculosis
Multi-center, prospective study is performed to investigate the efficacy of new short-course regimen for retreatment pulmonary tuberculosis patients.
To obtain optimized short-course regimen, decrease treatment cost and improve success rate.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
China is the country with the second highest Tuberculosis (TB) burden in the world. Most of the retreatment TB patients may develop multi-drug resistant. The resistant rate of any of the anti-TB drug is 35.9%, and the multi-drug resistant rate is 15.4%. Retreatment TB becomes one of the factors which inhibit the decrease of morbidity and mortality of TB. It is also a tuff work in TB control. At present the standardized regimen for retreatment TB is 2SHREZ/6HRE or 3HREZ/6HRE. The drugs in the regimen are all first-line anti-TB drugs which are unsuitable for the high drug resistance prevalence, because the cure rate of this regimen is low and the adverse reaction is severe.
Our study is a national multi-center, prospective trail to investigate the efficacy of a new super-short regimen for retreatment TB patients. The new regimen consists of 5 drugs lasting 5 months. The cure rate and success rate of the new regimen is compared with standardized regimen usually 8-9 months in order to obtain the optimized regimen.
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Qing Zhang, M.D
- Phone Number: 2002 8621-65115006
- Email: zhqi709851@sohu.com
Study Contact Backup
- Name: Wei Sha, M.D
- Phone Number: 2017 8621-65115006
- Email: shfksw@126.com
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China, 200433
- Recruiting
- Shanghai Pulmonary Hospital
-
Contact:
- Qing Zhang, M.D
- Phone Number: 2002 8621-65115006
- Email: zhqi709851@sohu.com
-
Contact:
- Wei Sha, M.D
- Phone Number: 2017 8621-65115006
- Email: shfksw@126.com
-
Sub-Investigator:
- Qing Zhang, M.d
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Sputum confirmed diagnosis of retreatment pulmonary tuberculosis
- Must be able to swallow tablets
- Must be able to sign written informed consent form
Exclusion Criteria:
- Extra-pulmonary tuberculosis
- Diabetes
- Allergy to any of the medications in the regimen or pregnancy
- Liver disease
- Renal disease
- Metabolic disease
- Immune system disease
- Hematological disease
- Nervous system and mental disease
- Endocrine disease
- Malignant disease
- Receiving immunosuppressive therapy
- HIV/AIDS
- Alcohol addiction
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: arm A: super-short retreatment regimen
A regimen of 5 drugs is to be administered.
Isoniazid Aminosalicylate Tablets,0.3g
tid po for 5 mon moxifloxacin tab, 0.4g qd po for 5 mon rifabutin capsule,0.3g
qd po for 5 mon ethambutol tab, 0.75g qd po for 5 mon pyrazinamide tab, 0.5g tid po for 5 mon
|
a regimen consists of 5 anti-TB drugs (Isoniazid Aminosalicylate Tablets+pyrazinamide tablets+ethambutol tablets+rifabutin capsules+moxifloxacin tablets)to treat retreatment pulmonary tuberculosis patients.
The total treatment course is 5 months.
Other Names:
|
Active Comparator: arm B:standardized retreatment regimen
8-9 months of standardized regimen is to be administered.
regimen 1.2SHREZ/6HRE streptomycin injectable,0.75g
qd intramuscular for 2 mon isoniazid tab,0.3g
qd po for 8 mon rifampicin capsule,0.45-0.6g
po for 8 mon ethambutol tab, 0.75g qd po for 8 mon pyrazinamide tab, 0.5g tid po for 2 mon or regimen 2.3HREZ/6HRE isoniazid tab,0.3g
qd po for 9 mon rifampicin capsule,0.45-0.6g
po for 9 mon ethambutol tab, 0.75g qd po for 9 mon pyrazinamide tab, 0.5g tid po for 3 mon
|
standardized regimen 2 months of streptomycin injectable + isoniazid tablets + ethambutol tablets + rifampicin capsules + pyrazinamide tablets and 6 months of isoniazid tablets + ethambutol tablets + rifampicin capsules or 3 months of isoniazid tablets + ethambutol tablets + rifampicin capsules + pyrazinamide tablets and 6 months of isoniazid tablets + ethambutol tablets + rifampicin capsules to treat Arm B patients as a control to arm A.The treatment course is 8-9 months.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
success rate
Time Frame: for arm A,the point is 5 month after treatment. For arm B,the time point is at the end of the 8 or 9 month's treatment.
|
for arm A,the point is 5 month after treatment. For arm B,the time point is at the end of the 8 or 9 month's treatment.
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
adverse reaction rate
Time Frame: for arm A,the point is 5 month after treatment. For arm B,the time point is at the end of the 8 or 9 month's treatment.
|
for arm A,the point is 5 month after treatment. For arm B,the time point is at the end of the 8 or 9 month's treatment.
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Heping Xiao, M.D, Shanghai Pulmonary Hospital,China
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Lung Diseases
- Disease Attributes
- Bacterial Infections
- Bacterial Infections and Mycoses
- Gram-Positive Bacterial Infections
- Actinomycetales Infections
- Mycobacterium Infections
- Recurrence
- Tuberculosis
- Tuberculosis, Pulmonary
- Reinfection
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antimetabolites
- Antineoplastic Agents
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Hypolipidemic Agents
- Lipid Regulating Agents
- Anti-Bacterial Agents
- Protein Synthesis Inhibitors
- Antitubercular Agents
- Antibiotics, Antitubercular
- Fatty Acid Synthesis Inhibitors
- Moxifloxacin
- Rifabutin
- Isoniazid
- Pyrazinamide
- Ethambutol
- Streptomycin
Other Study ID Numbers
- 2013ZX10003009
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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