Randomized Clinical Trial to Assess the Efficacy and Safety of Concomitant Use of Rifampicin and Efavirenz 600 X 800mg

NCT ID: NCT00533390

Last Updated: 2015-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2012-10-31

Brief Summary

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Rifampicin is a potent inducer of the CYP450 and decrease the plasmatic concentration of NNRTI and Protease Inhibitors. In our study we are going to compare the 600 an 800mg doses of efavirenz concomitant of rifampicin use to treat tuberculosis. The hypothesis is that the 800 mg dose would be more adequate than the 600mg

Detailed Description

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The study consist in a open label randomized clinical trial comparing efavirenz 600mg QID versus efavirenz 800mg QID in patients with tuberculosis (treated with regimens including rifampicin) and AIDS diagnosis. The total duration of the study is 6 months for each patient. All eligible patient will be treated with a fist line regimen for tuberculosis according to Brazilian guidelines: rifampicin (600mg QID); isoniazid (400mg QID) e pyrazinamide (2g QID) during 6 months for a weight of 45 kg or more and adapted doses for persons with less than 45 kg. For patients with previous history of TB therapy etambutol 1.200mg QID will be added to the regimen.

Both groups will receive nucleoside reverse transcriptase inhibitors (NRTI)and a non nucleoside transcriptase inhibitor (NNRTI) to treat HIV. The ITRN of first choice will be zidovudine and lamivudine association. Patients presenting contra indication for the use of those drugs will receive others NRTI. The NNRTI is efavirenz (800 or 600mg).

Antiretrovirals will be initiated 30 days after stable TB therapy. In case of adverse events during TB therapy that lead to treatment interruption, the study drugs will be delayed until the 30th day after triple therapy for TB. During HIV therapy NRTI can be changed in case of intolerance

Conditions

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Tuberculosis HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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EFAVIRENZ 800mg

Efavirenz 800 mg (tablet) PO QD during 5 months associated with two nucleoside analogs during tuberculosis therapy with rifampicin

Group Type EXPERIMENTAL

efavirenz

Intervention Type DRUG

600mg X 800mg QID during TB therapy with rifampicin associated with other antituberculosis drugs in patients concomitant treated for tuberculosis and AIDS

EFAVIRENZ 600mg

Efavirenz 600 mg (tablet) PO QD during 5 months associated with two nucleoside analogs during tuberculosis therapy with rifampicin

Group Type ACTIVE_COMPARATOR

efavirenz

Intervention Type DRUG

600mg X 800mg QID during TB therapy with rifampicin associated with other antituberculosis drugs in patients concomitant treated for tuberculosis and AIDS

Interventions

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efavirenz

600mg X 800mg QID during TB therapy with rifampicin associated with other antituberculosis drugs in patients concomitant treated for tuberculosis and AIDS

Intervention Type DRUG

Other Intervention Names

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Stocrin Sustiva

Eligibility Criteria

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Inclusion Criteria

* Adults with tuberculosis diagnosis, HIV positive.
* Agreement to avoid not allowed drugs during the trial, agreement to participate in the study (informed consent)

Exclusion Criteria

* Active liver disease
* Pregnancy or breast feeding
* CD4 counts \>350
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, Brazil

OTHER_GOV

Sponsor Role collaborator

Oswaldo Cruz Foundation

OTHER

Sponsor Role lead

Responsible Party

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Valeria Cavalcanti Rolla

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Valeria C Rolla, MD DSc

Role: PRINCIPAL_INVESTIGATOR

Instituto de Pesquisa Clinica Evandro Chagas, Fiocruz

Maria Cristina S Lourenço, MSc

Role: STUDY_CHAIR

Instituto de Pesquisa Clinica Evandro Chagas, Fiocruz

Flávia M Sant'Anna, MSc

Role: STUDY_CHAIR

Instituto de Pesquisa Clinica Evandro Chagas, Fiocruz

Mariza G Morgado, DSc

Role: STUDY_CHAIR

Instituto Oswaldo Cruz, Fiocruz

Pedro E Americano do Brasil, MD MSc

Role: STUDY_CHAIR

Instituto de Pesquisa Clinica Evandro Chagas, Fiocruz

Carolina S Smaltz, PhD student

Role: STUDY_CHAIR

Instituto de Pesquisa Clinica Evandro Chagas, Fiocruz

Jose L Teixeira, Pharmacist

Role: STUDY_CHAIR

Instituto de pesquisa Clinica Evandro Chagas

David J Hadad, PhD

Role: STUDY_CHAIR

Federal University of Espirito Santo

Reynaldo Dietze, PhD

Role: STUDY_CHAIR

Federal University of Espirito Santo

Moises Palaci, PhD

Role: STUDY_CHAIR

Federal University of Espirito Santo

Locations

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Universidade Federal do Espirito Santo

Vitória, Espírito Santo, Brazil

Site Status

FIOCRUZ Instituto de Pesquisa Clinica Evandro Chagas

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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CAAE-0017.1.009.000-03

Identifier Type: -

Identifier Source: org_study_id

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