Treatment of Latent Tuberculosis in Socially Marginalised Citizens

NCT ID: NCT03266991

Last Updated: 2023-10-12

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

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-27

Study Completion Date

2023-02-09

Brief Summary

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An open-label, randomised controlled trial comparing compliance to treatment for latent tuberculosis infection in socially marginalised citizens. Participants will be randomized to either daily isoniazid for 6 months or weekly rifapentine and isoniazid as directly observed therapy for twelve weeks.

Detailed Description

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Eligible participants will be randomised to receive either daily isoniazid for 6 months with monthly visits for pill count, evaluation of adverse events and dispensing of isoniazid for the next month, or weekly doses of rifapentine and isoniazid for twelve weeks as direct observed therapy where the drugs are administered in the presence of a study nurse or doctor.

Control bloodsamples (ALAT, alkaline phosphatase, bilirubin, INR, haemoglobin, trombocytes and leukocyte differential count) will be taken at baseline and at least once during treatment in the rifapentine and isoniazid group and at least twice in the isoniazid-only group.

One year after treatment completion participants will be called in for evaluation for active tuberculosis.

Conditions

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Compliance, Patient

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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RPT-INH

Participants treated with weekly rifapentine and isoniazid for twelve weeks.

Group Type EXPERIMENTAL

Rifapentine

Intervention Type DRUG

Treatment with weekly rifapentine and isoniazid as Directly Observed Therapy in 12 weeks

Isoniazid

Intervention Type DRUG

Treatment with daily isoniazid in 6 months

control

Participants treated with daily isoniazid for six months

Group Type ACTIVE_COMPARATOR

Isoniazid

Intervention Type DRUG

Treatment with daily isoniazid in 6 months

Interventions

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Rifapentine

Treatment with weekly rifapentine and isoniazid as Directly Observed Therapy in 12 weeks

Intervention Type DRUG

Isoniazid

Treatment with daily isoniazid in 6 months

Intervention Type DRUG

Other Intervention Names

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isoniazid

Eligibility Criteria

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Inclusion Criteria

* Reporting to be homeless (independent of whether the person has an official address) or regularly seeking homeless shelters or public institutions to supply basic needs
* LTBI defined by positive IGRA test
* Found plausible by study doctor that the person has been exposed to tuberculosis within 2 years
* Aged 18 years or older

Exclusion Criteria

* Previously treated for tuberculosis
* Pregnant or breastfeeding
* Active tuberculosis (evaluated by chest x-ray and examination by a trained doctor)
* Unable to give informed consent
* Tested positive for LTBI as part of contact investigation where the index case has or is suspected to have INH of RIF resistant TB
* Known HIV on antiretroviral treatment
* Porphyria
* Known allergy to rifamycins or isoniazid
* Known epilepsy
* Known liver disease causing affected liver parameters (ALAT, alkaline phosphatase, bilirubin, INR)
* Any lab abnormality, disease, concomitant medication or condition that, in the opinion of the investigator, excludes a person from participating
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Aarhus University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Nina Breinholt Stærke

MD phd-student

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christian Wejse, MD PHD

Role: PRINCIPAL_INVESTIGATOR

Aarhus University Hospital

Locations

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Dept of Pulmonary Medicine

Aarhus, , Denmark

Site Status

Dept of Pulmonary Medicine

Esbjerg, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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A101A

Identifier Type: -

Identifier Source: org_study_id

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