Feasibility of Centralized Therapeutic Drug Monitoring of Fluoroquinolones in Multi-Drug Resistant Tuberculosis Patients

NCT ID: NCT03409315

Last Updated: 2019-10-10

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

UNKNOWN

Total Enrollment

360 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-02-10

Study Completion Date

2020-12-31

Brief Summary

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Observational, multi-centre, prospective study to investigate the feasibility of centralized TDM of moxifloxacin and levofloxacin in MDR-TB patients by determining turn-around time between sampling and receiving dosing advice.

In addition, the effect of TDM will be evaluated by comparing treatment results of prospective patients receiving TDM with historical controls without TDM.

Detailed Description

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Conditions

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Tuberculosis, Multidrug-Resistant

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Moxifloxacin, prospective

Prospective included patients (n=60) receiving centralized therapeutic drug monitoring of moxifloxacin.

Centralized Therapeutic Drug Monitoring

Intervention Type PROCEDURE

Plasma samples will be drawn at peripheral centres en shipped to a central laboratory for analysis. Results and dosing advice will be returned by email to local physician.

Levofloxacin, prospective

Prospective included patients (n=60) receiving centralized therapeutic drug monitoring of levofloxacin

Centralized Therapeutic Drug Monitoring

Intervention Type PROCEDURE

Plasma samples will be drawn at peripheral centres en shipped to a central laboratory for analysis. Results and dosing advice will be returned by email to local physician.

Moxifloxacin, historical controls

Historical controls (n=120) matched to prospective patients, did not receive centralized therapeutic drug monitoring of moxifloxacin.

No interventions assigned to this group

Levofloxacin, historical controls

Historical controls (n=120) matched to prospective patients, did not receive centralized therapeutic drug monitoring of levofloxacin.

No interventions assigned to this group

Interventions

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Centralized Therapeutic Drug Monitoring

Plasma samples will be drawn at peripheral centres en shipped to a central laboratory for analysis. Results and dosing advice will be returned by email to local physician.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Pulmonary MDR-TB
* Sputum smear and sputum culture positive at baseline
* Oral administration of either moxifloxacin or levofloxacin
* Written informed consent (for use of the medical data)

Exclusion Criteria

* Pregnancy or breast feeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Medical Center Groningen

OTHER

Sponsor Role lead

Responsible Party

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Jan-Willem C Alffenaar

PhD, PharmD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jan-WIllem Alffenaar, PhD

Role: PRINCIPAL_INVESTIGATOR

UMCG

Locations

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The Prince Charles and Caboolture Hospitals

Brisbane, , Australia

Site Status NOT_YET_RECRUITING

Republican Scientific and Practical Centre of Pulmonology and Tuberculosis

Minsk, , Belarus

Site Status NOT_YET_RECRUITING

Hélio Fraga Reference Center

Rio de Janeiro, , Brazil

Site Status NOT_YET_RECRUITING

Athens Chest Hospital "Sotiria"

Athens, , Greece

Site Status RECRUITING

Alma Mater Studiorum University of Bologna

Bologna, , Italy

Site Status NOT_YET_RECRUITING

Reuh Tldc

Upeslejas, , Latvia

Site Status NOT_YET_RECRUITING

Instituto Nacional de Enfermedades Respiratorias

Mexico City, , Mexico

Site Status NOT_YET_RECRUITING

University Medical Center Groningen Beatrixoord

Haren, , Netherlands

Site Status NOT_YET_RECRUITING

Vila Nova Gaia/Espinho Medical School

Vila Nova de Gaia, , Portugal

Site Status NOT_YET_RECRUITING

University of Cape Town, Lung Insitute

Cape Town, , South Africa

Site Status NOT_YET_RECRUITING

Karolinska University Hospital

Stockholm, , Sweden

Site Status NOT_YET_RECRUITING

Kibong'oto Infectious Diseases Hospital

Sanya Juu, , Tanzania

Site Status NOT_YET_RECRUITING

Royal London Hospital

London, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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Australia Belarus Brazil Greece Italy Latvia Mexico Netherlands Portugal South Africa Sweden Tanzania United Kingdom

Central Contacts

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Jan-WIllem Alffenaar, PhD

Role: CONTACT

+31503614071

Simone van den Elsen, BSc

Role: CONTACT

Facility Contacts

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Andrew Burke

Role: primary

Alena Skrahina

Role: primary

Margareth Dalcolmo

Role: primary

Charalampos Moschos

Role: primary

Marina Tadolini

Role: primary

Liga Kuksa

Role: primary

Marcela Munoz Torrico

Role: primary

Onno Akkerman

Role: primary

Raquel Duarte

Role: primary

Keertan Dheda

Role: primary

Judith Bruchfeld

Role: primary

Scott Heysell

Role: primary

Simon Tiberi

Role: primary

References

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van den Elsen SH, Sturkenboom MG, Akkerman O, Barkane L, Bruchfeld J, Eather G, Heysell SK, Hurevich H, Kuksa L, Kunst H, Kuhlin J, Manika K, Moschos C, Mpagama SG, Munoz Torrico M, Skrahina A, Sotgiu G, Tadolini M, Tiberi S, Volpato F, van der Werf TS, Wilson MR, Zuniga J, Touw DJ, Migliori GB, Alffenaar JW. Prospective evaluation of improving fluoroquinolone exposure using centralised therapeutic drug monitoring (TDM) in patients with tuberculosis (PERFECT): a study protocol of a prospective multicentre cohort study. BMJ Open. 2020 Jun 16;10(6):e035350. doi: 10.1136/bmjopen-2019-035350.

Reference Type DERIVED
PMID: 32554740 (View on PubMed)

Other Identifiers

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CTDM/FQ1

Identifier Type: -

Identifier Source: org_study_id

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