Parent Study Name: Pulmonary Rehabilitation to Reduce Post-Tuberculosis Morbidity (TB Pure)

NCT ID: NCT07164742

Last Updated: 2026-02-02

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

690 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-02-15

Study Completion Date

2028-09-15

Brief Summary

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Individual-level, unblinded randomized controlled trial of an 8-week (short arm) or 24-week (extended arm) pulmonary rehabilitation program, relative to standard of care, to prevent post-tuberculosis respiratory morbidity. Randomization will occur in a 1:1:1 ratio at the initiation of treatment.

Detailed Description

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8 weeks (short arm) or 24 weeks (extended arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.

Objectives:

1. To compare the effectiveness of two home-based PR programs, administered during TB treatment, for preventing post-TB respiratory morbidity.
2. To describe the intersection between clinic-level service organization, fidelity of intervention delivery, and change in client behavior for the two PR programs.
3. To compare the costs, cost-effectiveness, and budget impact of the two different PR strategies implemented as a routine program.

Conditions

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TB - Tuberculosis TB TB Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Individual-level, unblinded randomized controlled trial of an 8-week (short arm) or 24-week (extended arm) pulmonary rehabilitation program, relative to standard of care, to prevent post-tuberculosis respiratory morbidity. Randomization will occur in a 1:1:1 ratio at the initiation of treatment.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Short Arm Intervention

8 weeks (short arm) of a pulmonary rehabilitation (PR) program

Group Type EXPERIMENTAL

8 week (short arm) Intervention - pulmonary rehabilitation

Intervention Type BEHAVIORAL

8 weeks (short arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.

Long Arm Intervention

24 weeks (extended arm) of a pulmonary rehabilitation (PR) program

Group Type EXPERIMENTAL

24 week (long arm) Intervention - pulmonary rehabilitation

Intervention Type BEHAVIORAL

24 weeks (extended arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.

Standard of care

Standard TB treatment without specific pulmonary rehabilitation

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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8 week (short arm) Intervention - pulmonary rehabilitation

8 weeks (short arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.

Intervention Type BEHAVIORAL

24 week (long arm) Intervention - pulmonary rehabilitation

24 weeks (extended arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age at least 18 years
* Microbiologically confirmed (smear microscopy, GeneXpert or culture) pulmonary TB disease\*
* Not completed more than 2 weeks of TB treatment
* Receiving TB care at the outpatient clinics at the TB PuRe study sites
* Willingness to complete 48 weeks of study evaluations.
* Access to a smartphone.

Exclusion Criteria

* Modified Medical Research Council score of 0 points (dyspnea only with strenuous exercise)
* Multi or extensively drug-resistant TB disease\*
* Extrapulmonary TB disease at any clinical sites without pulmonary involvement
* TB meningitis or TB of the spine
* Symptomatic cardiovascular disease, including coronary artery disease, arrhythmias and congestive cardiac failure.
* Karnofsky Score \< 40 points
* Any medical condition that prevents pulmonary rehabilitation eg: fracture of lower/upper limbs/pregnancy
* Bronchodilators and/or corticosteroids inhaled or otherwise.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Akshay Gupte, PhD MBBS MSPH

Role: PRINCIPAL_INVESTIGATOR

Boston University

Jonathan Golub, PhD MPH

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Central Contacts

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Akshay Gupte, PhD MBBS MSPH

Role: CONTACT

617-358-2454

Jonathan Golub, PhD MPH

Role: CONTACT

443-287-2969

Other Identifiers

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1R01AI169588-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00412142

Identifier Type: -

Identifier Source: org_study_id

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