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NCT04694586SuspendedPhase 2

Drug Exposure and Safety of a Shorter Tuberculosis Treatment Based on High-Dose Rifampicin and Pyrazinamide

A Prospective Multicenter Phase II-study: Pharmacokinetics and Safety of High-Dose Rifampicin and Pyrazinamide in a Shorter Tuberculosis Treatment Compared With Standardized Treatment in Patients With Mild to Moderate Pulmonary TB

Source: ClinicalTrials.gov · Last updated 17 Aug 2026

Brief summary (registry, in English)

Tuberculosis (TB) treatment is long and complex with the risk of poor treatment adherence and treatment failure. Several attempts to shorten treatment of drug-susceptible TB have been unsuccessful. However, recent data support a shortened regimen for mild and moderate pulmonary TB and simultaneous optimization of rifampicin (RIF) and pyrazinamide (PZA). This phase II clinical study aim to investigate a strategy to shorten TB treatment by exploring safety and drug exposure of a high-dose sterilizing TB regimen.

Status (registry)
Suspended
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
40 (estimated)
First submitted
23 Nov 2020
Start date
30 Nov 2022
Primary completion date
31 May 2029
Lead sponsor
University Hospital, Linkoeping
Diseases
Tuberculosis
NCT number
NCT04694586

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Concomitant infectious disease that requires treatment
  • Drug-drug interaction between concomitant drugs and rifampicin that could not be bridged by dose-adjustment of the concomitant drug
  • Drug resistance to RIF, INH, PZA or EMB
  • Alcohol and drug abuse
  • Participation in other clinical trial (investigating a drug) within the last 30 days prior to study inclusion

Other illness

  • Known allergy to rifamycins, isoniazid, pyrazinamide, ethambutol or history of severe sideeffect to any of the drugs
  • Drug-induced inflammatory liver diseases in medical history
  • History of acute liver disease
  • Immunosuppressive condition
  • Heart failure (NYHA class III and IV)
  • Dysregulated diabetes mellitus

Lab values

  • On-going liver disease including hepatitis and elevated transaminase levels >x5 upper normal limit
  • Renal failure with estimated glomerular filtration rate (eGFR) <50 mL/min

Other

  • Not able to provide informed consent/unable to assimilate study information
  • Porphyria
  • Jaundice
  • Acute gout
  • Treatment of active TB during the last year
  • Miliary TB
  • Pulmonary TB with smear positivity grade 3 and/or chest X-ray grading equal to advanced TB
  • TB in the central nervous system
  • Extrapulmonary TB (outside central nervous system) without pulmonary TB
  • Pregnancy and breast-feeding
  • Weight <35 kg or >90 kg
  • Person who the investigator, after consultation with the central contact persons of the study, finds by other reason than the above listed not suitable for study participation

Who the study is looking for

  • Patient 18 years and older
  • Confirmed pulmonary TB (positive Mtb culture or positive polymerase chain reaction (PCR) Mtb-complex)
  • Intended to start on first-line TB treatment
  • HIV negative
  • BMI >17
  • Written Informed Consent
  • Women of childbearing potential should agree on adequate contraceptives during treatment period and have a negative pregnancy test prior to treatment initiation

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Linkoping University HospitalLinköpingSwedenUnknown status

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This page is information, not medical advice. Discuss any trial with your doctor.