About this trial
This is a proof-of-concept phase IIB, double-blind, randomized, placebo-controlled trial to evaluate the safety and efficacy of 40 mg atorvastatin to reduce persistent lung inflammation after successful TB treatment completion in HIV-infected and HIV-uninfected adults measured by PET/CT.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Has completed the written informed consent process prior to undergoing any pre-screening or screening evaluations and willing to undergo HIV testing
Age 18 to 65 years with body weight from 50 kg to 90 kg
Clinical response to TB treatment and sputum culture negative at week 16
Completed a 24-week course of standard TB treatment (4RHZE/2RH)
Disqualifiers
Acute illness
Fever (temperature >38.0 degrees centigrade)
Participant receiving any type of lipid lowering agent at the time of screening, within three months prior to screening or likely to require any lipid lowering agent in the near future.
Known allergy or contraindications to the investigational drug or any other statins
Trial design
Parallel
Treatments tested in this trial
Atorvastatin 40mg
Drug12 weeks of 40 mg atorvastatin therapy per os
Placebo oral tablet
DrugIdentical placebo
Treatment groups
Trial outcomes
Primary outcomes
Total lung glycolysis (TLG) on PET/CT imaging
The primary outcome measure is total lung glycolysis (TLG) on PET/CT imaging. Total lung glycolysis (TLG), is the total glycolytic activity (TGA) in regions of interest (both lungs). Primary outcome measurement is semi-automated using nuclear medicine medical imaging software (MIM Software Inc.). Total lung masks are drawn on every participant's PET/CT scans. Glycolytic activity is derived for each lung (SUVbw\*mL), total lung glycolytic activity is the sum of both lungs TGA.
Sponsors and contacts
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University of Cape Town
Lead sponsor
University of Zurich
Collaborator
University of Namibia
Collaborator
University of Bern
Collaborator
University of Stellenbosch
Collaborator