Short-Course Regimens for DS-PTB in AIDS Patients

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorShanghai Public Health Clinical Center

About this trial

This study adopts a multicenter, open-label, randomized controlled design, conducted across key designated AIDS diagnosis and treatment hospitals nationwide. It aims to compare the efficacy and safety of the 2HPMZ/2HPM regimen versus the 2HRZE/4HR regimen in treating HIV-associated drug-susceptible pulmonary tuberculosis (DS-TB) among patients with a CD4+ T-cell count \< 100 cells/μL. A total of 148 participants will be enrolled and randomized 1:1 into two groups: 74 cases in the 2HPMZ/2HPM group and 74 cases in the 2HRZE/4HR group.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years, able to understand and sign the informed consent form.

Confirmed HIV infection.

Baseline CD4+ T-lymphocyte count < 100 cells/μL.

Confirmed active pulmonary tuberculosis.

Disqualifiers

Known or suspected resistance to any of the drugs in the regimen, including rifapentine, moxifloxacin, rifampicin, isoniazid, ethambutol, and pyrazinamide.

Body weight < 40 kg.

Received the current tuberculosis treatment for more than 7 days.

Complicated with tuberculous meningitis or other severe forms of tuberculosis.

Trial design

Design model

Parallel

Treatments tested in this trial

  • 2HPMZ/2HPM

    Drug

    8 weeks of daily isoniazid, rifapentine, moxifloxacin and pyrazinamide, followed by 9 weeks of daily isoniazid, rifapentine and moxifloxacin

  • 2HRZE/4HR

    Drug

    2 months of isoniazid, rifampin, pyrazinamide, and ethambutol followed by 4 months of isoniazid and rifampin

Treatment groups

148 Participants
are divided into 2 treatment groups
Group A: 2HPMZ/2HPMExperimental treatment 1 intervention
Group B: 2HRZE/4HRActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

All-cause mortality at Month 12

Record the date of death and primary cause of death.

Time frame
12 month

Secondary outcomes

1

The rate of IRIS

Clinical symptoms and laboratory indicators

Time frame
At Baseline, Week 4, Week 8, Week 12, Week 18, Week 24 and Week 48.
2

Sputum culture negative conversion rate at the end of the 2nd month

Microbiological outcome of sputum culture

Time frame
at the end of the 2nd month
3

The rates of AE and SAE

Adverse envents (AEs) will be graded according to CTCAE version 5.0, and the AE name, grade, causality, and outcome will be recorded.

Time frame
At Baseline, Week 4, Week 8, Week 12, Week 18, Week 24 and Week 48.

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shanghai Public Health Clinical Center

Lead sponsor

Beijing Ditan Hospital

Collaborator

Guangzhou eighth People's Hospital ,Guangzhou Medilcal University

Collaborator

The Second Hospital of Nanjing Medical University

Collaborator

Chengdu Public Health Clinical Center

Collaborator

The Third People's Hospital of Yunnan Province

Collaborator

Meng Chao Hepatobiliary Hospital of Fujian Medical University

Collaborator

Peking Union Medical College Hospital

Collaborator

Beijing YouAn Hospital

Collaborator

The First Affiliated Hospital of Zhengzhou University

Collaborator

Guiyang Public Health Clinical Center

Collaborator

Chongqing Public Health Medical Center

Collaborator

Chest Hospital of Guangxi Zhuang Autonomous Region

Collaborator

This trial is not recruiting at the moment. You can still explore other options: