Tuberculosis Cohort Avicenne Hospital

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorAssistance Publique - Hôpitaux de Paris

About this trial

Tuberculosis represents the second highest death rate from an infectious disease in the world, just after COVID-19. The most affected department of France is Seine-Saint-Denis. Since 2005, this department with difficult socio-economic conditions has the highest incidence rate in metropolitan France, higher than that of Paris. In 2012, the reporting rate was 10 times higher among people born abroad compared to those born in France, with the highest rates found among people born in sub-Saharan Africa and Asia.

It is proposed to constitute for the first time in France a cohort of patients with tuberculosis disease to better understand the characteristics of patients with unfavorable treatment outcomes and ultimately, to propose solutions to obtain better control of tuberculosis. This study would recruit all patients with tuberculosis disease for at least 4 years associated with 1 year of follow-up for a total duration of the study of at least 5 years.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Tuberculosis out- or in-patient newly treated in one of the inclusion centers for pulmonary or extra-pulmonary

Tu confirmed bacteriologically (direct examination, Gen-eXpert MTB/RIF and/or positive culture), suggestive histology (epithelioid gigantocellular granuloma with or without caseous necrosis), or strong clinical suspicion of tuberculosis, even if not yet biologically confirmed but with

A decision to introduce treatment.

Disqualifiers

opposition to participate in the study, anti-tuberculosis treatment for more than 7 days at the inclusion visit and participation in another research protocol.

Trial population

The inclusion criteria are TB out- or in-patient newly treated in one of the inclusion centers for pulmonary or extra-pulmonary TB confirmed bacteriologically (direct examination, Gen-eXpert MTB/RIF and/or positive culture), suggestive histology (epithelioid gigantocellular granuloma with or without caseous necrosis), or strong clinical suspicion of tuberculosis, even if not yet biologically confirmed but with a decision to introduce treatment. The non-inclusion criteria were: opposition to participate in the study, anti-tuberculosis treatment for more than 7 days at the inclusion visit and participation in another research protocol.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Data collection

    Other intervention

    Prospectif data collection

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Proportion of patients followed for tuberculosis with unfavourable treatment outcome at month12.

Proportion of patients followed for tuberculosis with unfavourable treatment outcome at month12.

Time frame
inclusions for 4 years with 1 year follow-up

Secondary outcomes

1

1) Proportion for each unfavourable treatment outcome at M12 (death, treatment not completed at 12 months, treatment stopped and not resumed, lost to follow-up, transferred to another establishment and lack of information concerning the patient).

1\) Proportion for each unfavourable treatment outcome at M12 (death, treatment not completed at 12 months, treatment stopped and not resumed, lost to follow-up, transferred to another establishment and lack of information concerning the patient).

Time frame
inclusions for 4 years with 1 year follow-up
2

Risk factors (patient characteristics and other determinants) for unfavourable tuberculosis treatment outcomes at 12 months.

Risk factors (patient characteristics and other determinants) for unfavourable tuberculosis treatment outcomes at 12 months.

Time frame
inclusions for 4 years with 1 year follow-up
3

Socio-economic, clinical, bacteriological

Socio-economic, clinical, bacteriological

Time frame
inclusions for 4 years with 1 year follow-up

Other outcomes

Sponsors and contacts

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