Completed

Phase Not Applicable
Age: 13Years +
All Genders
ID00000638

Prophylaxis Against Tuberculosis (TB) in Patients With Human Immunodeficiency Virus (HIV) Infection and Confirmed Latent Tuberculous Infection

Led by National Institute of Allergy and Infectious Diseases (NIAID) · Updated on 2021-11-02

2000

Participants Needed

76

Research Sites

N/A

Total Duration

On this page

Sponsors

N

National Institute of Allergy and Infectious Diseases (NIAID)

Lead Sponsor

H

Hoechst Marion Roussel

Collaborating Sponsor

AI-Summary

What this Trial Is About

To evaluate and compare the safety and effectiveness of a one-year course of isoniazid (INH) versus a two-month course of rifampin plus pyrazinamide for the prevention of reactivation tuberculosis in individuals infected with both HIV and latent (inactive) Mycobacterium tuberculosis. Current guidelines from the American Thoracic Society and the Centers for Disease Control recommend 6 to 12 months of INH for PPD (purified protein derivative)-positive individuals. Although the effectiveness of this treatment is not known for HIV-infected individuals, several studies using INH to prevent tuberculosis in presumably normal hosts have shown 60 to 80 percent effectiveness. Problems with this treatment include compliance, adverse reaction, and the possibility of not preventing disease due to tuberculosis organisms being resistant to INH. A two-month preventive treatment plan should help in increasing compliance. In addition, the use of two drugs (rifampin / pyrazinamide) may help overcome problems with drug resistance. If this study shows equal or greater effectiveness of the two-month rifampin / pyrazinamide treatment, it could alter the approach to tuberculosis prevention for both HIV-positive and HIV-negative individuals.

CONDITIONS

Official Title

Preventive Treatment Against Tuberculosis (TB) in Patients With Human Immunodeficiency Virus (HIV) Infection and Confirmed Latent Tuberculous Infection

Who Can Participate

Age: 13Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

Inclusion Criteria

Concurrent Medication:

Allowed:

  • Antiretroviral treatment.
  • Pneumocystis carinii pneumonia prophylaxis.
  • Treatment for acute opportunistic infection.

Patients must have:

  • HIV infection.
  • Current or documented history of positive PPD skin test.
  • Life expectancy of at least 6 months or, in the physician's opinion, patient has a reasonable chance of survival to end of study.

Allowed:

  • Participation in other clinical trials as long as there is no potential activity of other study drugs against Mycobacterium tuberculosis (MTb), additive toxicities between study agents, or known possible drug interactions between study drugs.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions or symptoms are excluded:

  • Current active clinical tuberculosis, confirmed or suspected.
  • History of sensitivity / intolerance to any study medication.
  • Evidence of peripheral neuropathy, i.e., signs or symptoms of paresis, paresthesias, neuromotor abnormalities, or neurosensory deficits of grade 3 or worse.
  • Unwilling or unable to have current therapy and/or concomitant medication changed to avoid serious interaction with study medication.
  • Acute hepatitis.
  • Unable to comply with the follow-up requirements of the protocol.

Concurrent Medication:

Excluded:

  • Treatment with quinolones, fluoroquinolones, aminoglycosides, or other agents that have activity against Mycobacterium tuberculosis.
  • Excluded as ongoing (i.e., continuous, chronic and/or recurring) treatment:
  • Aminoglycosides such as amikacin, aminosalicylic acid salts (PAS), capreomycin, clofazimine, cycloserine, ethambutol, ethionamide, isoniazid (INH) if randomized to rifampin/pyrazinamide arm of study, kanamycin, pyrazinamide if randomized to INH arm of study, and quinolones and fluoroquinolones, i.e., rifabutin, rifampin (if randomized to INH arm of study), ciprofloxacin, levofloxacin, ofloxacin, streptomycin, and thiacetazone.

Prior Medication:

Excluded:

  • More than 2 months of continuous treatment, after documentation of a positive PPD skin test, with agents that have known or potential antituberculous activity or any antimycobacterial medication for > 1 month.

Patients may not have the following prior conditions:

  • History of sensitivity / intolerance to any study medication.
  • Unwilling or unable to comply with the follow-up requirements of the protocol.
Not Eligible

You will not qualify if you...

History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety

Trial Site Locations

Total: 76 locations

1

Univ of Alabama at Birmingham

Birmingham, Alabama, United States, 35294

Status Unknown

2

Children's Hosp of Los Angeles

Los Angeles, California, United States, 90027

Status Unknown

3

Univ of Southern California / LA County USC Med Ctr

Los Angeles, California, United States, 900331079

Status Unknown

4

Highland Gen Hosp / San Francisco Gen Hosp

Oakland, California, United States, 946021018

Status Unknown

5

San Francisco Gen Hosp

San Francisco, California, United States, 941102859

Status Unknown

6

Stanford at Kaiser / Kaiser Permanente Med Ctr

San Francisco, California, United States, 94115

Status Unknown

7

Santa Clara Valley Med Ctr / AIDS Community Rsch Consortium

San Jose, California, United States, 951282699

Status Unknown

8

San Mateo AIDS Program / Stanford Univ

Stanford, California, United States, 943055107

Status Unknown

9

Stanford Univ Med Ctr

Stanford, California, United States, 943055107

Status Unknown

10

Olive View Med Ctr

Sylmar, California, United States, 91342

Status Unknown

11

Harbor UCLA Med Ctr

Torrance, California, United States, 90502

Status Unknown

12

Yale Univ / New Haven

New Haven, Connecticut, United States, 065102483

Status Unknown

13

HIV Ctr - District of Columbia Gen Hosp

Washington D.C., District of Columbia, United States, 200072197

Status Unknown

14

Whitman - Walker Clinic / Georgetown Univ Med Ctr

Washington D.C., District of Columbia, United States, 200072197

Status Unknown

15

Georgetown Univ Med Ctr

Washington D.C., District of Columbia, United States, 20007

Status Unknown

16

Howard Univ

Washington D.C., District of Columbia, United States, 20059

Status Unknown

17

Univ of Miami School of Medicine

Miami, Florida, United States, 331361013

Status Unknown

18

Queens Med Ctr

Honolulu, Hawaii, United States, 96816

Status Unknown

19

Univ of Hawaii

Honolulu, Hawaii, United States, 96816

Status Unknown

20

Children's Mem Hosp Family Cln / Northwestern Univ Med Schl

Chicago, Illinois, United States, 60611

Status Unknown

21

Northwestern Univ Med School

Chicago, Illinois, United States, 60611

Status Unknown

22

Rush Presbyterian - Saint Luke's Med Ctr

Chicago, Illinois, United States, 60612

Status Unknown

23

Louis A Weiss Memorial Hosp

Chicago, Illinois, United States, 60640

Status Unknown

24

Indiana Univ Hosp

Indianapolis, Indiana, United States, 462025250

Status Unknown

25

State of MD Div of Corrections / Johns Hopkins Univ Hosp

Baltimore, Maryland, United States, 212052196

Status Unknown

26

Johns Hopkins Hosp

Baltimore, Maryland, United States, 21287

Status Unknown

27

Beth Israel Deaconess - West Campus

Boston, Massachusetts, United States, 02215

Status Unknown

28

Baystate Med Ctr of Springfield

Springfield, Massachusetts, United States, 01199

Status Unknown

29

St Louis Regional Hosp / St Louis Regional Med Ctr

St Louis, Missouri, United States, 63112

Status Unknown

30

Univ of Nebraska Med Ctr

Omaha, Nebraska, United States, 681985130

Status Unknown

31

Univ of Medicine & Dentistry of New Jersey / Univ Hosp

Newark, New Jersey, United States, 071032714

Status Unknown

32

Children's Hosp of New Jersey / UMDNJ - New Jersey Med Schl

Newark, New Jersey, United States, 071072198

Status Unknown

33

Adirondack Med Ctr at Saranac Lake

Albany, New York, United States, 122083479

Status Unknown

34

Albany Med College / Division of HIV Medicine A158

Albany, New York, United States, 122083479

Status Unknown

35

Mid - Hudson Care Ctr

Albany, New York, United States, 122083479

Status Unknown

36

Interfaith Med Ctr

Brooklyn, New York, United States, 112032098

Status Unknown

37

SUNY / Health Sciences Ctr at Brooklyn

Brooklyn, New York, United States, 112032098

Status Unknown

38

SUNY / Erie County Med Ctr at Buffalo

Buffalo, New York, United States, 14215

Status Unknown

39

Nassau County Med Ctr

East Meadow, New York, United States, 11554

Status Unknown

40

City Hosp Ctr at Elmhurst / Mount Sinai Hosp

Elmhurst, New York, United States, 11373

Status Unknown

41

North Shore Univ Hosp

Manhasset, New York, United States, 11030

Status Unknown

42

Beth Israel Med Ctr

New York, New York, United States, 10003

Status Unknown

43

Bellevue Hosp / New York Univ Med Ctr

New York, New York, United States, 10016

Status Unknown

44

Saint Clare's Hosp and Health Ctr

New York, New York, United States, 10019

Status Unknown

45

Cornell Univ Med Ctr

New York, New York, United States, 10021

Status Unknown

46

Saint Luke's - Roosevelt Hosp Ctr

New York, New York, United States, 10025

Status Unknown

47

Mount Sinai Med Ctr

New York, New York, United States, 10029

Status Unknown

48

Columbia Presbyterian Med Ctr

New York, New York, United States, 100323784

Status Unknown

49

SUNY - Stony Brook

Stony Brook, New York, United States, 117948153

Status Unknown

50

SUNY / State Univ of New York

Syracuse, New York, United States, 13210

Status Unknown

51

Bronx Municipal Hosp Ctr/Jacobi Med Ctr

The Bronx, New York, United States, 10461

Status Unknown

52

Comprehensive Health Care Ctr / Bronx Municipal Hosp

The Bronx, New York, United States, 10461

Status Unknown

53

Montefiore Drug Treatment Ctr / Bronx Municipal Hosp

The Bronx, New York, United States, 10461

Status Unknown

54

Montefiore Family Health Ctr / Bronx Municipal Hosp

The Bronx, New York, United States, 10461

Status Unknown

55

Samaritan Village Inc / Bronx Municipal Hosp

The Bronx, New York, United States, 10461

Status Unknown

56

Jack Weiler Hosp / Bronx Municipal Hosp

The Bronx, New York, United States, 10465

Status Unknown

57

Montefiore Med Ctr / Bronx Municipal Hosp

The Bronx, New York, United States, 10467

Status Unknown

58

Montefiore Med Ctr Adolescent AIDS Program

The Bronx, New York, United States, 10467

Status Unknown

59

North Central Bronx Hosp / Bronx Municipal Hosp

The Bronx, New York, United States, 10467

Status Unknown

60

Univ of North Carolina

Chapel Hill, North Carolina, United States, 275997215

Status Unknown

61

Moses H Cone Memorial Hosp

Greensboro, North Carolina, United States, 27401

Status Unknown

62

Wake County Dept of Health

Raleigh, North Carolina, United States, 27610

Status Unknown

63

Univ of Cincinnati

Cincinnati, Ohio, United States, 452670405

Status Unknown

64

Univ of Kentucky Lexington

Cincinnati, Ohio, United States, 45267

Status Unknown

65

Case Western Reserve Univ

Cleveland, Ohio, United States, 44106

Status Unknown

66

MetroHealth Med Ctr

Cleveland, Ohio, United States, 441091998

Status Unknown

67

Ohio State Univ Hosp Clinic

Columbus, Ohio, United States, 432101228

Status Unknown

68

Girard Med Ctr

Philadelphia, Pennsylvania, United States, 191046073

Status Unknown

69

Univ of Pennsylvania at Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Status Unknown

70

Thomas Jefferson Univ Hosp

Philadelphia, Pennsylvania, United States, 191075098

Status Unknown

71

Med Univ of South Carolina / UNC

Charleston, South Carolina, United States, 29425

Status Unknown

72

Julio Arroyo

West Columbia, South Carolina, United States, 29169

Status Unknown

73

Meharry Med College

Nashville, Tennessee, United States, 37203

Status Unknown

74

Univ of Texas Galveston

Galveston, Texas, United States, 775550435

Status Unknown

75

Houston Clinical Research Network

Houston, Texas, United States, 77266

Status Unknown

76

Univ of Puerto Rico

San Juan, Puerto Rico, 009365067

Status Unknown

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

N/A

Allocation

N/A

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

0

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Published Research Related To This Trial

Rifampin and pyrazinamide vs isoniazid for prevention of tuberculosis in HIV-infected persons: an international randomized trial. Terry Beirn Community Programs for Clinical Research on AIDS, the Adult AIDS Clinical Trials Group, the Pan American Health Organization, and the Centers for Disease Control and Prevention Study Group.

F Gordin, R E Chaisson, J P Matts...

https://pubmed.ncbi.nlm.nih.gov/10732934