Actively Recruiting

Age: 18Years +
All Genders
NCT06585358

DoseTB-individualised Dosing by Model-informed Precision Dosing for Pulmonary Tuberculosis

Led by Karolinska Institutet · Updated on 2025-11-21

30

Participants Needed

2

Research Sites

108 weeks

Total Duration

On this page

Sponsors

K

Karolinska Institutet

Lead Sponsor

K

Karolinska University Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this observational study is to investigate whether model-informed precision dosing (MIPD), as a clinical support for early individualised dosing in addition to the national TB care program, can optimise the drug exposure of TB drugs during TB treatment. Main research questions: In adult patients with drug-susceptible pulmonary tuberculosis, can current dose recommendations and information received from MIPD help clinicians in a timely manner to optimise the drug exposure of TB drugs in the early treatment phase, i.e., the time from PK sampling to dose adjustment (keep or adjust dose)? Specific aims I. To perform a process evaluation of early MIPD for rifampicin, isoniazid, pyrazinamide and ethambutol during active TB treatment. II. To study the target attainment of first-line TB drugs with MIPD. III. To evaluate model precision of predicted versus detected drug concentrations. Drug concentrations will be measured in study participants during TB treatment, and drug exposure and the optimal dose will be predicted by MIPD using pharmacokinetic population models.

CONDITIONS

Official Title

DoseTB-individualised Dosing by Model-informed Precision Dosing for Pulmonary Tuberculosis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult persons 69 18 years with confirmed pulmonary TB (established through Mtb cultures or PCR for Mtb by clinical routine)
  • Ongoing or planned treatment of TB that includes rifampin
  • Written informed consent
Not Eligible

You will not qualify if you...

  • TB treatment with rifampin for longer than 8 weeks prior to inclusion
  • TB treatment with intravenous rifampin (including patients treated at an intensive care unit (ICU) or patients with cerebral TB)
  • Therapeutic drug monitoring of rifampin has already been performed (>24 h before inclusion) by clinical routine
  • Study participants with extrapulmonary TB without pulmonary TB

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Linköping University Hospital

Linköping, Sweden

Actively Recruiting

2

Karolinska University Hospital

Stockholm, Sweden, 17177

Actively Recruiting

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Research Team

L

Lina Davies Forsman, MD, PhD, Associate Professor

CONTACT

K

Katarina Niward, MD, PhD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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DoseTB-individualised Dosing by Model-informed Precision Dosing for Pulmonary Tuberculosis | DecenTrialz