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临床试验/NL-OMON52031
NL-OMON52031尚未招募2 期

Safety of Rifampicin at High Dose for the Treatment of Adult Subjects with Complex Drug Susceptible Pulmonary and Extrapulmonary Tuberculosis - RIAlta study

Vall dHebron University Hospital0 个研究点目标入组 40 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
尚未招募
入组人数
40

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • The participant must fulfill either criteria nr. 1-4 AND nr. 5 OR criteria nr.
  • 1-4 AND 6, AND anyone of 7-14:
  • 1. Subjects with confirmed or probable pulmonary or extra pulmonary DS-TB.
  • 2. Informed consent provided.
  • 3. Positive smear, positive Xpert MTB/RIF test, positive M. tuberculosis
  • culture (confirmed cases) OR histological study compatible with necrotizing
  • granulomas OR a liquid biochemistry (pleural, pericardial, ascites or
  • cerebrospinal fluid) suggestive of TB together with clinical symptoms
  • resembling TB disease in the absence of any other possible cause (probable
  • 4. Female participants of childbearing age must have a negative pregnancy test
  • at baseline.
  • 5. Age >= 60 years old.
  • 6. Age >= 18 years
  • AND one of the following
  • 7. Body mass index <= 18.5
  • 8. Human Immunodeficiency Virus (HIV) infection.
  • 9. Diabetes Mellitus
  • 10. Hepatitis C virus (HCV) infection (positive HCV serology)
  • 11. Hepatitis B virus (HBV) infection (positive HBV surface antigen)
  • 12. Daily alcohol intake >= 2 units of alcohol (1 unit of alcohol: 4% alcohol
  • 250ml (ie beer); 4.5% alcohol 218ml (i.e. cider); 13% alcohol 76ml (i.e. wine);
  • 40% alcohol 25ml (i.e. whisky))
  • 13. Chronic liver disease of any other cause (metabolic, toxic, autoimmune)
  • 14. Central Nervous System TB involvement

排除标准

  • Subjects will be excluded from entry if ANY ONE of the criteria listed below is
  • 1. Rifampicin resistance confirmation.
  • 2. Barthel index < 40 for subjects older than 60 years old.
  • 3. Signs of liver disease not related to TB [Liver enzymes (AST or ALT) > 5x
  • upper limit of normal , Total bilirubin > 5x upper limit of normal, Patients
  • with a Child-Pugh grade C cirrhosis or acute decompensation of their chronic
  • liver disease at enrolment.]
  • 4. Subjects with known allergy or sensitivity to rifampicin, or any of the
  • other components of DS-TB treatment.
  • 5. Treatment with any of the following: rifampicin, isoniazid, pyrazinamide,
  • ethambutol, levofloxacin, or moxifloxacin within the last month for at least 14
  • days or current TB treatment for more than 7 days.
  • 6. The subject is enrolled in any other investigational trial that includes a
  • drug intervention.
  • 7. Subjects with solid organ transplantation or bone marrow transplantation.
  • 8. Subjects with an active onco-hematological neoplasm.
  • 9. Previous severe pulmonary disease, other than pulmonary DS-TB, according to
  • local investigator.
  • 10. Pre-existing epilepsy or psychiatric disorder according to local
  • investigator.
  • 11. Ischemic heart disease OR severe arrhythmia within 6 months OR Atrial
  • Fibrillation with oral anticoagulant therapy indication when transitioning to
  • low-molecular weight heparin is not feasible.
  • 12. Positive pregnancy test
  • 13. Breastfeeding women.
  • 14. The subject used any drugs or substances known to be strong inhibitors or
  • inducers of cytochrome P450 enzymes which are involved in the degradation
  • pathways of rifampicin within the time windows specified in the protocol.

研究者

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