Can a One-Month TB prevention course beat the standard Three-Month regimen?
NCT ID NCT06191692
First seen Sep 09, 2026 · Last updated Sep 10, 2026 · Updated 1 time
Summary
Tuberculosis infection can progress to active, contagious TB disease, but preventive treatment often lasts three to nine months and many people do not finish it. This Phase 3 trial in Hanoi, Vietnam, compares a new one-month regimen of daily isoniazid and rifapentine with the standard three-month regimen of daily isoniazid and rifampicin. Researchers will enroll 350 adult household contacts of people with confirmed, drug-susceptible pulmonary TB who test positive for TB infection. The study measures how many participants in each group take at least 90% of their doses and tracks severe side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A one-month combination of isoniazid and rifapentine, compared with a three-month combination of isoniazid and rifampicin
- What this could lead to
- If the shorter regimen works as well, it could make TB preventive treatment easier to finish and more widely used, helping stop latent TB from becoming active disease.
- What could go wrong
- The trial may find the one-month regimen is not as well tolerated or as effective as the standard three-month course. Shorter treatment could also carry different side effects, and results in Vietnam may not apply everywhere.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Started
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Nov 2024
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Household contacts of people with new, bacteriologically-confirmed, pulmonary, drug-susceptible TB who initiated treatment with residence in the intervention areas; * Positive QFT-Plus or TST results (TST induration of at least 5mm) * Agree to remain in contact and provide updated information as necessary, and have no current plans to relocate outside the designed area for the duration of the study; * Age ≥ 18 years; * Capable of providing signed informed consent; * Willing to participate in the study visits and procedures Exclusion Criteria: * Indeterminate results on QFT-Plus; * Clinical or radiographic suspicions or history of previous active TB; * Known hypersensitivity or contraindication to any components of the regimens; * Weight \<30kg; * Acute or chronic liver failure with elevated liver enzymes or evidence of liver dysfunction such as jaundice or a history of liver failure caused by isoniazid or rifampicin; History of liver cirrhosis at any time before study entry; * Infection with suspected or confirmed tuberculosis strains resistant to isoniazid or rifampicin; * Porphyria- Porphyrin metabolism disorder; * Polyneuropathy (self-reported/ confirmed); * Pregnant or planning to become pregnant within 120 days of enrollment; * Any other severe underlying condition that would, in the opinion of the investigator, compromise the patient's safety or outcome in the trial; * Participation in other clinical intervention trials or research protocols (participation in other studies that do not involve an intervention may be allowed, but this must be discussed and approved by the Chief Investigator).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Ha Noi Lung Hospital
Hà Nội, 10000, Vietnam
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Vietnam National Lung Hospital
Hanoi, Hanoi, 10000, Vietnam
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