Can a 4-Month TB regimen work as well as 6 months?
NCT ID NCT06153069
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether people with asymptomatic tuberculosis (TB) can be treated effectively with a shorter course of standard antibiotics—17 weeks instead of the usual 6 months. Researchers will compare the shorter regimen to standard treatment in 426 participants in China. The goal is to see if the shorter course can achieve similar cure rates without increasing the risk of relapse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- isoniazid, rifampicin, pyrazinamide, ethambutol, rifapentine, moxifloxacin
- What this could lead to
- If successful, this could shorten tuberculosis treatment from the standard 6 months to about 4 months, making it easier for patients to complete therapy and reducing the burden on healthcare systems.
- What could go wrong
- This is a Phase 4 trial, but it focuses on asymptomatic TB, which is less studied. Shorter treatment may increase relapse risk, and results may not apply to symptomatic TB or other populations.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 426 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Nov 2028
An estimate. End dates often move.
- 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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14 to 80 years
- 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: * 1\. Age between 14 to 80 years; * 2\. Male or female; * 3\. Willing to provide signed informed consent, or parental consent and participant assent; * 4\. Individuals with respiratory tract specimen (including sputum/bronchoalveolar lavage fluid/lung tissue) positive for acid-fast bacilli smear/culture/molecular amplification for M. tuberculosis; * 5\. No unexplained TB-suggestive symptoms in the three months prior to screening, including cough lasting more than two weeks, night sweats, fever or weight loss; * 6\. If non-menopausal woman, agree to use or have used effective contraception during treatment. Exclusion Criteria: * 1\. Combined extrapulmonary tuberculosis; * 2\. Induviduals with extensive lesion (lesion involvement exceeding 50% or the aggregate diameter of all cavities exceeding 6 cm) ; * 3\. Individuals will be excluded from enrollment if, at the time of enrollment, their M. tuberculosis isolate is already known to be resistant to any one or more of the following: rifampin, isoniazid, pyrazinamide, ethambutol, or fluoroquinolones; * 4\. Individuals with impaired liver function (alanine transaminase \[ALT\] or total bilirubin \[TBIL\] more than 2.5 times the upper limit of normal) or combined with liver cirrhosis; * 5\. Hemoglobin is less than 70g/L, or platelet is less than 50\*10\^9/L; * 6\. Estimated Glomerular Filtration Rate (eGFR) is less than 30 mL/min/1.73m2; * 7\. Known allergic or intolerant to any of the study drugs; * 8\. Pregnant or breast-feeding; * 9\. Prior anti-TB treatment for more than one week in the past six months; * 10.Known history of epilepsy, uncontrolled diabetes; * 11.For HIV-positive subjects, T-lymphocyte (CD4 cell) counts less than 100 cells/mm3; * 12\. Unable to tolerant oral treatment.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Beijing Chest Hospital, Capital Medical University
RECRUITINGBeijing, Beijing Municipality, 200040, China
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Huashan Hospital of Fudan University
ACTIVE_NOT_RECRUITINGShanghai, Shanghai Municipality, 200040, China
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Liupanshui City Third People's Hospital
RECRUITINGLiupanshui, Guizhou, China
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Nayong County People's Hospital
RECRUITINGNayong, Guizhou, 200040, China
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The First People's Hospital of Linping District, Hangzhou
RECRUITINGHangzhou, Zhejiang, China
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