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AI-Designed TB treatment aims for 99.5% cure rate
NCT ID NCT07467252
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase II trial tests whether an AI-optimized combination of pyrazinamide and hydroxychloroquine works better than the standard four-drug RIPE regimen for newly diagnosed drug-sensitive pulmonary tuberculosis. Two hundred adults will receive either the new AI-personalized treatment or standard care for 6 months, with follow-up for another 6 months. The study aims to see if the new combo clears the bacteria faster and causes fewer liver 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
- Pyrazinamide and hydroxychloroquine
- What this could lead to
- If successful, this could lead to a more effective and safer treatment for tuberculosis, potentially curing more patients with fewer side effects.
- What could go wrong
- This is a Phase II trial with only 200 participants, so results may not apply to everyone. The AI-optimized dosing is new and unproven in humans, and hydroxychloroquine has known risks like heart rhythm problems.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
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 to 65 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: * Confirmed diagnosis of drug-sensitive pulmonary tuberculosis (bacteriologically confirmed by positive sputum smear microscopy or GeneXpert MTB/RIF) * Age 18 to 65 years * Naive to anti-tuberculosis treatment (no previous TB treatment or less than 1 month of TB treatment in the past) * Willing to provide written informed consent * Able to comply with study visits and procedures * HIV-negative or HIV-positive with CD4 count ≥200 cells/mm³ on stable antiretroviral therapy Exclusion Criteria: * Drug-resistant tuberculosis (confirmed resistance to Rifampicin or Isoniazid) * Severe hepatic impairment (Child-Pugh Class C) or ALT/AST \>3 times upper limit of normal * Severe renal impairment (eGFR \<30 mL/min/1.73m²) * Known hypersensitivity to Pyrazinamide, Hydroxychloroquine, or any RIPE drugs * Pregnancy or breastfeeding * Retinal disease or known contraindications to Hydroxychloroquine * Concomitant use of medications with significant interactions with study drugs * Extrapulmonary tuberculosis as the primary site * Currently enrolled in another clinical trial
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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
1 site. 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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Riyadh First Health Cluster, Ministry of Health
Riyadh, Riyadh Region, 11176, Saudi Arabia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can simple sputum and urine tests catch tuberculosis earlier?
- A single swab, two diseases: rapid test takes on TB and COVID-19
- Can HIV status change TB treatment success? a zambian study investigates
- Beyond TB: could a deeper diagnostic look uncover hidden lung diseases?
- Can a new patient cohort unlock the secrets of TB treatment success?
- Shorter TB treatment: a 4-Month regimen put to the test