Can higher doses of TB drugs cut treatment time?
NCT ID NCT04694586
First seen Aug 17, 2026 · Last updated Aug 18, 2026 · Updated 1 time
Summary
This phase II trial is investigating whether higher doses of two tuberculosis (TB) drugs, rifampicin and pyrazinamide, can safely shorten treatment for people with mild to moderate pulmonary TB. The study compares drug levels and safety of this high-dose regimen against the standard treatment. If successful, this approach could lead to shorter, more effective TB therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- High-dose rifampicin and pyrazinamide
- What this could lead to
- If successful, this could lead to a shorter, more effective treatment for tuberculosis, improving adherence and outcomes.
- What could go wrong
- This is an early-phase trial with a small number of participants, so results may not apply broadly. High doses of these drugs could increase the risk of side effects.
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 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2022
- Expected to finish
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May 2030
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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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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient 18 years and older * Confirmed pulmonary TB (positive Mtb culture or positive polymerase chain reaction (PCR) Mtb-complex) * Intended to start on first-line TB treatment * HIV negative * BMI \>17 * Written Informed Consent * Women of childbearing potential should agree on adequate contraceptives during treatment period and have a negative pregnancy test prior to treatment initiation Exclusion Criteria: * Not able to provide informed consent/unable to assimilate study information * Concomitant infectious disease that requires treatment * Known allergy to rifamycins, isoniazid, pyrazinamide, ethambutol or history of severe sideeffect to any of the drugs * Drug-induced inflammatory liver diseases in medical history * History of acute liver disease * On-going liver disease including hepatitis and elevated transaminase levels \>x5 upper normal limit * Porphyria * Drug-drug interaction between concomitant drugs and rifampicin that could not be bridged by dose-adjustment of the concomitant drug * Jaundice * Acute gout * Treatment of active TB during the last year * Drug resistance to RIF, INH, PZA or EMB * Miliary TB * Pulmonary TB with smear positivity grade 3 and/or chest X-ray grading equal to advanced TB * TB in the central nervous system * Extrapulmonary TB (outside central nervous system) without pulmonary TB * Pregnancy and breast-feeding * Immunosuppressive condition * Heart failure (NYHA class III and IV) * Renal failure with estimated glomerular filtration rate (eGFR) \<50 mL/min * Dysregulated diabetes mellitus * Alcohol and drug abuse * Weight \<35 kg or \>90 kg * Participation in other clinical trial (investigating a drug) within the last 30 days prior to study inclusion * Person who the investigator, after consultation with the central contact persons of the study, finds by other reason than the above listed not suitable for study participation
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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
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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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Linköping University Hospital
Linköping, S-581 85, Sweden
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