Shorter TB regimens could simplify treatment
NCT ID NCT07668479
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether shorter, rifapentine-based treatments for tuberculosis and latent TB are safe and effective in real-world settings in Kazakhstan. It will follow 350 adults, including those with HIV, comparing a 4-month regimen to the standard 6-month one for active TB, and a 1-month regimen for latent TB. The goal is to see if these shorter options can improve cure rates and reduce 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
- rifapentine (combined with isoniazid, moxifloxacin, pyrazinamide, or ethambutol)
- What this could lead to
- If successful, this could show that shorter TB treatments work as well as standard ones, making it easier for patients to complete therapy and reducing the spread of TB.
- What could go wrong
- This is an observational study, not a controlled trial, so results may be less definitive. Side effects from the shorter regimens could still occur, and findings may not apply outside Kazakhstan.
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.
- Participants
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About 350 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2027
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.
Who is studied
Adults aged 18 years and older with drug-susceptible tuberculosis or tuberculosis infection, including people living with and without HIV, enrolled at tuberculosis facilities in four regions of Kazakhstan.
- Ages
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18 years and older
- Sex
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Anyone
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: FOR DS-TB COHORTS (2HPMZ/2HPM and 2HRZE/4HR): * Age 18 years or older * Bacteriologically confirmed drug-susceptible pulmonary tuberculosis * Newly diagnosed, not previously treated (or treated less than 1 month) * Willing and able to provide written informed consent * Residing in one of the four pilot regions of Kazakhstan FOR TBI COHORT (1HP): * Age 18 years or older * Diagnosed with tuberculosis infection * No evidence of active tuberculosis disease * Willing and able to provide written informed consent * Residing in one of the four pilot regions of Kazakhstan Exclusion Criteria: FOR DS-TB COHORTS: * Confirmed or suspected drug-resistant tuberculosis (rifampicin-resistant tuberculosis (RR-TB) or multidrug-resistant tuberculosis (MDR-TB)) * Extrapulmonary tuberculosis as the sole manifestation * Pregnancy or breastfeeding at time of enrollment * Severe hepatic impairment (alanine aminotransferase (ALT)/aspartate aminotransferase (AST) \>3x upper limit of normal) * Known hypersensitivity to rifapentine, isoniazid, moxifloxacin, or pyrazinamide * corrected QT interval (QTc) interval \>500 ms on baseline electrocardiogram (ECG) * Currently receiving medications with significant interactions contraindicated with study regimens FOR TBI COHORT: * Active tuberculosis disease * Previous treatment for TB or TBI within the past 2 years * Pregnancy at time of enrollment * Severe hepatic impairment * Known hypersensitivity to rifapentine or isoniazid
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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 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.
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