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Rifampin versus isoniazid for the treatment of latent tuberculosis
ISRCTN ISRCTN41241584
ClinicalTrials.gov identifier NCT00170209
Public title Rifampin versus isoniazid for the treatment of latent tuberculosis
Scientific title Randomised clinical trial of four months rifampin versus nine months INH for the treatment of latent Tuberculosis
Acronym N/A
Serial number at source MCT-44154
Study hypothesis 1. To compare the rate of adverse events resulting in permanent discontinuation of study drug, with 4RIF or 9INH given as daily
2. To compare the rate of compliance/completion of the two arms
3. To compare costs, overall, and related to adverse events, of the two regimens

As of 25/02/2009 this record was updated to include an amendment to the end date of this trial; the initial end date at the time of registration was 30/09/2006.
Lay summary
Ethics approval Research Ethics Board of the McGill University Health Centre (MUHC), Montreal Chest Institute, Montreal, QC gave approval on the 18th April 2001
Study design Randomised controlled trial
Countries of recruitment Canada
Disease/condition/study domain Latent tuberculosis (TB) Infection
Participants - inclusion criteria 1. Close or casual contact of an active case pulmonary Tuberculosis (TB)
2. Aged 18 years and older, either sex
3. Documented tuberculin conversion within five years
4. Human immunodeficiency virus (HIV) positive, or other immune suppressed condition (e.g. corticosteroid therapy)
5. Apical/upper lobe fibronodular disease (with area greater than 2 cm^2), or other radiographic abnormalities
6. Underweight, diabetes, renal failure, or other medical risk factors
7. Recent (less than two years) arrival from country/region with TB incidence greater than 100/100,000
Participants - exclusion criteria 1. Low risk reactors
2. Patients who were contacts of known INH resistant case
3. Known HIV-infected individuals on triple anti-retroviral therapy
4. Women of child bearing age taking oral contraceptives
5. Patients on any other medication with clinically important drug interaction with INH or RIF
Anticipated start date 01/04/2001
Anticipated end date 30/12/2007
Status of trial Completed
Patient information material
Target number of participants 1260 (847 recruited as of 30/01/2007 - end of recruitment)
Interventions One arm will receive nine months of isoniazid (INH) - the current standard therapy for this condition. The other group will receive four months of daily self-administered rifampin - a currently recommended alternative.

Trial details received: 12 Sept 2005
Primary outcome measure(s) Major adverse events requiring permanent discontinuation of study drug
Secondary outcome measure(s) 1. Minor side effects
2. Compliance
3. Costs of Therapy
Sources of funding Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-44154)
Trial website
Publications 1. 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/19017587
2. 2010 results in http://www.ncbi.nlm.nih.gov/pubmed/20627913
Contact name Dr  Richard (Dick)  Menzies
  Address Montreal Chest Institute
Respiratory Epidemiology Unit
3650 St. Urbain
Room K1.24
  City/town Montreal
  Zip/Postcode H2X 2P4
  Country Canada
  Tel +1 514 934 1934 ext. 32128
  Fax +1 514 843 2083
  Email dick.menzies@mcgill.ca
Sponsor The Research Institute of the McGill University Health Centre (Canada)
  Address 1650 Cedar Avenue
  City/town Montreal
  Zip/Postcode H3G 1A4
  Country Canada
  Fax +1 514 934 8261
  Email emil.skamene@muhc.mcgill.ca
Date applied 26/09/2005
Last edited 09/08/2010
Date ISRCTN assigned 26/09/2005
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