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CompletedNCT03057756TB-MRUpdated Mar 17, 2026

Treatment of Tuberculosis Multidrug Resistance Treatment of Tuberculosis Multidrug Resistance

An observational study in Multi-drug Resistant Tuberculosis, sponsored by Centre de Recherche Médicale de Lambaréné. Completed at 1 site in Gabon. Open to participants aged 15 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-17.

Sponsored by Centre de Recherche Médicale de Lambaréné · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
23
Ages
15 Years and older
Sex
All
01

Study summary

The principal objective is to evaluate a cure rate and number of adverse events of with confirmed multidrug-resistant tuberculosis patient treated with a 9months regimen.

Read the detailed description

Study participants will be followed up, under existing protocol derived from a study protocol developed by the "Union internationale contre les maladies respiratoires" and carried out already in 9 Africans countries. Participants will be hospitalised for at least four month, period which they will be given treatments, assessed for adverse events, monitored for TB-MR strains using culture techniques, at the monthly basis. If patients found with negative sputum culture at month four they will be dischrged from the hospital, and then treated four an additional five montns and then follow up, clinically and biologically for an additional six months before being declared as cured.

02

Conditions studied

  • Multi-drug Resistant Tuberculosis

Keywords

  • Multi-drug Resistant Tuberculosis
  • short course regimen protocol
03

In context

Tuberculosis, Multidrug-Resistant

132 studies on the registry are indexed under Tuberculosis, Multidrug-Resistant; 25 are open to participants now.

This study's enrollment of 23 is below the median of 410 across 42 observational studies indexed under Tuberculosis, Multidrug-Resistant.

Browse Tuberculosis, Multidrug-Resistant studies →

Lead sponsor

Centre de Recherche Médicale de Lambaréné is the lead sponsor of 17 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
15 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

study population will consist of all consecutive patients with bacteriologically proven MDR-TB who fulfil the inclusion criteria .

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged 15 years and above
  • Never been treated with anti-TB drugs for more than one month,
  • Give written consent to participate
  • Agree to be hospitalised for at least four months in specialised healthcare
  • Willing to adhere to ambulatory directly observed treatment by a healthcare worker;

Exclusion criteria

Exclusion criteria:

  • Pregnant during inclusion process
  • Presented with altered clinical status condition as judged by the clinician
  • Knowing of history of reaction to any of the drugs to be used
  • Baseline does not show a space superior to 500ms
  • Refusal to participate into study.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
23 participants (actual)
Target follow-up
15 Months
Patient registry
Yes

Groups and cohorts

  • TB-MR patients

    Patients older than 15 years old receiving Km+ Mfx+ Pto + H + Cfz +E+Z

    Combination Product: Km+ Mfx+ Pto + H + Cfz +E+Z

Interventions

  • Combination productKm+ Mfx+ Pto + H + Cfz +E+Z

    Second generation of anti tuberculosis Kanamycine, Moxifloxacine,Prothionamide, isoniazide,Clofazimine, Ethambutol,Pyrazinamide

06

What researchers measure

Primary outcomes

  1. cure rate post treatment

    Proportion of participants alive and presented with negative sputum culture for TB and with the absence of clinical, X-Ray and biological disorders related to TB

    Time frame: Six months post treatment

Secondary outcomes

  1. TB-culture

    First TB culture negative time

    Time frame: 4 months after start of the treatment

  2. Regimen tolorability

    treatment, safety through clinical and biological assessment

    Time frame: Throughout treatment period (9months)

  3. Adverse events

    solicited and unsolicited adverse events

    Time frame: duration of participant in the study (15months)

07

Study locations

1 site
  • Centre de Recherches Médicales de Lambaréné
    Lambaréné, Please Select BP 242, Gabon
08

References and documents

Publications

  • Eurosurveillance editorial team. WHO revised definitions and reporting framework for tuberculosis. Euro Surveill. 2013 Apr 18;18(16):20455. No abstract available. PubMed 23611033 ↗
  • Pablos-Mendez A, Raviglione MC, Laszlo A, Binkin N, Rieder HL, Bustreo F, Cohn DL, Lambregts-van Weezenbeek CS, Kim SJ, Chaulet P, Nunn P. Global surveillance for antituberculosis-drug resistance, 1994-1997. World Health Organization-International Union against Tuberculosis and Lung Disease Working Group on Anti-Tuberculosis Drug Resistance Surveillance. N Engl J Med. 1998 Jun 4;338(23):1641-9. doi: 10.1056/NEJM199806043382301. PubMed 9614254 ↗
  • Falzon D, Jaramillo E, Schunemann HJ, Arentz M, Bauer M, Bayona J, Blanc L, Caminero JA, Daley CL, Duncombe C, Fitzpatrick C, Gebhard A, Getahun H, Henkens M, Holtz TH, Keravec J, Keshavjee S, Khan AJ, Kulier R, Leimane V, Lienhardt C, Lu C, Mariandyshev A, Migliori GB, Mirzayev F, Mitnick CD, Nunn P, Nwagboniwe G, Oxlade O, Palmero D, Pavlinac P, Quelapio MI, Raviglione MC, Rich ML, Royce S, Rusch-Gerdes S, Salakaia A, Sarin R, Sculier D, Varaine F, Vitoria M, Walson JL, Wares F, Weyer K, White RA, Zignol M. WHO guidelines for the programmatic management of drug-resistant tuberculosis: 2011 update. Eur Respir J. 2011 Sep;38(3):516-28. doi: 10.1183/09031936.00073611. Epub 2011 Aug 4. PubMed 21828024 ↗
  • Stolp SM, Huson MA, Janssen S, Beyeme JO, Grobusch MP. Tuberculosis patients hospitalized in the Albert Schweitzer Hospital, Lambarene, Gabon-a retrospective observational study. Clin Microbiol Infect. 2013 Nov;19(11):E499-501. doi: 10.1111/1469-0691.12278. Epub 2013 Jul 4. PubMed 23826878 ↗
  • Van Deun A, Maug AK, Salim MA, Das PK, Sarker MR, Daru P, Rieder HL. Short, highly effective, and inexpensive standardized treatment of multidrug-resistant tuberculosis. Am J Respir Crit Care Med. 2010 Sep 1;182(5):684-92. doi: 10.1164/rccm.201001-0077OC. Epub 2010 May 4. PubMed 20442432 ↗
  • Laserson KF, Thorpe LE, Leimane V, Weyer K, Mitnick CD, Riekstina V, Zarovska E, Rich ML, Fraser HS, Alarcon E, Cegielski JP, Grzemska M, Gupta R, Espinal M. Speaking the same language: treatment outcome definitions for multidrug-resistant tuberculosis. Int J Tuberc Lung Dis. 2005 Jun;9(6):640-5. PubMed 15971391 ↗
  • Chiang CY, Caminero JA, Enarson DA. Reporting on multidrug-resistant tuberculosis: a proposed definition for the treatment outcome 'failed'. Int J Tuberc Lung Dis. 2009 May;13(5):548-50. No abstract available. PubMed 19383184 ↗
  • World Health Organization; International Union Against Tuberculosis and Lung Disease; Royal Netherlands Tuberculosis Association. Revised international definitions in tuberculosis control. Int J Tuberc Lung Dis. 2001 Mar;5(3):213-5. No abstract available. PubMed 11326818 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03057756
Lead sponsor
Centre de Recherche Médicale de Lambaréné
Collaborators
Institute of Tropical Medicine, University of Tuebingen, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Responsible party
Prof. Ayola Akim ADEGNIKA (Professor, Centre de Recherche Médicale de Lambaréné) — Principal investigator
First posted
Feb 20, 2017
Start date
Sep 11, 2015
Primary completion
Apr 4, 2023
Completion
May 1, 2023
Last update
Mar 17, 2026

Study contacts

Ayola A Adegnika, MD, PhD
principal investigator · Centre de Recherches Médicales de Lambaréné

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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