ClinicalTrials.gg
Status unknownNCT03409315PERFECTUpdated Oct 10, 2019

Feasibility of Centralized Therapeutic Drug Monitoring of Fluoroquinolones in Multi-Drug Resistant Tuberculosis Patients

An observational study in Tuberculosis, Multidrug-Resistant, sponsored by University Medical Center Groningen. Status unknown at 13 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-10-10.

Sponsored by University Medical Center Groningen · Observational

The sponsor has not verified this record recently (last verified Oct 2019), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
360
Ages
18 Years and older
Sex
All
01

Study summary

Observational, multi-centre, prospective study to investigate the feasibility of centralized TDM of moxifloxacin and levofloxacin in MDR-TB patients by determining turn-around time between sampling and receiving dosing advice.

In addition, the effect of TDM will be evaluated by comparing treatment results of prospective patients receiving TDM with historical controls without TDM.

02

Conditions studied

  • Tuberculosis, Multidrug-Resistant

Keywords

  • Centralized Therapeutic Drug Monitoring
  • Fluoroquinolones
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 planned enrollment of 360 is below the median of 410 across 42 observational studies indexed under Tuberculosis, Multidrug-Resistant.

Browse Tuberculosis, Multidrug-Resistant studies →

Lead sponsor

University Medical Center Groningen is the lead sponsor of 627 studies on the registry; 176 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Sputum smear and culture positive MDR-TB patients treated with either moxifloxacin or levofloxacin in multiple clinical centres worldwide.

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

  • Pulmonary MDR-TB
  • Sputum smear and sputum culture positive at baseline
  • Oral administration of either moxifloxacin or levofloxacin
  • Written (for use of the medical data)

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or breast feeding
Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
360 participants (estimated)
Patient registry
No

Groups and cohorts

  • Moxifloxacin, prospective

    Prospective included patients (n=60) receiving centralized therapeutic drug monitoring of moxifloxacin.

    Procedure: Centralized Therapeutic Drug Monitoring

  • Levofloxacin, prospective

    Prospective included patients (n=60) receiving centralized therapeutic drug monitoring of levofloxacin

    Procedure: Centralized Therapeutic Drug Monitoring

  • Moxifloxacin, historical controls

    Historical controls (n=120) matched to prospective patients, did not receive centralized therapeutic drug monitoring of moxifloxacin.

  • Levofloxacin, historical controls

    Historical controls (n=120) matched to prospective patients, did not receive centralized therapeutic drug monitoring of levofloxacin.

Interventions

  • ProcedureCentralized Therapeutic Drug Monitoring

    Plasma samples will be drawn at peripheral centres en shipped to a central laboratory for analysis. Results and dosing advice will be returned by email to local physician.

06

What researchers measure

Primary outcomes

  1. Feasibility of centralized TDM

    Turn-around time between plasma sampling and receiving dosing advice

    Time frame: 1 week

Secondary outcomes

  1. Impact of centralized TDM

    Comparison of % patients with converted sputum smear and culture between prospective patients with TDM and matched historical controls without TDM (1:2)

    Time frame: 2 months

07

Study locations

1 of 13 sites recruiting
  • The Prince Charles and Caboolture Hospitals
    Brisbane, Australia
    Not yet recruiting
    • Andrew Burke · Contact
  • Republican Scientific and Practical Centre of Pulmonology and Tuberculosis
    Minsk, Belarus
    Not yet recruiting
    • Alena Skrahina · Contact
  • Hélio Fraga Reference Center
    Rio De Janeiro, Brazil
    Not yet recruiting
    • Margareth Dalcolmo · Contact
  • Athens Chest Hospital "Sotiria"
    Athens, Greece
    Recruiting
    • Charalampos Moschos · Contact
  • Alma Mater Studiorum University of Bologna
    Bologna, Italy
    Not yet recruiting
    • Marina Tadolini · Contact
  • Reuh Tldc
    Upeslejas, Latvia
    Not yet recruiting
    • Liga Kuksa · Contact
  • Instituto Nacional de Enfermedades Respiratorias
    Mexico City, Mexico
    Not yet recruiting
    • Marcela Munoz Torrico · Contact
  • University Medical Center Groningen Beatrixoord
    Haren, Netherlands
    Not yet recruiting
    • Onno Akkerman · Contact
  • Vila Nova Gaia/Espinho Medical School
    Vila Nova De Gaia, Portugal
    Not yet recruiting
    • Raquel Duarte · Contact
  • University of Cape Town, Lung Insitute
    Cape Town, South Africa
    Not yet recruiting
    • Keertan Dheda · Contact
  • Karolinska University Hospital
    Stockholm, Sweden
    Not yet recruiting
    • Judith Bruchfeld · Contact
  • Kibong'oto Infectious Diseases Hospital
    Sanya Juu, Tanzania
    Not yet recruiting
    • Scott Heysell · Contact
  • Royal London Hospital
    London, United Kingdom
    Not yet recruiting
    • Simon Tiberi · Contact
08

References and documents

Publications

  • van den Elsen SH, Sturkenboom MG, Akkerman O, Barkane L, Bruchfeld J, Eather G, Heysell SK, Hurevich H, Kuksa L, Kunst H, Kuhlin J, Manika K, Moschos C, Mpagama SG, Munoz Torrico M, Skrahina A, Sotgiu G, Tadolini M, Tiberi S, Volpato F, van der Werf TS, Wilson MR, Zuniga J, Touw DJ, Migliori GB, Alffenaar JW. Prospective evaluation of improving fluoroquinolone exposure using centralised therapeutic drug monitoring (TDM) in patients with tuberculosis (PERFECT): a study protocol of a prospective multicentre cohort study. BMJ Open. 2020 Jun 16;10(6):e035350. doi: 10.1136/bmjopen-2019-035350. PubMed 32554740 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2018 (actual). Primary completion is estimated for Nov 2020, 33 months after the start.

Of 19 observational studies under Tuberculosis, Multidrug-Resistant, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 90. This study's planned 33 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 17, 2018
First posted
Jan 24, 2018
StartActual
Feb 10, 2018
Primary completionEst.
Nov 2020
CompletionEst.
Dec 2020
Last update
Oct 10, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03409315
Responsible party
Jan-Willem C Alffenaar (PhD, PharmD, University Medical Center Groningen) — Principal investigator
First posted
Jan 24, 2018
Start date
Feb 10, 2018
Primary completion
Nov 2020 (estimated)
Completion
Dec 2020 (estimated)
Last update
Oct 10, 2019

Study contacts

Jan-WIllem Alffenaar, PhD
Contact
j.w.c.alffenaar@umcg.nl
+31503614071
Simone van den Elsen, BSc
Contact
Jan-WIllem Alffenaar, PhD
principal investigator · UMCG

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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