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Active, not recruitingNCT05871489STEM-TBUpdated Dec 5, 2024

Strengthening Evidence on Optimal Multidrug-resistant Tuberculosis Treatment Regimens

An observational study in Tuberculosis, Multidrug-Resistant and HIV, sponsored by Harvard Medical School (HMS and HSDM). Active, not recruiting at 3 sites in 3 countries. Open to participants aged 0 Years to 120 Years. Per ClinicalTrials.gov, last updated 2024-12-05.

Sponsored by Harvard Medical School (HMS and HSDM) · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as active, not recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
800
Ages
0 Years to 120 Years
Sex
All
01

Study summary

This is a multisite prospective cohort study of patients with multidrug- or rifampin-resistant tuberculosis who are treated with an all-oral shortened regimen under routine program conditions in one of three countries (Peru, Lesotho, Kazakhstan).

02

Conditions studied

  • Tuberculosis, Multidrug-Resistant
  • HIV
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 800 is above the median of 410 across 42 observational studies indexed under Tuberculosis, Multidrug-Resistant.

Browse Tuberculosis, Multidrug-Resistant studies →

Lead sponsor

Harvard Medical School (HMS and HSDM) is the lead sponsor of 55 studies on the registry; 14 are open to participants now.

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

04

Who can participate

Ages eligible
0 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

This study will prospectively follow an observational cohort patients with confirmed MDR-TB who initiate one of the following MDR-TB regimens of interest: (1) an individualized 18-24 month all-oral regimen containing BDQ and/or DLM, designed according to 2019 WHO guidance (Lesotho); or (2) a standardized, shortened all-oral regimen containing BDQ or DLM.

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

  • All patients with pulmonary tuberculosis that is resistant to rifampin (RIF) or to both RIF and isoniazid who initiate an all-oral treatment regimen (short or long) under routine or operational conditions, per local country guidance, will be included.

Exclusion criteria

Exclusion Criteria:

  • Exclusions are based on local guidance in each country. Currently, individuals with fluoroquinolone resistant tuberculosis are excluded from all-oral shortened treatment.
05

Study design

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

Groups and cohorts

  • Lesotho Cohort

    200 patients receiving an all-oral shorter regimen in Lesotho under routine program conditions.

    Drug: Bdq, Lzd, Lfx, Dlm, Cfz (9-12 months)

  • Peru Cohort

    50 patients receiving an all-oral shorter regimen in Peru under routine program conditions.

    Drug: Bdq, Lzd, Lfx, Dlm, Cfz (9-12 months)

  • Kazakhstan Cohort

    550 patients receiving an all-oral shorter regimen in Kazakhstan under routine program conditions.

    Drug: Bdq, Lzd, Lfx, Dlm, Cfz (9-12 months) · Drug: Bdq, Lzd, Lfx, Cfz, Cs (9-12 months) · Drug: Bdq, Lzd, Lfx, Z, Dlm (9-12 months)

Interventions

  • DrugBdq, Lzd, Lfx, Dlm, Cfz (9-12 months)

    Bdq, Lzd, Lfx, Dlm, Cfz for nine months, with extension to 12 months as needed

  • DrugBdq, Lzd, Lfx, Cfz, Cs (9-12 months)

    Bdq, Lzd, Lfx, Cfz, Cs for nine months, with extension to 12 months as needed

  • DrugBdq, Lzd, Lfx, Z, Dlm (9-12 months)

    Bdq, Lzd, Lfx, Z, Dlm for nine months, with extension to 12 months as needed

06

What researchers measure

Primary outcomes

  1. End-of-treatment outcome

    Number of individuals experiencing each tuberculosis treatment outcome (cure, completion, death, failure, lost-to-follow-up), assessed at the end of treatment by a clinician, based on culture results

    Time frame: 9-12 months after treatment initiation

  2. Final tuberculosis treatment outcome

    Number of individuals experiencing each final tuberculosis treatment outcome (cure, completion, death, failure, lost-to-follow-up, relapse), assessed at 6, 12, and 24 months by a clinician, based on culture results

    Time frame: 6-24 months after treatment completion

  3. Adverse events of interest

    Assessed by a clinician based on symptomatology, subjective screening, and/or laboratory findings

    Time frame: Tuberculosis treatment, an average of 9 months

07

Study locations

3 sites
  • Partners In Health, Kazakhstan
    Almaty, Kazakhstan
  • Partners In Health, Lesotho
    Maseru, Lesotho
  • Socios En Salud
    Lima, Peru
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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 Sep 2020 (actual). Primary completion is estimated for Dec 2025, 63 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 63 months is above that.

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

Registered
May 1, 2023
First posted
May 23, 2023
StartActual
Sep 22, 2020
Primary completionEst.
Dec 30, 2025
CompletionEst.
Dec 31, 2025
Last update
Dec 5, 2024
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 Dec 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05871489
Lead sponsor
Harvard Medical School (HMS and HSDM)
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID), Partners in Health, Socios En Salud Sucursal, Peru
Responsible party
Molly Franke (Associate Professor of Global Health and Social Medicine, Harvard Medical School (HMS and HSDM)) — Principal investigator
First posted
May 23, 2023
Start date
Sep 22, 2020
Primary completion
Dec 30, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Dec 5, 2024

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 active, not recruiting, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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