ClinicalTrials.gg
RecruitingNCT07124559Updated Nov 2, 2026

A Study of Daily Rifapentine Combined With Isoniazid (1HP) for Tuberculosis Prevention in Children Less Than 13 Years of Age With and Without HIV

A Phase 1/2 interventional study of Rifapentine and Isoniazid in Tuberculosis, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Recruiting at 11 sites in 6 countries. Open to participants aged Up to 13 Years. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1/2, Interventional, and Prevention

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Nov 2, 2026Now RecruitingSite recruiting status changed+5 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
144
Allocation
Non-randomized
Ages
Up to 13 Years
Sex
All
01

Study summary

This study aims to find the proposed dose of Rifapentine (RPT) taken once daily with Isoniazid (INH) for 28 days to prevent tuberculosis (TB). The study will take place at multiple locations and children under 13 years old will be divided into two groups: one group will include children without HIV, and the other group will include children with HIV who are on antiretroviral treatment. Up to 144 children will participate, and participants in each group will be followed for 24 weeks.

02

Conditions studied

  • Tuberculosis

Keywords

  • HIV
  • Tuberculosis
  • Latent Tuberculosis
03

In context

Tuberculosis

1,170 studies on the registry are indexed under Tuberculosis; 175 are open to participants now.

This study's planned enrollment of 144 is close to the median of 150 across 820 interventional studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

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

04

Who can participate

Ages eligible
Up to 13 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. A parent or legal guardian must be willing and able to give written permission for the child to participate in the study. If required by local policies, the child must also be willing and able to give written assent to participate. All sites must follow local policies and procedures.
  2. Age requirements at entry:

    • Cohort 1: Children under 13 years old.
    • Cohort 2: Children aged 12 weeks to under 13 years old.
  3. For Cohort 1 participants under 28 days old: The child must have been born at or after 37 weeks of pregnancy, as determined by the site investigator using parent/guardian report or medical records.
  4. Weight requirements at entry:

    • Cohort 1: 3 kg to under 45 kg.
    • Cohort 2: 6 kg to under 45 kg.
  5. status:

    • Cohort 1: Must be living without HIV.
    • Cohort 2: Must be living with HIV.
  6. At risk of TB disease, defined as meeting at least one of the following:

    • Having close contact with someone with infectious pulmonary TB within the past six months.
    • A positive tuberculin skin test (TST) or, for those over two years old, a positive interferon gamma release assay (IGRA) if TST is not available.
    • For Cohort 2 only: Living in a high TB burden area (≥ 60 TB cases per 100,000 people per year).
  7. Normal or mild (grade 1 or 2) test results for the following at screening (within 21 days before entry):

    • (liver enzyme)
    • Estimated (kidney function)
    • (white blood cells)
    • (red blood cells)
  8. For Cohort 2 participants:

    • Must have been on antiretroviral therapy (ART) for at least 12 weeks before entry.
    • Must have been on a specific ART regimen (once-daily DTG and two NRTIs) for at least 14 days before entry.
    • Must have used the same formulation of DTG (tablet or dispersible tablet) for at least three days before entry.
    • Must agree to continue the same formulation of DTG for the study duration.
    • Must have an HIV-1 RNA level below 200 copies/mL at screening.
  9. Must intend to stay in the same area for the study duration.
  10. Must have access to at least one meal per day during the 28-day treatment period.

Exclusion criteria

Exclusion Criteria:

  1. The child has active TB, confirmed by medical records, parent/guardian report, or tests during screening, indicated by:

    • Currently being treated for active TB.
    • Symptoms like poor growth, poor weight gain, weight loss, cough for at least 11 days, or fever for at least eight days.
    • X-ray or CT scan showing TB.
    • Positive TB test results (e.g., culture, Xpert MTB/RIF Ultra, Truenat M.tb, other nucleic acid tests, urine tests).
  2. The child has been exposed to an adult with drug-resistant TB (resistant to Rifampicin or Isoniazid) within the past six months.
  3. The child has taken the following medications:

    • Daily Isoniazid in the 28 days before entry.
    • Any prohibited medications listed in the study within three days before entry.
  4. The child has any of the following conditions:

    • Acute or chronic hepatitis.
    • Allergy to Isoniazid or rifamycins.
    • Porphyria.
    • Severe peripheral neuropathy.
  5. The child has severe acute malnutrition (weight-for-height/length less than -3 z-scores of WHO standards). Note: Children who are stunted (height-for-age more than two standard deviations below WHO standards) are eligible.
  6. For Cohort 2: The child has an active AIDS-defining opportunistic infection.
  7. The child has started menstruation.
  8. The child has taken NVP, EFV, lopinavir/ritonavir, and/or raltegravir within 14 days before entry.
  9. The child has received long-term therapy (more than eight days) within 30 days before entry. Note: Short courses of (seven days or less) may be allowed with approval.
  10. The child is a result of a multiple birth (e.g., twins, triplets).
  11. The child has any other significant medical condition that would make participation unsafe, complicate data interpretation, or interfere with study objectives, as determined by the site investigator.
Terms in these criteria, in plain language(7)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    Cohort 1: Children living without HIV

    Participants will be enrolled by weight bands across five weight groups.

    Drug: Rifapentine · Drug: Isoniazid

  • Experimental
    Cohort 2: Children living with HIV

    Participants will be enrolled by weight bands across five weight groups.

    Drug: Rifapentine · Drug: Isoniazid · Drug: Dolutegravir

Interventions

  • Dispersible Tablet administered orally

    Also known as: RPT

  • Dispersible Tablet administered orally

    Also known as: INH

  • Tablets and Tablets for oral suspension administered orally

06

What researchers measure

Primary outcomes

  1. Plasma concentration of Rifapentine (RPT) at specified time points among children with and without HIV

    Time frame: Through Day 28

  2. Area Under the Curve (AUC)(0-inf) of RPT

    Time frame: Through Day 28

  3. Maximum serum concentration (C(max)) of RPT

    Time frame: Through Day 28

  4. Half-life (t1/2) of RPT

    Time frame: Through Day 28

  5. Apparent oral clearance (CL/F) of RPT

    Time frame: Through Day 28

  6. Apparent oral volume of distribution (V/F) of RPT

    Time frame: Through Day 28

  7. Absorption rate (ka) of RPT

    Time frame: Through Day 28

  8. Trough serum concentration (C(trough)) of DTG (Cohort 2 only)

    Time frame: At study entry, Day 28 and Day 42

  9. CL/F of DTG (Cohort 2 only)

    Time frame: At study entry, Day 28 and Day 42

  10. Proportion of participants experiencing Adverse Events (AEs)

    Time frame: Through Day 28

  11. Proportion of participants experiencing Grade 3 or higher AEs

    Time frame: Through Day 28

  12. Proportion of participants experiencing Grade 2 or higher AEs assessed as related to 1HP

    Time frame: Through Day 28

  13. Proportion of participants experiencing Serious Adverse Events (SAEs) assessed as related to 1HP

    Time frame: Through Day 28

  14. Proportion of participants experiencing AEs assessed as related to 1HP that led to permanent discontinuation of the regimen

    Time frame: Through Day 28

Secondary outcomes

  1. Relative effects of significant covariates on RPT PK

    Significant covariates include age, weight, sex, ethnicity, nutritional status, and HIV-1 status

    Time frame: Through Day 28

  2. Proportion of participants experiencing AEs

    Time frame: Through Day 168

  3. Proportion of participants experiencing Grade 3 or higher AEs

    Time frame: Through Day 168

  4. Proportion of participants experiencing Grade 2 or higher AEs assessed as related to 1HP

    Time frame: Through Day 168

  5. Proportion of participants experiencing SAEs assessed as related to 1HP

    Time frame: Through Day 168

  6. Participant and/or parent/guardian reported palatability and acceptability of 1HP regimen

    Time frame: At Day 1, Day 14, and Day 28

  7. Number of occurrences of permanent discontinuation of 1HP regimen due to participant refusal to take 1HP or participant's parent/guardian decision to prematurely discontinue 1HP regimen

    Time frame: Through Day 168

  8. Participant adherence to the 1HP regimen

    Defined as having maintained at least 85% adherence to the 1HP regimen (24 doses) measured by observed and confirmed dosing and participant/parent/guardian report.

    Time frame: Through Day 28

  9. Proportion of participants experiencing Grade 2 or higher AEs assessed as related to DTG (Cohort 2 only)

    Time frame: Through Day 42

  10. Proportion of participants experiencing SAEs assessed as related to DTG (Cohort 2 only)

    Time frame: Through Day 42

  11. Proportion of participants experiencing AEs assessed as related to DTG that led to permanent discontinuation of the regimen (Cohort 2 only)

    Time frame: Through Day 42

  12. Number of participants with HIV-1 RNA less than 200 copies/mL (Cohort 2 only)

    Time frame: At Day 42

07

Study locations

5 of 11 sites recruiting
  • Gaborone (Site ID: 12701)
    Gaborone, Botswana
    Recruiting
  • Molepolole CRS (Site ID: 12702)
    Molepolole, Botswana
    Recruiting
  • Les Centres GHESKIO (Site ID: 30022)
    Port-au-Prince, HT-6110, Haiti
    Not yet recruiting
  • Kenya Medical Research Institute/Walter Reed Project Clinical Research Center, Kericho CRS (Site ID: 5121)
    Kericho, 20200, Kenya
    Not yet recruiting
  • Siriraj Hospital, Mahidol University NICHD CRS (Site ID: 5115)
    Bangkok, Bangkoknoi 10700, Thailand
    Not yet recruiting
  • Chiangrai Prachanukroh Hospital (Site ID: 5116)
    Chiang Rai, 57000, Thailand
    Recruiting
  • Baylor-Uganda CRS (Site ID: 31798)
    Kampala, Uganda
    Recruiting
  • MU-JHU Research Collaboration (MUJHU CARE LTD) CRS (Site ID: 30293)
    Kampala, Uganda
    Recruiting
  • Seke North CRS (Site ID: 30306)
    Seke North, Chitungwiza, Zimbabwe
    Not yet recruiting
  • St Mary's CRS (Site ID: 30303)
    Chitungwiza, Zimbabwe
    Not yet recruiting
  • Harare Family Care CRS (Site ID: 31890)
    Harare, Zimbabwe
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie results in the publication, after deidentification.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 3 months following publication and available throughout period of funding of the International Maternal Pediatric Adolescent AIDS Clinical Trial (IMPAACT) Network by NIH.

Access criteria: With whom? Researchers who provide a methodologically sound proposal for use of the data that is approved by the IMPAACT Network. For what types of analyses? To achieve aims in the proposal approved by the IMPAACT Network. By what mechanism will data be made available? Researchers may submit a request for access to data using the IMPAACT "Data Request" form at: https://www.impaactnetwork.org/resources/study-proposals.htm. Researchers of approved proposals will need to sign an IMPAACT Data Use Agreement before receiving the data

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 19, 2026
Sites
8 sites added, 8 sites removed. 5 sites changed recruiting status (4 now recruiting, 1 now not yet recruiting)
Show 5 sites
  • Gaborone (Site ID: 12701) · Gaborone, Botswanano status→Recruiting
  • Les Centres GHESKIO (Site ID: 30022) · Port-au-Prince, Haitino status→Not yet recruiting
  • Chiangrai Prachanukroh Hospital (Site ID: 5116) · Chiang Rai, Thailandno status→Recruiting
  • Baylor-Uganda CRS (Site ID: 31798) · Kampala, UgandaNot yet recruiting→Recruiting
  • MU-JHU Research Collaboration (MUJHU CARE LTD) CRS (Site ID: 30293) · Kampala, UgandaNot yet recruiting→Recruiting
Show 8 added (3 Zimbabwe, 2 Uganda, 1 Botswana, 1 Kenya, 1 Thailand)
  • Molepolole CRS (Site ID: 12702) · Molepolole, Botswana
  • Kenya Medical Research Institute/Walter Reed Project Clinical Research Center, Kericho CRS (Site ID: 5121) · Kericho, Kenya
  • Siriraj Hospital, Mahidol University NICHD CRS (Site ID: 5115) · Bangkok, Thailand
  • Baylor-Uganda CRS (Site ID: 31798) · Kampala, Uganda
  • MU-JHU Research Collaboration (MUJHU CARE LTD) CRS (Site ID: 30293) · Kampala, Uganda
  • Seke North CRS (Site ID: 30306) · Seke North, Zimbabwe
  • St Mary's CRS (Site ID: 30303) · Chitungwiza, Zimbabwe
  • Harare Family Care CRS (Site ID: 31890) · Harare, Zimbabwe
Show 8 removed
  • Molepolole (Site ID: 12702) · Gaborone, Botswana
  • Kenya Medical Research Institute, Walter Reed Project Clinical Research Center (Site ID: 5121) · Kericho, Kenya
  • Siriraj Hospital, Mahidol University (Site ID: 5115) · Bangkok, Thailand
  • Baylor-Uganda (Site ID: 31798) · Kampala, Uganda
  • MU-JHU Care Limited (Site ID: 5126) · Kampala, Uganda
  • Harare Family Care (Site ID: 31890) · Belgravia, Zimbabwe
  • Seke North (Site ID: 30306) · Belgravia, Zimbabwe
  • St Mary's (Site ID: 30303) · Chitungwiza, Zimbabwe
across 2 updates, Oct 19, 2026 – Nov 2, 2026
Start date
Oct 15, 2026→Sep 28, 2026 (actual)
Oct 19, 2026
Primary completion
Jan 31, 2028→Jun 26, 2028
Nov 2, 2026
Study completion
May 31, 2028→Nov 15, 2028
Nov 2, 2026
Site contacts
Changed at 4 sites. See the sites
Show 4 sites
  • Gaborone (Site ID: 12701) · Gaborone, BotswanaContact added g•••@bhp.org.bw · •••2671
  • Chiangrai Prachanukroh Hospital (Site ID: 5116) · Chiang Rai, ThailandContact added P•••@phpt.org · •••8858
  • Baylor-Uganda CRS (Site ID: 31798) · Kampala, UgandaContact added v•••@baylor-uganda.org · •••9200
  • MU-JHU Research Collaboration (MUJHU CARE LTD) CRS (Site ID: 30293) · Kampala, UgandaContact added d•••@mujhu.org · •••1044
across 2 updates, Oct 19, 2026 – Nov 2, 2026
Show all 2 updates
  1. Nov 2, 2026
    2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • Baylor-Uganda CRS (Site ID: 31798) · Kampala, UgandaNot yet recruiting→Recruiting
    • MU-JHU Research Collaboration (MUJHU CARE LTD) CRS (Site ID: 30293) · Kampala, UgandaNot yet recruiting→Recruiting
    Primary completion Jan 31, 2028→Jun 26, 2028
    Study completion May 31, 2028→Nov 15, 2028
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • Baylor-Uganda CRS (Site ID: 31798) · Kampala, UgandaContact added v•••@baylor-uganda.org · •••9200
    • MU-JHU Research Collaboration (MUJHU CARE LTD) CRS (Site ID: 30293) · Kampala, UgandaContact added d•••@mujhu.org · •••1044
  2. Oct 19, 2026
    Not yet recruiting→Recruiting
    8 sites added, 8 sites removed. 3 sites changed recruiting status (2 now recruiting, 1 now not yet recruiting)
    Show 3 sites
    • Gaborone (Site ID: 12701) · Gaborone, Botswanano status→Recruiting
    • Les Centres GHESKIO (Site ID: 30022) · Port-au-Prince, Haitino status→Not yet recruiting
    • Chiangrai Prachanukroh Hospital (Site ID: 5116) · Chiang Rai, Thailandno status→Recruiting
    Show 8 added (3 Zimbabwe, 2 Uganda, 1 Botswana, 1 Kenya, 1 Thailand)
    • Molepolole CRS (Site ID: 12702) · Molepolole, Botswana
    • Kenya Medical Research Institute/Walter Reed Project Clinical Research Center, Kericho CRS (Site ID: 5121) · Kericho, Kenya
    • Siriraj Hospital, Mahidol University NICHD CRS (Site ID: 5115) · Bangkok, Thailand
    • Baylor-Uganda CRS (Site ID: 31798) · Kampala, Uganda
    • MU-JHU Research Collaboration (MUJHU CARE LTD) CRS (Site ID: 30293) · Kampala, Uganda
    • Seke North CRS (Site ID: 30306) · Seke North, Zimbabwe
    • St Mary's CRS (Site ID: 30303) · Chitungwiza, Zimbabwe
    • Harare Family Care CRS (Site ID: 31890) · Harare, Zimbabwe
    Show 8 removed
    • Molepolole (Site ID: 12702) · Gaborone, Botswana
    • Kenya Medical Research Institute, Walter Reed Project Clinical Research Center (Site ID: 5121) · Kericho, Kenya
    • Siriraj Hospital, Mahidol University (Site ID: 5115) · Bangkok, Thailand
    • Baylor-Uganda (Site ID: 31798) · Kampala, Uganda
    • MU-JHU Care Limited (Site ID: 5126) · Kampala, Uganda
    • Harare Family Care (Site ID: 31890) · Belgravia, Zimbabwe
    • Seke North (Site ID: 30306) · Belgravia, Zimbabwe
    • St Mary's (Site ID: 30303) · Chitungwiza, Zimbabwe
    Start date Oct 15, 2026→Sep 28, 2026 (now actual)
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • Gaborone (Site ID: 12701) · Gaborone, BotswanaContact added g•••@bhp.org.bw · •••2671
    • Chiangrai Prachanukroh Hospital (Site ID: 5116) · Chiang Rai, ThailandContact added P•••@phpt.org · •••8858
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07124559
Responsible party
Sponsor
First posted
Aug 15, 2025
Start date
Sep 28, 2026
Primary completion
Jun 26, 2028 (estimated)
Completion
Nov 15, 2028 (estimated)
Last update
Nov 2, 2026

Study contacts

IMPAACT ClinicalTrials.gov Coordinator
Contact
impaact.ctgov@fstrf.org
Please email:
Sarah Bradford
Contact
sbradford@fhi360.org
919-321-3673

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Rifapentine · Isoniazid

Start the discussion