ClinicalTrials.gg
RecruitingNCT07164742TB PureUpdated Mar 27, 2026

Parent Study Name: Pulmonary Rehabilitation to Reduce Post-Tuberculosis Morbidity (TB Pure)

An interventional study of 8 week (short arm) Intervention - pulmonary rehabilitation and 24 week (long arm) Intervention - pulmonary rehabilitation in TB - Tuberculosis, TB and TB Infection, sponsored by Johns Hopkins University. Recruiting at 2 sites in India. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-27.

Sponsored by Johns Hopkins University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
690
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Individual-level, unblinded randomized controlled trial of an 8-week (short arm) or 24-week (extended arm) pulmonary rehabilitation program, relative to standard of care, to prevent post-tuberculosis respiratory morbidity. Randomization will occur in a 1:1:1 ratio at the initiation of treatment.

Read the detailed description

8 weeks (short arm) or 24 weeks (extended arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.

Objectives:

  1. To compare the effectiveness of two home-based PR programs, administered during TB treatment, for preventing post-TB respiratory morbidity.
  2. To describe the intersection between clinic-level service organization, fidelity of intervention delivery, and change in client behavior for the two PR programs.
  3. To compare the costs, cost-effectiveness, and budget impact of the two different PR strategies implemented as a routine program.
02

Conditions studied

  • TB - Tuberculosis
  • TB
  • TB Infection

Keywords

  • pulmonary tuberculosis
  • Pulmonary Rehabilitation
  • post-tuberculosis respiratory morbidity
  • Drug-sensitive TB
03

In context

Latent Tuberculosis

199 studies on the registry are indexed under Latent Tuberculosis; 48 are open to participants now.

This study's planned enrollment of 690 is above the median of 300 across 110 interventional studies indexed under Latent Tuberculosis.

Browse Latent Tuberculosis studies →

Lead sponsor

Johns Hopkins University is the lead sponsor of 1,815 studies on the registry; 315 are open to participants now.

Of its 208 completed or terminated interventional studies of FDA-regulated products, 144 (69%) have results posted.

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

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

  • Age at least 18 years
  • Microbiologically confirmed (smear microscopy, GeneXpert or culture) pulmonary TB disease*
  • Not completed more than 2 weeks of TB treatment
  • Receiving TB care at the outpatient clinics at the TB PuRe study sites
  • Willingness to complete 48 weeks of study evaluations.
  • Access to a smartphone.

Exclusion criteria

Exclusion Criteria:

  • Modified Medical Research Council score of 0 points (dyspnea only with strenuous exercise)
  • Multi or extensively drug-resistant TB disease*
  • Extrapulmonary TB disease at any clinical sites without pulmonary involvement
  • TB meningitis or TB of the spine
  • Symptomatic cardiovascular disease, including coronary artery disease, arrhythmias and congestive cardiac failure.
  • Score \< 40 points
  • Any medical condition that prevents pulmonary rehabilitation eg: fracture of lower/upper limbs/pregnancy
  • Bronchodilators and/or inhaled or otherwise.
Terms in these criteria, in plain language(2)

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

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
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
690 participants (estimated)

Study arms

  • Experimental
    Short Arm Intervention

    8 weeks (short arm) of a pulmonary rehabilitation (PR) program

    Behavioral: 8 week (short arm) Intervention - pulmonary rehabilitation

  • Experimental
    Long Arm Intervention

    24 weeks (extended arm) of a pulmonary rehabilitation (PR) program

    Behavioral: 24 week (long arm) Intervention - pulmonary rehabilitation

  • No intervention
    Standard of care

    Standard TB treatment without specific pulmonary rehabilitation

Interventions

  • Behavioral8 week (short arm) Intervention - pulmonary rehabilitation

    8 weeks (short arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.

  • Behavioral24 week (long arm) Intervention - pulmonary rehabilitation

    24 weeks (extended arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.

06

What researchers measure

Primary outcomes

  1. Six-Minute Walk Test (6MWT) distance (meters)

    Mean distance compared between study arms

    Time frame: 48 weeks post enrollment

Secondary outcomes

  1. Six minute walk test (6MWT) distance (meters)

    Mean 6MWT distance compared between study arms at 8,16 \& 24 weeks after enrollment.

    Time frame: 8,16 & 24 weeks post enrollment

  2. Absolute percent change in Mean Six minute walk test (6MWT) distance

    Difference between study arms in the absolute and percent change in mean 6MWT distance

    Time frame: 8,16, 24 & 48 weeks post enrollment

  3. Proportion of Participants with change in Six minute walk test (6MWT) distance (meters)

    Difference between study arms in the proportion of participants with an Minimal Clinically Important Difference (MCID) change in the 6MWT distance

    Time frame: 8,16, 24 & 48 weeks post enrollment

  4. St. George's Respiratory Questionnaire (SGRQ) score

    The questionnaire measures respiratory health quality of life in three areas with a total score ranging from 0-100. A higher score indicates poorer health status.

    Time frame: 8,16,24 & 48 weeks post enrollment

  5. Absolute change in score for St. George's Respiratory Questionnaire (SGRQ)

    Difference between study arms in the absolute change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  6. Percent change in score for St. George's Respiratory Questionnaire (SGRQ)

    Difference between study arms in the percent change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  7. Proportion of participants with change in score for St. George's Respiratory Questionnaire (SGRQ)

    Difference between study arms in the proportion of participants with an MCID change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  8. Modified Medical Research Council (mMRC) Dyspnoea Scale

    The Modified Medical Research Council Dyspnea Scale scores range from 0 (minimum) to 4 (maximum), with higher scores indicating more severe dyspnea.

    Time frame: 8,16,24 & 48 weeks post enrollment

  9. Absolute change in the Modified Medical Research Council (mMRC) Dyspnoea Scale

    Difference between study arms in the absolute change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  10. Percent change in the Modified Medical Research Council (mMRC) Dyspnoea Scale

    Difference between study arms in the percent change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  11. Proportion of participants with change in Modified Medical Research Council (mMRC) Dyspnoea Scale

    Difference between study arms in the proportion of participants with an MCID change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  12. Chronic Respiratory Disease Questionnaire (CRQ) Dyspnea score

    The CRQ assesses dyspnea on a Likert scale from 1 (Extremely short of breath) to 7 (Not at all short of breath). Total score ranges from 5 - 35. Lower scores indicate higher severity of dyspnea.

    Time frame: 8,16,24 & 48 weeks post enrollment

  13. Absolute change in Chronic Respiratory Disease Questionnaire (CRQ) Dyspnea score

    Difference between study arms in the absolute change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  14. Percent Change in Chronic Respiratory Disease Questionnaire (CRQ) Dyspnea score

    Difference between study arms in the percent change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  15. Proportion of participants with change in Chronic Respiratory Disease Questionnaire (CRQ) Dyspnea sore

    Difference between study arms in the proportion of participants with an MCID change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  16. COPD Assessment Test (CAT) score

    CAT total score range is from 0-40, higher scores indicates a more severe impact of COPD on a patient's life.

    Time frame: 8,16,24 & 48 weeks post enrollment

  17. Absolute change in COPD Assessment Test (CAT) score

    Difference between study arms in the absolute change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  18. Percent change in COPD Assessment Test (CAT) score

    Difference between study arms in the percent change in questionnaire scores 8,16, 24 \& 48 weeks after enrollment.

    Time frame: 8,16,24 & 48 weeks post enrollment

  19. Proportion of participants with a change in COPD Assessment Test (CAT) score

    Difference between study arms in the proportion of participants with an MCID change in questionnaire score

    Time frame: 8,16,24 & 48 weeks post enrollment

  20. FEV1 volume (mL) - Lung function

    FEV1 volume (mL) compared between study arms at 24 \& 48 weeks after enrollment.

    Time frame: 24 & 48 weeks post enrollment

  21. Absolute change in FEV1 volume (mL) - Lung function

    Difference between study arms in the absolute change in FEV1 volume

    Time frame: 8, 16, 24 & 48 weeks post enrollment

  22. Percent change in FEV1 volume (mL) - Lung function

    Difference between study arms in the percent change in FEV1 volume by 8,16, 24 \& 48 weeks after enrollment.

    Time frame: 8, 16, 24 & 48 weeks post enrollment

  23. Proportion of participants with change in FEV1 and/or FVC volume (mL) - Lung function

    Difference between study arms in the proportion of participants with a MCID change in FEV1 and/or FVC

    Time frame: 8, 16, 24 & 48 weeks post enrollment

  24. FVC volume (mL) - Lung function

    FVC volume (mL) compared between study arms

    Time frame: 24 & 48 weeks post enrollment

  25. Absolute change in FVC volume (mL) - Lung function (FEV1 and FVC)

    Difference between study arms in the absolute change in FVC volume

    Time frame: 8,16, 24 & 48 weeks post enrollment

  26. Percent change in FVC volume (mL) - Lung function (FEV1 and FVC)

    Difference between study arms in the percent change in FVC volumes

    Time frame: 8,16, 24 & 48 weeks post enrollment

Other outcomes

  1. Proportion of participants experiencing unfavorable treatment outcomes (Exploratory Outcome Measure)

    Arm comparisons of the proportion of participants experiencing any unfavorable TB treatment outcome of failure, recurrence, or death

    Time frame: 4, 8,12, 16, 20, 24, & 48 weeks post enrollment

07

Study locations

2 of 2 sites recruiting
  • Yenepoya (Deemed to be University
    Mangalore, India
    Recruiting
  • Symbiosis Medical College for Women & Symbiosis University Hospital and Research Center
    Pune, India
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07164742
Responsible party
Sponsor
First posted
Sep 10, 2025
Start date
Mar 18, 2026
Primary completion
Sep 15, 2028 (estimated)
Completion
Sep 15, 2028 (estimated)
Last update
Mar 27, 2026

Study contacts

Akshay Gupte, PhD MBBS MSPH
Contact
agupte1@bu.edu
617-358-2454
Jonathan Golub, PhD MPH
Contact
jgolub@jhmi.edu
443-287-2969
Akshay Gupte, PhD MBBS MSPH
principal investigator · Boston University
Jonathan Golub, PhD MPH
principal investigator · Johns Hopkins University

Oversight

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

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