Table 3:
Group 1 (n=169) | Group 2 (n=169) | Group 3 (n=170) | Group 4 (n=172) | Total (n=680) | |
---|---|---|---|---|---|
Adverse events | |||||
All grade 3 and higher adverse events | 18 (10·7%) | 14 (8·3%) | 25 (14·7%) | 13 (7·6%) | 70 (10·3%) |
Hepatotoxicity resulting in isoniazid discontinuation (grade 3 or higher hepatotoxicity)* | 13 (7·7%) | 10 (5·9%) | 15 (8·8%) | 9 (5·2%) | 47 (6·9%) |
Other grade 3 or higher adverse events resulting in isoniazid discontinuation (ie, not due to hepatotoxicity) | 1 (0·6%) | 2 (1·2%) | 3 (1·8%) | 0 | 6 (0·1%) |
Serious adverse events | |||||
Severe hepatotoxicity (grade 4) | 3 (1·8%) | 2 (1·2%) | 3 (1·8%) | 3† (1·7%) | 11 (1·6%) |
Hospitalisation | |||||
Unrelated to isoniazid | 1 (0·6%) | 2 (1·2%) | 2 (1·2%) | 1 (0·6%) | 6 (0·9%) |
Possibly related to isoniazid | 0 | 1‡ (0·6%) | 0 | 0 | 1 (0·1%) |
Death§ | 1 (0·6%) | 0 | 4 (2·4%) | 0 | 5 (0·7%) |
Total serious adverse events | 5 (3·0%) | 5 (3·0%) | 9 (5·3%) | 4 (2·3%) | 23 (3·4%) |
Grade 3 hepatotoxicity defined by laboratory or clinical criteria as alanine aminotransferase or aspartate aminotransferase elevation ≥5 (but <10) times the upper limit of normal or symptoms consistent with hepatotoxicity; and grade 4 as ≥10 times the upper limit of normal or potentially life-threatening symptoms.
Two participants with severe hepatotoxicity diagnosed upon or after completing course of isoniazid.
Acute psychosis attributed to alcohol withdrawal-associated delirium.
Causes of death: group 1—one participant with oesophageal cancer; group 3—one participant with haemorrhagic pancreatitis with pneumonia; one participant with active tuberculosis disease; one participant with sepsis; one participant died of unknown cause (participant had completed isoniazid).