Table 1.
Standard arm (2EHRZ/4HR) |
Isoniazid arm (2MHRZ/2MHR) |
Ethambutol arm (2EMRZ/2MR) |
p value | |
---|---|---|---|---|
n 1 | 634 | 649 | 634 | |
Median peak ALT as × ULN (IQR) | 0.83 (0.56–1.35) |
0.78 (0.53–1.23) |
0.73 (0.51–1.09) |
0.0465 0.0006 |
Median time to peak ALT in arm (days) | 28 (14–84) |
28 (14–84) |
55 (14–84) |
0.9725 0.0176 |
Median time to peak ALT (days) if ≥3 × ULN | 28 (14–56) |
18 (14–56) |
28 (27–56) |
0.7555 0.6056 |
Median time to ALT < 1 × ULN2 (days) |
26 (15–42) |
28 (19–42) |
39 (30–61) |
0.5605 0.2706 |
No with peak ALT ≥ 3 × ULN and < 5 × ULN (%n3) | 21 (3.3%) |
17 (2.6%) |
11 (1.7%) |
0.2047 |
Bilirubin > 2 × ULN | 2 (0.3%) |
4 (0.6%) |
0 (0.0%) |
0.1427 |
INR4 >1.5 | 0 (0.0%) |
3 (0.5%) |
1 (0.2%) |
0.0987 |
No with peak ALT ≥ 5 × ULN and < 10 × ULN (%n3) | 13 (2.0%) |
16 (2.4%) |
11 (1.7%) |
0.6567 |
Bilirubin > 2 × ULN | 1 (0.2%) |
2 (0.3%) |
1 (0.2%) |
0.7927 |
INR4 >1.5 | 0 (0.0%) |
0 (0.0%) |
0 (0.0%) |
|
No with peak ALT ≥10 × ULN (%n3) | 7 (1.1%) |
2 (0.3%) |
3 (0.5%) |
0.1647 |
Bilirubin > 2 × ULN | 2 (0.3%) |
0 (0.0%) |
1 (0.2%) |
0.3607 |
INR4 >1.5 | 0 (0.0%) |
0 (0.0%) |
0 (0.0%) |
|
No of liver-related withdrawals | 11 (1.7%) |
7 (1.1%) |
4 (0.6%) |
0.178 |
Median days from the start of treatment to reach individual patient peak concentrations and the number of patients withdrawing from treatment for liver-related reasons are reported
ALT alanine aminotransferase, INR international normalised ratio, IQR interquartile range, ULN upper limit of normal
1 Some patients not included due to missing ALT results
2 If peak value ≥3 × ULN
3%n refers to percentage of total patients in the treatment arm
4 Patients with known anti-coagulant use were excluded from INR numbers
5 Isoniazid arm against standard therapy
6 Ethambutol arm against standard therapy
7 Chi-squared test (Fisher’s exact if any n ≤ 5)