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. 1999 Oct 25;1999(4):CD001362. doi: 10.1002/14651858.CD001362

Singapore 1979a.

Methods Randomized trial of 2 4‐month and 2 6‐month regimens, each with 4 drugs in initial 2‐month phase.
Participants 400 sputum‐positive pulmonary TB patients, age 15 or more, with no previous anti‐TB treatment entered.
Excluded from relapse analysis:
Pretreatment ineligibility: 12/400 (3%)
 Adverse reactions: 19/400 (5%)
 Given wrong drugs: 2/400 (1%)
 Died: 1/400 (0%)
 Defaulted: 3/400 (1%)
 37 excluded for pre‐treatment ineligiblity.
 345 assessed at 30 months (314 with initially drug‐susceptible strains and 31 resistant to at least one drug initially)
Interventions Daily treatment (70% of participants were outpatients), under direct observation, with the following 4 regimens:
 2SHRZ/4HRZ
 2SHRZ/4HR
 2SHRZ/2HRZ
 2SHRZ/2HR
Daily dosage:
 S: 0.75g
 H: 300 mg
 R: 450 mg (<50 kg), 600 mg (>50 kg)
 Z: 1.5 g (<50 kg), 2.0 g (>50 kg)
Outcomes Sputum conversion during and immediately after treatment
 Bacteriologic relapse (culture positive) at 6 and 30 months and 5‐8 years after start of treatment
Adverse reactions
Notes Includes a small number of patients in each group with bacilli resistant to H, R, or both.
All patients with sensitive bacilli were culture‐negative by the end of month 3 of treatment.